Associations between depressive symptomatology, diet, and BMI among participants in the Supplemental Nutrition Assistance Program
Identifieur interne : 000129 ( Pmc/Corpus ); précédent : 000128; suivant : 000130Associations between depressive symptomatology, diet, and BMI among participants in the Supplemental Nutrition Assistance Program
Auteurs : Karen R. Fl Rez ; Tamara Dubowitz ; Madhumita Bonnie Ghosh-Dastidar ; Robin Beckman ; Rebecca CollinsSource :
- Journal of the Academy of Nutrition and Dietetics [ 2212-2672 ] ; 2015.
Abstract
Participation in the Supplemental Nutrition Assistance Program (SNAP) has been shown to increase food security, or access to adequate food; however, SNAP participation has also been associated with obesity among certain demographic groups (e.g., women, but not men and children), possibly due to poorer dietary quality. Depressive symptomatology is an understudied factor, which is associated with obesity across the lifespan.
This study examined the relationship between depressive symptomatology, dietary quality, and body weight among a sample of SNAP participants (N= 639).
The analysis was cross-sectional; survey data was collected in May–December 2011 by trained data collectors.
Adults who self-identified as the primary food shopper of the household in two predominantly low-income African-American neighborhoods characterized as “food deserts” in Pittsburgh, PA were recruited to participate in this study.
Dietary quality was calculated using the US Department of Agriculture Healthy Eating Index (HEI)-2005. Body Mass Index (BMI) was based on objective measurements taken by the interviewer and derived from the standard formula of weight (kg) divided by height squared (m2). Current depressive symptomatology was assessed by a trained interviewer using the Patient Health Questionnaire-2.
Descriptive statistics (means and percentages); two multivariate OLS regression analyses predicting BMI and dietary quality from depressive symptomatology while controlling for sociodemograhic factors and food insecurity were performed.
Depression was a strong and statistically significant predictor of both dietary quality and BMI: higher score in depressive symptomatology was associated with lower scores in dietary quality (β=−1.26, p<0.0001). A higher score in depressive symptomatology was associated with higher BMI (β=.63, p=0.0031).
These findings show that depressive symptomatology is significantly associated with weight-related outcomes and suggests that understanding the risk of depression among SNAP participants could be important to understanding the relationship among SNAP participation, diet, and weight. The association between depressive symptomology, elevated BMI and lower dietary quality among low-income, primarily African American residents living in a food desert suggests the potential for mental health interventions to have broader benefits in this population. However, the directionality of this association is unclear and improving diet and reducing weight may also improve mental health symptoms. Further longitudinal studies should assess these possibilities.
Url:
DOI: 10.1016/j.jand.2015.01.001
PubMed: 25769748
PubMed Central: 4484316
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PMC:4484316Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Associations between depressive symptomatology, diet, and BMI among participants in the Supplemental Nutrition Assistance Program</title><author><name sortKey="Fl Rez, Karen R" sort="Fl Rez, Karen R" uniqKey="Fl Rez K" first="Karen R." last="Fl Rez">Karen R. Fl Rez</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Dubowitz, Tamara" sort="Dubowitz, Tamara" uniqKey="Dubowitz T" first="Tamara" last="Dubowitz">Tamara Dubowitz</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Ghosh Dastidar, Madhumita Bonnie" sort="Ghosh Dastidar, Madhumita Bonnie" uniqKey="Ghosh Dastidar M" first="Madhumita Bonnie" last="Ghosh-Dastidar">Madhumita Bonnie Ghosh-Dastidar</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Beckman, Robin" sort="Beckman, Robin" uniqKey="Beckman R" first="Robin" last="Beckman">Robin Beckman</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Collins, Rebecca" sort="Collins, Rebecca" uniqKey="Collins R" first="Rebecca" last="Collins">Rebecca Collins</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25769748</idno><idno type="pmc">4484316</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484316</idno><idno type="RBID">PMC:4484316</idno><idno type="doi">10.1016/j.jand.2015.01.001</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000129</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000129</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Associations between depressive symptomatology, diet, and BMI among participants in the Supplemental Nutrition Assistance Program</title><author><name