Study2023

Consumption of ultra-processed foods is associated with depression, mesocorticolimbic volume, and inflammation

Contreras-Rodriguez O, Reales-Moreno M, Fernández-Barrès S, Cimpean A, Arnoriaga-Rodríguez M, Puig J, Biarnés C, Motger-Albertí A, Cano M, Fernández-Real JM

Journal of affective disorders · 35 citations

Review labels

No 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 (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Government
Ministerio de Ciencia e Innovación
University or hospital
Centro de Investigación Biomédica en Red de Salud Mental
Government
Instituto de Salud Carlos III
Government
European Regional Development Fund
Government
Interreg
Grants
European Regional Development Fund (2014-2020’); Instituto de Salud Carlos III (EFA345/19); Instituto de Salud Carlos III (CP20/00165); European Regional Development Fund ((POCTEFA 2014‐2020)); Instituto de Salud Carlos III (CD20/00189); Instituto de Salud Carlos III (PI15/01934); Interreg (EFA345/19); Interreg (2014-2020)

Based on 5 listed funder(s).

Publication

Published
2023-05-17 · J Affect Disord · vol. 335 · pp. 340–348
Publisher
Elsevier BV
Cited
55 citations · more than 99% of similar papers · 12.7× the field average
Impact
Top 10% most cited in its field
References
68 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Consumer Attitudes and Food Labeling · Culinary Culture and Tourism · Biochemical Analysis and Sensing Techniques
Keywords
Putamen, Amygdala, Medicine, Depression (economics), Internal medicine, Obesity, Anterior cingulate cortex, Posterior cingulate, White matter, Hippocampal formation, Cingulate cortex, Mediation, Psychology, Magnetic resonance imaging, Neuroscience, Cortex (anatomy), Psychiatry, Central nervous system, Cognition, Radiology
MeSH
humans, obesity, inflammation, diet, depression, adult, fast foods, biomarkers, food, processed

10 authors

From ES, US

  • Oren Contreras‐Rodríguez · correspondingUniversitat Autònoma de Barcelona; Instituto de Salud Carlos III; Centro de Investigación Biomédica en Red de Salud Mental; Institut d'Investigació Biomèdica de Girona
  • Marta Reales-MorenoUniversitat de Girona; Institut d'Investigació Biomèdica de Girona
  • Sílvia Fernández‐BarrésAgència de Salut Pública de Catalunya
  • Anna CimpeanInstitut d'Investigació Biomèdica de Girona
  • María Arnoriaga‐RodríguezUniversitat de Girona; Institut d'Investigació Biomèdica de Girona; Centro de Investigación Biomédica en Red
  • Josep PuigUniversitat de Girona; Institut d'Investigació Biomèdica de Girona; Parque Sanitario Pere Virgili

Abstract

Background

The consumption of ultra-processed foods and drinks (UPF) has been associated with depression and inflammation and preclinical studies showed that some UPF components disrupt the amygdala-hippocampal complex. We combine diet, clinical and brain imaging data to investigate the relationship between the UPF consumption, depressive symptoms, and brain volumes in humans, considering interactions with obesity, and the mediation effect of inflammation biomarkers.

Methods

One-hundred fifty-two adults underwent diet, depressive symptoms, anatomic magnetic resonance imaging assessments and laboratory tests. Relationships between the % of UPF consumption (in grams) of the total diet, depressive symptoms, and gray matter brain volumes were explored using several adjusted regression models, and in interaction with the presence of obesity. Whether inflammatory biomarkers (i.e., white blood cell count, lipopolysaccharide-binding protein, c-reactive protein) mediate the previous associations was investigated using R mediation package.

Results

High UPF consumption was associated with higher depressive symptoms in all participants (β = 0.178, CI = 0.008-0.261) and in those with obesity (β = 0.214, CI = -0.004-0.333). Higher consumption was also associated with lower volumes in the posterior cingulate cortex and the left amygdala, which in the participants with obesity also encompassed the left ventral putamen and the dorsal frontal cortex. White blood count levels mediated the association between UPF consumption and depressive symptoms (p = 0.022).

Limitations

The present study precludes any causal conclusions.

Conclusions

UPF consumption is associated with depressive symptoms and lower volumes within the mesocorticolimbic brain network implicated in reward processes and conflict monitoring. Associations were partially dependent on obesity and white blood cell count.

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

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