Fish consumption and depression in Korean adults: the Korea National Health and Nutrition Examination Survey, 2013–2015

Yang, Yeonji; Je, Youjin

doi:10.1038/s41430-017-0083-9

Cited by 17 publications

(11 citation statements)

References 39 publications

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“…Diet is a well-known factor associated with depression [ 9 , 10 , 11 ]. This has been particularly reported in studies associated with fish intake [ 12 , 13 ]. Ecologic studies have shown that people living in countries with high fish consumption, such as Japan, have lower rates of age-standardized disability-adjusted life years for depressive disorders [ 14 ].…”

Section: Introductionmentioning

confidence: 73%

“…Ecological studies have shown that age-standardized disability-adjusted life years among subjects with depressive disorders are lower in countries in which people consume more fish [ 12 ]. However, in cohort studies in countries with higher fish intake, no clear association between n -3 LCPUFA intake levels and depressive symptoms has been observed.…”

Section: Discussionmentioning

confidence: 99%

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Longitudinal Association between n-3 Long-Chain Polyunsaturated Fatty Acid Intake and Depressive Symptoms: A Population-Based Cohort Study in Japan

et al. 2018

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It remains unclear whether n-3 long-chain polyunsaturated fatty acids (LCPUFA) have a preventive effect on depression in the general population. This study investigated the longitudinal association between n-3 LCPUFA intake and depressive symptoms in community-dwelling Japanese participants. The participants were aged 40–79 years at baseline in the cohort study, wherein examinations, including the assessment of depressive symptoms and nutritional status, were biennially conducted from 1997 to 2012. The subjects (n = 2335) who had a Center for Epidemiologic Studies Depression Scale (CES-D) score < 16 at the first examination and who participated in the follow-up study at least once were included in the analysis. The follow-up end point was the first onset (CES-D ≥ 16) or the last examination participation. Hazard ratios (95% CIs) for CES-D ≥ 16 were estimated using the adjusted Cox proportional hazards model. Overall, 22.1% participants showed depressive symptoms during follow-up (average; 8.1 years). Compared with the lowest tertile, the highest HR for EPA was 0.74 (0.60–0.93), and highest and middle HRs for DHA were 0.79 (0.63–0.98) and 0.80 (0.65–0.99) (P for trend = 0.009 and 0.032), respectively. Among populations with high fish consumption, higher n-3 LCPUFA intake may be associated with a low risk of depressive symptoms.

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Section: Introductionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Longitudinal Association between n-3 Long-Chain Polyunsaturated Fatty Acid Intake and Depressive Symptoms: A Population-Based Cohort Study in Japan

et al. 2018

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“…The results of our stratified analysis showed that the association between blood mercury and depression was predominant at the lowest tertile of fish consumption in females. According to KNHANES 2013-2015, consumption of fish greater than four times per week was associated with lower odds of depression among Korean women [57]. Similarly, the Japan Public Health Center-based Prospective Study (JPHC) showed that moderate fish intake can reduce the risk of major depressive disorder [8].…”

Section: Discussionmentioning

confidence: 99%

Association of Blood Mercury Level with the Risk of Depression According to Fish Intake Level in the General Korean Population: Findings from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008–2013

et al. 2020

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Mercury is a cumulative neurotoxic agent, exposure to high levels of which may increase the risk of psychiatric symptoms. The purpose of this study was to examine the associations between blood mercury and depression risk in Korean adults. We analyzed the Korean National Health and Nutrition Examination Survey (KNHANES) with 11,754 participants (male: 5834 female: 5920) aged ≥19 years from 2008 to 2013. The associations of blood mercury with risk of depression were estimated using multivariate logistic regression after adjustment for potential confounders. We found a significantly increased risk of depression in the highest quintile for blood mercury (multivariate OR = 2.05; 95% CI = 1.20–3.48; p trend = 0.03) among female, but not male. A stratification analysis by fish intake showed that the association between depression and blood mercury was strengthened (OR = 4.00; 95% CI = 1.51–10.6; p trend = 0.015) among females with the lowest tertile of fish intake. The results of this study suggest that higher levels of blood mercury, especially in cases of lower fish intake, are positively associated with the risk of depression in Korean women.