sortKey="Fl Rez, Karen R" sort="Fl Rez, Karen R" uniqKey="Fl Rez K" first="Karen R." last="Fl Rez">Karen R. Fl Rez</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Dubowitz, Tamara" sort="Dubowitz, Tamara" uniqKey="Dubowitz T" first="Tamara" last="Dubowitz">Tamara Dubowitz</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Ghosh Dastidar, Madhumita Bonnie" sort="Ghosh Dastidar, Madhumita Bonnie" uniqKey="Ghosh Dastidar M" first="Madhumita Bonnie" last="Ghosh-Dastidar">Madhumita Bonnie Ghosh-Dastidar</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Beckman, Robin" sort="Beckman, Robin" uniqKey="Beckman R" first="Robin" last="Beckman">Robin Beckman</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author><author><name sortKey="Collins, Rebecca" sort="Collins, Rebecca" uniqKey="Collins R" first="Rebecca" last="Collins">Rebecca Collins</name><affiliation><nlm:aff id="A1">RAND Corporation, Santa Monica, CA, Pittsburgh, PA</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of the Academy of Nutrition and Dietetics</title><idno type="ISSN">2212-2672</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Participation in the Supplemental Nutrition Assistance Program (SNAP) has been shown to increase food security, or access to adequate food; however, SNAP participation has also been associated with obesity among certain demographic groups (e.g., women, but not men and children), possibly due to poorer dietary quality. Depressive symptomatology is an understudied factor, which is associated with obesity across the lifespan.</p></sec><sec id="S2"><title>Objective</title><p id="P2">This study examined the relationship between depressive symptomatology, dietary quality, and body weight among a sample of SNAP participants (N= 639).</p></sec><sec id="S3"><title>Design</title><p id="P3">The analysis was cross-sectional; survey data was collected in May–December 2011 by trained data collectors.</p></sec><sec id="S4"><title>Participants/setting</title><p id="P4">Adults who self-identified as the primary food shopper of the household in two predominantly low-income African-American neighborhoods characterized as “food deserts” in Pittsburgh, PA were recruited to participate in this study.</p></sec><sec id="S5"><title>Measures</title><p id="P5">Dietary quality was calculated using the US Department of Agriculture Healthy Eating Index (HEI)-2005. Body Mass Index (BMI) was based on objective measurements taken by the interviewer and derived from the standard formula of weight (kg) divided by height squared (m<sup>2</sup>). Current depressive symptomatology was assessed by a trained interviewer using the Patient Health Questionnaire-2.</p></sec><sec id="S6"><title>Statistical analyses performed</title><p id="P6">Descriptive statistics (means and percentages); two multivariate OLS regression analyses predicting BMI and dietary quality from depressive symptomatology while controlling for sociodemograhic factors and food insecurity were performed.</p></sec><sec id="S7"><title>Results</title><p id="P7">Depression was a strong and statistically significant predictor of both dietary quality and BMI: higher score in depressive symptomatology was associated with lower scores in dietary quality (β=−1.26, p<0.0001). A higher score in depressive symptomatology was associated with higher BMI (β=.63, p=0.0031).</p></sec><sec id="S8"><title>Conclusions</title><p id="P8">These findings show that depressive symptomatology is significantly associated with weight-related outcomes and suggests that understanding the risk of depression among SNAP participants could be important to understanding the relationship among SNAP participation, diet, and weight. The association between depressive symptomology, elevated BMI and lower dietary quality among low-income, primarily African American residents living in a food desert suggests the potential for mental health interventions to have broader benefits in this population. However, the directionality of this association is unclear and improving diet and reducing weight may also improve mental health symptoms. Further longitudinal studies should assess these possibilities.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101573920</journal-id><journal-id journal-id-type="pubmed-jr-id">39705</journal-id><journal-id journal-id-type="nlm-ta">J Acad Nutr Diet</journal-id><journal-id journal-id-type="iso-abbrev">J Acad Nutr Diet</journal-id><journal-title-group><journal-title>Journal of the Academy of Nutrition and Dietetics</journal-title></journal-title-group><issn pub-type="ppub">2212-2672</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25769748</article-id><article-id pub-id-type="pmc">4484316</article-id><article-id pub-id-type="doi">10.1016/j.jand.2015.01.001</article-id><article-id pub-id-type="manuscript">NIHMS653636</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Associations between depressive symptomatology, diet, and BMI among participants in the Supplemental Nutrition Assistance Program</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Flórez</surname><given-names>Karen R.