Evidence map›Paper›PMID 40156731›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Association between the Chinese Dietary Balance Index-based dietary quality and depressive symptoms in breast cancer patients.

Xiao-Yun Cao, Gusonghan Maitiniyazi, Yu-Ting Wang, Shu-Fang Xia, Xiao-Yun Shi

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Xiao-Yun Cao *Department of Oncology, Wuxi Maternity and Child Health Care Hospital, Affiliated Women'S Hospital of Jiangnan University, Wuxi, 214002, Jiangsu, China.
Gusonghan Maitiniyazi *Wuxi School of Medicine, Jiangnan University, Wuxi, 214122, Jiangsu, China.
Yu-Ting WangWuxi School of Medicine, Jiangnan University, Wuxi, 214122, Jiangsu, China.
Shu-Fang XiaWuxi School of Medicine, Jiangnan University, Wuxi, 214122, Jiangsu, China. xiashufang@jiangnan.edu.cn.
Xiao-Yun ShiDepartment of Oncology, Wuxi Maternity and Child Health Care Hospital, Affiliated Women'S Hospital of Jiangnan University, Wuxi, 214002, Jiangsu, China. shixiaoyun1990@163.com.

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6 · The paper itself

Abstract

purposeThis cross-sectional study explored the association between dietary quality and the risk of depressive symptoms in breast cancer patients.

methodsDietary intake was assessed by 3-day, 24-h dietary recall, followed by dietary quality evaluation by the Chinese Dietary Balance Index-16 (DBI-16). Depressive symptoms were assessed by Center for Epidemiologic Studies Depression Scale (CES-D).

resultsA total of 160 breast cancer patients with a mean age of 53.07 ± 9.50 years were recruited. Fifty of these patients had a CES-D score higher than 16 and were defined as depressed. Compared with non-depressed patients, depressed patients had significantly inadequate fruit intake (P = 0.002). A higher proportion of depressed patients had moderately inadequate dietary intake (lower bound scores, LBS, between 25 ~ 36) compared with non-depressed patients (14.0% vs. 0.9%), and there was a significant difference in the distribution of inadequate intake levels between the two groups (P = 0.003). The depressed patients also had a significantly lower diet variety (P = 0.009). Logistic regression analysis showed that after controlling for age, menopausal status, and employment, LBS was positively associated with depressive symptoms (OR = 1.086; 95% CI 1.005-1.174; P = 0.036), whereas the fruit score (OR = 0.674; 95% CI 0.522-0.871; P = 0.003) and diet variety score (OR = 0.637; 95% CI 0.462-0.878; P = 0.006) were both negatively associated.

conclusionDiet might be one of the determinants of depressive symptoms in breast cancer patients. A balanced diet with more fruits, increased diet variety, and adequate nutrients might be a promising strategy to prevent or treat depressive symptoms in breast cancer patients.

Indexed as

Breast NeoplasmsDepressionDietAdultAgedChinaCross-Sectional StudiesEast Asian PeopleFemaleFruitHumansLogistic ModelsMiddle AgedBreast cancerChinese Dietary Balance IndexDepressive symptomsDietary quality

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