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Diet quality and depression risk

In the SUN cohort, higher adherence to Mediterranean, pro-vegetarian, and AHEI-2010 diet scores tracked with lower risk of incident depression over about 8.5 years.

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What cohort supplied the data?

The SUN Project, a Spanish diet and lifestyle follow-up cohort.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

How many participants entered analyses?

15,093 after exclusions.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

What was the primary outcome?

Incident depression during follow-up.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

Which three diet scores were compared?

MDS, PDP, and AHEI-2010.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

What PDP hazard ratio compared extreme quintiles at baseline?

Multivariable HR 0.78 (95% CI 0.64–0.93).

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

What overall conclusion did authors draw?

Better adherence to the three diet-quality scores linked to lower depression risk in Spanish adults.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

How complete was cohort follow-up generally?

Overall retention approaches 90%.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

What dose–response pattern did they emphasize?

A threshold effect: substantial reduction from low to moderate adherence, little extra gain thereafter.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

How often were questionnaires collected?

Every 2 years by postal or web questionnaires.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified

Why can’t this study alone guide clinical diet prescriptions for depression?

It is observational, so unmeasured confounding and reverse causation remain possible.

Source: A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project · DOI · quote verified