Association between Dietary Patterns and Depression in Chinese Older Adults: A Longitudinal Study Based on CLHLS
Abstract
:1. Introduction
2. Materials and Method
2.1. Data Source and Subjects
2.2. Assessment of Dietary Pattern
2.3. Assessment of Depression
2.4. Assessment of Covariates
2.5. Statistical Analyses
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Kaiser–Meyer–Olkin Measure of Sampling Adequacy | 0.796 | |
---|---|---|
Bartlett’s Test of Sphericity | Approx. chi-Square | 4839.439 |
df | 79 | |
Sig. | <0.001 |
Component | Rotation Sums of Squared Loadings | ||
---|---|---|---|
Total | % of Variance | Cumulative % | |
1 | 2.068 | 15.906 | 15.906 |
2 | 1.708 | 13.135 | 29.041 |
3 | 1.627 | 12.515 | 41.555 |
Food Groups | Component | ||
---|---|---|---|
Vegetable–Egg–Beans–Milk Pattern | Meat-Fish Pattern | Salt-Preserved Vegetable–Garlic Pattern | |
Fresh vegetable | 0.505 | - | - |
Fresh fruit | - | - | - |
Meat | - | 0.741 | - |
Fish | - | 0.699 | - |
Eggs | 0.684 | - | - |
Bean products | 0.524 | - | - |
Salt-preserved vegetable | - | - | 0.744 |
Sugar | - | - | - |
Tea | - | - | - |
Garlic | - | - | 0.616 |
Milk products | 0.739 | - | - |
Nut products | - | - | - |
Mushroom or algae | - | - | - |
Food Groups | Component | ||
---|---|---|---|
Vegetable–Egg–Beans–Milk Pattern | Meat–Fish Pattern | Salt-Preserved Vegetable–Garlic Pattern | |
Fresh vegetable | 0.234 | 0.185 | −0.150 |
Fresh fruit | −0.113 | 0.309 | 0.061 |
Meat | −0.114 | 0.309 | 0.061 |
Fish | 0.000 | 0.045 | −0.138 |
Eggs | 0.395 | −0.113 | −0.083 |
Bean products | 0.257 | −0.068 | 0.055 |
Salt-preserved vegetable | −0.220 | −0.028 | 0.558 |
Sugar | 0.073 | −0.156 | 0.266 |
Tea | −0.106 | 0.192 | 0.209 |
Garlic | −0.031 | −0.037 | 0.402 |
Milk products | 0.448 | −0.138 | −0.140 |
Nut products | 0.095 | 0.042 | 0.207 |
Mushroom or algae | 0.181 | 0.052 | 0.133 |
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Characteristic | Vegetable–Egg–Beans–Milk Pattern | Meat–Fish Pattern | Salt-Preserved Vegetable–Garlic Pattern | ||||||
---|---|---|---|---|---|---|---|---|---|
Tertile1 | Tertile2 | Tertile3 | Tertile1 | Tertile2 | Tertile3 | Tertile1 | Tertile2 | Tertile3 | |
Gender, % | |||||||||
Male | 54.10 | 52.50 | 54.50 | 47.10 | 54.30 | 59.80 | 47.70 | 55.50 | 58.00 |
Female | 45.90 | 47.50 | 45.50 | 52.90 | 45.70 | 40.20 | 52.30 | 44.50 | 42.00 |
Age, % | |||||||||
≥60 and <75 | 32.80 | 38.10 | 31.30 | 31.30 | 30.3v | 40.60 | 27.00 | 35.70 | 39.50 |
