Dietary pattern derived by reduced rank regression and depressive symptoms in a multi-ethnic population: the HELIUS study

Background/Objectives: To investigate the association of dietary patterns derived by reduced rank regression (RRR) with depressive symptoms in a multi-ethnic population. Subjects/Methods: Cross-sectional data from the HELIUS study were used. In total, 4967 men and women (18–70 years) of Dutch, South...

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Veröffentlicht in:European journal of clinical nutrition 2017-08, Vol.71 (8), p.987-994
Hauptverfasser: Vermeulen, E, Stronks, K, Visser, M, Brouwer, I A, Snijder, M B, Mocking, R J T, Derks, E M, Schene, A H, Nicolaou, M
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container_end_page 994
container_issue 8
container_start_page 987
container_title European journal of clinical nutrition
container_volume 71
creator Vermeulen, E
Stronks, K
Visser, M
Brouwer, I A
Snijder, M B
Mocking, R J T
Derks, E M
Schene, A H
Nicolaou, M
description Background/Objectives: To investigate the association of dietary patterns derived by reduced rank regression (RRR) with depressive symptoms in a multi-ethnic population. Subjects/Methods: Cross-sectional data from the HELIUS study were used. In total, 4967 men and women (18–70 years) of Dutch, South-Asian Surinamese, African Surinamese, Turkish and Moroccan origin living in the Netherlands were included. Diet was measured using ethnic-specific food frequency questionnaires. Depressive symptoms were measured with the nine-item patient health questionnaire. Results: By performing RRR in the whole population and per ethnic group, comparable dietary patterns were identified and therefore the dietary pattern for the whole population was used for subsequent analyses. We identified a dietary pattern that was strongly related to eicosapentaenoic acid+docosahexaenoic acid, folate, magnesium and zinc (response variables) and which was characterized by milk products, cheese, whole grains, vegetables, legumes, nuts, potatoes and red meat. After adjustment for confounders, a statistically significant inverse association was observed in the whole population (B: −0.03, 95% CI: −0.06, −0.00, P =0.046) and among Moroccan (B: −0.09, 95% CI: −0.13, −0.04, P =0.027) and South-Asian Surinamese participants (B: −0.05, 95% CI: −0.09, −0.01, P =
doi_str_mv 10.1038/ejcn.2017.61
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Subjects/Methods: Cross-sectional data from the HELIUS study were used. In total, 4967 men and women (18–70 years) of Dutch, South-Asian Surinamese, African Surinamese, Turkish and Moroccan origin living in the Netherlands were included. Diet was measured using ethnic-specific food frequency questionnaires. Depressive symptoms were measured with the nine-item patient health questionnaire. Results: By performing RRR in the whole population and per ethnic group, comparable dietary patterns were identified and therefore the dietary pattern for the whole population was used for subsequent analyses. We identified a dietary pattern that was strongly related to eicosapentaenoic acid+docosahexaenoic acid, folate, magnesium and zinc (response variables) and which was characterized by milk products, cheese, whole grains, vegetables, legumes, nuts, potatoes and red meat. After adjustment for confounders, a statistically significant inverse association was observed in the whole population (B: −0.03, 95% CI: −0.06, −0.00, P =0.046) and among Moroccan (B: −0.09, 95% CI: −0.13, −0.04, P =0.027) and South-Asian Surinamese participants (B: −0.05, 95% CI: −0.09, −0.01, P =&lt;0.001), whereas no statistically significant association was found in the remaining ethnic groups. No statistically significant associations were found between the dietary pattern and significant depressed mood in any of the ethnic groups. Conclusions: No consistent evidence was found that consumption of a dietary pattern, high in nutrients that are hypothesized to protect against depression, was associated with lower depressive symptoms across different ethnic groups.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2017.61</identifier><identifier>PMID: 28466848</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/476 ; 692/700/2814 ; Adult ; Asian Continental Ancestry Group ; Cheese ; Clinical Nutrition ; Cohort Studies ; Confounding Factors (Epidemiology) ; Cost of Illness ; Cross-Sectional Studies ; Demographic aspects ; Depression (Mood disorder) ; Depression - epidemiology ; Depression - ethnology ; Depression - etiology ; Depression - prevention &amp; control ; Depression, Mental ; Diet ; Diet - adverse effects ; Diet - ethnology ; Docosahexaenoic acid ; Eicosapentaenoic acid ; Epidemiology ; Ethnic groups ; Ethnicity ; Female ; Folic acid ; Food ; Food and nutrition ; Food habits ; Health aspects ; Health risk assessment ; Health Status Disparities ; Healthy Diet - ethnology ; Humans ; Internal Medicine ; Inventories ; Legumes ; Magnesium ; Male ; Meat ; Medicine ; Medicine &amp; Public Health ; Men ; Mental depression ; Metabolic Diseases ; Milk ; Milk products ; Minority &amp; ethnic groups ; Mood ; Morocco - ethnology ; Netherlands - epidemiology ; Nutrients ; Nutrition research ; Nuts ; original-article ; Patient Compliance - ethnology ; Population ; Population (statistical) ; Population studies ; Potatoes ; Prevalence ; Prevention ; Psychological aspects ; Public Health ; Questionnaires ; Registries ; Regression analysis ; Risk ; Statistical analysis ; Statistical significance ; Suriname - ethnology ; Turkey - ethnology ; Urban Health - ethnology ; Vegetables ; Zinc</subject><ispartof>European journal of clinical nutrition, 2017-08, Vol.71 (8), p.987-994</ispartof><rights>Macmillan Publishers Limited, part of Springer Nature. 