Abstract
Objective
Our aim of this study was to investigate the association between fish consumption and depressive symptoms in senior ethnic Chinese residents of Singapore.
Design
A population-based crosssectional study.
Setting
The Singapore Longitudinal Aging Studies (SLAS).
Participant
The study consisted of 2,034 participants from the Singapore Longitudinal Aging Studies (SLAS) project who were at least 55 years old.
Measurements
The presence of depressive symptoms was compared between those who self-reported eating fish at least three times a week versus those who ate fish less often. A score of 5 or greater on the 15-item Geriatric Depression Scale (GDS-15) was the cutoff for being designated as having depressive symptoms.
Results
Fish intake was associated with a lower prevalence of depressive symptoms ([odds ratio] OR = 0.60, 95% [confidence interval] CI 0.40–0.90; P =.015) after controlling for age, sex, marital status, housing, smoking, alcohol consumption, physical exercise, social and productive activities, self-rated health, hypertension, diabetes, heart failure or attack, stroke, fruit and vegetable intake, and Mini-Mental State Examination (MMSE) scores.
Conclusion
Our results suggest that eating fish at least three times a week is associated with a lower odds of having depressive symptoms among Chinese adults over 55 years old living in Singapore.
Similar content being viewed by others
References
Djernes JK. Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatrica Scandinavica 2006;113: 372–387.
Feng L, Li J, Kua EH, et al. Association between tea consumption and depressive symptoms in older Chinese adults. Journal of the American Geriatrics Society 2012;60: 2358–2360.
Feng L, Yan Z, Sun B, et al. Tea consumption and depressive symptoms in older people in rural China. Journal of the American Geriatrics Society 2013;61:1943–1947.
Akbaraly TN, Brunner EJ, Ferrie JE, et al. Dietary pattern and depressive symptoms in middle age. The British Journal of Psychiatry 2009;195:408–413.
Hibbein JR. Fish consumption and major depression. The Lancet 1998;351: 1213.
Bountziouka V, Polychronopoulos E, Zeimbekis A, et al. Long-rerm fish intake is associated with less severe depressive symptoms among elderly men and women: The MEDIS (MEDiterranean ISlands Elderly) epidemiological study. Journal of Aging and Health 2009;21: 864–880.
Chrysohoou C, Tsitsinakis G, Siassos G, et al. Fish consumption moderates depressive symptomatology in elderly men and women from the IKARIA study. Cardiology Research and Practice 2011: 219578.
Skarupski KA, Tangney CC, Li H, et al. Mediterranean diet and depressive symptoms among older adults over time. The Journal of Nutrition Health and Aging 2013;17: 441–445.
Hoffmire CA, Block RC, Thevenet-Morrison K, et al. Associations between omega-3 poly-unsaturated fatty acids from fish consumption and severity of depressive symptoms: An analysis of the 2005-2008 National Health and Nutrition Examination Survey. Prostaglandins Leukot Essent Fatty Acids 2012;86: 155–160.
Albanese E, Lombardo FL, Dangour AD, et al. No association between fish intake and depression in over 15,000 older adults from seven low and middle income countries—the 10/66 study. PLoS One 2012;7:e38879.
van de Rest O, de Goede J, Sytsma F, et al. Association of n-3 long-chain PUFA and fish intake with depressive symptoms and low dispositional optimism in older subjects with a history of myocardial infarction. British Journal of Nutrition 2010;103: 1381–1387.
Nanri A. Nutritional Epidemiology of Type 2 Diabetes and Depressive Symptoms. Journal of Epidemiology 2013;23: 243–250.
Smith KJ, Sanderson K, McNaughton SA, et al. Longitudinal associations between fish consumption and depression in young adults. American Journal of Epidemiology 2014;79(10): 1228–1235.
Feng L, Ng XT, Yap P, et al. Marital Status and Cognitive Impairment among Community-Dwelling Chinese Older Adults: The Role of Gender and Social Engagement. Dementia and Geriatric Cognitive Disorder Extra 2014;14:375–384.
Feng L, Gwee X, Kua EH, et al. Cognitive function and tea consumption in community dwelling older Chinese in Singapore. The Journal of Nutrition, Health and Aging 2010;14:433–438.
Feng L, Ng TP, He Y, et al. Physical Health and Cognitive Function Independently Contributed to Functional Disability among Chinese Older Adults: Data from Two Asian Metropolises. Journal of Aging Research. 2011:960848. doi: 10.4061/2011/960848.
Rouch I, Achour-Crawford E, Roche F, et al. Seven-year predictors of self-rated health and life satisfaction in the elderly: the PROOF study. The Journal of Nutrition, Health and Aging 2014;18: 840–847.
Shi R, Duan J, Deng Y, et al. Nutritional status of an elderly population in Southwest China: a cross-sectional study based on comprehensive geriatric assessment. The Journal of Nutrition, Health and Aging 2015;19: 26–32.
Sheikh JI and Yesavage JA. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontology: A Guide to Assessment and Intervention. Binghamton: The Haworth Pres, 1986.
Lucas M, Mirzaei F, O’Reilly E, et al. Dietary intake of n-3 and n-6 fatty acids and the risk of clinical depression in women: A 10-y prospective follow-up study. The American Journal of Clinical Nutrition 2011;93: 1337–1343.
Timonen M, Horrobin D, Jokelainen J, et al. Fish consumption and depression: the Northern Finland 1966 birth cohort study. Journal of Affective Disorders 2004;82: 447–452.
Sinn N, Milte CM, Street SJ, et al. Effects of n-3 fatty acids, EPA v. DHA, on depressive symptoms, quality of life, memory and executive function in older adults with mild cognitive impairment: A 6-month randomised controlled trial. British Journal of Nutrition 2012;107: 1682–1693.
Jacka FN, Pasco JA, Williams LJ, et al. Dietary intake of fish and PUFA, and clinical depressive and anxiety disorders in women. British Journal of Nutrition 2013;109: 2059–2066.
Giltay EJ, Zitman FG and Kromhout D. Dispositional optimism and the risk of depressive symptoms during 15 years of follow-up: The Zutphen Elderly Study. Journal of Affective disorders 2006;91: 45–52.
Cole MG and Dendukuri N. Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. The American Journal of Psychiatry 2003;160: 1147–1156.
Li D, Zhang H, Hsu-Hage BH, et al. The influence of fish, meat and polyunsaturated fat intakes on platelet phospholipid polyunsaturated fatty acids in male Melbourne Chinese and Caucasian. European Journal of Clinical Nutrition 2001;55: 1036–1042.
[APA] American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Arlington: American Psychiatric Association, 2013.
Wu DX, Feng L, Yao SQ, et al. The early dementia prevention programme in Singapore. The Lancet Psychiatry 2014;1: 9–11.
Author information
Authors and Affiliations
Corresponding authors
Rights and permissions
About this article
Cite this article
Wu, D., Feng, L., Gao, Q. et al. Association between fish intake and depressive symptoms among community-living older Chinese adults in Singapore: A cross-sectional study. J Nutr Health Aging 20, 404–407 (2016). https://doi.org/10.1007/s12603-015-0590-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12603-015-0590-0