Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisation

Abstract Objective: This study aimed to evaluate the association between vegetable intake and major depressive disorder (MDD) through cross-sectional analysis and bidirectional two-sample Mendelian randomisation (MR). Design: Cross-sectional analysis was conducted on National Health and Nutritio...

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Main Authors: Qi Wang, Zhaoxing Ou, Jiamin Chen, Liujun Li, Yuzhuo Chen, Dalin Ye
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:Public Health Nutrition
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Online Access:https://www.cambridge.org/core/product/identifier/S1368980024001691/type/journal_article
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author Qi Wang
Zhaoxing Ou
Jiamin Chen
Liujun Li
Yuzhuo Chen
Dalin Ye
author_facet Qi Wang
Zhaoxing Ou
Jiamin Chen
Liujun Li
Yuzhuo Chen
Dalin Ye
author_sort Qi Wang
collection DOAJ
description Abstract Objective: This study aimed to evaluate the association between vegetable intake and major depressive disorder (MDD) through cross-sectional analysis and bidirectional two-sample Mendelian randomisation (MR). Design: Cross-sectional analysis was conducted on National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2018 and the corresponding Food Patterns Equivalents Database (FPED). Genome-wide association study (GWAS) data were obtained from UK Biobank and Psychiatric Genomics Consortium (PGC) dataset. Logistic regression analysis was performed after calculating the weights of the samples. Inverse variance weighted, MR-Egger and weighted median methods were used to evaluate the causal effects. Setting: A Patient Health Questionnaire-9 score ≥ 10 was considered to indicate MDD. Low vegetable intake was defined as < 2 cups of vegetables per day. Participants: 30 861 U.S. adults from NHANES. The GWAS data sample size related to vegetable intake were comprised 448 651 and 435 435 cases respectively, while the GWAS data sample size associated with MDD encompassed 500 199 cases. Results: There were 23 249 (75·33 %) participants with low vegetable intake. The relationship between vegetable intake and MDD was nonlinear. In the multivariate model adjusted for sex, age, education, marital status, poverty income ratio, ethnicity and BMI, participants with low vegetable intake were associated with an increased risk of MDD (OR = 1·53, 95 % CI (1·32, 1·77), P < 0·001). Bidirectional MR showed no causal effects between vegetable intake and MDD. Conclusions: Cross-sectional analysis identified a significant relationship between vegetable intake and MDD, whereas the results from bidirectional two-sample MR did not support a causal role.
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spelling doaj-art-e06fc747bc264cd6a6d271db8d2b88942025-08-20T02:11:30ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980024001691Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisationQi Wang0Zhaoxing Ou1Jiamin Chen2Liujun Li3Yuzhuo Chen4Dalin Ye5https://orcid.org/0000-0002-0081-8465Department of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China Abstract Objective: This study aimed to evaluate the association between vegetable intake and major depressive disorder (MDD) through cross-sectional analysis and bidirectional two-sample Mendelian randomisation (MR). Design: Cross-sectional analysis was conducted on National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2018 and the corresponding Food Patterns Equivalents Database (FPED). Genome-wide association study (GWAS) data were obtained from UK Biobank and Psychiatric Genomics Consortium (PGC) dataset. Logistic regression analysis was performed after calculating the weights of the samples. Inverse variance weighted, MR-Egger and weighted median methods were used to evaluate the causal effects. Setting: A Patient Health Questionnaire-9 score ≥ 10 was considered to indicate MDD. Low vegetable intake was defined as < 2 cups of vegetables per day. Participants: 30 861 U.S. adults from NHANES. The GWAS data sample size related to vegetable intake were comprised 448 651 and 435 435 cases respectively, while the GWAS data sample size associated with MDD encompassed 500 199 cases. Results: There were 23 249 (75·33 %) participants with low vegetable intake. The relationship between vegetable intake and MDD was nonlinear. In the multivariate model adjusted for sex, age, education, marital status, poverty income ratio, ethnicity and BMI, participants with low vegetable intake were associated with an increased risk of MDD (OR = 1·53, 95 % CI (1·32, 1·77), P < 0·001). Bidirectional MR showed no causal effects between vegetable intake and MDD. Conclusions: Cross-sectional analysis identified a significant relationship between vegetable intake and MDD, whereas the results from bidirectional two-sample MR did not support a causal role. https://www.cambridge.org/core/product/identifier/S1368980024001691/type/journal_articleVegetable intakeMajor depressive disorderAssociationNHANESMendelian randomisation
spellingShingle Qi Wang
Zhaoxing Ou
Jiamin Chen
Liujun Li
Yuzhuo Chen
Dalin Ye
Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisation
Public Health Nutrition
Vegetable intake
Major depressive disorder
Association
NHANES
Mendelian randomisation
title Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisation
title_full Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisation
title_fullStr Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisation
title_full_unstemmed Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisation
title_short Association between vegetable intake and major depressive disorder: results from National Health and Nutrition Examination Survey 2005–2018 and bidirectional two-sample Mendelian randomisation
title_sort association between vegetable intake and major depressive disorder results from national health and nutrition examination survey 2005 2018 and bidirectional two sample mendelian randomisation
topic Vegetable intake
Major depressive disorder
Association
NHANES
Mendelian randomisation
url https://www.cambridge.org/core/product/identifier/S1368980024001691/type/journal_article
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