Evidence map›Paper›PMID 33778912›Full record

ArticleEuropean journal of nutrition2021

Association of habitual intake of fruits and vegetables with depressive symptoms: the AusDiab study.

Simone Radavelli-Bagatini, Reindolf Anokye, Nicola P Bondonno, Marc Sim, Catherine P Bondonno, Mandy J Stanley, Craig Harms, Richard Woodman, Dianna J Magliano, Jonathan E Shaw and 4 more

Abstract read
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Article in European journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Association between the Chinese Dietary Balance Index-based dietary quality and depressive symptoms in breast cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
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

14 authors.

Simone Radavelli-Bagatini *Institute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia. s.radavellibagatini@ecu.edu.au.ORCID http://orcid.org/0000-0001-6821-5217
Reindolf Anokye *Institute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Nicola P BondonnoInstitute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Marc SimInstitute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Catherine P BondonnoInstitute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Mandy J StanleySchool of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Craig HarmsSchool of Arts and Humanities, Psychology and Criminology, Edith Cowan University, Perth, WA, Australia.
Richard WoodmanFlinders Centre for Epidemiology and Biostatistics, Flinders University, Adelaide, SA, Australia.
Dianna J MaglianoDiabetes and Population Health, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia.
Jonathan E ShawClinical Diabetes and Epidemiology, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia.
Robin M DalyInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Science, Deakin University, Melbourne, VIC, Australia.
Jonathan M HodgsonInstitute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Joshua R Lewis *Institute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Lauren C Blekkenhorst *Institute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.

Funding

National Health and Medical Research Council (NHMRC) of Australia Emerging Leadership Investigator Grant 1172987National Health and Medical Research Council of Australia Senior Research Fellowship 1116973National Heart Foundation of Australia Future Leader Fellowship 102817National Heart Foundation of Australia Post-Doctoral Research Fellowship 102498NHMRC Investigator Grant 1173952
6 · The paper itself

Abstract

purposeTo investigate the relationship of habitual FV intake, different types of FV, and vegetable diversity with depressive symptoms.

methodsAustralian men and women (n = 4105) aged > 25 years from the Australian Diabetes, Obesity and Lifestyle Study were included. Dietary intake was assessed using a Food Frequency Questionnaire at baseline, 5 and 12 years. Depressive symptoms were assessed using the validated 10-item Centre for Epidemiology Studies Short Depression Scale at 12 years. Multiple logistic regression models were used to investigate the association between the exposures of interest and depressive symptoms using odds ratios (OR) and 95% confidence intervals (CI) across quartiles of FV intake and vegetable diversity. Analyses were multivariable-adjusted for confounding factors.

resultsAt 12 years, 425 (10.4%) participants had "any depressive symptoms". Habitual FV intake was inversely associated with depressive symptoms at 12 years. After adjustment, participants in quartile 2 of FV intake (Q2; median 317 g/day) had a 20% lower odds of having any depressive symptoms (OR [95% CI] 0.80 [0.69, 0.95]) in comparison to those in the lowest quartile of FV intake (Q1; median 223 g/day). Yellow/orange/red and leafy green vegetables were the key vegetable types driving this association. Higher vegetable diversity (4-6 different vegetables/day) was associated with a 24-42% lower odds of having depressive symptoms when compared to < 3 different vegetables/day. The associations remained similar after further adjusting for diet quality.

conclusionA FV-rich diet, consisting of a diverse range of vegetables, particularly yellow/orange/red and leafy green vegetables may help to lower depressive symptoms. Promoting such a diet, particularly in men and women with a low FV intake, may have a significant public health impact.

Indexed as

DepressionVegetablesAustraliaDietFruitHumansAusDiabAustralian adultsDepressive symptomsFruit and vegetable intakeVegetable diversity

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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.