Gender Difference of the Association between Energy Intake Expenditure Balance and Depression among Korean Adults: A Cross-Sectional Study from the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey
- PMID: 37648400
- PMCID: PMC10667076
- DOI: 10.4082/kjfm.22.0165
Gender Difference of the Association between Energy Intake Expenditure Balance and Depression among Korean Adults: A Cross-Sectional Study from the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey
Abstract
Background: Diet and physical activity are key factors related to depressive mood. Previous studies have demonstrated the effects of diet and physical activity on depression. However, the effect of energy intake-expenditure balance (EIEB) on mental health has not been fully evaluated. This study aimed to analyze the association between EIEB and depression.
Methods: A total of 13,460 participants (5,660 men and 7,800 women) aged ≥19 years were obtained from the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey (KNHANES). EIEB was defined as the difference between the daily energy intake and energy expenditure. Energy intake was calculated and provided by the KNHANES using a 24-hour recall survey. Energy expenditure was estimated as the sum of basal metabolic rate and physical activity. Logistic regression analyses were used to investigate the association between sex-specific quartile groups (Q1-Q4) of EIEB and depression after adjusting for socioeconomic status, body mass index, lifestyle factors, and underlying diseases.
Results: Women in Q3 of EIEB (211-669 kcal) had a significantly lower risk of depression (odd ratio [OR], 0.78; 95% confidence interval [CI], 0.67-0.92) than those in Q1 of EIEB (<-167 kcal). The adjusted ORs of depression were 0.87 (95% CI, 0.75-1.02) in Q2 and 0.86 (95% CI, 0.74-1.01) in Q4, with P for trend=0.030. There were no significant associations between the EIEB quartile groups and depression in men after adjusting for potential confounders (P for trend=0.564).
Conclusion: Our results suggested that the EIEB is negatively associated with depression in Korean women.
Keywords: Depression; Energy Expenditure; Energy Intake; Gender Difference.
Conflict of interest statement
No potential conflict of interest relevant to this article was reported.
Figures
Similar articles
-
Relationship between Non-Energy-Adjusted and Energy-Adjusted Dietary Inflammatory Index and the Healthy Eating Index-2015: an analysis of the National Health and Nutrition Examination Survey (NHANES) 2015-2018.Ann Med. 2023;55(2):2236551. doi: 10.1080/07853890.2023.2236551. Ann Med. 2023. PMID: 37489608 Free PMC article.
-
Low levels of serum urate are associated with a higher prevalence of depression in older adults: a nationwide cross-sectional study in Korea.Arthritis Res Ther. 2020 May 6;22(1):104. doi: 10.1186/s13075-020-02192-1. Arthritis Res Ther. 2020. PMID: 32375903 Free PMC article.
-
The association between daily calcium intake and sarcopenia in older, non-obese Korean adults: the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2009.Endocr J. 2013;60(5):679-86. doi: 10.1507/endocrj.ej12-0395. Epub 2013 Jan 26. Endocr J. 2013. PMID: 23357977
-
Association between total protein intake and low muscle mass in Korean adults.BMC Geriatr. 2022 Apr 11;22(1):319. doi: 10.1186/s12877-022-03019-1. BMC Geriatr. 2022. PMID: 35410179 Free PMC article.
-
Relationship between obesity and depression in Korean adults: Korea National Health and Nutrition Examination Survey 2014.Medicine (Baltimore). 2017 Dec;96(52):e9478. doi: 10.1097/MD.0000000000009478. Medicine (Baltimore). 2017. PMID: 29384940 Free PMC article.
Cited by
-
Women's Health and Primary Care.Korean J Fam Med. 2024 Jan;45(1):1-2. doi: 10.4082/kjfm.45.1E. Epub 2024 Jan 20. Korean J Fam Med. 2024. PMID: 38272452 Free PMC article. No abstract available.
References
-
- Wada T, Ishine M, Sakagami T, Kita T, Okumiya K, Mizuno K, et al. Depression, activities of daily living, and quality of life of communitydwelling elderly in three Asian countries: Indonesia, Vietnam, and Japan. Arch Gerontol Geriatr. 2005;41:271–80. - PubMed
-
- Jacka FN, Berk M. Depression, diet and exercise. Med J Aust. 2013;199(S6):S21–3. - PubMed
LinkOut - more resources
Full Text Sources