Legume consumption and severe depressed mood, the modifying roles of gender and menopausal status

Legumes have been recommended as staple foods in the anticipation of disease prevention. However, the scientific evidence of their benefits, particularly on mental well-being, remains preliminary. We longitudinally assessed the association between legume consumption and the risk of severe depressed...

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Veröffentlicht in:Public health nutrition 2010-08, Vol.13 (8), p.1198-1206
Hauptverfasser: Li, Yanfeng, Dai, Qi, Tedders, Stuart H, Arroyo, Cassandra, Zhang, Jian
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Dai, Qi
Tedders, Stuart H
Arroyo, Cassandra
Zhang, Jian
description Legumes have been recommended as staple foods in the anticipation of disease prevention. However, the scientific evidence of their benefits, particularly on mental well-being, remains preliminary. We longitudinally assessed the association between legume consumption and the risk of severe depressed mood (SDM) among a national cohort. The study included adults aged 25-74 years who were examined in 1971-1975 as a part of the National Health and Nutrition Examination Survey. Legume consumption at baseline was obtained from a 3-month FFQ and categorised as infrequent ( or = 3 times/week). SDM was defined as Center for Epidemiologic Studies Depression Scale score > or = 22 or taking anti-depression medication after an average of 10.6 years of follow-up (from 8.0 to 12.5 years). Among women, the proportion of individuals with SDM was 17.75 %. For premenopausal women (n 1778), a significant linear trend of deleterious effect from legume consumption was observed (P for trend = 0.0148). The relative risks (RR) for infrequent, moderate and frequent consumptions were 1 (reference), 1.24 (95 % CI = 0.91, 1.70) and 1.75 (1.12, 2.75), respectively. However, moderate consumption showed a significant protective effect (RR = 0.52 (0.27, 1.00)) among women undergoing the menopausal transition (n 454). No association was obtained from either postmenopausal women (n 601) or men (n 2036). These findings suggest that gender and menopausal status were effect modifiers of the association between legume consumption and SDM. Detrimental effects of frequent consumption of legumes may exist among premenopausal women; moderate consumption, however, may protect perimenopausal women against SDM.
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However, the scientific evidence of their benefits, particularly on mental well-being, remains preliminary. We longitudinally assessed the association between legume consumption and the risk of severe depressed mood (SDM) among a national cohort. The study included adults aged 25-74 years who were examined in 1971-1975 as a part of the National Health and Nutrition Examination Survey. Legume consumption at baseline was obtained from a 3-month FFQ and categorised as infrequent (&lt;1 time/week), moderate (1-2 times/week) and frequent (&gt; or = 3 times/week). SDM was defined as Center for Epidemiologic Studies Depression Scale score &gt; or = 22 or taking anti-depression medication after an average of 10.6 years of follow-up (from 8.0 to 12.5 years). Among women, the proportion of individuals with SDM was 17.75 %. For premenopausal women (n 1778), a significant linear trend of deleterious effect from legume consumption was observed (P for trend = 0.0148). The relative risks (RR) for infrequent, moderate and frequent consumptions were 1 (reference), 1.24 (95 % CI = 0.91, 1.70) and 1.75 (1.12, 2.75), respectively. However, moderate consumption showed a significant protective effect (RR = 0.52 (0.27, 1.00)) among women undergoing the menopausal transition (n 454). No association was obtained from either postmenopausal women (n 601) or men (n 2036). These findings suggest that gender and menopausal status were effect modifiers of the association between legume consumption and SDM. 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However, the scientific evidence of their benefits, particularly on mental well-being, remains preliminary. We longitudinally assessed the association between legume consumption and the risk of severe depressed mood (SDM) among a national cohort. The study included adults aged 25-74 years who were examined in 1971-1975 as a part of the National Health and Nutrition Examination Survey. Legume consumption at baseline was obtained from a 3-month FFQ and categorised as infrequent (&lt;1 time/week), moderate (1-2 times/week) and frequent (&gt; or = 3 times/week). SDM was defined as Center for Epidemiologic Studies Depression Scale score &gt; or = 22 or taking anti-depression medication after an average of 10.6 years of follow-up (from 8.0 to 12.5 years). Among women, the proportion of individuals