≥75 to <85 | 35.70 | 34.30 | 32.70 | 33.50 | 37.80 | 31.30 | 32.70 | 34.40 | 35.50 |
≥85 | 31.50 | 27.60 | 36.00 | 35.10 | 31.90 | 28.10 | 40.30 | 29.90 | 25.00 |
Marital status, % | |||||||||
Married or partnered | 50.90 | 54.50 | 54.10 | 46.60 | 52.10 | 61.20 | 44.80 | 55.30 | 59.60 |
Unmarried or others | 49.10 | 45.50 | 45.90 | 53.40 | 47.10 | 38.80 | 55.20 | 44.70 | 40.40 |
Region of residence, % | |||||||||
Urban community | 7.20 | 14.40 | 31.00 | 12.50 | 17.90 | 22.90 | 15.10 | 17.60 | 20.50 |
Rural village | 92.80 | 85.60 | 69.00 | 87.50 | 82.10 | 77.10 | 84.90 | 82.40 | 79.50 |
Family income, % | |||||||||
Quintile 1 (lowest) | 25.10 | 20.40 | 15.10 | 31.20 | 16.50 | 12.70 | 23.10 | 22.10 | 15.40 |
Quintile 2 | 24.20 | 19.80 | 14.80 | 21.20 | 21.00 | 16.40 | 20.20 | 19.20 | 19.30 |
Quintile 3 | 18.00 | 21.20 | 20.20 | 17.10 | 21.40 | 20.90 | 17.90 | 19.80 | 21.80 |
Quintile 4 | 14.70 | 20.00 | 26.20 | 15.70 | 21.40 | 24.00 | 20.20 | 19.40 | 21.40 |
Quintile5 (highest) | 17.90 | 18.60 | 23.70 | 14.80 | 19.70 | 26.00 | 18.70 | 19.50 | 22.10 |
Living conditions, % | |||||||||
Alone | 77.10 | 83.90 | 81.50 | 75.80 | 81.00 | 85.80 | 76.10 | 80.70 | 85.80 |
Not alone | 22.90 | 16.10 | 18.50 | 24.20 | 19.00 | 14.20 | 23.90 | 19.30 | 14.20 |
BMI, % | |||||||||
Underweight | 19.80 | 17.80 | 13.80 | 17.80 | 17.90 | 15.40 | 21.60 | 16.60 | 13.10 |
Normal | 57.60 | 55.60 | 54.60 | 58.70 | 55.70 | 53.40 | 54.80 | 55.40 | 57.50 |
Overweight | 17.50 | 20.10 | 23.00 | 17.40 | 19.50 | 23.80 | 17.50 | 21.30 | 21.90 |
Obese | 5.10 | 6.50 | 8.60 | 6.10 | 6.90 | 7.40 | 6.10 | 6.70 | 7.50 |
Smoking status, % | |||||||||
Current | 26.80 | 23.50 | 18.90 | 20.30 | 22.30 | 26.60 | 16.20 | 25.30 | 27.50 |
Former | 13.40 | 12.60 | 19.70 | 14.10 | 14.20 | 17.60 | 13.30 | 14.60 | 17.80 |
Never | 59.80 | 63.90 | 61.40 | 65.60 | 63.50 | 55.80 | 70.50 | 60.10 | 54.60 |
Alcohol consumption status, % | |||||||||
Current | 21.70 | 21.60 | 18.1 | 15.9 | 20.70 | 24.80 | 12.70 | 20.60 | 27.90 |
Former | 12.40 | 11.30 | 17.0 | 11.8 | 13.30 | 15.70 | 10.50 | 14.40 | 15.80 |
Never | 65.90 | 67.10 | 64.9 | 72.3 | 66.00 | 59.50 | 76.80 | 65.00 | 56.30 |
Exercise, % | |||||||||
Yes | 38.20 | 37.30 | 55.3 | 37.5 | 43.40 | 50.40 | 39.40 | 44.40 | 47.30 |
No | 61.80 | 62.70 | 44.7 | 62.5 | 56.60 | 49.60 | 60.60 | 55.60 | 52.70 |
No. of chronic diseases, % | |||||||||
0 | 54.60 | 53.70 | 45.7 | 48.6 | 53.00 | 52.20 | 52.60 | 51.60 | 49.60 |
1 | 32.30 | 28.30 | 34.1 | 33.6 | 30.90 | 30.20 | 31.30 | 30.00 | 33.30 |
