Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European Cohort

Background: Studies about the association of carbonated/soft drinks, coffee, and tea with depression and anxiety are scarce and inconclusive and little is known about this association in European adults. Our aim was to examine the association between the consumption of these beverages and depressive...

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Main Authors: Adoración Castro, Margalida Gili, Marjolein Visser, Brenda W. J. H. Penninx, Ingeborg A. Brouwer, Juan José Montaño, María Ángeles Pérez-Ara, Mauro García-Toro, Ed Watkins, Matt Owens, Ulrich Hegerl, Elisabeth Kohls, Mariska Bot, Miquel Roca
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/18/3865
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author Adoración Castro
Margalida Gili
Marjolein Visser
Brenda W. J. H. Penninx
Ingeborg A. Brouwer
Juan José Montaño
María Ángeles Pérez-Ara
Mauro García-Toro
Ed Watkins
Matt Owens
Ulrich Hegerl
Elisabeth Kohls
Mariska Bot
Miquel Roca
author_facet Adoración Castro
Margalida Gili
Marjolein Visser
Brenda W. J. H. Penninx
Ingeborg A. Brouwer
Juan José Montaño
María Ángeles Pérez-Ara
Mauro García-Toro
Ed Watkins
Matt Owens
Ulrich Hegerl
Elisabeth Kohls
Mariska Bot
Miquel Roca
author_sort Adoración Castro
collection DOAJ
description Background: Studies about the association of carbonated/soft drinks, coffee, and tea with depression and anxiety are scarce and inconclusive and little is known about this association in European adults. Our aim was to examine the association between the consumption of these beverages and depressive and anxiety symptom severity. Methods: A total of 941 European overweight adults (mean age, 46.8 years) with subsyndromal depression that participated in the MooDFOOD depression prevention randomized controlled trial (Clinical Trials.gov identifier: NCT2529423; date of the study: from 2014 to 2018) were analyzed. Depressive and anxiety symptom severity and beverage consumption were assessed using multilevel mixed-effects ordinal logistic regression models for each beverage consumption (carbonated/soft drink with sugar, carbonated/soft drink with non-nutritive sweeteners, coffee, and tea) with the three repeated measures of follow-up (baseline and 6 and 12 months). A case report form for participants’ sociodemographic and clinical characteristics, the Food Frequency Questionnaire, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder 7-Item Scale, the MINI International Neuropsychiatric Interview 5.0, the Short Questionnaire to Assess Health-Enhancing Psychical Activity, and the Alcohol Use Disorders Identification Test were the research tools used. Results: Daily consumption of carbonated/soft drinks with sugar was associated with a higher level of anxiety. Trends towards significance were found for associations between both daily consumption of carbonated/soft drinks with sugar and non-nutritive sweeteners and a higher level of depression. No relationship was found between coffee and tea consumption and the level of depression and anxiety. Conclusions: The high and regular consumption of carbonated/soft drink with sugar (amount of consumption: ≥1 unit (200 mL)/day) tended to be associated with higher level of anxiety in a multicountry sample of overweight subjects with subsyndromal depressive symptoms. It is important to point out that further research in this area is essential to provide valuable information about the intake patterns of non-alcoholic beverages and their relationship with affective disorders in the European adult population.
