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Fruits and vegetables consumption and depressive symptoms: A population-based study in Peru

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dc.contributor.author Wolniczak, Isabella
dc.contributor.author Cáceres-DelAguila, José A.
dc.contributor.author Maguiña, Jorge L.
dc.contributor.author Bernabé Ortiz, Antonio
dc.date.accessioned 2019-01-25T15:18:35Z
dc.date.available 2019-01-25T15:18:35Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4662
dc.description.abstract OBJECTIVES: Among different factors, diet patterns seem to be related to depression. The aim of this study was to evaluate the association between the consumption of fruits and/or vegetables and depressive symptoms. METHODOLOGY/PRINCIPAL FINDINGS: A secondary data analysis was conducted using information from a population-based survey from 25 regions from Peru. The outcome was the presence of depressive symptoms according to the Patient Health Questionnaire (cutoff ≥15 to define major depressive syndrome); whereas the exposure was the self-reported consumption of fruits and/or vegetables (in tertiles and using WHO recommendation ≥5 servings/day). The association of interest was evaluated using Poisson regression models controlling for the complex-sample survey design and potential confounders. Data from 25,901 participants were analyzed, mean age 44.2 (SD: 17.7) and 13,944 (54.0%) women. Only 910 (3.8%; 95%CI: 3.5%-4.2%) individuals reported consuming ≥5 servings of fruits and/or vegetables/day; whereas 819 (2.8%; 95%CI: 2.5%-3.1%) had depressive symptoms. Those in the lowest tertile of fruits and/or vegetables consumption had greater prevalence of depressive symptoms (PR = 1.88; 95%CI: 1.39-2.55) than those in the highest tertile. This association was stronger with fruits (PR = 1.92; 95%CI: 1.46-2.53) than vegetables (PR = 1.42; 95%CI: 1.05-1.93) alone. CONCLUSIONS: An inverse relationship between consumption of fruits and/or vegetables and depressive symptoms is reported. Less than 5% of subjects reported consuming the amount of fruits and vegetables recommended by the WHO. There is a need to implement strategies to promote better diet patterns with potential impact on mental health. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Diet en_US
dc.subject Fruit en_US
dc.subject Vegetables en_US
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Depressive Disorder, Major/epidemiology/pathology en_US
dc.subject Feeding Behavior/physiology en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Middle Aged en_US
dc.subject Peru/epidemiology en_US
dc.subject Poisson Distribution en_US
dc.subject Self Report en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Young Adult en_US
dc.title Fruits and vegetables consumption and depressive symptoms: A population-based study in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0186379
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#2.11.01
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.01.00
dc.relation.issn 1932-6203


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