Dietary Patterns Are Differentially Associated with Atypical and Melancholic Subtypes of Depression

Diet has been associated with the risk of depression, whereas different subtypes of depression have been linked with different cardiovascular risk factors (CVRFs). In this study, our aims were to (1) identify dietary patterns with exploratory factor analysis, (2) assess cross-sectional associations between dietary patterns and depression subtypes, and (3) examine the potentially mediating effect of dietary patterns in the associations between CVRFs and depression subtypes. In the first follow-up of the population-based CoLaus|PsyCoLaus study (2009–2013, 3554 participants, 45.6% men, mean age 57.5 years), a food frequency questionnaire assessed dietary intake and a semi-structured interview allowed to characterize major depressive disorder into current or remitted atypical, melancholic, and unspecified subtypes. Three dietary patterns were identified: Western, Mediterranean, and Sweet-Dairy. Western diet was positively associated with current atypical depression, but negatively associated with current and remitted melancholic depression. Sweet-Dairy was positively associated with current melancholic depression. However, these dietary patterns did not mediate the associations between CVRFs and depression subtypes. Hence, although we could show that people with different subtypes of depression make different choices regarding their diet, it is unlikely that these differential dietary choices account for the well-established associations between depression subtypes and CVRFs.

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Dietary Patterns of Men and Women Suggest Targets for Health Promotion: The Framingham Nutrition Studies

American Journal of Health Promotion ◽

10.4278/0890-1171-11.1.42 ◽

1996 ◽

Vol 11 (1) ◽

pp. 42-52 ◽

Cited By ~ 65

Author(s):

Barbara E. Millen ◽

Paula A. Quatromoni ◽

David R. Gagnon ◽

L. Adrienne Cupples ◽

Mary M. Franz ◽

...

Keyword(s):

Dietary Patterns ◽

Behavioral Interventions ◽

Nutrient Intake ◽

Population Based ◽

Dietary Behaviors ◽

Food Groups ◽

Cross Sectional ◽

Men And Women ◽

Cluster Analyses ◽

Food And Nutrient Intake

Purpose. The goal of the study was to characterize the dietary patterns of adult men and women. Design. The study used a cross-sectional analysis of food consumption behaviors and nutrient intake measured from 1984 through 1988. Setting. The Framingham Offspring/Spouse Study, Framingham, Massachusetts. Subjects. The population-based sample comprised 1831 men and 1828 women between 20 and 70 years of age. Measures. Dietary patterns were defined by cluster analyses, which used the estimates of usual daily food intake from food frequency questionnaires, and the patterns were compared with Food Guide Pyramid recommendations. Nutrient intakes were independently estimated from 24-hour recalls and compared with Year 2000 nutrition recommendations. Results. Cluster analyses identified five groups of men and five groups of women with distinctive dietary patterns. Men differed on intakes of all food groups except vegetables and snacks plus sweetened beverages. Specific dietary behaviors, including low intakes of whole grains, fruits, vegetables, and other complex carbohydrates; high intakes of beer and liquor; and high intakes of high-fat animal foods warrant targeted intervention messages for men. Women's patterns differed across all food groups except red meats and fattier poultry and beer. Dietary behaviors of women that deserve attention include low fruit, vegetable, starch, and dairy intakes; chronic dieting; high alcohol intake; and sources of hidden fats. No cluster met the current recommendations for food and nutrient intake. Conclusions. Distinct dietary patterns in Framingham men and women vary in compliance with national nutrition and health policy objectives and provide insights for developing behavioral interventions to improve food and nutrient intake.

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Cross-Sectional, Short-, Medium- and Long-Term Effects of Dietary Pattern on Frailty in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18189717 ◽

2021 ◽

Vol 18 (18) ◽

pp. 9717

Author(s):

Mei-Huey Shiau ◽

Meng-Chih Lee ◽

Fang-Ling Lin ◽

Baai-Shyun Hurng ◽

Chih-Jung Yeh

Keyword(s):

