High ultra-processed food consumption is associated with elevated psychological distress as an indicator of depression in adults from the Melbourne Collaborative Cohort Study

被引：17

作者：

Lane, Melissa M. ^{[1
]}

Lotfaliany, Mojtaba ^{[1
]}

Hodge, Allison M. ^{[2
,3
]}

O'Neil, Adrienne ^{[1
]}

Travica, Nikolaj ^{[1
]}

Jacka, Felice N. ^{[1
,4
,5
,6
]}

Rocks, Tetyana ^{[1
]}

Machado, Priscila ^{[7
,8
]}

Forbes, Malcolm ^{[1
,9
,10
]}

Ashtree, Deborah N. ^{[1
]}

Marx, Wolfgang ^{[1
]}

机构：

[1] Deakin Univ, IMPACT Inst Mental & Phys Hlth & Clin Translat, Food & Mood Ctr, Sch Med,Barwon Hlth, Geelong, Australia

[2] Canc Council Victoria, Canc Epidemiol Div, 615 St Kilda Rd, Melbourne, Vic 3004, Australia

[3] Univ Melbourne, Ctr Epidemiol & Biostat, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia

[4] Murdoch Childrens Res Inst, Ctr Adolescent Hlth, Parkville, Vic, Australia

[5] Black Dog Inst, Randwick, NSW, Australia

[6] James Cook Univ, Douglas, Qld, Australia

[7] Deakin Univ, Inst Phys Act & Nutr, Sch Exercise & Nutr Sci, Geelong, Vic 3220, Australia

[8] Univ Sao Paulo, Ctr Epidemiol Res Nutr & Hlth, Ave Dr Arnaldo 715, BR-01246904 Sao Paulo, Brazil

[9] Univ Hosp Geelong, Mental Hlth Drugs & Alcohol Serv, Barwon Hlth, Geelong, Vic 3220, Australia

[10] Univ Melbourne, Dept Psychiat, Parkville, Vic 3050, Australia

来源：

JOURNAL OF AFFECTIVE DISORDERS | 2023年 / 335卷

基金：

英国医学研究理事会;

关键词：

Ultra-processed food; NOVA; Diet; Psychological distress; Major depressive disorder; Nutritional psychiatry; TITANIUM-DIOXIDE NANOPARTICLES; DIETARY INFLAMMATORY INDEX; GUT MICROBIOTA; HEALTH; EMULSIFIERS; ADJUSTMENT; BEHAVIORS; SYMPTOMS; PATTERNS; IMPACT;

D O I：

10.1016/j.jad.2023.04.124

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Few studies have tested longitudinal associations between ultra-processed food consumption and depressive outcomes. As such, further investigation and replication are necessary. The aim of this study is to examine associations of ultra-processed food intake with elevated psychological distress as an indicator of depression after 15 years.Method: Data from the Melbourne Collaborative Cohort Study (MCCS) were analysed (n = 23,299). We applied the NOVA food classification system to a food frequency questionnaire (FFQ) to determine ultra-processed food intake at baseline. We categorised energy-adjusted ultra-processed food consumption into quartiles by using the distribution of the dataset. Psychological distress was measured by the ten-item Kessler Psychological Distress Scale (K10). We fitted unadjusted and adjusted logistic regression models to assess the association of ultra-processed food consumption (exposure) with elevated psychological distress (outcome and defined as K10 >= 20). We fitted additional logistic regression models to determine whether these associations were modified by sex, age and body mass index.Results: After adjusting for sociodemographic characteristics and lifestyle and health-related behaviours, par-ticipants with the highest relative intake of ultra-processed food were at increased odds of elevated psychological distress compared to participants with the lowest intake (aOR: 1.23; 95%CI: 1.10, 1.38, p for trend = 0.001). We found no evidence for an interaction of sex, age and body mass index with ultra-processed food intake.Conclusion: Higher ultra-processed food intake at baseline was associated with subsequent elevated psychological distress as an indicator of depression at follow-up. Further prospective and intervention studies are necessary to identify possible underlying pathways, specify the precise attributes of ultra-processed food that confer harm, and optimise nutrition-related and public health strategies for common mental disorders.

引用

页码：57 / 66

页数：10

共 79 条

[1] Prospective association between ultra-processed food consumption and incident depressive symptoms in the French NutriNet-Sante cohort [J].