Association between the consumption of some food groups and depressive symptoms among elderly subjects
DOI:
https://doi.org/10.14306/renhyd.27.2.1910Keywords:
Depression, Elderly, Food consumption, Poverty, Social classAbstract
Introduction: Changes in diet patterns have been taking place in developing countries as part of the nutritional transition and may affect the way some food groups are consumed and therefore mental health, especially in elderly. The objective was to evaluate whether there is an association between the consumption of different food groups (dairy, eggs and beans, meat, poultry or fish, and fruits or vegetables) and the presence of depressive symptoms in older adults living in poverty and extreme poverty in Peru.
Methodology: Secondary analysis of a population-based study (Health and Well-being Survey of the Elderly, Peru) conducted in 2012. The outcome variable was the presence of depressive symptoms, whereas the exposure was the consumption of some food groups: dairy products; eggs and beans; meat, poultry or fish; and fruits or vegetables. Association was evaluated using Poisson regression models, reporting prevalence ratios (PR) and 95% confidence intervals (95%CI).
Results: Overall, 4,214 records were analyzed, mean age of 71.2 (SD: 4.4) years, 54.2% male, and 61.4% were from rural areas. A total of 1,621 (38.6%; 95%CI: 37.1%-40.1%) elderly presented depressive symptoms. In multivariable model, the frequency of depressive symptoms was 41% higher (95%CI: 30%-54%) among those who reported not consuming eggs and beans at least once a week. Similarly, the association was found for those who reported not consuming meat, poultry or fish at least three times a week (18%; 95%CI: 9%-28%) and those who did not consume fruits and/or vegetables at least twice a day (15%; 95%CI: 6%-24%).
Conclusions: This study showed that the consumption of fruits or vegetables; meat, poultry or fish; and eggs and beans, are inversely related to the presence of depressive symptoms among elderly.
References
(1) Silverstein JH. The practice of geriatric anesthesia. In: Silverstein JH, Rooke GA, Reves JG, McLeskey CH, editors. In: Geriatric Anesthesiologia. Springer: New York, NY; 2008.
(2) Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas 2020;139:6-11. doi: 0.1016/j.maturitas.2020.05.018.
(3) Instituto Nacional de Estadística e Informática. En el Perú existen más de cuatro millones de adultos mayores. INEI; 2020.
(4) Aronson L. Healthy Aging Across the Stages of Old Age. Clin Geriatr Med 2020;36(4):549-58. doi: 10.1016/j.cger.2020.06.001.
(5) Kasa AS, Lee SC, Chang HR. Prevalence and factors associated with depression among older adults in the case of a low-income country, Ethiopia: a systematic review and meta-analysis. BMC Psychiatry 2022;22(1):675. doi: 10.1186/s12888-022-04282-7.
(6) Luppa M, Sikorski C, Luck T, Ehreke L, Konnopka A, Wiese B, et al. Age- and gender-specific prevalence of depression in latest-life--systematic review and meta-analysis. J Affect Disord 2012;136(3):212-21. doi: 10.1016/j.jad.2010.11.033.
(7) De los Santos PV, Carmona Valdés SE. Prevalence of depression in elderly men and women in mexico and risk factors. Población y Salud en Mesoamérica 2017;15(2):1-24. doi: 10.15517/psm.v15i2.29255.
(8) Paz V. Factores asociados al episodio depresivo en el adulto mayor de Lima Metropolitana y Callao. Anales de Salud Mental 2010 2010;XXVI(1):30-8.
(9) Valenzuela-Iglesias MF, Ccama-Leiva JL, Urrunaga-Pastor D, Runzer-Colmenares FM, Parodi JF. Association between depressive symptoms and disability in older adults of 12 high Andean communities from Peru. Int J Geriatr Psychiatry 2021;37(1):1-10. doi: .1002/gps.5619.
(10) Villarreal-Zegarra D, Cabrera-Alva M, Carrillo-Larco RM, Bernabe-Ortiz A. Trends in the prevalence and treatment of depressive symptoms in Peru: a population-based study. BMJ Open 2020;10(7):e036777. doi: 10.1136/bmjopen-2020-.
(11) Meller FO, Manosso LM, Schäfer AA. The influence of diet quality on depression among adults and elderly: A population-based study. J Affect Disord 2021;282:1076-81. doi: 10.16/j.jad.2020.12.155.
(12) Jacka FN, Pasco JA, Mykletun A, Williams LJ, Hodge AM, O'Reilly SL, et al. Association of Western and traditional diets with depression and anxiety in women. Am J Psychiatry 2010;167(3):305-11. doi: 10.1176/appi.ajp.2009.09060881.