</given-names></name><degrees>DrPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Dubowitz</surname><given-names>Tamara</given-names></name><degrees>ScD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ghosh-Dastidar</surname><given-names>Madhumita (Bonnie)</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Beckman</surname><given-names>Robin</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Collins</surname><given-names>Rebecca</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>RAND Corporation, Santa Monica, CA, Pittsburgh, PA</aff><author-notes><corresp id="FN1"><bold>Corresponding Author:</bold> Karen R. Flórez, DrPH, RAND Corporation, 1776 Main Street, Santa Monica, CA 90407-2138 (<email>kflorez@rand.org</email>)</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>11</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>10</day><month>3</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>7</month><year>2016</year></pub-date><volume>115</volume><issue>7</issue><fpage>1102</fpage><lpage>1108</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.jand.2015.01.001</pmc-comment>
<permissions><copyright-statement>© 2015 by the Academy of Nutrition and Dietetics. All rights reserved.</copyright-statement><copyright-year>2015</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">Participation in the Supplemental Nutrition Assistance Program (SNAP) has been shown to increase food security, or access to adequate food; however, SNAP participation has also been associated with obesity among certain demographic groups (e.g., women, but not men and children), possibly due to poorer dietary quality. Depressive symptomatology is an understudied factor, which is associated with obesity across the lifespan.</p></sec><sec id="S2"><title>Objective</title><p id="P2">This study examined the relationship between depressive symptomatology, dietary quality, and body weight among a sample of SNAP participants (N= 639).</p></sec><sec id="S3"><title>Design</title><p id="P3">The analysis was cross-sectional; survey data was collected in May–December 2011 by trained data collectors.</p></sec><sec id="S4"><title>Participants/setting</title><p id="P4">Adults who self-identified as the primary food shopper of the household in two predominantly low-income African-American neighborhoods characterized as “food deserts” in Pittsburgh, PA were recruited to participate in this study.</p></sec><sec id="S5"><title>Measures</title><p id="P5">Dietary quality was calculated using the US Department of Agriculture Healthy Eating Index (HEI)-2005. Body Mass Index (BMI) was based on objective measurements taken by the interviewer and derived from the standard formula of weight (kg) divided by height squared (m<sup>2</sup>). Current depressive symptomatology was assessed by a trained interviewer using the Patient Health Questionnaire-2.</p></sec><sec id="S6"><title>Statistical analyses performed</title><p id="P6">Descriptive statistics (means and percentages); two multivariate OLS regression analyses predicting BMI and dietary quality from depressive symptomatology while controlling for sociodemograhic factors and food insecurity were performed.</p></sec><sec id="S7"><title>Results</title><p id="P7">Depression was a strong and statistically significant predictor of both dietary quality and BMI: higher score in depressive symptomatology was associated with lower scores in dietary quality (β=−1.26, p<0.0001). A higher score in depressive symptomatology was associated with higher BMI (β=.63, p=0.0031).</p></sec><sec id="S8"><title>Conclusions</title><p id="P8">These findings show that depressive symptomatology is significantly associated with weight-related outcomes and suggests that understanding the risk of depression among SNAP participants could be important to understanding the relationship among SNAP participation, diet, and weight. The association between depressive symptomology, elevated BMI and lower dietary quality among low-income, primarily African American residents living in a food desert suggests the potential for mental health interventions to have broader benefits in this population. However, the directionality of this association is unclear and improving diet and reducing weight may also improve mental health symptoms. Further longitudinal studies should assess these possibilities.</p></sec></abstract><kwd-group><kwd>Supplemental Nutrition Assistance Program</kwd><kwd>depressive symptomatology</kwd><kwd>dietary quality</kwd><kwd>obesity</kwd><kwd>low-income populations</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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