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spelling doaj.art-9cd5829323084299bd99d9fabf6a99262023-11-19T12:16:57ZengMDPI AGNutrients2072-66432023-09-011518386510.3390/nu15183865Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European CohortAdoración Castro0Margalida Gili1Marjolein Visser2Brenda W. J. H. Penninx3Ingeborg A. Brouwer4Juan José Montaño5María Ángeles Pérez-Ara6Mauro García-Toro7Ed Watkins8Matt Owens9Ulrich Hegerl10Elisabeth Kohls11Mariska Bot12Miquel Roca13Research Institute of Health Sciences (IUNICS), University of the Balearic Islands (UIB), 07122 Palma de Mallorca, SpainResearch Institute of Health Sciences (IUNICS), University of the Balearic Islands (UIB), 07122 Palma de Mallorca, SpainDepartment of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The NetherlandsDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDepartment of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The NetherlandsHealth Research Institute of the Balearic Islands (IdISBa), Hospital Universitario Son Espases, Edificio S, 07120 Palma de Mallorca, SpainResearch Institute of Health Sciences (IUNICS), University of the Balearic Islands (UIB), 07122 Palma de Mallorca, SpainResearch Institute of Health Sciences (IUNICS), University of the Balearic Islands (UIB), 07122 Palma de Mallorca, SpainDepartment of Psychology, University of Exeter, Exeter EX4 4PY, UKDepartment of Psychology, University of Exeter, Exeter EX4 4PY, UKDepartment of Psychiatry, Psychosomatics and Psychotherapy, Goethe Universität Frankfurt am Main, 60528 Frankfurt am Main, GermanyDepartment of Psychiatry and Psychotherapy, Medical Faculty, University Leipzig, 04109 Leipzig, GermanyDepartment of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsResearch Institute of Health Sciences (IUNICS), University of the Balearic Islands (UIB), 07122 Palma de Mallorca, SpainBackground: Studies about the association of carbonated/soft drinks, coffee, and tea with depression and anxiety are scarce and inconclusive and little is known about this association in European adults. Our aim was to examine the association between the consumption of these beverages and depressive and anxiety symptom severity. Methods: A total of 941 European overweight adults (mean age, 46.8 years) with subsyndromal depression that participated in the MooDFOOD depression prevention randomized controlled trial (Clinical Trials.gov identifier: NCT2529423; date of the study: from 2014 to 2018) were analyzed. Depressive and anxiety symptom severity and beverage consumption were assessed using multilevel mixed-effects ordinal logistic regression models for each beverage consumption (carbonated/soft drink with sugar, carbonated/soft drink with non-nutritive sweeteners, coffee, and tea) with the three repeated measures of follow-up (baseline and 6 and 12 months). A case report form for participants’ sociodemographic and clinical characteristics, the Food Frequency Questionnaire, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder 7-Item Scale, the MINI International Neuropsychiatric Interview 5.0, the Short Questionnaire to Assess Health-Enhancing Psychical Activity, and the Alcohol Use Disorders Identification Test were the research tools used. Results: Daily consumption of carbonated/soft drinks with sugar was associated with a higher level of anxiety. Trends towards significance were found for associations between both daily consumption of carbonated/soft drinks with sugar and non-nutritive sweeteners and a higher level of depression. No relationship was found between coffee and tea consumption and the level of depression and anxiety. Conclusions: The high and regular consumption of carbonated/soft drink with sugar (amount of consumption: ≥1 unit (200 mL)/day) tended to be associated with higher level of anxiety in a multicountry sample of overweight subjects with subsyndromal depressive symptoms. It is important to point out that further research in this area is essential to provide valuable information about the intake patterns of non-alcoholic beverages and their relationship with affective disorders in the European adult population.https://www.mdpi.com/2072-6643/15/18/3865depressionanxietysoft drinkscoffeetea
spellingShingle Adoración Castro
Margalida Gili
Marjolein Visser
Brenda W. J. H. Penninx
Ingeborg A. Brouwer
Juan José Montaño
María Ángeles Pérez-Ara
Mauro García-Toro
Ed Watkins
Matt Owens
Ulrich Hegerl
Elisabeth Kohls
Mariska Bot
Miquel Roca
Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European Cohort
Nutrients
depression
anxiety
soft drinks
coffee
tea
title Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European Cohort
title_full Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European Cohort
title_fullStr Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European Cohort
title_full_unstemmed Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European Cohort
title_short Soft Drinks and Symptoms of Depression and Anxiety in Overweight Subjects: A Longitudinal Analysis of an European Cohort
title_sort soft drinks and symptoms of depression and anxiety in overweight subjects a longitudinal analysis of an european cohort
topic depression
anxiety
soft drinks
coffee
tea
url https://www.mdpi.com/2072-6643/15/18/3865
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