Association of habitual intake of fruits and vegetables with depressive symptoms: The AusDiab study
Simone Radavelli-Bagatini, Edith Cowan UniversityFollow
Reindolf Anokye, Edith Cowan UniversityFollow
Nicola P. Bondonno, Edith Cowan UniversityFollow
Marc Sim, Edith Cowan UniversityFollow
Catherine P. Bondonno, Edith Cowan UniversityFollow
Mandy J. Stanley, Edih Cowan UniversityFollow
Craig Harms, Edith Cowan UinversityFollow
Dianna J. Magliano
Jonathan E. Shaw
Robin M. Daly
Jonathan M. Hodgson, Edith Cowan UniversityFollow
Joshua R. Lewis, Edith Cowan UniversityFollow
Lauren C. Blekkenhorst, Edith Cowan UniversityFollow
ORCID : 0000-0001-6821-5217
ORCID : 0000-0002-7669-7057
Nicola P. Bondonno
ORCID : 0000-0001-5905-444X
ORCID : 0000-0001-5166-0605
Catherine P. Bondonno
ORCID : 0000-0001-8509-439X
Mandy J. Stanley
ORCID : 0000-0002-7958-5181
ORCID : 0000-0001-7256-2326
Jonathan M. Hodgson
ORCID : 0000-0001-6184-7764
Lauren C. Blekkenhorst
ORCID : 0000-0003-1561-9052
European Journal of Nutrition
School of Medical and Health Sciences
Funding information :
National Health and Medical Research Council
NHMRC Number : 1172987, 1116973, 1173952
To investigate the relationship of habitual FV intake, different types of FV, and vegetable diversity with depressive symptoms.
Australian men and women (n = 4105) aged > 25 years from the Australian Diabetes, Obesity and Lifestyle Study were included. Dietary intake was assessed using a Food Frequency Questionnaire at baseline, 5 and 12 years. Depressive symptoms were assessed using the validated 10-item Centre for Epidemiology Studies Short Depression Scale at 12 years. Multiple logistic regression models were used to investigate the association between the exposures of interest and depressive symptoms using odds ratios (OR) and 95% confidence intervals (CI) across quartiles of FV intake and vegetable diversity. Analyses were multivariable-adjusted for confounding factors.
At 12 years, 425 (10.4%) participants had “any depressive symptoms”. Habitual FV intake was inversely associated with depressive symptoms at 12 years. After adjustment, participants in quartile 2 of FV intake (Q2; median 317 g/day) had a 20% lower odds of having any depressive symptoms (OR [95% CI] 0.80 [0.69, 0.95]) in comparison to those in the lowest quartile of FV intake (Q1; median 223 g/day). Yellow/orange/red and leafy green vegetables were the key vegetable types driving this association. Higher vegetable diversity (4–6 different vegetables/day) was associated with a 24–42% lower odds of having depressive symptoms when compared to < 3 different vegetables/day. The associations remained similar after further adjusting for diet quality.
A FV-rich diet, consisting of a diverse range of vegetables, particularly yellow/orange/red and leafy green vegetables may help to lower depressive symptoms. Promoting such a diet, particularly in men and women with a low FV intake, may have a significant public health impact.
Radavelli Bagatini, S. (2022). Diet, cardiovascular disease, and mental health. https://ro.ecu.edu.au/theses/2548
This is a post-peer-review, pre-copyedit version of an article published in European Journal of Nutrition. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00394-021-02532-0
Radavelli-Bagatini, S., Anokye, R., Bondonno, N. P., Sim, M., Bondonno, C. P., Stanley, M. J., . . . Blekkenhorst, L. C. (2021). Association of habitual intake of fruits and vegetables with depressive symptoms: The AusDiab study. European Journal of Nutrition, 60(7), 3743-3755.