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European Journal of Nutrition

, Volume 53, Issue 4, pp 997–1013 | Cite as

Dietary patterns and the risk of depression in adults: a systematic review of observational studies

  • Corinna Rahe
  • Michael Unrath
  • Klaus Berger
Review

Abstract

Purpose

Diet, a modifiable lifestyle factor, may influence the development of depression. We performed a systematic review of observational studies examining the relationship between dietary patterns and depression in healthy adults.

Methods

A literature research was conducted searching various electronic databases up to May 2013. Study selection was based on predefined inclusion and exclusion criteria. Included studies were reviewed, and relevant data were extracted by two independent researchers. Due to a high level of heterogeneity, no meta-analysis was conducted. Therefore, main results are presented in a descriptive way.

Results

In total, 16 studies met the inclusion criteria and are part of this review. Dietary patterns most commonly found were traditional/healthy patterns, Western/unhealthy patterns and Mediterranean patterns. The available literature suggests a protective effect of healthy and Mediterranean patterns, as well as a potential positive association of Western patterns and depression. However, comparison of the included studies was difficult, due to differences in relevant study characteristics and methodological limitations.

Conclusions

There are indications that dietary patterns may have influence on the onset of depression, but no firm conclusion can be drawn at this point. Further research is needed to clarify the diet–depression relationship, preferably in the form of methodological strong prospective studies using more homogeneous methods.

Keywords

Diet Dietary patterns Depression Depressive symptoms Systematic review Observational studies 

Notes

Acknowledgments

The authors would like to acknowledge the following funding: This review is part of a research project linked to the BiDirect Study, funded by the German Federal Ministry of Education and Research (BMBF, 01ER0816).

