Adding salt to foods and risk of incident depression and anxiety

Abstract Background Diet is a well-known determinant of mental health outcomes. However, epidemiologic evidence on salt consumption with the risk of developing depression and anxiety is still very limited. This study aimed to examine the association between adding salt to foods and incident depressi...

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Main Authors: Weiwei Wang, Xiaotian Chang, Feifei Lin, Lei Feng, Mengying Wang, Jie Huang, Tao Wu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medicine
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Online Access:https://doi.org/10.1186/s12916-025-03865-x
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author Weiwei Wang
Xiaotian Chang
Feifei Lin
Lei Feng
Mengying Wang
Jie Huang
Tao Wu
author_facet Weiwei Wang
Xiaotian Chang
Feifei Lin
Lei Feng
Mengying Wang
Jie Huang
Tao Wu
author_sort Weiwei Wang
collection DOAJ
description Abstract Background Diet is a well-known determinant of mental health outcomes. However, epidemiologic evidence on salt consumption with the risk of developing depression and anxiety is still very limited. This study aimed to examine the association between adding salt to foods and incident depression and anxiety longitudinally. Methods This study used data from 444,787 adults who had never been diagnosed with depression or anxiety at baseline from the UK Biobank, a national community-based cohort from 2006 to 2010. Adding salt to foods was measured using a four-point Likert scale at baseline from a touch-screen questionnaire. The outcomes were incidents of diagnosed depression (F32-F33) and anxiety (F40-F48), defined by the International Statistical Classification of Diseases and Related Health Problems, 10th Revision codes. Cox proportional hazards models were used to investigate the association between the frequency of adding salt to foods and incident depression and anxiety. Results During a mean follow-up period of 14.5 years, 16,319 incidents of depression and 18,959 incidents of anxiety were documented. A higher frequency of adding salt to foods was associated with elevated risk for depression and anxiety. Compared with the group of never/rarely adding salt to foods, the adjusted HRs of incident depression were 1.07 (95% CI: 1.02–1.12), 1.18 (95% CI: 1.10–1.26), and 1.29 (95% CI: 1.18–1.41) across the groups of sometimes, usually, and always, respectively (P trend < 0.001). Participants who reported always adding salt to foods had a 1.17-fold higher risk for developing anxiety (95% CI: 1.07–1.28) compared with those who never/rarely added salt to foods. Conclusions A higher frequency of adding salt to foods was independently associated with a higher hazard of depression and anxiety. Interventions such as public awareness campaigns promoting reduced salt consumption may be promising preventative measures to reduce the incidence of depression and anxiety.
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spelling doaj-art-1b16d509d3244981b10532566786c47a2025-01-26T12:37:11ZengBMCBMC Medicine1741-70152025-01-0123111010.1186/s12916-025-03865-xAdding salt to foods and risk of incident depression and anxietyWeiwei Wang0Xiaotian Chang1Feifei Lin2Lei Feng3Mengying Wang4Jie Huang5Tao Wu6Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical UniversityDepartment of Counseling and Clinical Psychology, Teachers College, Columbia UniversityInstitute of Epidemiology and Health Care, University College LondonBeijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical UniversityKey Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of EducationSchool of Public Health and Emergency Management, Southern University of Science and TechnologyDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University, Haidian DistrictAbstract Background Diet is a well-known determinant of mental health outcomes. However, epidemiologic evidence on salt consumption with the risk of developing depression and anxiety is still very limited. This study aimed to examine the association between adding salt to foods and incident depression and anxiety longitudinally. Methods This study used data from 444,787 adults who had never been diagnosed with depression or anxiety at baseline from the UK Biobank, a national community-based cohort from 2006 to 2010. Adding salt to foods was measured using a four-point Likert scale at baseline from a touch-screen questionnaire. The outcomes were incidents of diagnosed depression (F32-F33) and anxiety (F40-F48), defined by the International Statistical Classification of Diseases and Related Health Problems, 10th Revision codes. Cox proportional hazards models were used to investigate the association between the frequency of adding salt to foods and incident depression and anxiety. Results During a mean follow-up period of 14.5 years, 16,319 incidents of depression and 18,959 incidents of anxiety were documented. A higher frequency of adding salt to foods was associated with elevated risk for depression and anxiety. Compared with the group of never/rarely adding salt to foods, the adjusted HRs of incident depression were 1.07 (95% CI: 1.02–1.12), 1.18 (95% CI: 1.10–1.26), and 1.29 (95% CI: 1.18–1.41) across the groups of sometimes, usually, and always, respectively (P trend < 0.001). Participants who reported always adding salt to foods had a 1.17-fold higher risk for developing anxiety (95% CI: 1.07–1.28) compared with those who never/rarely added salt to foods. Conclusions A higher frequency of adding salt to foods was independently associated with a higher hazard of depression and anxiety. Interventions such as public awareness campaigns promoting reduced salt consumption may be promising preventative measures to reduce the incidence of depression and anxiety.https://doi.org/10.1186/s12916-025-03865-xAdding salt to foodsDepressionAnxiety
spellingShingle Weiwei Wang
Xiaotian Chang
Feifei Lin
Lei Feng
Mengying Wang
Jie Huang
Tao Wu
Adding salt to foods and risk of incident depression and anxiety
BMC Medicine
Adding salt to foods
Depression
Anxiety
title Adding salt to foods and risk of incident depression and anxiety
title_full Adding salt to foods and risk of incident depression and anxiety
title_fullStr Adding salt to foods and risk of incident depression and anxiety
title_full_unstemmed Adding salt to foods and risk of incident depression and anxiety
title_short Adding salt to foods and risk of incident depression and anxiety
title_sort adding salt to foods and risk of incident depression and anxiety
topic Adding salt to foods
Depression
Anxiety
url https://doi.org/10.1186/s12916-025-03865-x
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