Dietary Patterns ◽

Dietary Pattern ◽

Multinomial Logistic Regression ◽

Population Based ◽

Long Term Effects ◽

Reduced Rank Regression ◽

Cross Sectional ◽

Protein Rich ◽

Healthy Dietary Pattern

This study examined the association between dietary patterns and the development of frailty during 4-, 8-, 12-year follow-up periods in the population-based Taiwan Study. We used the data of an elderly population aged 53 years and over (n = 3486) from four waves of the Taiwan Longitudinal Study on Aging. Frailty was identified by using the modified Fried criteria and the values were summed to derive a frailty score. We applied reduced rank regression to determine dietary patterns, which were divided into tertiles (healthy, general, and unhealthy dietary pattern). We used multinomial logistic regression models to assess the association between dietary patterns and the risk of frailty. The healthy dietary pattern was characterized by a higher intake of antioxidant drinks (tea), energy-rich foods (carbohydrates, e.g., rice, noodles), protein-rich foods (fish, meat, seafood, and eggs), and phytonutrient-rich foods (fruit and dark green vegetables). Compared with the healthy pattern, the unhealthy dietary pattern showed significant cross-sectional, short-term, medium-term, and long-term associations with a higher prevalence of frailty (odds ratios (OR) 2.74; 95% confidence interval (CI) 1.94–3.87, OR 2.55; 95% CI 1.67–3.88, OR 1.66; 95% CI 1.07–2.57, and OR 2.35; 95% CI 1.27–4.34, respectively). Our findings support recommendations to increase the intake of antioxidant drinks, energy-rich foods, protein-rich foods, and phytonutrient-rich foods, which were associated with a non-frail status. This healthy dietary pattern can help prevent frailty over time in elderly people.

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Major depression subtypes are differentially associated with migraine subtype, prevalence and severity

Cephalalgia ◽

10.1177/0333102419884935 ◽

2019 ◽

Vol 40 (4) ◽

pp. 347-356 ◽

Cited By ~ 1

Author(s):

Claudia Pisanu ◽

Emma Lundin ◽

Martin Preisig ◽

Mehdi Gholam-Rezaee ◽

Enrique Castelao ◽

...

Keyword(s):

Major Depressive Disorder ◽

Depressive Disorder ◽

Migraine With Aura ◽

Migraine Without Aura ◽

Population Based ◽

Cross Sectional Study ◽

High Rate ◽

Major Depressive ◽

Cross Sectional ◽

Depression Subtypes

Objective Migraine and major depressive disorder show a high rate of comorbidity, but little is known about the associations between the subtypes of major depressive disorder and migraine. In this cross-sectional study we aimed at investigating a) the lifetime associations between the atypical, melancholic, combined and unspecified subtype of major depressive disorder and migraine with and without aura and b) the associations between major depressive disorder and its subtypes and the severity of migraine. Methods A total of 446 subjects with migraine (migraine without aura: n = 294; migraine with aura: n = 152) and 2511 controls from the population-based CoLaus/PsyCoLaus study, Switzerland, were included. Associations between major depressive disorder subtypes and migraine characteristics were tested using binary logistic or linear regression. Results Melancholic, combined and unspecified major depressive disorder were associated with increased frequency of migraine with aura, whereas only melancholic major depressive disorder was associated with increased frequency of migraine without aura. Lifetime and unspecified major depressive disorder were associated with severe migraine intensity among subjects with migraine with aura but not migraine without aura, while combined major depressive disorder was associated with higher migraine frequency independently from migraine subtype. Conclusion This study suggests that melancholic but not atypical major depressive disorder is associated with migraine and migraine subtypes. Future studies exploring pathophysiological mechanisms shared between melancholic depression and migraine are warranted.

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Geographical variations in maternal dietary patterns during pregnancy associated with birth weight in Shaanxi province, Northwestern China

PLoS ONE ◽

10.1371/journal.pone.0254891 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254891

Author(s):

Yini Liu ◽

Huihui Zhang ◽

Yaling Zhao ◽

Fangyao Chen ◽

Baibing Mi ◽

...

Keyword(s):

Birth Weight ◽

Dietary Patterns ◽

Dietary Pattern ◽

Northwest China ◽

Population Based ◽

Cross Sectional Study ◽

Shaanxi Province ◽

Cross Sectional ◽

Geographical Variations ◽

Geographically Weighted Logistic Regression

The geographical variation of maternal dietary patterns related to birth outcomes is important for improving the health of mothers and children; however, it is currently unknown. Thus, the objective of the study was to investigate geographical variations of maternal dietary pattern during pregnancy, and evaluate the spatial varying association of maternal dietary patterns in pregnancy with abnormal birth weight. A population-based cross-sectional study was conducted in Shaanxi province in Northwest China in 2013 to evaluate the relationship between abnormal birth weight and dietary pattern using the Geographically Weighted Logistic Regression (GWLR). Three dietary patterns during pregnancy were extracted through factor analysis, explaining approximately 45.8% of the variability of food intake. Approximately 81.6% of mothers with higher scores on the equilibrium pattern was more unlikely to have small for gestational age (SGA) infants, with the lower OR observed in Central and South Shaanxi. The snacks pattern was positively associated with low birth weight (LBW) for 23.2% of participants, with the highest OR in Central Shaanxi. Among about 80.0% of participants with higher scores on the snacks pattern living in South and Central Shaanxi, there was a higher risk for SGA. The OR values tend to descend from South to North Shaanxi. The OR values of the negative association between prudent pattern and LBW decreased from South to North Shaanxi among approximately 59.3% of participants. The prudent pattern was also negatively associated with the increasing risk of fetal macrosomia among 19.2% of participants living mainly in South Shaanxi. The association of maternal dietary patterns during pregnancy with abnormal birth weight varied geographically across Shaanxi province. The findings emphasize the importance of geographical distribution to improve the dietary patterns among disadvantaged pregnant women.

