Dietary patterns and incidence of depression in a cohort of community-dwelling older Canadians

OBJECTIVES: To investigate the association of dietary patterns with a 3-year incidence of depression among healthy older adults. DESIGN: Multiple logistic regression models adjusted for age, sex, marital status, smoking, education, total energy intake, physical activity, body mass index, hypertensio...

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Veröffentlicht in:The Journal of nutrition, health & aging health & aging, 2015-04, Vol.19 (4), p.431-436
Hauptverfasser: Gougeon, L, Payette, H, Morais, J, Gaudreau, P, Shatenstein, B, Gray-Donald, Katherine
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container_issue 4
container_start_page 431
container_title The Journal of nutrition, health & aging
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creator Gougeon, L
Payette, H
Morais, J
Gaudreau, P
Shatenstein, B
Gray-Donald, Katherine
description OBJECTIVES: To investigate the association of dietary patterns with a 3-year incidence of depression among healthy older adults. DESIGN: Multiple logistic regression models adjusted for age, sex, marital status, smoking, education, total energy intake, physical activity, body mass index, hypertension, functional autonomy, cognitive functioning, social activities, and stressful life events. Energy and macronutrient intakes were also analyzed as potential predictors of depression. SETTING: Cities of Montréal, Laval, and Sherbrooke in Quebec, CA. PARTICIPANTS: Community-dwelling older adults, free of depression at baseline (N=1,358, 67–84 y), followed for 3y in the Québec Longitudinal Study on Nutrition and Aging (NuAge). MEASUREMENTS: Dietary patterns derived from principal components analysis of three 24 h-recalls at baseline, and depression incidence as measured by the 30-item Geriatric Depression Scale (≥11) and/or use of antidepressants at follow-up years. RESULTS: 170 people (63% women) became depressed over the 3 years. People in the highest tertile of adherence to the “varied diet” had lower risk of depression before adjustment (OR 0.58, 98% C.I. 0.38–0.86) but not significant once age and sex were controlled. No other dietary pattern was associated with the incidence of depression. The highest tertile of energy intake was associated with lower depression incidence after controlling for all confounders (OR 0.55, 95%CI 0.34–0.87). CONCLUSION: Among healthy older adults, dietary patterns do not appear to be related to depression. Those who eat less, however, possibly reflecting declining health, are at higher risk of becoming depressed.
doi_str_mv 10.1007/s12603-014-0562-9
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DESIGN: Multiple logistic regression models adjusted for age, sex, marital status, smoking, education, total energy intake, physical activity, body mass index, hypertension, functional autonomy, cognitive functioning, social activities, and stressful life events. Energy and macronutrient intakes were also analyzed as potential predictors of depression. SETTING: Cities of Montréal, Laval, and Sherbrooke in Quebec, CA. PARTICIPANTS: Community-dwelling older adults, free of depression at baseline (N=1,358, 67–84 y), followed for 3y in the Québec Longitudinal Study on Nutrition and Aging (NuAge). MEASUREMENTS: Dietary patterns derived from principal components analysis of three 24 h-recalls at baseline, and depression incidence as measured by the 30-item Geriatric Depression Scale (≥11) and/or use of antidepressants at follow-up years. RESULTS: 170 people (63% women) became depressed over the 3 years. People in the highest tertile of adherence to the “varied diet” had lower risk of depression before adjustment (OR 0.58, 98% C.I. 0.38–0.86) but not significant once age and sex were controlled. No other dietary pattern was associated with the incidence of depression. The highest tertile of energy intake was associated with lower depression incidence after controlling for all confounders (OR 0.55, 95%CI 0.34–0.87). CONCLUSION: Among healthy older adults, dietary patterns do not appear to be related to depression. Those who eat less, however, possibly reflecting declining health, are at higher risk of becoming depressed.