Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Eating behaviors and depressive symptoms among Japanese workers: the Furukawa Nutrition and Health Study

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.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

Data availability

The data presented in this study are available on request from the corresponding author.

References

  1. WHO. Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression. Accessed 4 Sep 2023.

  2. Fukunaga A, Inoue Y, Kochi T, Hu H, Eguchi M, Kuwahara K, et al. Prospective study on the association between adherence to healthy lifestyles and depressive symptoms among Japanese employees: the Furukawa nutrition and health study. J Epidemiol. 2020;30:288–94.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hill Almeida LM, Flicker L, Hankey GJ, Golledge J, Yeap BB, Almeida OP. Disrupted sleep and risk of depression in later life: a prospective cohort study with extended follow up and a systematic review and meta-analysis. J Affect Disord. 2022;309:314–23.

    Article  PubMed  Google Scholar 

  4. Luger TM, Suls J, Vander Weg MW. How robust is the association between smoking and depression in adults? A meta-analysis using linear mixed-effects models. Addict Behav. 2014;39:1418–29.

    Article  PubMed  Google Scholar 

  5. Schuch FB, Vancampfort D, Firth J, Rosenbaum S, Ward PB, Silva ES, et al. Physical activity and incident depression: a meta-analysis of prospective cohort studies. Am J Psychiatry. 2018;175:631–48.

    Article  PubMed  Google Scholar 

  6. Wang X, Arafa A, Liu K, Eshak ES, Hu Y, Dong JY. Combined healthy lifestyle and depressive symptoms: a meta-analysis of observational studies. J Affect Disord. 2021;289:144–50.

    Article  PubMed  Google Scholar 

  7. Sarris J, Logan AC, Akbaraly TN, Amminger GP, Balanzá-Martínez V, Freeman MP, et al. Nutritional medicine as mainstream in psychiatry. Lancet Psychiatry. 2015;2:271–4.

    Article  PubMed  Google Scholar 

  8. Bender A, Hagan KE, Kingston N. The association of folate and depression: a meta-analysis. J Psychiatr Res. 2017;95:9–18.

    Article  PubMed  Google Scholar 

  9. Wu Y, Zhang L, Li S, Zhang D. Associations of dietary vitamin B1, vitamin B2, vitamin B6, and vitamin B12 with the risk of depression: a systematic review and meta-analysis. Nutr Rev. 2022;80:351–66.

    Article  PubMed  Google Scholar 

  10. Grosso G, Micek A, Marventano S, Castellano S, Mistretta A, Pajak A, et al. Dietary n-3 PUFA, fish consumption, and depression: a systematic review and meta-analysis of observational studies. J Affect Disord. 2016;205:269–81.

    Article  CAS  PubMed  Google Scholar 

  11. Li Y, Lv MR, Wei YJ, Sun L, Zhang JX, Zhang HG, et al. Dietary patterns and depression risk: a meta-analysis. Psychiatry Res. 2017;253:373–82.

    Article  PubMed  Google Scholar 

  12. Ishida Y, Yoshida D, Honda T, Hirakawa Y, Shibata M, Sakata S, et al. Influence of the accumulation of unhealthy eating habits on obesity in a general Japanese population: The Hisayama Study. Nutrients. 2020;12:3160.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Lee JS, Mishra G, Hayashi K, Watanabe E, Mori K, Kawakubo K. Combined eating behaviors and overweight: eating quickly, late evening meals, and skipping breakfast. Eat Behav. 2016;21:84–8.

    Article  PubMed  Google Scholar 

  14. Ohkuma T, Hirakawa Y, Nakamura U, Kiyohara Y, Kitazono T, Ninomiya T. Association between eating rate and obesity: a systematic review and meta-analysis. Int J Obes. 2014;39:1589–96.

    Article  Google Scholar 

  15. Wicherski J, Schlesinger S, Fischer F. Association between breakfast skipping and body weight-a systematic review and meta-analysis of observational longitudinal studies. Nutrients. 2021;13:272.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Ballon A, Neuenschwander M, Schlesinger S. Breakfast skipping is associated with increased risk of type 2 diabetes among adults: a systematic review and meta-analysis of prospective cohort studies. J Nutr. 2019;149:106–13.

    Article  PubMed  Google Scholar 

  17. Fujii H, Funakoshi S, Maeda T, Satoh A, Kawazoe M, Ishida S, et al. Eating speed and incidence of diabetes in a Japanese general population: ISSA-CKD. J Clin Med. 2021;10:1949.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Kudo A, Asahi K, Satoh H, Iseki K, Moriyama T, Yamagata K, et al. Fast eating is a strong risk factor for new-onset diabetes among the Japanese general population. Sci Rep. 2019;9:8210.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67:220–9.

    Article  PubMed  Google Scholar 

  20. Rotella F, Mannucci E. Diabetes mellitus as a risk factor for depression. A meta-analysis of longitudinal studies. Diabetes Res Clin Pract. 2013;99:98–104.