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A Healthy Diet Is Not More Expensive than Less Healthy Options: Cost-Analysis of Different Dietary Patterns in Mexican Children and Adolescents

Nutrients ◽

10.3390/nu13113871 ◽

2021 ◽

Vol 13 (11) ◽

pp. 3871

Author(s):

Patricia Clark ◽

Carlos F. Mendoza-Gutiérrez ◽

Diana Montiel-Ojeda ◽

Edgar Denova-Gutiérrez ◽

Desirée López-González ◽

...

Keyword(s):

Children And Adolescents ◽

Dietary Patterns ◽

Pediatric Population ◽

Principal Component ◽

Population Based ◽

Healthy Diet ◽

Healthy Children ◽

Cross Sectional ◽

Mexican Children ◽

The Cost

Unhealthy diets are recognized as a major risk factor for many diseases. The decrease in costs of industrialized products, as well as the possible misinformation about a healthy diet, has led to new behaviors in the dietary patterns of the pediatric population. The costs of dietary patterns have not been estimated in our population, so the objective of this study was to determine the cost associated with dietary patterns in Mexican children and adolescents, hypothesizing that a healthy diet is not necessarily more economically expensive. This study analyzed data from a population-based cross-sectional study of healthy children and adolescents in Mexico City. Data were collected from a food frequency questionnaire and the meal cost of habitual food shopping. Eating patterns were obtained by using principal component analysis. A micro-costing technique was performed to obtain the direct costs of each pattern. When comparing the healthy pattern with the transition and non-healthy patterns, it was observed that there were no statistically significant differences between the dietary patterns (p = 0.8293). The cost of the healthy pattern only takes up 16.6% of the total biweekly income of a salaried Mexican. In this study, no differences were observed between the costs of a healthy and a less healthy diet.

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Sociodemographic and lifestyle characteristics in relation to dietary patterns among young Brazilian adults

Public Health Nutrition ◽

10.1017/s136898001000162x ◽

2010 ◽

Vol 14 (1) ◽

pp. 150-159 ◽

Cited By ~ 61

Author(s):

Maria Teresa A Olinto ◽

Walter C Willett ◽

Denise P Gigante ◽

Cesar G Victora

Keyword(s):

Cohort Study ◽

Dietary Patterns ◽

Population Based ◽

Social Position ◽

Policy Implications ◽

Birth Cohort Study ◽

Processed Food ◽

Cross Sectional ◽

Food Pattern ◽

High Adherence

AbstractObjectiveTo identify dietary patterns among young adults and the relationships with socio-economic, demographic and lifestyle characteristics.DesignPopulation-based, cross-sectional analysis of a cohort study. Food intake was assessed by a frequency questionnaire, and dietary patterns were identified using principal components analysis.SettingSouthern Brazil.SubjectsA total of 4202 men and women aged 23 years, who participated in the 1982 Pelotas Birth Cohort Study.ResultsFive dietary patterns were identified: common Brazilian, processed food, vegetable/fruit, dairy/dessert and tubers/pasta. Subjects who had low own or maternal educational levels, low social position or who were always poor throughout life had high adherence to the common Brazilian dietary pattern. In contrast, the processed food pattern was more likely to be followed by those belonging to middle and high social position and who were never poor. Men and smokers showed high adherence to the processed food and common Brazilian dietary patterns. Vegetable/fruit pattern was more likely to be followed by women and subjects engaged in physical activity. Women also showed high adherence to the dairy/dessert pattern.ConclusionsOur study among young Brazilian adults has identified distinct dietary patterns that are clearly influenced by socio-economic and lifestyle characteristics, which have important policy implications in a country with marked social and economic inequalities.

