Associations of depressive symptoms and history with three a priori diet quality indices in middle-aged and older adults

This 2019 article evaluated 3 theoretical diet quality indices [Mediterranean Diet Score (MDS), Alternative Healthy Eating Index (AHEI-2010), and Dietary Approaches to Stop Hypertension diet (DASH)] to determined whether each index was related with current depressive symptoms, short-term changes in depression, and long-term history of depressive symptoms. The data used was from the Longitudinal Aging Study Amsterdam (LASA), which included assessments of depressive symptoms using the Center for Epidemiologic Studies Depression (CES-D) scale in 2014/2015 and at five regular 3-yearly cycles from 2001-2003 to 2015/2016. The MDS, AHEI-2010, and DASH of the participants (aged >55 years) were pulled from 2014-2015. Current depressive symptoms (CES-D ≥ 16) and history of depressive symptoms (CES-D ≥ 16 from 2001-2003 to 2011-2013) were both linked with lower MDS and AHEI scores in men only. Furthermore, chronic/recurrent depressive symptoms (CES-D ≥ 16 in both 2011-2013 and 2015/2016) correlated with lower MDS scores, while lower AHEI scores also correlated with chronic/recurrent depressive symptoms, compared to no depressive symptoms (twice CES-D < 16). Although prospective associations could not be made, these findings suggest that current and past depressive symptoms were associated with poorer diet quality indices, particularly in men, among this sample of middle-aged and older adults. [NPID: Mediterranean Diet Score, MDS, ALternative Healthy Eating Index, DASH, depression, diet quality]

Year: 2019

Reference: Elstgeest, L., Winkens, L., Penninx, B., Brouwer, I. A., & Visser, M. (2019). Associations of depressive symptoms and history with three a priori diet quality indices in middle-aged and older adults. Journal of affective disorders, 249, 394–403. https://doi.org/10.1016/j.jad.2019.02.004