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ABSTRACT: Background
While a growing body of research suggests a protective role of healthy lifestyle against depression, evidence from prospective studies is scarce. We constructed a healthy lifestyle index (HLI) and examined its prospective association with depressive symptoms in a Japanese working population.Methods
Participants were 917 employees (19-68 years old) who were free from depressive symptoms at baseline in 2012-2013 and attended the 3-year follow-up survey. The HLI (range: 0-7 points) was constructed by assigning 1 point to each healthy lifestyle factor, namely, (1) normal body mass index (18.5-24.9 kg/m2), (2) non-smoking, (3) no or moderate alcohol intake (?23 g ethanol/day), (4) adequate physical activity (?7.5 metabolic equivalent-hours/week), (5) high vegetable intake (?350 g/day), (6) high fruit intake (?200 g/day), and (7) adequate sleep duration (6-8.9 hours/day), which was categorized into three groups (low: 0-2 points; middle: 3-4 points; and high: 5-7 points). Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale.Results
A total of 155 incident cases (17.0%) of depressive symptoms were identified at the follow-up survey. Compared with the low HLI group, multivariable-adjusted odds ratios of depressive symptoms were 0.74 (95% confidence interval, 0.48-1.15) and 0.55 (95% confidence interval, 0.31-0.99) for the middle and high HLI groups, respectively (P-trend = 0.041).Conclusion
The present study suggests the importance of adherence to multiple healthy lifestyle factors in prevention of depressive symptoms.
SUBMITTER: Fukunaga A
PROVIDER: S-EPMC7280053 | biostudies-literature | 2020 Jul
REPOSITORIES: biostudies-literature
Fukunaga Ami A Inoue Yosuke Y Kochi Takeshi T Hu Huanhuan H Eguchi Masafumi M Kuwahara Keisuke K Miki Takako T Kurotani Kayo K Nanri Akiko A Kabe Isamu I Mizoue Tetsuya T
Journal of epidemiology 20190601 7
<h4>Background</h4>While a growing body of research suggests a protective role of healthy lifestyle against depression, evidence from prospective studies is scarce. We constructed a healthy lifestyle index (HLI) and examined its prospective association with depressive symptoms in a Japanese working population.<h4>Methods</h4>Participants were 917 employees (19-68 years old) who were free from depressive symptoms at baseline in 2012-2013 and attended the 3-year follow-up survey. The HLI (range: 0 ...[more]