Independent and combined associations of sugar-sweetened beverage consumption, TV viewing, and physical activity with severe depressive symptoms among 59,402 adults

Werneck, André O.; Schuch, Felipe Barreto; Stubbs, Brendon; Oyeyemi, Adewale L.; Szwarcwald, Célia Landmann; Vancampfort, Davy; Silva, Danilo

doi:10.1590/1516-4446-2020-1073

Cited by 10 publications

(5 citation statements)

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“…To the best of our knowledge, no study of a prospective cohort so far has assessed the association of all FS in beverages combined with depression. Rather, reports have focused on soda/fruit drinks with some studies showing a positive association with depression [ 19 – 21 ] similar to our present findings while others present inconclusive evidence [ 18 , 40 ]. Different results might be explained by differences in sample sizes, study cohorts, as well as definitions of depression and sugary beverages.…”

Section: Discussionsupporting

confidence: 88%

“…Some studies suggest that higher intake of FS in general [ 18 ] and in soda/fruit drinks [ 19 – 21 ] is positively associated with depression risk. Mechanisms by which FS might cause the development of the disease include FS-mediated decreases of brain-derived neurotrophic factor (BDNF) [ 22 ] and induction of low-grade inflammation [ 23 ], as well as addiction-like effects with signs of behavioral depression and anxiety after sugar withdrawal [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

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Association of sugar intake from different sources with incident depression in the prospective cohort of UK Biobank participants

et al. 2022

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Purpose To elucidate the association of different sources of free sugars (FS) and intrinsic sugars with depression risk in the prospective population-based UK Biobank cohort. Methods Sugar consumption was assessed in 188,426 participants (age range: 39–72 years, 54.4% female) with at least one web-based dietary questionnaire (Oxford WebQ). The hazard ratios (HR) for incident depression were assessed with Cox proportional hazard regression models including sugar intake from different sources as penalized cubic splines to allow non-linear predictor effects. Over a mean follow-up of 12.3 (standard deviation 1.8) years, 5410 incident depression cases occurred. Results FS intake was significantly associated with depression risk in an ascending approximately linear way with the lowest HR observed at 9% total energy (%E). In contrast, consumption of intrinsic sugars was not significantly related with incident depression. FS in beverages were significantly associated with depression risk in an ascending approximately linear way with the lowest HR at 4%E whereas no association was found for FS in solids. Concerning beverage types, FS in soda/fruit drinks, milk-based drinks, and tea/coffee were significantly and positively related to depression risk whereas the association was U-shaped for juice. Major findings were robust in sensitivity analyses. Conclusion Only some sources of FS are positively associated with incident depression. Public health initiatives targeting FS subtypes might be most effective concerning depression risk if focused on the reduction of sugary beverages and more specifically soda/fruit drinks, milk-based drinks, and tea/coffee.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Association of sugar intake from different sources with incident depression in the prospective cohort of UK Biobank participants

et al. 2022

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“…A cross-sectional study in Brazil reported that consumption of ≥ 16 glasses of SSBs/week was associated with severe depressive symptoms among women (prevalence ratio, 1.71; 95% CI, 1.06–4.12) [ 22 ]. In a prospective study in the US, participants who consumed ≥ 4 cans/day of soft drinks or fruit drinks had a higher risk of depression by 30% and 38%, respectively [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Association between sugar-sweetened beverage consumption and depression and suicidal ideation among Korean adults: a cross-sectional study from the 2014 and 2016 Korean National Health and Nutrition Examination Survey (KNHANES)

2022

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BACKGROUND/OBJECTIVES Sugar-sweetened beverages (SSBs) are regarded as modifiable risk factors for mental health in several populations. Although the consumption of SSBs is steadily increasing in Korea, there is scant evidence regarding the impact of SSB consumption on depression and suicidal ideation. The aim of this study was to investigate the association of SSB consumption with depression and suicidal ideation among adults in Korea. SUBJECTS/METHODS We used the data for 5,465 participants (2,170 men and 3,295 women) aged ≥ 20 years from the 2014 and 2016 Korea National Health and Nutrition Examination Survey. The subjects were divided into four groups according to SSB consumption using a food frequency questionnaire. Logistic regression analyses were conducted to examine the association of SSB consumption with depression and suicidal ideation, adjusting for sociodemographic, health behavior, and dietary variables. RESULTS Participants consuming ≥ 1 SSB/day had a significantly higher risk of depression (odds ratio [OR], 1.54; 95% confidence interval [CI], 1.08–2.18; P < 0.001) and suicidal ideation (OR, 2.20; 95% CI, 1.13–4.28; P < 0.001) compared with those in the non-SSB group after adjusting for potential confounding factors. CONCLUSIONS Our results suggest that SSB consumption is positively associated with depression and suicidal ideation in Korean adults.

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“…In addition, previous studies show that the practice of physical activity has been related to better eating habits (Pavičić ŽeŽelj et al, 2019), which seems to have been confirmed during quarantine, as indicated by the results of the present study. This relationship could perhaps be caused by the fact that women are more concerned with health when compared to men and because they often concerned about health status (Werneck et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Is Associated With Improved Eating Habits During the COVID-19 Pandemic

et al. 2021

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The aim of this study was to analyze the association between physical activity and eating habits during the COVID-19 pandemic among Brazilian adults. A sample of 1,929 participants answered an online survey, however 1,874 were included in the analysis. The impact of the COVID-19 pandemic on eating habits was assessed inquiring about participants' intake of fruits, vegetables, fried foods, and sweets during the pandemic. Physical activity was assessed by asking participants about their weekly frequency, intensity and number of minutes/hours engaging in structured physical activities per week. Participants were then stratified into categories based on moderate-to-vigorous intensity (0–30; 31–90; 91–150; 151–300; and >300 min/week) and into active (≥150 min) or inactive (<150 min). Increased sweets consumption was the most commonly reported change to eating habits (42.5%), followed by an increase in the consumption of vegetables (26.6%), fruits (25.9%), and fried foods (17.9%). Physical activity practice was related to lower consumption of fried foods (OR = 0.60; p < 0.001) and sweets (OR = 0.53; p < 0.001). A cluster analysis revealed subjects with higher the level of physical activity was more likely to follow a healthy diet (p < 0.001). Thus, physical activity was positively associated with healthier eating habits. Health authorities must recommend regular physical as a strategy to improve overall health during the COVID-19 pandemic. Future studies should address the physical activity interventions to improve health status during a pandemic.

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Independent and combined associations of sugar-sweetened beverage consumption, TV viewing, and physical activity with severe depressive symptoms among 59,402 adults

Cited by 10 publications

References 47 publications

Association of sugar intake from different sources with incident depression in the prospective cohort of UK Biobank participants

Association of sugar intake from different sources with incident depression in the prospective cohort of UK Biobank participants

Association between sugar-sweetened beverage consumption and depression and suicidal ideation among Korean adults: a cross-sectional study from the 2014 and 2016 Korean National Health and Nutrition Examination Survey (KNHANES)

Physical Activity Is Associated With Improved Eating Habits During the COVID-19 Pandemic

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