    Article  CAS  PubMed  Google Scholar 

  21. Kagawa Y. From clock genes to telomeres in the regulation of the healthspan. Nutr Rev. 2012;70:459–71.

    Article  PubMed  Google Scholar 

  22. Miki T, Eguchi M, Kuwahara K, Kochi T, Akter S, Kashino I, et al. Breakfast consumption and the risk of depressive symptoms: the Furukawa nutrition and health study. Psychiatry Res. 2019;273:551–8.

    Article  PubMed  Google Scholar 

  23. Nakao M, Yano E. Somatic symptoms for predicting depression: one-year follow-up study in annual health examinations. Psychiatry Clin Neurosci. 2006;60:219–25.

    Article  PubMed  Google Scholar 

  24. Ren Z, Cao J, Cheng P, Shi D, Cao B, Yang G, et al. Association between breakfast consumption and depressive symptoms among Chinese college students: A cross-sectional and prospective cohort study. Int J Environ Res Public Health. 2020;17:1571.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Huang C, Momma H, Cui Y, Chujo M, Otomo A, Sugiyama S, et al. Independent and combined relationship of habitual unhealthy eating behaviors with depressive symptoms: a prospective study. J Epidemiol. 2017;27:42–47.

    Article  CAS  PubMed  Google Scholar 

  26. Nanri A, Nagai C, Kochi T, Eguchi M, Kabe I, Mizoue T. Diet quality and depressive symptoms among workers. Clin Nutr. 2020;39:1951–7.

    Article  PubMed  Google Scholar 

  27. Shima S, Shikano T, Kitamura T, Asai M. New self-rating scale for depression. Jpn J Clin Psychiatry. 1985;27:717–23.

    Google Scholar 

  28. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.

    Article  Google Scholar 

  29. Radloff LS, Locke BS The community mental health assessment survey and the CES-D Scale. In: Weissman MM, Myers JK, Ross CE, editors. Community Surveys of Psychiatric Disorders. New Brunswick:Rutgers University Press, 1986. p. 177–89.

  30. Ministry of Health, Labour and Welfare, Japan. Questionnaire of Specific Health Checkups. Secondary Questionnaire of Specific Health Checkups. https://www.mhlw.go.jp/seisakunitsuite/bunya/kenkou_iryou/kenkou/seikatsu/dl/hoken-program2_02.pdf. Accessed 29 Aug 2023.

  31. Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol. 1998;3:322–55.

    Article  CAS  PubMed  Google Scholar 

  32. Kobayashi S, Murakami K, Sasaki S, Okubo H, Hirota N, Notsu A, et al. Comparison of relative validity of food group intakes estimated by comprehensive and brief-type self-administered diet history questionnaires against 16 d dietary records in Japanese adults. Public Health Nutr. 2011;14:1200–11.

    Article  PubMed  Google Scholar 

  33. Ministry of Education, Culture, Sports, Science and Technology, Japan. Standard Tables of Food Composition in Japan, 2010. Tokyo: Ministry of Education, Culture, Sports, Science and Technology, 2010.

  34. Kobayashi S, Honda S, Murakami K, Sasaki S, Okubo H, Hirota N, et al. Both comprehensive and brief self-administered diet history questionnaires satisfactorily rank nutrient intakes in Japanese adults. J Epidemiol. 2012;22:151–9.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Miki T, Kochi T, Eguchi M, Kuwahara K, Tsuruoka H, Kurotani K, et al. Dietary intake of minerals in relation to depressive symptoms in Japanese employees: the Furukawa nutrition and health study. Nutrition. 2015;31:686–90.

    Article  CAS  PubMed  Google Scholar 

  36. Nanri A, Hayabuchi H, Ohta M, Sato M, Mishima N, Mizoue T. Serum folate and depressive symptoms among Japanese men and women: a cross-sectional and prospective study. Psychiatry Res. 2012;200:349–53.

    Article  CAS  PubMed  Google Scholar 

  37. Boyce P, Barriball E. Circadian rhythms and depression. Aust Fam Physician. 2010;39:307–10.

    PubMed  Google Scholar 

  38. Witbracht M, Keim NL, Forester S, Widaman A, Laugero K. Female breakfast skippers display a disrupted cortisol rhythm and elevated blood pressure. Physiol Behav. 2015;140:215–21.

    Article  CAS  PubMed  Google Scholar 

  39. Zajkowska Z, Gullett N, Walsh A, Zonca V, Pedersen GA, Souza L, et al. Cortisol and development of depression in adolescence and young adulthood - a systematic review and meta-analysis. Psychoneuroendocrinology. 2022;136:105625.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Okada C, Imano H, Muraki I, Yamada K, Iso H. The association of having a late dinner or bedtime snack and skipping breakfast with overweight in Japanese women. J Obes. 2019;2019:2439571.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Yoshida J, Eguchi E, Nagaoka K, Ito T, Ogino K. Association of night eating habits with metabolic syndrome and its components: a longitudinal study. BMC Public Health. 2018;18:1366.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

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.

Author information

Authors and Affiliations

Authors

Contributions

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.

Corresponding author

Correspondence to Akiko Nanri.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethical approval

The study protocol was approved by the Ethics Committee of the National Center for Global Health and Medicine, Japan.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41430-023-01391-8

Search

Quick links