ArticleBMC medicine2023
The associations of dietary patterns with depressive and anxiety symptoms: a prospective study.
Article in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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Who cites it
49 citing papers in PubMed.
- Association Between Sugar-Sweetened Beverage Consumption and Psychological Distress: Analysis of the Nutrition and Health Survey in Taiwan.Nutrients · 2026Article
- Sugar restriction during the first 1000 days after conception and its association with decreased risk of anxiety and depression.General psychiatry · 2026Article
- Sugar-sweetened beverage consumption and incident depression: an exploratory multi-omics analysis of candidate biological mediators.Nutrition journal · 2026Article
- Beyond Psychological Trauma: Associations of Nutritional Status with Depression in Child and Adolescent Victims of Crime.Healthcare (Basel, Switzerland) · 2026Article
- Maternal Diet Quality and Third Trimester Depression: Insights From a Nepali Birth Cohort Study.Maternal & child nutrition · 2026Article
- Nutrient intake is associated with incident mental disorders: a population-based prospective cohort study.European journal of nutrition · 2026Article
- The Association Between MIND Diet Adherence, Nutritional Status, and Psychosomatic Health in Adults Aged 60+: A Pilot Study.Healthcare (Basel, Switzerland) · 2026Article
- Psychological health mediates the association between diet and upper gastrointestinal cancer: a cross-sectional analysis from a large-scale population-based screening project.Cancer biology & medicine · 2026Article
- Association of dietary patterns and healthy diet scores with anxiety, depression, and their comorbidity among rural Chinese adults.BMC public health · 2026Article
- Food Intake and Physical Activity Patterns Among University Undergraduate Students at Risk of Eating Disorders.Nutrients · 2026Article
- Contribution of social determinants to symptoms of generalized anxiety disorder.PLOS mental health · 2026Article
- Flexitarian dietary patterns and neuropsychiatric multimorbidity among the oldest-old in China.Frontiers in nutrition · 2026Article
- Chinese healthy eating index as a measure of diet quality and its association with depression and anxiety symptoms among people living with HIV: a cross-sectional study in China.Frontiers in nutrition · 2026Article
- Associations of nutritional habits, lifestyle, and demographic factors with mental health outcomes among university students in Lebanon: a cross-sectional study.BMC public health · 2025Article
- Association of dietary patterns with anxiety and depression symptoms in people living with HIV: a population-based cross-sectional study from China.BMC public health · 2025Article
- Association Between Anxiety and Diet Quality Among Polish Adults: A Cross-Sectional Study.Nutrients · 2025Article
- Correlates of Dietary Changes During COVID-19 in Immunosuppressed Individuals and Their Relatives: Alignment with Nutritional Recommendations.Healthcare (Basel, Switzerland) · 2025Article
- Data-driven approach to understand associations between dietary patterns, sleep problems, and mental health in adolescents.Sleep health · 2025Article
- Consumption of High-Energy Food and Sugar Shows a Strong Positive Association with Low Mood in Control Subjects and Depressed Patients.Nutrients · 2025Article
- Dietary intake and five types of mental disorders: a bidirectional Mendelian randomization study.BMC psychiatry · 2025Article
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Authors and funding
6 authors.
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Abstract
backgroundDiet is increasingly recognized as an important risk factor for mental health. However, evidence regarding the association between diet pattern and depressive and anxiety symptoms is limited. We aimed to investigate the associations of dietary patterns characterized by a set of nutrients of interest with depressive and anxiety symptoms.
methodsThe analyses included a total of 126,819 participants in the UK Biobank who had completed at least two dietary questionnaires. Dietary data were obtained through 24-h dietary assessment at baseline between 2006 and 2010 and four rounds of online follow-ups between 2011 and 2012. Reduced rank regression was applied to derive dietary patterns (DPs) explaining variability in energy density, free sugars, saturated fat, and fiber intakes. Depressive and anxiety symptoms were measured by the Patient Health Questionnaire-9 and General Anxiety Disorder-7 between 2016 and 2017, respectively. Logistic regression models were performed to investigate the associations between dietary patterns and depressive and anxiety symptoms.
resultsDuring a mean follow-up of 7.6 years, 2746 cases of depressive symptoms and 2202 cases of anxiety symptoms were recorded. Three major DPs were derived, explaining 74% of the variation in nutrients hypothesized to be related to depressive and anxiety symptoms. DP1 was characterized by high intakes of chocolate, confectionery, butter, and low vegetable/fruit intakes. Compared to the lowest quintile of DP1, the odds ratio (95% confidence interval) of depressive symptoms for Q2-Q5 was 0.82 (0.72-0.93), 0.86 (0.76-0.98), 1.02 (0.90-1.15), and 1.17 (1.03-1.32), respectively. Compared to the lowest quintile of DP1, the odds ratio (95% CI) of anxiety symptoms for Q2-Q5 was 0.84 (0.73-0.97), 0.91 (0.79-1.05), 1.01 (0.88-1.15), and 1.18 (1.03-1.35), respectively. DP2 featured high intakes of sugar-sweetened beverages, added sugars, and low intakes of butter/cheese but showed no significant links to depressive or anxiety symptoms. DP3 was characterized by high butter and milk desserts and low alcohol/bread intakes. Compared to the lowest quintile of DP3, the odds ratio (95% CI) of depressive symptoms for Q2-Q5 was 0.90 (0.79-1.01), 1.00 (0.88-1.13), 1.06 (0.94-1.20), and 1.17 (1.03-1.32), respectively. Compared to the lowest quintile of DP3, the odds ratio (95% CI) of anxiety symptoms for Q2-Q5 was 0.90 (0.78-1.04), 1.05 (0.91-1.20), 1.02 (0.89-1.17), and 1.21 (1.05-1.38), respectively.
conclusionsA DP characterized by high intakes of chocolate and confectionery, butter, high-fat cheese, added sugars, along with low intakes of fresh fruit and vegetables, is associated with a higher risk of depressive and anxiety symptoms.
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