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A healthy diet heavy in vegetables, fruits and nuts is associated with preventing the onset of depression.
Credit: © vpardi / Fotolia
Eating a Mediterranean diet or other
healthy dietary pattern, comprising of fruit, vegetables, legumes, and
nuts and low in processed meats, is associated with preventing the onset
of depression, according to research published in the open access
journal BMC Medicine. A large study of 15,093 people suggests depression could be linked with nutrient deficits.
Following extensive research into diet and its effect on our physical
health, researchers are now exploring the link between nutrition and
mental health. This is the first time that several healthy dietary
patterns and their association with the risk of depression have been
analyzed together.
The researchers compared three diets; the Mediterranean diet, the
Pro-vegetarian Dietary Pattern and Alternative Healthy Eating
Index-2010. Participants used a scoring system to measure their
adherence to the selected diet, i.e. the higher the dietary score
indicated that the participant was eating a healthier diet.
Food items such as meat and sweets (sources of animal fats: saturated
and trans fatty acids) were negatively scored, while nuts, fruits and
vegetables (sources of omega-3 fatty acids, vitamins and minerals
respectively) were positively scored.
Lead researcher, Almudena Sanchez-Villegas, University of Las Palmas
de Gran Canaria, says "We wanted to understand what role nutrition plays
in mental health, as we believe certain dietary patterns could protect
our minds. These diets are all associated with physical health benefits
and now we find that they could have a positive effect on our mental
health."
"The protective role is ascribed to their nutritional properties,
where nuts, legumes, fruits and vegetables (sources of omega-3 fatty
acids, vitamins and minerals) could reduce the risk of depression."
The study included 15,093 participants free of depression at the
beginning of the study. They are former students of the University of
Navarra, Spain, registered professionals from some Spanish provinces and
other university graduates. All are part of the SUN (Seguimiento
Universidad de Navarra) Project, a cohort study started on 21st December
1999. The cohort has been used to identify dietary and lifestyle
determinants of various conditions, including diabetes, obesity and
depression.
Questionnaires to assess dietary intake were completed at the start
of the project and again after 10 years. A total of 1,550 participants
reported a clinical diagnosis of depression or had used antidepressant
drugs after a median follow-up of 8.5 years.
The Alternative Healthy Eating Index-2010 was associated with the
greatest reduction of risk of depression but most of the effect could be
explained by its similarity with the Mediterranean Diet. Thus, common
nutrients and food items such as omega-3 fatty acids, vegetables,
fruits, legumes, nuts and moderate alcohol intake present in both
patterns (Alternative Healthy Eating Index-2010 and Mediterranean diet)
could be responsible for the observed reduced risk in depression
associated with a good adherence to the Alternative Healthy Eating
Index-2010.
Almudena Sanchez-Villegas says, "A threshold effect may exist. The
noticeable difference occurs when participants start to follow a
healthier diet. Even a moderate adherence to these healthy dietary
patterns was associated with an important reduction in the risk of
developing depression. However, we saw no extra benefit when
participants showed high or very high adherence to the diets.
So, once the threshold is achieved, the reduced risk plateaus even if
participants were stricter with their diets and eating more healthily.
This dose-response pattern is compatible with the hypothesis that
suboptimal intake of some nutrients (mainly located in low adherence
levels) may represent a risk factor for future depression."
A limitation of this study was that the results are based on
self-reported dietary intake and a self-reported clinical diagnosis of
depression. More research is needed to predict the role of nutrient
intake for neurophysiological requirements and identify whether it is
minerals and vitamins or proteins and carbohydrates that cause
depression.
Story Source:
The above post is reprinted from
materials provided by
BioMed Central.
Note: Materials may be edited for content and length.
Journal Reference:
- Almudena Sánchez-Villegas, Patricia Henríquez-Sánchez, Miguel
Ruiz-Canela, Francisca Lahortiga, Patricio Molero, Estefanía Toledo,
Miguel A. Martínez-González. A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project. BMC Medicine, 2015; 13 (1) DOI: 10.1186/s12916-015-0428-y
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