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“…In addition to prospective studies, many cross‐sectional studies examined the association between fish consumption or omega‐3 fatty acid intake and depression (Albanese et al, ; Barberger‐Gateau et al, ; Beydoun et al, ; Bountziouka et al, ; Chrysohoou et al, ; Daley, Patterson, Sibbritt, & MacDonald‐Wicks, ; Hamazaki et al, ; Hoffmire, Block, Thevenet‐Morrison, & van Wijngaarden, ; Jacka et al, ; Kamphuis et al, ; Kesse‐Guyot et al, ; Mihrshahi et al, ; Murakami et al, ; Suominen‐Taipale et al, ; Supartini, Oishi, & Yagi, ; Tanskanen et al, ; Timonen et al, ; Wu et al, ; Yang & Je, ). Most of the studies reported significant inverse associations between fish consumption and depression (Barberger‐Gateau et al, ; Bountziouka et al, ; Chrysohoou et al, ; Hamazaki et al, ; Supartini et al, ; Suominen‐Taipale et al, ; Tanskanen et al, ; Timonen et al, ; Wu et al, ), and some of the studies showed strong inverse associations, suggesting more than 50% decreased prevalence of depression for people with high fish consumption (Albanese et al, ; Chrysohoou et al, ; Suominen‐Taipale et al, ; Supartini et al, ; Timonen et al, ).…”

Section: Discussionmentioning

confidence: 99%

Fish consumption and risk of depression: Epidemiological evidence from prospective studies

Yang

Kim

2018

Asia-Pacific Psychiatry

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Introduction The evidence on the association of fish or omega‐3 fatty acid intake with depression is inconsistent. We conducted a systematic review and meta‐analysis of prospective cohort studies to examine this association. Methods Database searches in PubMed and Web of Science were conducted to identify relevant articles published up to April 2018, which were supplemented by hand‐searches of reference lists of the retrieved articles. Using a random‐effects model, we calculated pooled relative risks (RR) of depression in relation to consumption of fish or omega‐3 fatty acids after adjusting for potential confounders. Results A total of 10 prospective cohort studies with 6672 cases of depression among 109 764 participants were included in the meta‐analysis. The pooled adjusted RR of depression for the highest vs lowest category of fish consumption was 0.89 (95% CI: 0.80‐0.99). The pooled adjusted RR of depression for the highest vs lowest category of omega‐3 intake was 0.87 (95% CI: 0.74‐1.04). In the dose‐response analysis, the pooled adjusted RRs for an increment of 1 serving/week of fish consumption and 500 mg/day of omega‐3 fatty acid intake were 0.89 (95% CI: 0.75‐1.04) and 0.99 (95% CI: 0.94‐1.04), respectively. There was no evidence of heterogeneity. Discussion Our findings provide quantitative evidence for a modest inverse association between fish or omega‐3 fatty acid intake and risk of depression, especially in women. These findings from the observational studies need to be confirmed through large randomized clinical trials of fish consumption or omega‐3 fatty acid intake and risk of depression.

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Fish consumption and depression in Korean adults: the Korea National Health and Nutrition Examination Survey, 2013–2015

Abstract: Our findings suggest that high consumption of fish is associated with lower odds of depression in Korean adults, particularly in women. These results warrant further prospective studies to verify the association between fish consumption and risk of depression in Korean adults.

Cited by 17 publications

References 39 publications

Longitudinal Association between n-3 Long-Chain Polyunsaturated Fatty Acid Intake and Depressive Symptoms: A Population-Based Cohort Study in Japan

Longitudinal Association between n-3 Long-Chain Polyunsaturated Fatty Acid Intake and Depressive Symptoms: A Population-Based Cohort Study in Japan

Association of Blood Mercury Level with the Risk of Depression According to Fish Intake Level in the General Korean Population: Findings from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008–2013

Fish consumption and risk of depression: Epidemiological evidence from prospective studies

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