Inverse association between caffeine intake and depressive symptoms in US adults: data from National Health and Nutrition Examination Survey (NHANES) 2005–2006

全国健康与营养检查调查 医学 混淆 萧条(经济学) 病人健康调查表 婚姻状况 逻辑回归 环境卫生 人口 内科学 抑郁症状 精神科 焦虑 宏观经济学 经济
作者
Sohrab Iranpour,Siamak Sabour
出处
期刊:Psychiatry Research-neuroimaging [Elsevier]
卷期号:271: 732-739 被引量:76
标识
DOI:10.1016/j.psychres.2018.11.004
摘要

The objective of this study was to examine the association between caffeine consumption and depressive symptoms. We used data from the 2005–06 National Health and Nutritional Examination Surveys (NHANES). A total of 4737 individuals aged ≥ 18 years who answered the caffeine intake and PHQ-9 questionnaires were selected for this study. Depressive symptoms were assessed using the 9-item Patient Health Questionnaire (PHQ-9) with total scores between 0 and 27. Those with PHQ-9 total scores ≥ 10 were considered as having clinically relevant depression. To investigate the association of caffeine intake and PHQ-9 scores, a multiple logistic regression was used in different models. The overall weighted prevalence of depression was 5.5% (4.3% in men and 6.6% in women). After controlling for potential confounders (age, sex, family PIR, education, marital status, disease history, sleep disorders, thyroid problems, physical activity, social support, smoking, total energy, and cholesterol, retinol, vitamin A, beta-carotene, beta-criptoxanthin, vitamin B1, iron, and phosphorus levels), a significant nonlinear inverse association between caffeine consumption and PHQ-9 scores was observed. In conclusion, caffeine's psychostimulant properties appear to protect against depressive symptoms; however, additional prospective studies are required to ascertain whether or not caffeine consumption can lead to a decrease in depressive symptoms.
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