Evidence map›Paper›PMID 29766837›Full record

ArticlePublic health nutrition2018

Diet quality and depressive symptoms in adolescence: no cross-sectional or prospective associations following adjustment for covariates.

Eleanor M Winpenny, Anne-Laura van Harmelen, Martin White, Esther Mf van Sluijs, Ian M Goodyer

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Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  5. Dietary patterns and internalizing symptoms in children and adolescents: A meta-analysis.The Australian and New Zealand journal of psychiatry · 2022
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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

5 authors.

Eleanor M Winpenny1MRC Epidemiology Unit and Centre for Diet and Activity Research,School of Clinical Medicine,University of Cambridge,Addenbrooke's Hospital,Box 285,Hills Road,Cambridge CB2 0QQ,UK.
Anne-Laura van Harmelen2Developmental Psychiatry,Department of Psychiatry,University of Cambridge,Cambridge,UK.
Martin White1MRC Epidemiology Unit and Centre for Diet and Activity Research,School of Clinical Medicine,University of Cambridge,Addenbrooke's Hospital,Box 285,Hills Road,Cambridge CB2 0QQ,UK.
Esther Mf van Sluijs1MRC Epidemiology Unit and Centre for Diet and Activity Research,School of Clinical Medicine,University of Cambridge,Addenbrooke's Hospital,Box 285,Hills Road,Cambridge CB2 0QQ,UK.
Ian M Goodyer2Developmental Psychiatry,Department of Psychiatry,University of Cambridge,Cambridge,UK.

Funding

British Heart FoundationCancer Research UKDepartment of HealthMedical Research Council MC_UU_12015/3Medical Research Council MC_UU_12015/7Medical Research Council MR/K023187/1MRF_ MRF-160-0007-ELP-VANHAWellcome TrustWellcome Trust 074296
6 · The paper itself

Abstract

objectiveAdolescence is a critical period for development of depression and understanding of behavioural risk factors is needed to support appropriate preventive strategies. We examined associations between adolescent diet quality and depressive symptoms, cross-sectionally and prospectively, in a large community cohort, adjusting for behavioural and psychosocial covariates.

designProspective community-based cohort study (ROOTS).

settingSecondary schools in Cambridgeshire and Suffolk, UK. SUBJECTS: Study participants (n 603) who completed 4 d diet diaries at age 14 years and reported depressive symptoms (Moods and Feelings Questionnaire (MFQ)) at 14 and 17 years of age.

resultsDiet data were processed to derive a Mediterranean diet score (MDS) and daily servings of fruit and vegetables, and fish. At age 14 years, a negative association between fruit and vegetable intake and MFQ score was seen in the unadjusted cross-sectional regression model (β=-0·40; 95 % CI -0·71,-0·10), but adjustment for behavioural covariates, including smoking and alcohol consumption, attenuated this association. Fish intake and MDS were not cross-sectionally associated with MFQ score. No prospective associations were found between MDS, fruit and vegetable intake or fish intake and later MFQ score.

conclusionsDiet quality was not associated with depressive symptoms in mid-adolescence. Previously reported associations in this age range may be due to confounding. Further longitudinal studies are needed that investigate associations between adolescent diet and depression across different time frames and populations, ensuring appropriate adjustment for covariates.

Indexed as

AdolescentCross-Sectional StudiesDepressionDietDiet, MediterraneanFeeding BehaviorFemaleHumansMaleMultivariate AnalysisProspective StudiesRegression AnalysisRisk FactorsSurveys and QuestionnairesUnited KingdomAdolescenceDepressionDietFishFruitsMediterranean diet scoreProspectiveVegetables

Identifiers

PMID29766837
PMCPMC6137369

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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.