Association between dietary calcium and depression among American adults: National health and nutrition examination survey

被引:12
作者
Shen, Xia [1 ]
Gu, Xue [1 ]
Liu, Yuan-Yuan [1 ]
Yang, Long [2 ]
Zheng, Meng [3 ]
Jiang, Lei [4 ]
机构
[1] Jiangnan Univ, Wuxi Med Coll, Wuxi, Peoples R China
[2] Xinjiang Med Univ, Dept Pediat Cardiothorac Surg, Affiliated Hosp 1, Urumqi, Peoples R China
[3] Peoples Liberat Army PLA Gen Hosp, Med Ctr 5, Beijing, Peoples R China
[4] Convalescent Hosp East China, Dept Radiol, Wuxi, Peoples R China
来源
FRONTIERS IN NUTRITION | 2023年 / 10卷
关键词
depression; dietary calcium; calcium; adults; National Health and Nutrition Examination Survey (NHANES); COGNITIVE FUNCTION; NUTRIENT INTAKE; WOMEN; RISK; MAGNESIUM; SYMPTOMS; PROTEIN; POPULATION; PREGNANCY; DISEASE;
D O I
10.3389/fnut.2023.1042522
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
BackgroundThere is only limited evidence for an association between calcium (Ca) and depression, and the relationship was inconsistent. Therefore, the aim of this study was to assess the relationship between dietary Ca and the risk of depressive symptoms in individuals over the age of 18 in the US. MethodsWe extracted 14,971 participants from the US National Health and Nutrition Examination Survey (NHANES) 2007-2016 to probe their associations. Dietary Ca intake was measured through 24 h dietary recall method. Patients with the Patient Health Questionnaire-9 (PHQ-9) >= 10 scores were believed to have depressive symptoms. The association between dietary Ca and depressive symptoms was investigated using multivariate logistic regression, sensitivity analysis, and restricted cubic spline regression. ResultsIn this study, 7.6% (1,144/14,971) of them had depressive symptoms. After adjusting for sex, age, race, poverty to income ratio (PIR), marital status, education, body mass index (BMI), caffeine intake, carbohydrates intake, total energy intake, smoking status, alcohol consumption, physical activity, diabetes, hypertension, severe cardiovascular disease (CVD), cancer, serum vitamin D, serum Ca, and Ca supplement, the adjusted ORs value [95% confidence interval (CI)] of depression for the lowest category (Q1 <= 534 mg/day) vs. Q2-Q4 of Ca intake were 0.83 (0.69-0.99), 0.97 (0.65-0.95), and 0.80 (0.63-0.98) with the p for trend (p = 0.014). The relationship between dietary Ca intake and depressive symptoms was linear (non-linear p = 0.148). None of the interactions were significant except among races (p for interaction = 0.001). ConclusionAssociation between dietary Ca and the prevalence of depressive symptoms in US adults. And Ca intake was negatively associated with the risk of depressive symptoms. As Ca intake increased, the prevalence of depressive symptoms decreased.
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页数:12
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