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    World Health Organization (2008) The global burden of disease: 2004 update. http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf. 27 Feb 2013
  2. 2.
    Lepine J, Briley M (2011) The increasing burden of depression. Neuropsychiatr Dis Treat 7(Suppl 1):3–7. doi: 10.2147/NDT.S19617 Google Scholar
  3. 3.
    Popa T, Ladea M (2012) Nutrition and depression at the forefront of progress. J Med Life 5(4):414–419 (Epub ahead of print)Google Scholar
  4. 4.
    Jacka FN, Pasco JA, Mykletun A, Williams LJ, Hodge AM, O’Reilly SL, Nicholson GC, Kotowicz MA, Berk M (2010) Association of Western and traditional diets with depression and anxiety in women. Am J Psychiatry 167(3):305–311. doi: 10.1176/appi.ajp.2009.09060881 CrossRefGoogle Scholar
  5. 5.
    Sanchez-Villegas A, Martinez-Gonzalez MA (2013) Diet, a new target to prevent depression? BMC Med 11(1):3. doi: 10.1186/1741-7015-11-3 CrossRefGoogle Scholar
  6. 6.
    Murakami K, Sasaki S (2010) Dietary intake and depressive symptoms: a systematic review of observational studies. Mol Nutr Food Res 54(4):471–488. doi: 10.1002/mnfr.200900157 CrossRefGoogle Scholar
  7. 7.
    Sanhueza C, Ryan L, Foxcroft DR (2012) Diet and the risk of unipolar depression in adults: systematic review of cohort studies. J Hum Nutr Diet 26(1):56–70. doi: 10.1111/j.1365-277X.2012.01283.x CrossRefGoogle Scholar
  8. 8.
    Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13(1):3–9CrossRefGoogle Scholar
  9. 9.
    Akbaraly TN, Sabia S, Shipley MJ, Batty GD, Kivimaki M (2013) Adherence to healthy dietary guidelines and future depressive symptoms: evidence for sex differentials in the Whitehall II study. Am J Clin Nutr 97(2):419–427. doi: 10.3945/ajcn.112.041582 CrossRefGoogle Scholar
  10. 10.
    Wirfält E, Drake I, Wallström P (2013) What do review papers conclude about food and dietary patterns? Food Nutr Res 571541S. doi: 10.3402/fnr.v57i0.20523
  11. 11.
    Kant AK (2004) Dietary patterns and health outcomes. J Am Diet Assoc 104(4):615–635. doi: 10.1016/j.jada.2004.01.010 CrossRefGoogle Scholar
  12. 12.
    Ocké MC (2013) Evaluation of methodologies for assessing the overall diet: dietary quality scores and dietary pattern analysis. Proc Nutr Soc 72(2):191–199. doi: 10.1017/S0029665113000013 CrossRefGoogle Scholar
  13. 13.
    Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339b2535. doi: 10.1136/bmj.b2535
  14. 14.
    Margetts BM, Vorster HH, Venter CS (2002) Evidence-based nutrition—review of nutritional epidemiological studies. SAJCN 15(3):68–73Google Scholar
  15. 15.
    Sanderson S, Tatt ID, Higgins JPT (2007) Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography. Int J Epidemiol 36(3):666–676. doi: 10.1093/ije/dym018 CrossRefGoogle Scholar
  16. 16.
    Shamliyan T, Kane RL, Dickinson S (2010) A systematic review of tools used to assess the quality of observational studies that examine incidence or prevalence and risk factors for diseases. J Clin Epidemiol 63(10):1061–1070. doi: 10.1016/j.jclinepi.2010.04.014 CrossRefGoogle Scholar
  17. 17.
    Higgins JPT, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560. doi: 10.1136/bmj.327.7414.557 CrossRefGoogle Scholar
  18. 18.
    Chatzi L, Melaki V, Sarri K, Apostolaki I, Roumeliotaki T, Georgiou V, Vassilaki M, Koutis A, Bitsios P, Kogevinas M (2011) Dietary patterns during pregnancy and the risk of postpartum depression: the mother-child ‘Rhea’ cohort in Crete, Greece. Public Health Nutr 14(9):1663–1670. doi: 10.1017/S1368980010003629 CrossRefGoogle Scholar
  19. 19.
    Okubo H, Miyake Y, Sasaki S, Tanaka K, Murakami K, Hirota Y (2011) Dietary patterns during pregnancy and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study. Br J Nutr 105(8):1251–1257. doi: 10.1017/S0007114510004782 CrossRefGoogle Scholar
  20. 20.
    Jacka FN, Mykletun A, Berk M, Bjelland I, Tell GS (2011) The association between habitual diet quality and the common mental disorders in community-dwelling adults: the Hordaland Health study. Psychosom Med 73(6):483–490. doi: 10.1097/PSY.0b013e318222831a CrossRefGoogle Scholar
  21. 21.
    Jacka FN, Pasco JA, Mykletun A, Williams LJ, Nicholson GC, Kotowicz MA, Berk M (2011) Diet quality in bipolar disorder in a population-based sample of women. J Affect Disord 129(1–3):332–337. doi: 10.1016/j.jad.2010.09.004 CrossRefGoogle Scholar
  22. 22.
    Le Port A, Gueguen A, Kesse-Guyot E, Melchior M, Lemogne C, Nabi H, Goldberg M, Zins M, Czernichow S (2012) Association between dietary patterns and depressive symptoms over time: a 10-year follow-up study of the GAZEL cohort. PLoS One 7(12):e51593. doi: 10.1371/journal.pone.0051593 CrossRefGoogle Scholar
  23. 23.
    Sugawara N, Yasui-Furukori N, Tsuchimine S, Kaneda A, Tsuruga K, Iwane K, Okubo N, Takahashi I, Kaneko S (2012) No association between dietary patterns and depressive symptoms among a community-dwelling population in Japan. Ann Gen Psychiatry 11(1):24. doi: 10.1186/1744-859X-11-24 CrossRefGoogle Scholar
  24. 24.
    Hodge A, Almeida OP, English DR, Giles GG, Flicker L (2013) Patterns of dietary intake and psychological distress in older Australians: benefits not just from a Mediterranean diet. Int Psychogeriatr 25(3):456–466. doi: 10.1017/S1041610212001986 CrossRefGoogle Scholar
  25. 25.
    Rienks J, Dobson AJ, Mishra GD (2013) Mediterranean dietary pattern and prevalence and incidence of depressive symptoms in mid-aged women: results from a large community-based prospective study. Eur J Clin Nutr 67(1):75–82. doi: 10.1038/ejcn.2012.193 CrossRefGoogle Scholar
  26. 26.