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Association of dietary patterns with BMI and waist circumference in a low-income neighbourhood in Brazil

British Journal Of Nutrition ◽

10.1017/s0007114510001479 ◽

2010 ◽

Vol 104 (6) ◽

pp. 908-913 ◽

Cited By ~ 51

Author(s):

Diana Barbosa Cunha ◽

Renan Moritz Varnier Rodrigues de Almeida ◽

Rosely Sichieri ◽

Rosangela Alves Pereira

Keyword(s):

Waist Circumference ◽

Low Income ◽

Dietary Patterns ◽

Eating Habits ◽

Linear Regression Analysis ◽

Positive Association ◽

Population Based ◽

Cross Sectional Study ◽

Protective Role ◽

Cross Sectional

Traditional analysis of food intake usually fails to show an association between energy and nutrient intake and indicators of obesity. The analysis of food patterns can contribute to the understanding of the association between eating habits and anthropometric indicators. A population-based cross-sectional study was carried out on a low-income neighbourhood in the Rio de Janeiro metropolitan area, and 1009 subjects between 20 and 65 years of age completed an FFQ. Dietary patterns were identified by means of factor analysis, and their associations with BMI and waist circumference (WC) were ascertained by applying a linear regression analysis. Three main dietary patterns were identified: a mixed pattern, which included cereals, fish and shrimp, vegetables, roots, fruits, eggs, meat and caffeinated beverages; a Western pattern, which consisted of ‘fast foods’, soft drinks, juices, cakes, cookies, milk and dairy, sweets and snacks; a traditional pattern, which included rice, beans, bread, sugar, fats and salad dressings. After adjusting for age and energy intake, we found that the traditional dietary pattern was inversely associated with BMI (β = − 1·14, P < 0·001) and WC (β = − 14·9, P = 0·002) among females. Additionally, a positive association between the Western pattern and WC (β = 12·8, P = 0·02) was observed for females. A diet based on rice and beans may have a protective role against weight gain in women.

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Diet quality, dietary patterns and short sleep duration: a cross-sectional population-based study

European Journal of Nutrition ◽

10.1007/s00394-018-1655-8 ◽

2018 ◽

Vol 58 (2) ◽

pp. 641-651 ◽

Cited By ~ 8

Author(s):

Thaise C. Mondin ◽

Amanda L. Stuart ◽

Lana J. Williams ◽

Felice N. Jacka ◽

Julie A. Pasco ◽

...

Keyword(s):

Sleep Duration ◽

Diet Quality ◽

Dietary Patterns ◽

Population Based ◽

Short Sleep Duration ◽

Cross Sectional ◽

Population Based Study ◽

Short Sleep

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Urban and rural dietary patterns are associated with anthropometric and biochemical indicators of nutritional status of adolescent Mozambican girls

Public Health Nutrition ◽

10.1017/s1368980017003676 ◽

2017 ◽

Vol 21 (6) ◽

pp. 1057-1064 ◽

Cited By ~ 1

Author(s):

Helena H Hauta-alus ◽

Liisa Korkalo ◽

Riitta Freese ◽

Carina Ismael ◽

Marja Mutanen

Keyword(s):

Nutritional Status ◽

Dietary Patterns ◽

Principal Component ◽

Population Based ◽

Cross Sectional Study ◽

Serum Folate ◽

Linear Regression Models ◽

Cross Sectional ◽

Biochemical Indicators ◽

Resource Setting

AbstractObjectiveThe objective of the present study was to explore whether dietary patterns (DP) are associated with nutritional status indicators among adolescent Mozambican girls.Design/Setting/SubjectsIn this population-based cross-sectional study we used the FFQ data of 547 girls aged 14–19 years from Central Mozambique to derive dietary patterns by means of principal component analysis. We used two-level linear regression models to examine the associations between the DP and anthropometric and biochemical indicators of nutritional status.ResultsWe identified three DP: ‘Urban bread and fats’, ‘Rural meat and vegetables’ and ‘Rural cassava and coconut’. The ‘Urban bread and fats’ DP was positively associated with BMI-for-age Z-score (BMIZ), mid-upper arm circumference (MUAC), triceps skinfold (P for all<0·001) and blood Hb (P=0·025). A negative association was observed between the ‘Urban bread and fats’ DP and serum folate (P<0·001). The ‘Rural meat and vegetables’ DP and the ‘Rural cassava and coconut’ DP were associated negatively with BMIZ, MUAC and triceps skinfold (P for all<0·05), but the ‘Rural meat and vegetables’ DP was associated positively with serum ferritin (P=0·007).ConclusionsUrban and rural DP were associated with nutritional status indicators. In a low-resource setting, urban diets may promote body fat storage and blood Hb concentrations but compromise serum folate concentration. It is important to continue valuing the traditional, rural foods that are high in folate.

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