No association between fish intake and depression in over 15,000 older adults from seven low and middle income countries--the 10/66 study.

Autor: Emiliano Albanese, Flavia L Lombardo, Alan D Dangour, Mariella Guerra, Daisy Acosta, Yueqin Huang, K S Jacob, Juan de Jesus Llibre Rodriguez, Aquiles Salas, Claudia Schönborn, Ana Luisa Sosa, Joseph Williams, Martin J Prince, Cleusa P Ferri
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: PLoS ONE, Vol 7, Iss 6, p e38879 (2012)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0038879
Popis: BackgroundEvidence on the association between fish consumption and depression is inconsistent and virtually non-existent from low- and middle-income countries. Using a standard protocol, we aim to assess the association of fish consumption and late-life depression in seven low- and middle-income countries.Methodology/findingsWe used cross-sectional data from the 10/66 cohort study and applied two diagnostic criteria for late-life depression to assess the association between categories of weekly fish consumption and depression according to ICD-10 and the EURO-D depression symptoms scale scores, adjusting for relevant confounders. All-catchment area surveys were carried out in Cuba, Dominican Republic, Venezuela, Peru, Mexico, China, and India, and over 15,000 community-dwelling older adults (65+) were sampled. Using Poisson models the adjusted association between categories of fish consumption and ICD-10 depression was positive in India (p for trend = 0.001), inverse in Peru (p = 0.025), and not significant in all other countries. We found a linear inverse association between fish consumption categories and EURO-D scores only in Cuba (p for trend = 0.039) and China (p61%) and EURO-D criteria (I(2)>66%).ConclusionsThe associations of fish consumption with depression in large samples of older adults varied markedly across countries and by depression diagnosis and were explained by socio-demographic and lifestyle variables. Experimental studies in these settings are needed to confirm our findings.
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