Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial
Abstract Objective: To examine the cross-sectional and longitudinal (2-year follow-up) associations between dietary diversity (DD) and depressive symptoms. Design: An energy-adjusted dietary diversity score (DDS) was assessed using a validated FFQ and was categorised into quartiles (Q). The vari...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-03-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980022001525/type/journal_article |
| _version_ | 1828717911833837568 |
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| author | Naomi Cano-Ibáñez Lluis Serra-Majem Sandra Martín-Peláez Miguel Ángel Martínez-González Jordi Salas-Salvadó Dolores Corella Camille Lassale Jose Alfredo Martínez Ángel M Alonso-Gómez Julia Wärnberg Jesús Vioque Dora Romaguera José López-Miranda Ramon Estruch Ana María Gómez-Pérez José Lapetra Fernando Fernández-Aranda Aurora Bueno-Cavanillas Josep A Tur Naiara Cubelos Xavier Pintó José Juan Gaforio Pilar Matía-Martín Josep Vidal Cristina Calderón Lidia Daimiel Emilio Ros Alfredo Gea Nancy Babio Ignacio Manuel Gimenez-Alba María Dolores Zomeño-Fajardo Itziar Abete Lucas Tojal Sierra Rita P Romero-Galisteo Manoli García de la Hera Marian Martín-Padillo Antonio García-Ríos Rosa M Casas JC Fernández-García José Manuel Santos-Lozano Estefanía Toledo Nerea Becerra-Tomas Jose V Sorli Helmut Schröder María A Zulet Carolina Sorto-Sánchez Javier Diez-Espino Carlos Gómez-Martínez Montse Fitó Almudena Sánchez-Villegas |
| author_facet | Naomi Cano-Ibáñez Lluis Serra-Majem Sandra Martín-Peláez Miguel Ángel Martínez-González Jordi Salas-Salvadó Dolores Corella Camille Lassale Jose Alfredo Martínez Ángel M Alonso-Gómez Julia Wärnberg Jesús Vioque Dora Romaguera José López-Miranda Ramon Estruch Ana María Gómez-Pérez José Lapetra Fernando Fernández-Aranda Aurora Bueno-Cavanillas Josep A Tur Naiara Cubelos Xavier Pintó José Juan Gaforio Pilar Matía-Martín Josep Vidal Cristina Calderón Lidia Daimiel Emilio Ros Alfredo Gea Nancy Babio Ignacio Manuel Gimenez-Alba María Dolores Zomeño-Fajardo Itziar Abete Lucas Tojal Sierra Rita P Romero-Galisteo Manoli García de la Hera Marian Martín-Padillo Antonio García-Ríos Rosa M Casas JC Fernández-García José Manuel Santos-Lozano Estefanía Toledo Nerea Becerra-Tomas Jose V Sorli Helmut Schröder María A Zulet Carolina Sorto-Sánchez Javier Diez-Espino Carlos Gómez-Martínez Montse Fitó Almudena Sánchez-Villegas |
| author_sort | Naomi Cano-Ibáñez |
| collection | DOAJ |
| description |
Abstract
Objective:
To examine the cross-sectional and longitudinal (2-year follow-up) associations between dietary diversity (DD) and depressive symptoms.
Design:
An energy-adjusted dietary diversity score (DDS) was assessed using a validated FFQ and was categorised into quartiles (Q). The variety in each food group was classified into four categories of diversity (C). Depressive symptoms were assessed with Beck Depression Inventory-II (Beck II) questionnaire and depression cases defined as physician-diagnosed or Beck II >= 18. Linear and logistic regression models were used.
Setting:
Spanish older adults with metabolic syndrome (MetS).
Participants:
A total of 6625 adults aged 55–75 years from the PREDIMED-Plus study with overweight or obesity and MetS.