(13) Payne ME. Nutrition and late-life depression: etiological considerations. Aging health 2010;6(1):133-43. doi: 10.2217/ahe.09.90.
(14) Payne ME, Steck SE, George RR, Steffens DC. Fruit, vegetable, and antioxidant intakes are lower in older adults with depression. J Acad Nutr Diet 2012;112(12):2022-7. doi: Fruit, vegetable, and antioxidant intakes are lower in older adults with depression.
(15) Sanchez-Villegas A, Henríquez P, Figueiras A, Ortuño F, Lahortiga F, Martínez-González MA. Long chain omega-3 fatty acids intake, fish consumption and mental disorders in the SUN cohort study. Eur J Nutr 2007;46(6):337-46. doi: 10.1007/s00394-007-0671-x.
(16) Huang Q, Liu H, Suzuki K, Ma S, Liu C. Linking What We Eat to Our Mood: A Review of Diet, Dietary Antioxidants, and Depression. Antioxidants (Basel) 2019;8(9):376. doi: 10.3390/antiox8090376.
(17) Reuter M, Zamoscik V, Plieger T, Bravo R, Ugartemendia L, Rodriguez AB, et al. Tryptophan-rich diet is negatively associated with depression and positively linked to social cognition. Nutr Res 2021;85:14-20.
(18) Bermudez OI, Tucker KL. Trends in dietary patterns of Latin American populations. Cad Saude Publica 2003;19 Suppl 1:S87-99. doi: 10.1590/s0102-311x2003000700010.
(19) Ministerio de Desarrollo e Inclusión Social. Encuesta de Salud y Bienestar del Adulto Mayor: ESBAM 2012. Lima, Perú: MIDIS; 2013.
(20) Torres RM, Miralles R, Garcia-Caselles MP, Arellano M, Aguilera A, Pi-Figueras M, et al. Observational scale and geriatric depression scale of Yesavage to identify depressive symptoms in older patients. Arch Gerontol Geriatr Suppl 2004(9):437-42. doi: 10.1016/j.archger.2004.04.056.
(21) De la Torre Maslucan J, Shimabukuro Maeki R, Varela Pinedo L, Kruger Malpartida H, Huayanay Falconí L, Cieza Zevallos J, et al. Validación de la versión reducida de la escala de depresión geriátrica en el consultorio externo de geriatría del Hospital Nacional Cayetano Heredia. Act Med Peru 2006;23(3):144-7.
(22) Martínez de la Iglesia J, Onís Vilches MC, Dueñas Herrero R, Aguado Taberné C, Alvert Colomer C, Arias Blanco M. Abreviar lo breve. Aproximación a versiones ultracortas del cuestionario de Yesavage para el cribado de la depresión. Atención Primaria 2005;35(1):14-21.
(23) Angelino D, Godos J, Ghelfi F, Tieri M, Titta L, Lafranconi A, et al. Fruit and vegetable consumption and health outcomes: an umbrella review of observational studies. Int J Food Sci Nutr 2019;70(6):652-67. doi: 10.1080/09637486.2019.1571021.
(24) Li F, Liu X, Zhang D. Fish consumption and risk of depression: a meta-analysis. J Epidemiol Community Health 2016;70(3):299-304. doi: 10.1136/jech-2015-206278.
(25) Wu PY, Chen KM, Belcastro F. Dietary patterns and depression risk in older adults: systematic review and meta-analysis. Nutr Rev 2021;79(9):976-87. doi: 10.1093/nutrit/nuaa118.
(26) Li Y, Lv MR, Wei YJ, Sun L, Zhang JX, Zhang HG, et al. Dietary patterns and depression risk: A meta-analysis. Psychiatry Res 2017;253:373-82. doi: 10.1016/j.psychres.2017.04.020.
(27) Tsai AC, Chang TL, Chi SH. Frequent consumption of vegetables predicts lower risk of depression in older Taiwanese - results of a prospective population-based study. Public Health Nutr 2012;15(6):1087-92. doi: 10.17/S1368980011002977.
(28) Wolniczak I, Cáceres-DelAguila JA, Maguiña JL, Bernabe-Ortiz A. Fruits and vegetables consumption and depressive symptoms: A population-based study in Peru. PLoS One 2017;12(10):e0186379. doi: 10.1371/journal.pone.
(29) Amaral TLM, Amaral CA, Lima NS, Herculano PV, Prado PRD, Monteiro GTR. Multimorbidity, depression and quality of life among elderly people assisted in the Family Health Strategy in Senador Guiomard, Acre, Brazil. Cien Saude Colet 2018;23(9):3077-84.
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Antonio Bernabé-Ortiz, Paola J. Sabelino-Francia, Samantha N. Avendaño-Gómez
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This journal 