with SDM was 17.75 %. For premenopausal women (n 1778), a significant linear trend of deleterious effect from legume consumption was observed (P for trend = 0.0148). The relative risks (RR) for infrequent, moderate and frequent consumptions were 1 (reference), 1.24 (95 % CI = 0.91, 1.70) and 1.75 (1.12, 2.75), respectively. However, moderate consumption showed a significant protective effect (RR = 0.52 (0.27, 1.00)) among women undergoing the menopausal transition (n 454). No association was obtained from either postmenopausal women (n 601) or men (n 2036). These findings suggest that gender and menopausal status were effect modifiers of the association between legume consumption and SDM. Detrimental effects of frequent consumption of legumes may exist among premenopausal women; moderate consumption, however, may protect perimenopausal women against SDM.</description><subject>Adult</subject><subject>adults</subject><subject>Aged</subject><subject>Biological and behavioural determinants</subject><subject>Cancer</subject><subject>Depressed mood</subject><subject>depression</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Depression - prevention &amp; control</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - etiology</subject><subject>Depressive Disorder - prevention &amp; control</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Dietary minerals</subject><subject>dietary nutrient sources</subject><subject>Drugs</subject><subject>Fabaceae</subject><subject>Female</subject><subject>food frequency questionnaires</subject><subject>Gender</subject><subject>gender differences</subject><subject>Humans</subject><subject>ingestion</subject><subject>Interviews</subject><subject>Legumes</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>men</subject><subject>Menopause</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>National survey</subject><subject>Nutrition</subject><subject>Nutrition Surveys</subject><subject>Phytotherapy</subject><subject>Plant Preparations - administration &amp; 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However, the scientific evidence of their benefits, particularly on mental well-being, remains preliminary. We longitudinally assessed the association between legume consumption and the risk of severe depressed mood (SDM) among a national cohort. The study included adults aged 25-74 years who were examined in 1971-1975 as a part of the National Health and Nutrition Examination Survey. Legume consumption at baseline was obtained from a 3-month FFQ and categorised as infrequent (&lt;1 time/week), moderate (1-2 times/week) and frequent (&gt; or = 3 times/week). SDM was defined as Center for Epidemiologic Studies Depression Scale score &gt; or = 22 or taking anti-depression medication after an average of 10.6 years of follow-up (from 8.0 to 12.5 years). Among women, the proportion of individuals with SDM was 17.75 %. For premenopausal women (n 1778), a significant linear trend of deleterious effect from legume consumption was observed (P for trend = 0.0148). The relative risks (RR) for infrequent, moderate and frequent consumptions were 1 (reference), 1.24 (95 % CI = 0.91, 1.70) and 1.75 (1.12, 2.75), respectively. However, moderate consumption showed a significant protective effect (RR = 0.52 (0.27, 1.00)) among women undergoing the menopausal transition (n 454). No association was obtained from either postmenopausal women (n 601) or men (n 2036). These findings suggest that gender and menopausal status were effect modifiers of the association between legume consumption and SDM. Detrimental effects of frequent consumption of legumes may exist among premenopausal women; moderate consumption, however, may protect perimenopausal women against SDM.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>20100387</pmid><doi>10.1017/S1368980009992059</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
adults
Aged
Biological and behavioural determinants
Cancer
Depressed mood
depression
Depression - epidemiology
Depression - etiology
Depression - prevention & control
Depressive Disorder - epidemiology
Depressive Disorder - etiology
Depressive Disorder - prevention & control
Diabetes
Diet
Dietary minerals
dietary nutrient sources
Drugs
Fabaceae
Female
food frequency questionnaires
Gender
gender differences
Humans
ingestion
Interviews
Legumes
Longitudinal Studies
Male
men
Menopause
Mental depression
Middle Aged
National survey
Nutrition
Nutrition Surveys
Phytotherapy
Plant Preparations - administration & dosage
Plant Preparations - therapeutic use
protective effect
Questionnaires
Risk Factors
Seeds
Sex Factors
Surveys and Questionnaires
Time Factors
women
Womens health
title Legume consumption and severe depressed mood, the modifying roles of gender and menopausal status
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