Abstract
Background/objectives
In addition to the potential effects of nutrients on mood, eating behaviors have been suggested to be associated with depressive symptoms. We investigated the prospective association between the accumulation of unhealthy eating behaviors and depressive symptoms in a Japanese working population.
Methods
Participants were 914 workers (aged 19–68 years) who did not have depressive symptoms at baseline (April 2012 and May 2013) and attended a 3-year follow-up survey (April 2015 and May 2016). Unhealthy eating behaviors (skipping breakfast, eating dinner just before bedtime, and snacking after dinner) were assessed at baseline. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D) scale at follow-up. Multiple logistic regression was used to estimate the odds ratio of depressive symptoms (CES-D score ≥16) at follow-up according to the number of unhealthy eating behaviors.
Results
In a model with adjustment of background factors, participants having 2–3 unhealthy eating behaviors at baseline had significantly higher risk of developing depressive symptoms (OR, 2.02; 95% CI, 1.21–3.38) compared with those having no such behaviors. After adjustment for occupational and lifestyle factors, the association was slightly attenuated but remained significant (OR, 1.87; 95% CI, 1.10–3.21). This association was further attenuated and became statistically non-significant after additional adjustment for nutritional factors (OR, 1.67; 95% CI, 0.96–2.90).
Conclusions
Our results suggest that the accumulation of unhealthy eating behaviors is associated with an increased risk of depressive symptoms and that this association may be partly ascribed to a lower intake of nutrients with mood-improving effects.
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Data availability
The data presented in this study are available on request from the corresponding author.
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Acknowledgements
The authors thank Hiroko Tsuruoka, Rie Ito, and Akiko Makabe (Furukawa Electric Corporation), and Yuriko Yagi (National Center for Global Health and Medicine) for their help with data collection.
Funding
This study was supported by a grant from the Industrial Health Foundation and Grant-in-Aid for Scientific Research (B) (25293146) and Grant-in-Aid for Young Scientists (A) (25702006) from the Japan Society for the Promotion of Science.
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AN and TM designed the research; AN, ME, TK, IK, and TM conducted the survey; NY and AN performed statistical analysis; TM provided statistical expertize; AN drafted the manuscript; AN and TM had primary responsibility for the final content; and all authors approved the final version of the manuscript.
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The study protocol was approved by the Ethics Committee of the National Center for Global Health and Medicine, Japan.
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Yoshimaru, N., Nanri, A., Eguchi, M. et al. Eating behaviors and depressive symptoms among Japanese workers: the Furukawa Nutrition and Health Study. Eur J Clin Nutr 78, 307–313 (2024). https://doi.org/10.1038/s41430-023-01391-8
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DOI: https://doi.org/10.1038/s41430-023-01391-8