Results:
Total DDS was inversely and statistically significantly associated with depression in the cross-sectional analysis conducted; OR Q4 v. Q1 = 0·76 (95 % CI (0·64, 0·90)). This was driven by high diversity compared to low diversity (C3 v. C1) of vegetables (OR = 0·75, 95 % CI (0·57, 0·93)), cereals (OR = 0·72 (95 % CI (0·56, 0·94)) and proteins (OR = 0·27, 95 % CI (0·11, 0·62)). In the longitudinal analysis, there was no significant association between the baseline DDS and changes in depressive symptoms after 2 years of follow-up, except for DD in vegetables C4 v. C1 = (β = 0·70, 95 % CI (0·05, 1·35)).
Conclusions:
According to our results, DD is inversely associated with depressive symptoms, but eating more diverse does not seem to reduce the risk of future depression. Additional longitudinal studies (with longer follow-up) are needed to confirm these findings.
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| first_indexed | 2024-03-12T14:34:16Z |
| format | Article |
| id | doaj.art-6ad5d1acf7764796b10e1e7184a97b20 |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-12T14:34:16Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-6ad5d1acf7764796b10e1e7184a97b202023-08-17T10:00:50ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-03-012659861010.1017/S1368980022001525Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trialNaomi Cano-Ibáñez0https://orcid.org/0000-0002-3640-5486Lluis Serra-Majem1Sandra Martín-Peláez2Miguel Ángel Martínez-González3Jordi Salas-Salvadó4Dolores Corella5Camille Lassale6Jose Alfredo Martínez7Ángel M Alonso-Gómez8Julia Wärnberg9Jesús Vioque10https://orcid.org/0000-0002-2284-148XDora Romaguera11José López-Miranda12Ramon Estruch13Ana María Gómez-Pérez14José Lapetra15Fernando Fernández-Aranda16Aurora Bueno-Cavanillas17https://orcid.org/0000-0002-0649-3016Josep A Tur18https://orcid.org/0000-0002-6940-0761Naiara Cubelos19Xavier Pintó20José Juan Gaforio21Pilar Matía-Martín22Josep Vidal23Cristina Calderón24Lidia Daimiel25Emilio Ros26https://orcid.org/0000-0002-2573-1294Alfredo Gea27Nancy Babio28Ignacio Manuel Gimenez-Alba29https://orcid.org/0000-0002-6380-8467María Dolores Zomeño-Fajardo30Itziar Abete31Lucas Tojal Sierra32Rita P Romero-Galisteo33Manoli García de la Hera34https://orcid.org/0000-0001-5742-2704Marian Martín-Padillo35Antonio García-Ríos36Rosa M Casas37JC Fernández-García38José Manuel Santos-Lozano39Estefanía Toledo40https://orcid.org/0000-0002-6263-4434Nerea Becerra-Tomas41Jose V Sorli42Helmut Schröder43María A Zulet44Carolina Sorto-Sánchez45Javier Diez-Espino46Carlos Gómez-Martínez47https://orcid.org/0000-0002-3077-6702Montse Fitó48Almudena Sánchez-Villegas49Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Avda. De la Investigación, 11, Granada, 18016, Spain Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA), Granada, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, SpainDepartment of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Avda. De la Investigación, 11, Granada, 18016, Spain Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA), Granada, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine and Public Health, IDISNA, University of Navarre, Pamplona, Spain Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USAConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Reus, Spain University Hospital of Sant Joan de Reus, Nutrition Unit, Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), Reus, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine, University of Valencia, Valencia, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Unit of Cardiovascular Risk and Nutrition, Institut Hospital del mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), Barcelona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, Spain Cardiometabolic Nutrition Group, IMDEA Food, CEI UAM + CSIC, Madrid, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area; Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Nursing, School of Health Sciences, University of Malaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, SpainCentro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain Nutritional Epidemiology Unit, Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernández (ISABIAL-UMH), Alicante, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, Córdoba, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Internal Medicine, Institut dÌnvestigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Virgen de la Victoria Hospital, Department of Endocrinology, Instituto de Investigación Biomédica de Málga (IBIMA), University of Málaga, Málaga, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, Sevilla, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, SpainDepartment of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Avda. De la Investigación, 11, Granada, 18016, Spain Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA), Granada, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, Palma de Mallorca, SpainJosé Aguado Health Centre, Institute of Biomedicine (IBIOMED), University of León, León, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, SpainCentro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain Center for Advanced Studies in Olive Grove and Olive Oils, University of