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-014-0562-9</identifier><identifier>PMID: 25809807</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of daily living ; Aged ; Aged, 80 and over ; Aging ; Antidepressants ; body mass index ; Canadians ; cities ; cognition ; Depression - diagnosis ; Depression - epidemiology ; diet ; Diet - statistics &amp; numerical data ; Disability ; eating habits ; education ; elderly ; Energy Intake ; Exercise ; Feeding Behavior ; Female ; Geriatric Assessment ; Geriatrics ; Geriatrics/Gerontology ; Humans ; hypertension ; Incidence ; life events ; Logistic Models ; Longitudinal Studies ; Male ; Marital status ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Neurosciences ; Nutrition ; Nutrition research ; Nutritional Status ; Older people ; physical activity ; Primary Care Medicine ; Principal Component Analysis ; Principal components analysis ; Quality of Life Research ; Quebec - epidemiology ; regression analysis ; Research centers ; Residence Characteristics ; risk ; women ; Womens health</subject><ispartof>The Journal of nutrition, health &amp; aging, 2015-04, Vol.19 (4), p.431-436</ispartof><rights>Serdi and Springer-Verlag France 2014</rights><rights>Serdi and Springer-Verlag France 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c575t-e3f2b095bebea706fcc2fcfae2cec612b905f22b333f994d3a24fd59d2b396913</citedby><cites>FETCH-LOGICAL-c575t-e3f2b095bebea706fcc2fcfae2cec612b905f22b333f994d3a24fd59d2b396913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-014-0562-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-014-0562-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25809807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gougeon, L</creatorcontrib><creatorcontrib>Payette, H</creatorcontrib><creatorcontrib>Morais, J</creatorcontrib><creatorcontrib>Gaudreau, P</creatorcontrib><creatorcontrib>Shatenstein, B</creatorcontrib><creatorcontrib>Gray-Donald, Katherine</creatorcontrib><title>Dietary patterns and incidence of depression in a cohort of community-dwelling older Canadians</title><title>The Journal of nutrition, health &amp; aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>OBJECTIVES: To investigate the association of dietary patterns with a 3-year incidence of depression among healthy older adults. DESIGN: Multiple logistic regression models adjusted for age, sex, marital status, smoking, education, total energy intake, physical activity, body mass index, hypertension, functional autonomy, cognitive functioning, social activities, and stressful life events. Energy and macronutrient intakes were also analyzed as potential predictors of depression. SETTING: Cities of Montréal, Laval, and Sherbrooke in Quebec, CA. PARTICIPANTS: Community-dwelling older adults, free of depression at baseline (N=1,358, 67–84 y), followed for 3y in the Québec Longitudinal Study on Nutrition and Aging (NuAge). MEASUREMENTS: Dietary patterns derived from principal components analysis of three 24 h-recalls at baseline, and depression incidence as measured by the 30-item Geriatric Depression Scale (≥11) and/or use of antidepressants at follow-up years. RESULTS: 170 people (63% women) became depressed over the 3 years. People in the highest tertile of adherence to the “varied diet” had lower risk of depression before adjustment (OR 0.58, 98% C.I. 0.38–0.86) but not significant once age and sex were controlled. No other dietary pattern was associated with the incidence of depression. The highest tertile of energy intake was associated with lower depression incidence after controlling for all confounders (OR 0.55, 95%CI 0.34–0.87). CONCLUSION: Among healthy older adults, dietary patterns do not appear to be related to depression. Those who eat less, however, possibly reflecting declining health, are at higher risk of becoming depressed.</description><subject>Activities of daily living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Antidepressants</subject><subject>body mass index</subject><subject>Canadians</subject><subject>cities</subject><subject>cognition</subject><subject>Depression - diagnosis</subject><subject>Depression - epidemiology</subject><subject>diet</subject><subject>Diet - statistics &amp; numerical data</subject><subject>Disability</subject><subject>eating habits</subject><subject>education</subject><subject>elderly</subject><subject>Energy Intake</subject><subject>Exercise</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>hypertension</subject><subject>Incidence</subject><subject>life events</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Marital status</subject><subject>Medicine</subject><subject>Medicine &amp; 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Payette, H ; Morais, J ; Gaudreau, P ; Shatenstein, B ; Gray-Donald, Katherine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c575t-e3f2b095bebea706fcc2fcfae2cec612b905f22b333f994d3a24fd59d2b396913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Activities