    Skarupski KA, Tangney CC, Li H, Evans DA, Morris MC (2013) Mediterranean diet and depressive symptoms among older adults over time. J Nutr Health Aging 17(5):441–445. doi: 10.1007/s12603-012-0437-x CrossRefGoogle Scholar
  27. 27.
    Samieri C, Jutand M, Feart C, Capuron L, Letenneur L, Barberger-Gateau P (2008) Dietary patterns derived by hybrid clustering method in older people: association with cognition, mood, and self-rated health. J Am Diet Assoc 108(9):1461–1471. doi: 10.1016/j.jada.2008.06.437 CrossRefGoogle Scholar
  28. 28.
    Sanchez-Villegas A, Delgado-Rodriguez M, Alonso A, Schlatter J, Lahortiga F, Serra Majem L, Martinez-Gonzalez MA (2009) Association of the Mediterranean dietary pattern with the incidence of depression: the Seguimiento Universidad de Navarra/University of Navarra follow-up (SUN) cohort. Arch Gen Psychiatry 66(10):1090–1098. doi: 10.1001/archgenpsychiatry.2009.129 CrossRefGoogle Scholar
  29. 29.
    Akbaraly TN, Brunner EJ, Ferrie JE, Marmot MG, Kivimaki M, Singh-Manoux A (2009) Dietary pattern and depressive symptoms in middle age. Br J Psychiatry 195(5):408–413. doi: 10.1192/bjp.bp.108.058925 CrossRefGoogle Scholar
  30. 30.
    Kuczmarski MF, Cremer Sees A, Hotchkiss L, Cotugna N, Evans MK, Zonderman AB (2010) Higher Healthy Eating Index-2005 scores associated with reduced symptoms of depression in an urban population: findings from the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study. J Am Diet Assoc 110(3):383–389. doi: 10.1016/j.jada.2009.11.025 CrossRefGoogle Scholar
  31. 31.
    Nanri A, Kimura Y, Matsushita Y, Ohta M, Sato M, Mishima N, Sasaki S, Mizoue T (2010) Dietary patterns and depressive symptoms among Japanese men and women. Eur J Clin Nutr 64(8):832–839. doi: 10.1038/ejcn.2010.86 CrossRefGoogle Scholar
  32. 32.
    Sanchez-Villegas A, Henriquez P, Bes-Rastrollo M, Doreste J (2006) Mediterranean diet and depression. Public Health Nutr 9(8A):1104–1109. doi: 10.1017/S1368980007668578 CrossRefGoogle Scholar
  33. 33.
    Sofi F, Abbate R, Gensini GF, Casini A (2010) Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. Am J Clin Nutr 92(5):1189–1196. doi: 10.3945/ajcn.2010.29673 CrossRefGoogle Scholar
  34. 34.
    Quirk SE, Williams LJ, O’Neil A, Pasco JA, Jacka FN, Housden S, Berk M, Brennan SL (2013) The association between diet quality, dietary patterns and depression in adults: a systematic review. BMC Psychiatry 13(1):175. doi: 10.1186/1471-244X-13-175 CrossRefGoogle Scholar
  35. 35.
    Psaltopoulou T, Sergentanis TN, Panagiotakos DB, Sergentanis IN, Kosti R, Scarmeas N (2013) Mediterranean diet and stroke, cognitive impairment, depression: a meta-analysis. Ann Neurol. doi: 10.1002/ana.23944 Google Scholar
  36. 36.
    Parker G, Gibson NA, Brotchie H, Heruc G, Rees A, Hadzi-Pavlovic D (2006) Omega-3 fatty acids and mood disorders. Am J Psychiatry 163(6):969–978. doi: 10.1176/appi.ajp.163.6.969 CrossRefGoogle Scholar
  37. 37.
    McMartin SE, Jacka FN, Colman I (2013) The association between fruit and vegetable consumption and mental health disorders: evidence from five waves of a national survey of Canadians. Prev Med 56(3–4):225–230. doi: 10.1016/j.ypmed.2012.12.016 CrossRefGoogle Scholar
  38. 38.
    Scapagnini G, Davinelli S, Drago F, de Lorenzo A, Oriani G (2012) Antioxidants as antidepressants: fact or fiction? CNS Drugs 26(6):477–490. doi: 10.2165/11633190-000000000-00000 CrossRefGoogle Scholar
  39. 39.
    Mattson MP, Shea TB (2003) Folate and homocysteine metabolism in neural plasticity and neurodegenerative disorders. Trends Neurosci 26(3):137–146. doi: 10.1016/S0166-2236(03)00032-8 CrossRefGoogle Scholar
  40. 40.
    Hausteiner C, Bornschein S, Zilker T, Förstl H, Graßmann J (2007) The influence of diet on mental health. Nervenarzt 78(6):696–705. doi: 10.1007/s00115-007-2265-5 CrossRefGoogle Scholar
  41. 41.
    Golden SH, Lazo M, Carnethon M, Bertoni AG, Schreiner PJ, Diez Roux AV, Lee HB, Lyketsos C (2008) Examining a bidirectional association between depressive symptoms and diabetes. JAMA 299(23):2751–2759. doi: 10.1001/jama.299.23.2751 CrossRefGoogle Scholar
  42. 42.
    Joiner TE, Walker RL, Pettit JW, Perez M, Cukrowicz KC (2005) Evidence-based assessment of depression in adults. Psychol Assess 17(3):267–277. doi: 10.1037/1040-3590.17.3.267 CrossRefGoogle Scholar
  43. 43.
    Baune BT, Stuart M, Gilmour A, Wersching H, Heindel W, Arolt V, Berger K (2012) The relationship between subtypes of depression and cardiovascular disease: a systematic review of biological models. Transl Psychiatry 2(3):e92. doi: 10.1038/tp.2012.18 CrossRefGoogle Scholar
  44. 44.
    Penninx BW, Milaneschi Y, Lamers F, Vogelzangs N (2013) Understanding the somatic consequences of depression: biological mechanisms and the role of depression symptom profile. BMC Med 11(1):129. doi: 10.1186/1741-7015-11-129 CrossRefGoogle Scholar
  45. 45.
    Lamers F, Vogelzangs N, Merikangas KR, de Jonge P, Beekman ATF, Penninx BWJH (2013) Evidence for a differential role of HPA-axis function, inflammation and metabolic syndrome in melancholic versus atypical depression. Mol Psychiatry 18(6):692–699. doi: 10.1038/mp.2012.144 CrossRefGoogle Scholar
  46. 46.
    Gold PW, Chrousos GP (2013) Melancholic and atypical subtypes of depression represent distinct pathophysiological entities: CRH, neural circuits, and the diathesis for anxiety and depression. Mol Psychiatry 18(6):632–634. doi: 10.1038/mp.2013.5 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Institute of Epidemiology and Social MedicineUniversity of MünsterMünsterGermany

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