Jaén, Jaén, SpainDepartment of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), Madrid, SpainCIBER Diabetes y Enfermedades Metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Endocrinology, Institut dÌnvestigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, SpainDepartment of Endocrinology and Nutrition, Hospital Fundación Jiménez-Díaz, Instituto de Investigaciones Biomédicas IISFJD, University Autónoma, Madrid, SpainNutritional Control of the Epigenome Group, Precision Nutrition and Obesity Program, IMDEA Food, CEI UAM + CSIC, Madrid, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Endocrinology, Institut dÌnvestigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine and Public Health, IDISNA, University of Navarre, Pamplona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Reus, Spain University Hospital of Sant Joan de Reus, Nutrition Unit, Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), Reus, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine, University of Valencia, Valencia, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Unit of Cardiovascular Risk and Nutrition, Institut Hospital del mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), Barcelona, SpainDepartment of Preventive Medicine and Public Health, IDISNA, University of Navarre, Pamplona, Spain Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area; Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, SpainDepartment of Nursing, School of Health Sciences, University of Malaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, SpainCentro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain Nutritional Epidemiology Unit, Miguel Hernández University, ISABIAL-FISABIO, Alicante, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Health Research Institute of the Balearic Islands (IdISBa), Palma de Mallorca, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, Córdoba, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Internal Medicine, Institut dÌnvestigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, Barcelona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Virgen de la Victoria Hospital, Department of Endocrinology, Instituto de Investigación Biomédica de Málga (IBIMA), University of Málaga, Málaga, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Family Medicine, Research Unit, Distrito Sanitario Atención Primaria Sevilla, Sevilla, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine and Public Health, IDISNA, University of Navarre, Pamplona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), Reus, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine, University of Valencia, Valencia, SpainCentro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain Unit of Cardiovascular Risk and Nutrition, Institut Hospital del mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), Barcelona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine and Public Health, IDISNA, University of Navarre, Pamplona, Spain Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area; Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Department of Preventive Medicine and Public Health, IDISNA, University of Navarre, Pamplona, Spain Servicio Navarro de Salud-Osasunbidea-Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Reus, Spain Institut d’Investigació Sanitària Pere Virgili (IISPV), Reus, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Unit of Cardiovascular Risk and Nutrition, Institut Hospital del mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), Barcelona, SpainConsorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain Abstract Objective: To examine the cross-sectional and longitudinal (2-year follow-up) associations between dietary diversity (DD) and depressive symptoms. Design: An energy-adjusted dietary diversity score (DDS) was assessed using a validated FFQ and was categorised into quartiles (Q). The variety in each food group was classified into four categories of diversity (C). Depressive symptoms were assessed with Beck Depression Inventory-II (Beck II) questionnaire and depression cases defined as physician-diagnosed or Beck II >= 18. Linear and logistic regression models were used. Setting: Spanish older adults with metabolic syndrome (MetS). Participants: A total of 6625 adults aged 55–75 years from the PREDIMED-Plus study with overweight or obesity and MetS. Results: Total DDS was inversely and statistically significantly associated with depression in the cross-sectional analysis conducted; OR Q4 v. Q1 = 0·76 (95 % CI (0·64, 0·90)). This was driven by high diversity compared to low diversity (C3 v. C1) of vegetables (OR = 0·75, 95 % CI (0·57, 0·93)), cereals (OR = 0·72 (95 % CI (0·56, 0·94)) and proteins (OR = 0·27, 95 % CI (0·11, 0·62)). In the longitudinal analysis, there was no significant association between the baseline DDS and changes in depressive symptoms after 2 years of follow-up, except for DD in vegetables C4 v. C1 = (β = 0·70, 95 % CI (0·05, 1·35)). Conclusions: According to our results, DD is inversely associated with depressive symptoms, but eating more diverse does not seem to reduce the risk of future depression. Additional longitudinal studies (with longer follow-up) are needed to confirm these findings. https://www.cambridge.org/core/product/identifier/S1368980022001525/type/journal_articleDietary diversity scoreDepressionPREDIMED-Plus study |
