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Table 6 Summary of associations between Western/unhealthy dietary intakes and depression, presented by year of publication, and author

From: The association between diet quality, dietary patterns and depression in adults: a systematic review

Author, country, year

Type of diet

Adjusted for confounders

Results (C = category, T = tertile, Q = quartile)

p for trend

Summary of associations

Cohort

     

Akbaraly et al., UK, 2009 [21]

Processed food dietary pattern

Age, gender, energy intake

T1: Referent

 

Increased consumption of processed foods associated with increased odds of depressive symptoms

T2: 1.28 (0.97, 1.69)

0.08

T3: 1.75 (1.25, 2.45)

0.001

Akbaraly et al., UK, 2009 [21]

Processed food dietary pattern

Age, gender, energy intake, marital status, employment, education, physical activity, smoking

T1: Referent

 

Increased consumption of processed foods associated with increased odds of depressive symptoms

T2: 1.22 (0.92, 1.62)

0.17

T3: 1.58 (1.12, 2.23)

0.009

Akbaraly et al., UK, 2009 [21]

Processed food dietary pattern

Age, gender, energy intake, marital status, employment, education, physical activity, smoking, co-morbidities, use of anti-depressant drugs, cognitive functioning

T1: Referent

 

Increased consumption of processed foods associated with increased odds of depressive symptoms

T2: 1.22 (0.92, 1.62)

0.17

T3: 1.58 (1.11, 2.23)

0.01

Akbaraly et al., UK, 2009 [21]

Processed food dietary pattern

Prior depression, age, gender, energy intake

T1: Referent

 

Increased consumption of processed foods associated with increased odds of depressive symptoms

T2: 1.44 (1.02, 2.02)

0.04

T3: 1.83 (1.20, 2.79)

0.004

Akbaraly et al., UK, 2009 [21]

Processed food dietary pattern

Prior depression, age, gender, energy intake, marital status, employment, education, physical activity, smoking

T1: Referent

 

Increased consumption of processed foods associated with increased odds of depressive symptoms

T2: 1.41 (1.00, 2.00)

0.05

T3: 1.76 (1.14, 2.70)

0.01

Akbaraly et al., UK, 2009 [21]

Processed food dietary pattern

Prior depression, age, gender, energy intake, marital status, employment, education, physical activity, smoking, co-morbidities, use of anti-depressant drugs, cognitive functioning

T1: Referent

 

Increased consumption of processed foods associated with increased odds of depressive symptoms

T2: 1.38 (0.98, 1.95)

0.06

T3: 1.69 (1.10, 2.60)

0.02

Chatzi et al., Greece, 2011 [15]

Western diet

Age, education, parity, house tenure, depression during previous pregnancies, total energy intake during pregnancy

(Outcome: EPDS)

0.07

No association

T1: Referent

T2: 0.96 (−0.17, 2.00)

T3: 1.32 (−0.19, 2.76)

Chatzi et al., Greece, 2011 [15]

Western diet

Age, education, parity, house tenure, depression during previous pregnancies, total energy intake during pregnancy

(Outcome: symptoms)

0.70

No association

T1: Referent

T2: 1.10 (0.63, 1.93)

T3: 1.14 (0.58, 2.26)

Okubu et al., Japan, 2011 [23]

Western diet

Age, gestation, parity, smoking, change in diet in preceding month, family structure, occupation, family income, education, season, BMI, time of delivery, medical problems during pregnancy, sex and birth weight of baby

Q1: Referent

0.36

No association

Q2: 0.52 (0.30, 0.93)

Q3: 0.71 (0.41, 1.20)

Q4: 0.73 (0.42, 1.24)

Sanchez-Villegas et al., Spain, 2011 [20]

Fast food consumption

Age, sex

Q1: Referent

0.01

Increased consumption of fast foods associated with increased odds of self-reported depression

Q2: 1.00 (0.75, 1.32)

Q3: 0.98 (0.73, 1.32)

Q4: 1.04 (0.78, 1.39)

Q5: 1.45 (1.09, 1.92)

Sanchez-Villegas et al., Spain, 2011 [20]

Fast food consumption

Age, sex, smoking, physical activity, total energy intake, BMI

Q1: Referent

0.01

Increased consumption of fast foods associated with increased odds of self-reported depression

Q2: 0.99 (0.74, 1.32)

Q3: 0.97 (0.72, 1.30)

Q4: 1.02 (0.76, 1.38)

Q5: 1.40 (1.05, 1.86)

Sanchez-Villegas et al., Spain, 2011 [20]

Fast food consumption

Age, sex, smoking, physical activity, total energy intake, BMI, consumption of commercial baked goods

Q1: Referent

0.03

Increased consumption of fast foods associated with increased odds of self-reported depression

Q2: 0.99 (0.74, 1.32)

Q3: 0.95 (0.70, 1.27)

Q4: 1.00 (0.75, 1.35)

Q5: 1.36 (1.02, 1.81)

Sanchez-Villegas et al., Spain, 2011 [20]

Fast food consumption

Age, sex, smoking, physical activity, total energy intake, BMI, consumption of healthy food items

Q1: Referent

0.02

Increased consumption of fast foods associated with increased odds of self-reported depression

Q2: 0.99 (0.74, 1.32)

Q3: 0.98 (0.73, 1.32)

Q4: 1.03 (0.76, 1.39)

Q5: 1.37 (1.02, 1.83)

Sanchez-Villegas et al., Spain, 2011 [20]

Commercial baked goods consumption

Age, sex

Q1: Referent

0.17

No association

Q2: 1.38 (1.03, 1.85)

Q3: 1.33 (0.99, 1.79)

Q4: 1.10 (0.81, 1.49)

