Cross-sectional study2019Industry fundedOpen access

Funded in part by California Walnut Commission

Lower Depression Scores among Walnut Consumers in NHANES

Arab L, Guo R, Elashoff D

Nutrients · 25 citations

Review labels

Industry fundedNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cross-sectional study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Food diaries or recalls

Who paid for it

Funding
Industry funded
Industry group
California Walnut Commission
Government
Centers for Disease Control and Prevention

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2019-01-26 · Nutrients · vol. 11 · issue 2 · p. 275
Publisher
Multidisciplinary Digital Publishing Institute
Cited
61 citations · more than 89% of similar papers · 2.8× the field average
References
27 works
Access
Open access (journal) · CC-BY
Research areas
Nuts composition and effects · Nutritional Studies and Diet · Agriculture Sustainability and Environmental Impact
Keywords
National Health and Nutrition Examination Survey, Depression (economics), Medicine, Environmental health, Population
MeSH
humans, juglans, nuts, diet, nutrition surveys, cross-sectional studies, depression, adult, middle aged, female, male

3 authors

From US

  • Lenore Arab · corresponding
  • Rong GuoUniversity of California, Los Angeles
  • David A. ElashoffUniversity of California, Los Angeles

Abstract

Background

Multiple studies have shown a Mediterranean diet, characterized by their olive oil and nut consumption, to be correlated with lower depression risk.

Objective

To examine whether part of this reduced risk in the United States is attributable to walnut consumption, we analyzed data on walnut consumption and depression scores from the National Health and Nutrition Examination Survey (NHANES).

Methods

NHANES survey data for 2005 through 2014 was pooled for adults with 24 h recall dietary data. Depression scores were based on PHQ-9 self-report responses. A total of 26,656 participants were characterized as reporting the consumption of walnuts with high certainty, walnuts with other nuts, other nuts, or no nuts.

Results

After an adjustment for covariates, walnut consumers showed lower depression scores compared to non-nut consumers. The least square mean for total depression score was 26% lower for walnut with high certainty consumers than for non-nut consumers (p p p = 0.05). The significant contributors to this difference were due to walnut consumers reporting greater interest in doing things (p = 0.003), less hopelessness (p = 0.02), and feeling more energetic (p = 0.05) than non-nut consumers. Non-nut consumers were more likely to have trouble concentrating (p = 0.02), to feel they were moving or speaking abnormally (p = 0.03), and to have thought they were better off dead (p = 0.002).

Conclusions

Depression scores were significantly lower among nut consumers and particularly walnut consumers as compared to non-nut consumers. After controlling for potential covariates, walnut users had scores significantly lower than other nut consumers. The difference was strongest among women, who are more likely than men to report higher depression scores.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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