Evaluation of Nutritional Status of Patients with Depression.

BioMed research international. 2015;2015:521481
Full text from:

Plain language summary

The aim of this study was to identify the nutritional status, body composition and biochemical parameters of individuals who had been diagnosed with major depression. Fifty-nine people in Turkey, aged between 18 and 60 years old were randomly assigned to 2 groups – a depression group (29 people on antidepressant medication) and a control group (30 normal, healthy people). A number of measurements were taken: anthropometric measurements, biochemical markers (eg fasting blood glucose, insulin, folate, B12), demographic data, a 24-hour diet recall and activity/exercise levels. Those with serious mental illness such as psychotic disorders, bipolar and schizophrenia were excluded, as were those recently prescribed with thyroid medication, weight loss treatment or diabetes. The anti-depressant medication used by the individuals in the depression group was not identified. The depression group was 65% female and the control group was 60% female. The results showed that the depression group had a lower intake of the nutrients vitamin A, thiamine, riboflavin, B6, folate, vitamin C, sodium, potassium, magnesium, calcium, phosphorus, iron and zinc, as well as fibre. In addition, median values of body weight, waist and hip circumferences, and waist to hip ratios were significantly higher in this group. The depression group also had lower fasting blood glucose levels, vitamin B12 and folic acid than the control group. Serum insulin and insulin resistance levels were similar in both groups. The rate of night eating was higher, and the consumption of fresh fruit, vegetables and fish was lower in those with depression, although the authors noted that the PUFA intake in both groups was very similar. Levels of light physical exercise were higher in the depression group. The authors concluded that individuals with depression tended to eat a poorer quality diet. Vitamin B consumption, serum B12 and folic acid levels were low in those patients with depression, and they also showed more signs of abdominal obesity. It was also noted that vitamins A and C, and magnesium levels were lower in depression. It was acknowledged that the self-reported diets are likely to contain inaccuracies.

Abstract

AIMS AND OBJECTIVES Our goal was to determine nutritional status, body composition, and biochemical parameters of patients diagnosed with depression based on DSM-IV-TR criteria. METHODS A total of 59 individuals, aged 18-60 years admitted to Mental Health Centre of Kayseri Education and Research Hospital, were included in the study. The participants were randomly assigned to two groups; depression group (n = 29) and control group (n = 30). Anthropometric measurements, some biochemical parameters, demographic data, and 24-hour dietary recall were evaluated. RESULTS 65.5% of depression and 60.0% of control group were female. Intake of vitamins A, thiamine, riboflavin, B6, folate, C, Na, K, Mg, Ca, P, Fe, Zn, and fibre (p < 0.05) were lower in depression group. Median levels of body weight, waist circumference, hip circumference, waist-to-hip ratio (p < 0.05) were significantly higher in depression group. Fasting blood glucose levels, serum vitamins B12, and folic acid (p < 0.05) in depression group were lower than controls. Serum insulin and HOMA levels of two groups were similar. CONCLUSION Some vitamin B consumption and serum vitamin B12 and folic acid levels were low while signs of abdominal obesity were high among patients with depression. Future research exploring nutritional status of individuals with depression is warranted.

Lifestyle medicine

Fundamental Clinical Imbalances : Detoxification and biotransformational
Patient Centred Factors : Mediators/Mental health
Environmental Inputs : Diet ; Nutrients ; Physical exercise
Personal Lifestyle Factors : Nutrition ; Exercise and movement
Functional Laboratory Testing : Blood

Methodological quality

Allocation concealment : No

Metadata

Nutrition Evidence keywords : Vitamin C ; Vitamin A ; Magnesium ; Minerals ; Vegetables ; Fruit ; Fibre ; Exercise