of daily living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Antidepressants</topic><topic>body mass index</topic><topic>Canadians</topic><topic>cities</topic><topic>cognition</topic><topic>Depression - diagnosis</topic><topic>Depression - epidemiology</topic><topic>diet</topic><topic>Diet - statistics &amp; numerical data</topic><topic>Disability</topic><topic>eating habits</topic><topic>education</topic><topic>elderly</topic><topic>Energy Intake</topic><topic>Exercise</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>hypertension</topic><topic>Incidence</topic><topic>life events</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Marital status</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mental depression</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Nutrition research</topic><topic>Nutritional Status</topic><topic>Older people</topic><topic>physical activity</topic><topic>Primary Care Medicine</topic><topic>Principal Component Analysis</topic><topic>Principal components analysis</topic><topic>Quality of Life Research</topic><topic>Quebec - epidemiology</topic><topic>regression analysis</topic><topic>Research centers</topic><topic>Residence Characteristics</topic><topic>risk</topic><topic>women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gougeon, L</creatorcontrib><creatorcontrib>Payette, H</creatorcontrib><creatorcontrib>Morais, J</creatorcontrib><creatorcontrib>Gaudreau, P</creatorcontrib><creatorcontrib>Shatenstein, B</creatorcontrib><creatorcontrib>Gray-Donald, Katherine</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>19</volume><issue>4</issue><spage>431</spage><epage>436</epage><pages>431-436</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>OBJECTIVES: To investigate the association of dietary patterns with a 3-year incidence of depression among healthy older adults. DESIGN: Multiple logistic regression models adjusted for age, sex, marital status, smoking, education, total energy intake, physical activity, body mass index, hypertension, functional autonomy, cognitive functioning, social activities, and stressful life events. Energy and macronutrient intakes were also analyzed as potential predictors of depression. SETTING: Cities of Montréal, Laval, and Sherbrooke in Quebec, CA. PARTICIPANTS: Community-dwelling older adults, free of depression at baseline (N=1,358, 67–84 y), followed for 3y in the Québec Longitudinal Study on Nutrition and Aging (NuAge). MEASUREMENTS: Dietary patterns derived from principal components analysis of three 24 h-recalls at baseline, and depression incidence as measured by the 30-item Geriatric Depression Scale (≥11) and/or use of antidepressants at follow-up years. RESULTS: 170 people (63% women) became depressed over the 3 years. People in the highest tertile of adherence to the “varied diet” had lower risk of depression before adjustment (OR 0.58, 98% C.I. 0.38–0.86) but not significant once age and sex were controlled. No other dietary pattern was associated with the incidence of depression. The highest tertile of energy intake was associated with lower depression incidence after controlling for all confounders (OR 0.55, 95%CI 0.34–0.87). CONCLUSION: Among healthy older adults, dietary patterns do not appear to be related to depression. Those who eat less, however, possibly reflecting declining health, are at higher risk of becoming depressed.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>25809807</pmid><doi>10.1007/s12603-014-0562-9</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of daily living
Aged
Aged, 80 and over
Aging
Antidepressants
body mass index
Canadians
cities
cognition
Depression - diagnosis
Depression - epidemiology
diet
Diet - statistics & numerical data
Disability
eating habits
education
elderly
Energy Intake
Exercise
Feeding Behavior
Female
Geriatric Assessment
Geriatrics
Geriatrics/Gerontology
Humans
hypertension
Incidence
life events
Logistic Models
Longitudinal Studies
Male
Marital status
Medicine
Medicine & Public Health
Mental depression
Neurosciences
Nutrition
Nutrition research
Nutritional Status
Older people
physical activity
Primary Care Medicine
Principal Component Analysis
Principal components analysis
Quality of Life Research
Quebec - epidemiology
regression analysis
Research centers
Residence Characteristics
risk
women
Womens health
title Dietary patterns and incidence of depression in a cohort of community-dwelling older Canadians
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