≥2 | 13.10 | 18.00 | 20.2 | 17.8 | 16.10 | 17.60 | 16.10 | 18.40 | 17.10 |
Model | Vegetable–Egg–Beans–Milk Pattern | Meat–Fish Pattern | Salt-Preserved Vegetable–Garlic Pattern | ||||||
---|---|---|---|---|---|---|---|---|---|
Tertile1 | Tertile2 | Tertile3 | Tertile1 | Tertile2 | Tertile3 | Tertile1 | Tertile2 | Tertile3 | |
OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | OR (95%CI) | |
Crude model | Ref. | 0.65 (0.49–0.86) * | 0.78 (0.60–1.02) | Ref. | 0.81 (0.61–1.07) | 0.97 (0.74–1.28) | Ref. | 1.31 (0.99–1.73) | 1.25 (0.95–1.66) |
Adjusted model 1 | Ref. | 0.61 (0.46–0.81) * | 0.66 (0.50–0.88) * | Ref. | 0.80 (0.60–1.07) | 0.95 (0.72–1.26) | Ref. | 1.32 (0.99–1.76) | 1.25 (0.95–1.68) |
Adjusted model 2 | Ref. | 0.61 (0.46–0.82) * | 0.65 (0.49–0.87) * | Ref. | 0.82 (0.62–1.09) | 0.97 (0.73–1.29) | Ref. | 1.33 (1.00–1.77) * | 1.27 (0.95–1.70) |
Group | Vegetable–Egg–Beans–Milk Pattern | p Value for Interaction | ||
Tertile 1 | Tertile 2 | Tertile 3 | ||
Gender | 0.440 | |||
Male | Ref. | 0.71 (0.47–1.06) | 0.63 (0.41–0.97) * | |
Female | Ref. | 0.53 (0.35–0.80) * | 0.63 (0.43–0.97) * | |
Meat–Fish Pattern | p Value for Interaction | |||
Tertile 1 | Tertile 2 | Tertile 3 | ||
Gender | 0.870 | |||
Male | Ref. | 0.95 (0.62–1.45) | 1.14 (0.75–1.73) | |
Female | Ref. | 0.71 (0.48–1.06) | 0.85 (0.57–1.26) | |
Salt-PreservedVegetable–Garlic Pattern | p Value for Interaction | |||
Tertile 1 | Tertile 2 | Tertile 3 | ||
Gender | 0.170 | |||
Male | Ref. | 1.63 (1.06–2.49) * | 1.29 (0.82–2.01) | |
Female | Ref. | 1.08 (0.72–1.61) | 1.34 (0.91–1.98) |
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Pei, Z.; Zhang, J.; Qin, W.; Hu, F.; Zhao, Y.; Zhang, X.; Cong, X.; Liu, C.; Xu, L. Association between Dietary Patterns and Depression in Chinese Older Adults: A Longitudinal Study Based on CLHLS. Nutrients 2022, 14, 5230. https://doi.org/10.3390/nu14245230
Pei Z, Zhang J, Qin W, Hu F, Zhao Y, Zhang X, Cong X, Liu C, Xu L. Association between Dietary Patterns and Depression in Chinese Older Adults: A Longitudinal Study Based on CLHLS. Nutrients. 2022; 14(24):5230. https://doi.org/10.3390/nu14245230
Chicago/Turabian StylePei, Zhongfei, Jiajun Zhang, Wenzhe Qin, Fangfang Hu, Yan Zhao, Xiaohong Zhang, Xinxia Cong, Chuanli Liu, and Lingzhong Xu. 2022. "Association between Dietary Patterns and Depression in Chinese Older Adults: A Longitudinal Study Based on CLHLS" Nutrients 14, no. 24: 5230. https://doi.org/10.3390/nu14245230