Nutrient deficiencies and depression in older adults according to sex: A cross sectional study

Park, RN Yeon-Hwan; Choi-Kwon, RN Smi; Park, Kyung-Ae; Suh, RN Minhee; Jung, Young-Soon

doi:10.1111/nhs.12315

Cited by 19 publications

(11 citation statements)

References 39 publications

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“…In other words, an unhealthy nutrient intake is considered to be a modifiable risk factor for depression among elderly people [36]. The findings also reveal that there is a significant correlation between the intakes of vitamin B and an increase in the prevalence of depressive symptoms [38][39][40]. This has also been confirmed by other research studies [41,42].…”

Section: Discussionsupporting

confidence: 72%

“…The authors altogether identified six original articles on the research topic. Only two studies [35,36] were randomized controlled trials (RCT) and four studies [37][38][39][40] were cross-sectional studies. Three of these studies originated in Asia (Malaysia, Japan, and South Korea) [36,[39][40], one in Australia [35], and two in Europe (Croatia, Norway) [37,38].…”

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confidence: 99%

“…Only two studies [35,36] were randomized controlled trials (RCT) and four studies [37][38][39][40] were cross-sectional studies. Three of these studies originated in Asia (Malaysia, Japan, and South Korea) [36,[39][40], one in Australia [35], and two in Europe (Croatia, Norway) [37,38]. Two studies [38,39] examined the relationship between the vitamin intake and depressive symptoms among elderly people; one study [35] examined the association between ω-3 fatty acid supplements and their effect on elderly at risk for depression; one study [37] concentrated on the connections between psychological distress and diet patterns; one study [36] explored fasting and calorie restriction dietary regime and its impact on mood in aging people; and one study [39] examined the predicting factors of depression, including nutrition, in elderly people.…”

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confidence: 99%

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The Impact of Nutrition and Intestinal Microbiome on Elderly Depression—A Systematic Review

2020

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The aim of this review is to systematically review the evidence whether proper nutrition has a positive impact on the prevention or decline of depressive symptoms among elderly people. In addition, possible connections between nutrition, microbiome, and serotonin molecules and its tryptophan precursor are discussed. The methodology follows the PRISMA guidelines, including the PRISMA flow chart. The authors systematically reviewed peer-review, English-written articles published in Web of Science and PubMed between 2013 and 2018. The findings of six original articles, detected on the set inclusion and exclusion criteria, indicate that there is an association between nutrition and depressive symptoms in the target group, i.e., that proper nutrition has a positive impact on the prevention or reduction of depressive symptoms among elderly people. The findings also reveal that there is a considerable correlation between the intakes of vitamin B and a decrease in the prevalence of depressive symptoms. Furthermore, sufficient nutrient intake of tryptophan appears to be an important factor in terms of nutrition and serotonin levels in the body. The authors consider it important to explore associations between the overall dietary intake and depression since diets are not consumed as individual nutrients. Returning to preventive approaches seems to be a rational way to promote the mental health of seniors. Future studies thus need to include interdisciplinary collaboration: from a good diagnosis of the disease by a psychiatrist, through an analysis of the need for nutrient metabolism by a biochemist to the development of a nutritional plan by a nutritional therapist. The limitations of this review consist in a relatively small number of the studies on this topic, including just few randomized controlled trials, which are a guarantee of efficacy and objectivity in comparison with cross-sectional studies.

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Section: Discussionsupporting

confidence: 72%

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confidence: 99%

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confidence: 99%

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The Impact of Nutrition and Intestinal Microbiome on Elderly Depression—A Systematic Review

2020

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“…Our findings observed that the presence of depressive symptoms was associated with consuming less protein as had been observed among older men (>70 years) in South Korea; those with an inadequate protein intake were almost nine times more likely to be at risk of having depression [35]. It has also been observed that depressive symptoms were significantly increased among those who consumed a low protein diet (<0.8 g/kg/day) among older Italians with type 2 diabetes and chronic renal disease [36].…”

Section: Protein Intake and Adequacysupporting

confidence: 68%

Dietary Protein Intake and Determinants in Māori and Non-Māori Octogenarians. Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu: Life and Living in Advanced Age: A Cohort Study in New Zealand

et al. 2020

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Protein intake, food sources and distribution are important in preventing age-related loss of muscle mass and strength. The prevalence and determinants of low protein intake, food sources and mealtime distribution were examined in 214 Māori and 360 non-Māori of advanced age using two 24 h multiple pass recalls. The contribution of food groups to protein intake was assessed. Low protein intake was defined as ≤0.75 g/kg for women and ≤0.86 g/kg for men. A logistic regression model was built to explore predictors of low protein intake. A third of both women (30.9%) and men (33.3%) had a low protein intake. The main food group sources were beef/veal, fish/seafood, milk, bread though they differed by gender and ethnicity. For women and men respectively protein intake (g/meal) was lowest at breakfast (10.1 and 13.0), followed by lunch (14.5 and 17.8) and dinner (23.3 and 34.2). Being a woman (p = 0.003) and having depressive symptoms (p = 0.029) were associated with consuming less protein. In adjusted models the odds of adequate protein intake were higher in participants with their own teeth or partial dentures (p = 0.036). Findings highlight the prevalence of low protein intake, uneven mealtime protein distribution and importance of dentition for adequate protein intake among adults in advanced age.

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“…For people with CKD, depression is an important mental health problem that is promoted by various physical symptoms, illness uncertainty, and persistent conservative treatment. In particular, depression is more prevalent and more severe in women with CKD than in men (Teles et al, 2014), and it has been reported that factors affecting depression differ by gender in Korea (Park, Kwon, Park, Suh, & Jung, 2017). Therefore, it is important to understand the factors that affect the depression of female patients with CKD to improve their physical and psychological health.…”

Section: Discussionmentioning

confidence: 99%

Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease

Kim

Yeom

Jeon

2020

Nursing & Health Sciences

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This study investigated the relationship between depression, family function, physical symptoms, and illness uncertainty in women with chronic kidney disease. Data were collected through structured questionnaire that was completed by 120 women undergoing hemodialysis. Assessment instruments consisted of the Family Adaptability, Partnership, Growth, Affection, Resolve Scale, Symptom Experience Scale, Mishel's Uncertainty in Illness Scale for Adults, and the Center for Epidemiological Studies‐Depression Scale. The higher the uncertainty about illness and physical symptoms, the higher is the level of depression, and the better the family function, the lower is the level of depression. Greater uncertainty was associated with poorer family function and worsening physical symptoms. A regression model explained 41% of the variance in depression. Significant predictors of depression were physical symptoms, living alone, illness uncertainty, and “poor” subjective health status. To improve depression of women with chronic kidney disease, nurses need to reduce physical symptoms and illness uncertainty in these patients and improve their subjective health status. In addition, the establishment of a therapeutic support system considering living arrangement will help to reduce depression in women with chronic kidney disease.

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Nutrient deficiencies and depression in older adults according to sex: A cross sectional study

Cited by 19 publications

References 39 publications

The Impact of Nutrition and Intestinal Microbiome on Elderly Depression—A Systematic Review

The Impact of Nutrition and Intestinal Microbiome on Elderly Depression—A Systematic Review

Dietary Protein Intake and Determinants in Māori and Non-Māori Octogenarians. Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu: Life and Living in Advanced Age: A Cohort Study in New Zealand

Relationships between depression, family function, physical symptoms, and illness uncertainty in female patients with chronic kidney disease

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