Q5: 1.40 (1.05, 1.87)

Sanchez-Villegas et al., Spain, 2011 [20]

Commercial baked goods consumption

Age, sex, smoking, physical activity, total energy intake, BMI

Q1: Referent

0.18

No association

Q2: 1.44 (1.06, 1.95)

Q3: 1.40 (1.01, 1.94)

Q4: 1.15 (0.82, 1.61)

Q5: 1.43 (1.06, 1.93)

Sanchez-Villegas et al., Spain, 2011 [20]

Commercial baked goods consumption

Age, sex, smoking, physical activity, total energy intake, BMI, consumption of fast food

Q1: Referent

0.27

No association

Q2: 1.41 (1.04, 1.93)

Q3: 1.37 (0.99, 1.90)

Q4: 1.12 (0.79, 1.57)

Q5: 1.38 (1.02, 1.87)

Sanchez-Villegas et al., Spain, 2011 [20]

Commercial baked goods consumption

Age, sex, smoking, physical activity, total energy intake, BMI, consumption of healthy food items

Q1: Referent

0.32

No association

Q2: 1.42 (1.05, 1.93)

Q3: 1.36 (0.98, 1.89)

Q4: 1.13 (0.80, 1.58)

Q5: 1.37 (1.01, 1.85)

Cross-sectional

     

Liu et al., China, 2007 [30]

Fast food

Sex, current year of College study, city, weight, smoking, alcohol

T1: Referent

NS*

 

T2: 0.89 (0.23, 3.46)

<0.05

Decreased consumption of fast food associated with reduced odds of depressive symptoms

T3: 0.40 (0.12, 1.37)

Liu et al., China, 2007 [30]

Ready to eat food

Sex, current year of College study, city, weight, smoking, alcohol

T1: Referent

NS* <0.0001

Decreased consumption of ready to eat food associated with reduced odds of depressive symptoms

T2: 0.96 (0.77, 1.18)

T3: 0.70 (0.57, 0.86)

Liu et al., China, 2007 [30]

Snack food

Sex, current year of College study, city, weight, smoking, alcohol

*

NS*

Decreased consumption of snack food associated with reduced odds of depressive symptoms

Samieri et al., France, 2008 [25]

Females: Pizza, sandwich

Age, education, income, marital status

Females: 0.21 (−0.11, 0.53)

0.19

No association

Samieri et al., France, 2008 [25]

Biscuits and snacking

Age, education, income, marital status

Males: −0.06 (−0.35, 0.23)

0.70

No association

Females: 0.13 (−0.07, 0.33)

0.19

No association

Samieri et al.,France, 2008 [25]

Females: Charcuterie, starchy foodsψ

Age, education, income, marital status

Females: −0.15 (−0.32, 0.02)

0.07

No association

Jeffery et al., USA, 2009 [19]

High calorie sweet diet

BMI, energy intake

0.012 (*) α

<0.01

Decreased consumption of high calorie sweet foods associated with lower mean depressive symptom scores

Jeffery et al., USA, 2009 [19]

High calorie non-sweet diet

BMI, energy intake

−0.018 (*) α

<0.01

Decreased consumption of high calorie non-sweet foods associated with lower mean depressive symptom scores

Mikolajczyk et al., Europe, 2009 [38]

Fast food

Country

Males: 1.85 (*)

0.02

Increased consumption of fast foods associated with greater mean depressive symptom scores for men

Females 0.34 (*)

0.57

No association

Jacka et al., Australia, 2010 [7]

Western dietary pattern

Age, socioeconomic status, education, physical activity, smoking, alcohol, energy intake

C1: Referent

NS*

No association

C2: 1.52 (0.96, 2.41)

  

Nanri et al., Japan, 2010 [22]

Westernized breakfast pattern

Age, sex, workplace

T1: Referent

0.43

No association

T2: 0.99 (0.63, 1.57)

  

T3: 1.21 (0.75, 1.95)

  

Nanri et al., Japan, 2010 [22]

Westernized breakfast pattern

Age, sex, workplace, marital status, BMI, job position, physical activity, smoking, co morbidities, total energy intake

T1: Referent

0.34

No association

T2: 1.02 (0.64, 1.64)

  

T3: 1.27 (0.77, 2.10)

  

Nanri et al., Japan, 2010 [22]

Animal food pattern

Age, sex, workplace

T1: Referent

0.94

No association

T2: 1.43 (0.92, 2.23)

  

T3: 0.99 (0.63, 1.55)

  

Nanri et al., Japan, 2010 [22]

Animal food pattern

Age, sex, workplace, marital status, BMI, job position, physical activity, smoking, co morbidities, total energy intake

T1: Referent

0.91

No association

T2: 1.47 (0.93, 2.32)

  

T3: 0.97 (0.61, 1.55)

  

Fowles, Timmerman et al., USA, 2011 [41]

Fast food frequency

Matched for age, sex

T −2.5 (−6.45, 0.71)

<0.05

Increased consumption of fast foods associated with higher mean depressive symptom scores

Jacka et al., Norway, 2011 [8]

Western dietary pattern

Age, income, education, physical activity, smoking, alcohol, energy consumption

Males:

  

C1: Referent

  

C2: 0.87 (0.68, 1.11)

0.25

No association

Females:

  

C1: Referent

  

C2; 1.25 (0.93, 1.68)

0.27

No association

  1. Results presented as Odds Ratio (OR) or Hazards Ratio (HR) and (95% CI), except where indicated by superscripts: beta regression coefficients (± SE), or α mean (±SE).
  2. * Data not provided. ψ The analysis undertaken for male participants by Samieri et al. [25] was based on a food pattern of meat consumption and thus ineligible for inclusion.