{"title":"确定老年人抑郁和孤独的主要抗炎饮食决定因素","authors":"Yujia Zhang , Eleonora Iob , Thamara Tapia Munoz","doi":"10.1016/j.bbih.2025.101000","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>The study aims to explore the association between anti-inflammatory dietary variables and prevalence of depression and loneliness in older adults.</div></div><div><h3>Design</h3><div>A cross-sectional secondary data analysis was performed using data from the English Longitudinal Study of Ageing (ELSA), targeting adults aged 50 and over.</div></div><div><h3>Method</h3><div>Data from wave 9 of ELSA were utilised. Binary logistic regression was employed to estimate the Odds ratios (ORs) and 95 % confidence intervals (CIs) for the association between participants’ intake of fruits, vegetables, fish, nuts and seeds, legumes, and wholegrains, and the prevalence of depression and loneliness. Two sets of regressions were conducted: the first set examined each dietary component individually, while the second considered all variables simultaneously. Both models were tested with and without adjusting for covariates, including age, gender, ethnicity, self-rated weight, marital status, education, socio-economic status, and activity-limiting long-standing illnesses.</div></div><div><h3>Results</h3><div>Of 4254 participants included in the analysis, 355 participants (8 %) had depression, and 623 (15 %) reported experiencing loneliness. An association was observed between higher intakes of fruits and lower prevalence of depression (OR = 0.89, 95 % CI: 0.79–1.00, p = 0.05), and between higher intakes of vegetables and lower prevalence of loneliness (OR = 0.91, 95 % CI: 0.83–1.00, p = 0.05). However, these associations lost statistical significance after adjustment for confounders. Similarly, the second model, which included all anti-inflammatory dietary variables, failed to show a significant association with depression and loneliness.</div></div><div><h3>Conclusions</h3><div>The study does not support the hypothesis that anti-inflammatory variables are associated with prevalence of depression and loneliness in older adults.</div></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":"46 ","pages":"Article 101000"},"PeriodicalIF":3.7000,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Identifying leading anti-inflammatory dietary determinants of depression and loneliness in older adults\",\"authors\":\"Yujia Zhang , Eleonora Iob , Thamara Tapia Munoz\",\"doi\":\"10.1016/j.bbih.2025.101000\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>The study aims to explore the association between anti-inflammatory dietary variables and prevalence of depression and loneliness in older adults.</div></div><div><h3>Design</h3><div>A cross-sectional secondary data analysis was performed using data from the English Longitudinal Study of Ageing (ELSA), targeting adults aged 50 and over.</div></div><div><h3>Method</h3><div>Data from wave 9 of ELSA were utilised. Binary logistic regression was employed to estimate the Odds ratios (ORs) and 95 % confidence intervals (CIs) for the association between participants’ intake of fruits, vegetables, fish, nuts and seeds, legumes, and wholegrains, and the prevalence of depression and loneliness. Two sets of regressions were conducted: the first set examined each dietary component individually, while the second considered all variables simultaneously. Both models were tested with and without adjusting for covariates, including age, gender, ethnicity, self-rated weight, marital status, education, socio-economic status, and activity-limiting long-standing illnesses.</div></div><div><h3>Results</h3><div>Of 4254 participants included in the analysis, 355 participants (8 %) had depression, and 623 (15 %) reported experiencing loneliness. An association was observed between higher intakes of fruits and lower prevalence of depression (OR = 0.89, 95 % CI: 0.79–1.00, p = 0.05), and between higher intakes of vegetables and lower prevalence of loneliness (OR = 0.91, 95 % CI: 0.83–1.00, p = 0.05). However, these associations lost statistical significance after adjustment for confounders. Similarly, the second model, which included all anti-inflammatory dietary variables, failed to show a significant association with depression and loneliness.</div></div><div><h3>Conclusions</h3><div>The study does not support the hypothesis that anti-inflammatory variables are associated with prevalence of depression and loneliness in older adults.</div></div>\",\"PeriodicalId\":72454,\"journal\":{\"name\":\"Brain, behavior, & immunity - health\",\"volume\":\"46 \",\"pages\":\"Article 101000\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-04-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brain, behavior, & immunity - health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666354625000584\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"IMMUNOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain, behavior, & immunity - health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666354625000584","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的探讨抗炎饮食变量与老年人抑郁和孤独患病率之间的关系。设计采用英国老龄化纵向研究(ELSA)的数据进行横断面二次数据分析,目标是50岁及以上的成年人。方法利用ELSA第9波数据。采用二元logistic回归来估计参与者摄入水果、蔬菜、鱼类、坚果和种子、豆类和全谷物与抑郁和孤独患病率之间的比值比(ORs)和95%置信区间(ci)。进行了两组回归:第一组单独检查每种饮食成分,而第二组同时考虑所有变量。两种模型都在有和没有调整协变量的情况下进行了测试,协变量包括年龄、性别、种族、自评体重、婚姻状况、教育程度、社会经济地位和限制活动的长期疾病。结果在分析的4254名参与者中,355名参与者(8%)患有抑郁症,623名参与者(15%)报告感到孤独。高水果摄入量与低抑郁患病率之间存在关联(OR = 0.89, 95% CI: 0.79-1.00, p = 0.05),高蔬菜摄入量与低孤独患病率之间存在关联(OR = 0.91, 95% CI: 0.83-1.00, p = 0.05)。然而,在调整混杂因素后,这些关联失去了统计学意义。同样,第二个模型,包括所有抗炎饮食变量,未能显示出抑郁和孤独的显著关联。结论:该研究不支持抗炎变量与老年人抑郁和孤独患病率相关的假设。
Identifying leading anti-inflammatory dietary determinants of depression and loneliness in older adults
Objectives
The study aims to explore the association between anti-inflammatory dietary variables and prevalence of depression and loneliness in older adults.
Design
A cross-sectional secondary data analysis was performed using data from the English Longitudinal Study of Ageing (ELSA), targeting adults aged 50 and over.
Method
Data from wave 9 of ELSA were utilised. Binary logistic regression was employed to estimate the Odds ratios (ORs) and 95 % confidence intervals (CIs) for the association between participants’ intake of fruits, vegetables, fish, nuts and seeds, legumes, and wholegrains, and the prevalence of depression and loneliness. Two sets of regressions were conducted: the first set examined each dietary component individually, while the second considered all variables simultaneously. Both models were tested with and without adjusting for covariates, including age, gender, ethnicity, self-rated weight, marital status, education, socio-economic status, and activity-limiting long-standing illnesses.
Results
Of 4254 participants included in the analysis, 355 participants (8 %) had depression, and 623 (15 %) reported experiencing loneliness. An association was observed between higher intakes of fruits and lower prevalence of depression (OR = 0.89, 95 % CI: 0.79–1.00, p = 0.05), and between higher intakes of vegetables and lower prevalence of loneliness (OR = 0.91, 95 % CI: 0.83–1.00, p = 0.05). However, these associations lost statistical significance after adjustment for confounders. Similarly, the second model, which included all anti-inflammatory dietary variables, failed to show a significant association with depression and loneliness.
Conclusions
The study does not support the hypothesis that anti-inflammatory variables are associated with prevalence of depression and loneliness in older adults.