Evidence map›Paper›PMID 27335121›Full record

ArticlePublic health nutrition2017

Relationship between adherence to Dietary Approaches to Stop Hypertension (DASH) diet indices and incidence of depression during up to 8 years of follow-up.

Aurora Perez-Cornago, Almudena Sanchez-Villegas, Maira Bes-Rastrollo, Alfredo Gea, Patricio Molero, Francisca Lahortiga-Ramos, Miguel Ángel Martinez-Gonzalez

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  6. The role of diet in moderating the relationship between symptoms of depression and brain amyloid load.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  8. Diet interventions for depression: Review and recommendations for practice.The Australian and New Zealand journal of psychiatry · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Aurora Perez-Cornago1Department of Preventive Medicine and Public Health,University of Navarra,C/Irunlarrea 1,31008 Pamplona,Spain.
Almudena Sanchez-Villegas2Department of Clinical Sciences,University of Las Palmas de Gran Canaria,Las Palmas de Gran Canaria,Spain.
Maira Bes-Rastrollo1Department of Preventive Medicine and Public Health,University of Navarra,C/Irunlarrea 1,31008 Pamplona,Spain.
Alfredo Gea1Department of Preventive Medicine and Public Health,University of Navarra,C/Irunlarrea 1,31008 Pamplona,Spain.
Patricio Molero4Department of Psychiatry and Medical Psychology,University Clinic of Navarra,Pamplona,Spain.
Francisca Lahortiga-Ramos4Department of Psychiatry and Medical Psychology,University Clinic of Navarra,Pamplona,Spain.
Miguel Ángel Martinez-Gonzalez1Department of Preventive Medicine and Public Health,University of Navarra,C/Irunlarrea 1,31008 Pamplona,Spain.
Instituto de Salud Carlos III · ESClinica Universidad de Navarra · ESSpanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ESUniversidad de Navarra · ES

Funding

Cancer Research UK 16491
6 · The paper itself

Abstract

objectiveOur aim was to evaluate the relationship between adherence to different Dietary Approaches to Stop Hypertension (DASH) diet indices and the risk of depression.

designIn a prospective study we assessed 14051 participants of a dynamic (permanently ongoing recruitment) prospective cohort (the Seguimiento Universidad de Navarra (SUN) Project), initially free of depression. At baseline, a validated FFQ was used to assess adherence to four previously proposed DASH indices (Dixon, Mellen, Fung and Günther). To define the outcome we applied two definitions of depression: a less conservative definition including only self-reported physician-diagnosed depression (410 incident cases) and a more conservative definition that required both clinical diagnosis of depression and use of antidepressants (113 incident cases). Cox regression and restricted cubic splines analyses were performed.

resultsAfter a median follow-up period of 8 years, the multiple-adjusted model showed an inverse association with the Fung DASH score (hazard ratio (HR)=0·76; 95 % CI 0·61, 0·94) when we used the less conservative definition of depression, and also under the more conservative definition (HR=0·63; 95 % CI 0·41, 0·95). We observed a weak inverse association with the Mellen DASH score, but no statistically significant association was found for the other definitions. The restricted cubic splines analyses suggested that these associations were non-linear (U-shaped).

conclusionsModerate adherence to the DASH diet as operationalized by Fung and Mellen was related to lower depression risk. Since these associations were non-linear, additional prospective studies are required before the results can be generalized and clinical recommendations can be given.

Indexed as

Dietary Approaches To Stop HypertensionPatient ComplianceAdultAntidepressive AgentsDepressionDiagnostic and Statistical Manual of Mental DisordersEducational StatusFemaleFollow-Up StudiesHumansIncidenceMajor Depressive DisorderMaleMiddle AgedProportional Hazards ModelsProspective StudiesAntidepressive AgentsDASHDepressionDietary patternMoodSUN cohort

Identifiers

PMID27335121
PMCPMC10261567
OpenAlexW2462499851

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.