2017</rights><rights>COPYRIGHT 2017 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Aug 2017</rights><rights>Macmillan Publishers Limited, part of Springer Nature. 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-1144178cc9c0f07fca3f874bb0957e87cf65b73add347b3f4a8181a47e31dfe43</citedby><cites>FETCH-LOGICAL-c503t-1144178cc9c0f07fca3f874bb0957e87cf65b73add347b3f4a8181a47e31dfe43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ejcn.2017.61$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ejcn.2017.61$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28466848$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vermeulen, E</creatorcontrib><creatorcontrib>Stronks, K</creatorcontrib><creatorcontrib>Visser, M</creatorcontrib><creatorcontrib>Brouwer, I A</creatorcontrib><creatorcontrib>Snijder, M B</creatorcontrib><creatorcontrib>Mocking, R J T</creatorcontrib><creatorcontrib>Derks, E M</creatorcontrib><creatorcontrib>Schene, A H</creatorcontrib><creatorcontrib>Nicolaou, M</creatorcontrib><title>Dietary pattern derived by reduced rank regression and depressive symptoms in a multi-ethnic population: the HELIUS study</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/Objectives: To investigate the association of dietary patterns derived by reduced rank regression (RRR) with depressive symptoms in a multi-ethnic population. Subjects/Methods: Cross-sectional data from the HELIUS study were used. In total, 4967 men and women (18–70 years) of Dutch, South-Asian Surinamese, African Surinamese, Turkish and Moroccan origin living in the Netherlands were included. Diet was measured using ethnic-specific food frequency questionnaires. Depressive symptoms were measured with the nine-item patient health questionnaire. Results: By performing RRR in the whole population and per ethnic group, comparable dietary patterns were identified and therefore the dietary pattern for the whole population was used for subsequent analyses. We identified a dietary pattern that was strongly related to eicosapentaenoic acid+docosahexaenoic acid, folate, magnesium and zinc (response variables) and which was characterized by milk products, cheese, whole grains, vegetables, legumes, nuts, potatoes and red meat. After adjustment for confounders, a statistically significant inverse association was observed in the whole population (B: −0.03, 95% CI: −0.06, −0.00, P =0.046) and among Moroccan (B: −0.09, 95% CI: −0.13, −0.04, P =0.027) and South-Asian Surinamese participants (B: −0.05, 95% CI: −0.09, −0.01, P =&lt;0.001), whereas no statistically significant association was found in the remaining ethnic groups. No statistically significant associations were found between the dietary pattern and significant depressed mood in any of the ethnic groups. Conclusions: No consistent evidence was found that consumption of a dietary pattern, high in nutrients that are hypothesized to protect against depression, was associated with lower depressive symptoms across different ethnic groups.</description><subject>692/699/476</subject><subject>692/700/2814</subject><subject>Adult</subject><subject>Asian Continental Ancestry Group</subject><subject>Cheese</subject><subject>Clinical Nutrition</subject><subject>Cohort Studies</subject><subject>Confounding Factors (Epidemiology)</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Demographic aspects</subject><subject>Depression (Mood disorder)</subject><subject>Depression - epidemiology</subject><subject>Depression - ethnology</subject><subject>Depression - etiology</subject><subject>Depression - prevention &amp; control</subject><subject>Depression, Mental</subject><subject>Diet</subject><subject>Diet - adverse effects</subject><subject>Diet - ethnology</subject><subject>Docosahexaenoic acid</subject><subject>Eicosapentaenoic acid</subject><subject>Epidemiology</subject><subject>Ethnic groups</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Folic acid</subject><subject>Food</subject><subject>Food and nutrition</subject><subject>Food habits</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Health Status Disparities</subject><subject>Healthy Diet - ethnology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Inventories</subject><subject>Legumes</subject><subject>Magnesium</subject><subject>Male</subject><subject>Meat</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Men</subject><subject>Mental depression</subject><subject>Metabolic Diseases</subject><subject>Milk</subject><subject>Milk products</subject><subject>Minority &amp; ethnic groups</subject><subject>Mood</subject><subject>Morocco - ethnology</subject><subject>Netherlands - epidemiology</subject><subject>Nutrients</subject><subject>Nutrition research</subject><subject>Nuts</subject><subject>original-article</subject><subject>Patient Compliance - ethnology</subject><subject>Population</subject><subject>Population (statistical)</subject><subject>Population studies</subject><subject>Potatoes</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Psychological aspects</subject><subject>Public Health</subject><subject>Questionnaires</subject><subject>Registries</subject><subject>Regression analysis</subject><subject>Risk</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><subject>Suriname - ethnology</subject><subject>Turkey - ethnology</subject><subject>Urban Health - ethnology</subject><subject>Vegetables</subject><subject>Zinc</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks1v1DAQxS0EokvhxhlZQkIcyOKJndjhVpVCK63EAXq2HGeymyVf2E6l_Pc43QILQnuyR_PzG8_TI-QlsDUwrt7j3vbrlIFc5_CIrEDIPMlywR6TFSsykXDG5Bl55v2esdiU6VNyliqR50qoFZk_NhiMm-loQkDX0wpdc4cVLWfqsJpsvDrTf4_F1qH3zdBT01cRG-_LO6R-7sYwdJ42sUW7qQ1NgmHXN5aOwzi1JsRHH2jYIb2-2tzcfqU-TNX8nDypTevxxcN5Tm4_XX27vE42Xz7fXF5sEpsxHhIAIUAqawvLaiZra3itpCjLuJxEJW2dZ6Xkpqq4kCWvhVGgwAiJHKoaBT8nbw-6oxt-TOiD7hpvsW1Nj8PkNahCFGma5RDR1_-g-2FyffydTnPIMg6Sn6SgSDNQCkTxh9qaFnXT10Nwxi6j9UWuilRJJvlJShSFhBSKRevNEbVD04adH9ppMdb_LXcSPFZ8dwCtG7x3WOvRNV3MgQaml1jpJVZ6iZW-N-bVw8pT2WH1G_6VowgkB8DHVr9Fd-TJ_wR_Ahz60-A</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Vermeulen, E</creator><creator>Stronks, K</creator><creator>Visser, M</creator><creator>Brouwer, I A</creator><creator>Snijder, M B</creator><creator>Mocking, R J T</creator><creator>Derks, E M</creator><creator>Schene, A H</creator><creator>Nicolaou, M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Dietary pattern derived by reduced rank regression and depressive symptoms in a multi-ethnic population: the HELIUS study</title><author>Vermeulen, E ; 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Subjects/Methods: Cross-sectional data from the HELIUS study were used. In total, 4967 men and women (18–70 years) of Dutch, South-Asian Surinamese, African Surinamese, Turkish and Moroccan origin living in the Netherlands were included. Diet was measured using ethnic-specific food frequency questionnaires. Depressive symptoms were measured with the nine-item patient health questionnaire. Results: By performing RRR in the whole population and per ethnic group, comparable dietary patterns were identified and therefore the dietary pattern for the whole population was used for subsequent analyses. We identified a dietary pattern that was strongly related to eicosapentaenoic acid+docosahexaenoic acid, folate, magnesium and zinc (response variables) and which was characterized by milk products, cheese, whole grains, vegetables, legumes, nuts, potatoes and red meat. After adjustment for confounders, a statistically significant inverse association was observed in the whole population (B: −0.03, 95% CI: −0.06, −0.00, P =0.046) and among Moroccan (B: −0.09, 95% CI: −0.13, −0.04, P =0.027) and South-Asian Surinamese participants (B: −0.05, 95% CI: −0.09, −0.01, P =&lt;0.001), whereas no statistically significant association was found in the remaining ethnic groups. No statistically significant associations were found between the dietary pattern and significant depressed mood in any of the ethnic groups. Conclusions: No consistent evidence was found that consumption of a dietary pattern, high in nutrients that are hypothesized to protect against depression, was associated with lower depressive symptoms across different ethnic groups.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28466848</pmid><doi>10.1038/ejcn.2017.61</doi><tpages>8</tpages></addata></record>
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subjects 692/699/476
692/700/2814
Adult
Asian Continental Ancestry Group
Cheese
Clinical Nutrition
Cohort Studies
Confounding Factors (Epidemiology)
Cost of Illness
Cross-Sectional Studies
Demographic aspects
Depression (Mood disorder)
Depression - epidemiology
Depression - ethnology
Depression - etiology
Depression - prevention & control
Depression, Mental
Diet
Diet - adverse effects
Diet - ethnology
Docosahexaenoic acid
Eicosapentaenoic acid
Epidemiology
Ethnic groups
Ethnicity
Female
Folic acid
Food
Food and nutrition
Food habits
Health aspects
Health risk assessment
Health Status Disparities
Healthy Diet - ethnology
Humans
Internal Medicine
Inventories
Legumes
Magnesium
Male
Meat
Medicine
Medicine & Public Health
Men
Mental depression
Metabolic Diseases
Milk
Milk products
Minority & ethnic groups
Mood
Morocco - ethnology
Netherlands - epidemiology
Nutrients
Nutrition research
Nuts
original-article
Patient Compliance - ethnology
Population
Population (statistical)
Population studies
Potatoes
Prevalence
Prevention
Psychological aspects
Public Health
Questionnaires
Registries
Regression analysis
Risk
Statistical analysis
Statistical significance
Suriname - ethnology
Turkey - ethnology
Urban Health - ethnology
Vegetables
Zinc
title Dietary pattern derived by reduced rank regression and depressive symptoms in a multi-ethnic population: the HELIUS study
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