| spellingShingle | Naomi Cano-Ibáñez Lluis Serra-Majem Sandra Martín-Peláez Miguel Ángel Martínez-González Jordi Salas-Salvadó Dolores Corella Camille Lassale Jose Alfredo Martínez Ángel M Alonso-Gómez Julia Wärnberg Jesús Vioque Dora Romaguera José López-Miranda Ramon Estruch Ana María Gómez-Pérez José Lapetra Fernando Fernández-Aranda Aurora Bueno-Cavanillas Josep A Tur Naiara Cubelos Xavier Pintó José Juan Gaforio Pilar Matía-Martín Josep Vidal Cristina Calderón Lidia Daimiel Emilio Ros Alfredo Gea Nancy Babio Ignacio Manuel Gimenez-Alba María Dolores Zomeño-Fajardo Itziar Abete Lucas Tojal Sierra Rita P Romero-Galisteo Manoli García de la Hera Marian Martín-Padillo Antonio García-Ríos Rosa M Casas JC Fernández-García José Manuel Santos-Lozano Estefanía Toledo Nerea Becerra-Tomas Jose V Sorli Helmut Schröder María A Zulet Carolina Sorto-Sánchez Javier Diez-Espino Carlos Gómez-Martínez Montse Fitó Almudena Sánchez-Villegas Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial Public Health Nutrition Dietary diversity score Depression PREDIMED-Plus study |
| title | Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial |
| title_full | Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial |
| title_fullStr | Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial |
| title_full_unstemmed | Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial |
| title_short | Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial |
| title_sort | dietary diversity and depression cross sectional and longitudinal analyses in spanish adult population with metabolic syndrome findings from predimed plus trial |
| topic | Dietary diversity score Depression PREDIMED-Plus study |
| url | https://www.cambridge.org/core/product/identifier/S1368980022001525/type/journal_article |
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camillelassale dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT josealfredomartinez dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT angelmalonsogomez dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT juliawarnberg dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT jesusvioque dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT doraromaguera dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT joselopezmiranda dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT ramonestruch dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT anamariagomezperez dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT joselapetra dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT fernandofernandezaranda dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT aurorabuenocavanillas dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT josepatur dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT naiaracubelos dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT xavierpinto dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT josejuangaforio dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT pilarmatiamartin dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT josepvidal dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT cristinacalderon dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT lidiadaimiel dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT emilioros dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT alfredogea dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT nancybabio dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT ignaciomanuelgimenezalba dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT mariadoloreszomenofajardo dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT itziarabete dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT lucastojalsierra dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT ritapromerogalisteo dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT manoligarciadelahera dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT marianmartinpadillo dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT antoniogarciarios dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT rosamcasas dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT jcfernandezgarcia dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT josemanuelsantoslozano dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT estefaniatoledo dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT nereabecerratomas dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT josevsorli dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT helmutschroder dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT mariaazulet dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT carolinasortosanchez dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT javierdiezespino dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT carlosgomezmartinez dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT montsefito dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial AT almudenasanchezvillegas dietarydiversityanddepressioncrosssectionalandlongitudinalanalysesinspanishadultpopulationwithmetabolicsyndromefindingsfrompredimedplustrial |