Evidence map›Paper›PMID 40604712›Full record

SynthesisBMC public health2025

Effect of dietary diversity on depression and depressive symptoms: a systematic review and meta-analysis of cross-sectional studies.

Amirhossein Nazarian, Farzad Shidfar, Afsaneh Dehnad, Hossein Shahinfar

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Observational
  2. Article
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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

4 authors.

Amirhossein NazarianDepartment of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. amir.nazarian@yahoo.com.
Farzad ShidfarDepartment of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Afsaneh DehnadDepartment of Medical Education, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Hossein ShahinfarNutritional Health Research Center, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is the leading cause of mental health-related diseases and disability. There are different modifiable lifestyle behaviors which contribute to development of common mental disorders among which nutrition has received a considerable attention in recent years. Dietary diversity (DD), an important nutritional factor, is defined as the number of different food groups or foods consumed in a given period. Dietary diversity is an important aspect of diet quality that has not been extensively studied and warrants further investigation. Also results of recent studies are controversial, both on the relationship between dietary diversity and depression and on how dietary diversity may affect depression by its degree of severity.

methodsWe searched electronic data bases of PubMed, Scopus and Web of Science for every result about the relationship between dietary diversity and depression. Inclusion criteria was: 1. All observational studies investigating the effect of DD on depression and depressive symptoms. 2.Adult populations aged 18 years and older and exclusion criteria was: (1) Other studies rather than observational studies (2) Adolescents and children (under 18 years of age) as participants. (3) Pregnant and lactating women. Studies with inadequate data were not included too.

results4372 research studies were identified and 9 cross-sectional studies remained to be included in the study. The result of our meta-analysis showed a significant decrease in depression and depressive symptoms due to a more diverse diet (pooled OR: 0.80; 95% CI: 0.74 to 0.88; p = 0.000; I

conclusionsThis systematic review and meta-analysis showed that a higher DD is inversely associated with depression. The conclusion claims a definitive inverse association between DD and depression. However, the study only includes cross-sectional studies, which cannot establish causality.

Indexed as

DepressionDietAdultCross-Sectional StudiesFemaleHumansMaleDepressionDepressive symptomsDietDietary diversityMental health

Identifiers

PMID40604712
PMCPMC12220639

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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.