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A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: A randomized controlled trial (HELFIMED)

Parletta N, Zarnowiecki D, Cho J, Wilson A, Bogomolova S, Villani A, Itsiopoulos C, Niyonsenga T, Blunden S, Meyer B, Segal L, Baune BT, O'Dea K

Nutritional neuroscience · 401 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
University of South Australia
Gobierno
Medical Research Council
Gobierno
Australian Research Council
Gobierno
National Health and Medical Research Council
Subvenciones
Australian Research Council (DE130101577); National Health and Medical Research Council (631947); National Health and Medical Research Council (320860)

Según 4 financiadores declarados.

Publicación

Publicado
2017-12-07 · Nutr Neurosci · vol. 22 · número 7 · págs. 474–487
Editorial
Taylor & Francis
Citado
631 citas · más que el 100% de estudios similares · 31.4× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
59 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC-ND
Áreas de investigación
Nutritional Studies and Diet · Fatty Acid Research and Health · Diet and metabolism studies
Palabras clave
Randomized controlled trial, Mental health, Mediterranean diet, Depression (economics), Intervention (counseling), Fish oil, Fish <Actinopterygii>, Environmental health, Medicine, Psychiatry, Psychology, Biology, Internal medicine, Fishery
MeSH
humans, fatty acids, omega-3, fatty acids, omega-6, fish oils, treatment outcome, depression, mental health, diet, mediterranean, quality of life, dietary supplements, adolescent, adult, aged, middle aged, female, male, young adult

13 autores

  • Natalie Parletta🇦🇺 · autor de correspondenciaUniversity of South Australia
  • Dorota M. Zarnowiecki🇦🇺University of South Australia
  • Ji‐Hyun Cho🇦🇺University of South Australia
  • Amy L. Wilson🇦🇺University of South Australia
  • Svetlana Bogomolova🇦🇺University of South Australia
  • Anthony M. Villani🇦🇺University of the Sunshine Coast
  • Catherine Itsiopoulos🇦🇺La Trobe University
  • Theo Niyonsenga🇦🇺University of South Australia; University of Canberra; ACT Government
  • Sarah Lee Blunden🇦🇺Central Queensland University
  • Barbara J. Meyer🇦🇺University of Wollongong
  • Leonie Segal🇦🇺University of South Australia
  • Bernhard Theodor Baune🇦🇺Royal Adelaide Hospital; The University of Adelaide
  • Kerin O’Dea🇦🇺University of South Australia

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objectives

We investigated whether a Mediterranean-style diet (MedDiet) supplemented with fish oil can improve mental health in adults suffering depression.

Methods

Adults with self-reported depression were randomized to receive fortnightly food hampers and MedDiet cooking workshops for 3 months and fish oil supplements for 6 months, or attend social groups fortnightly for 3 months. Assessments at baseline, 3 and 6 months included mental health, quality of life (QoL) and dietary questionnaires, and blood samples for erythrocyte fatty acid analysis.

Results

n = 152 eligible adults aged 18-65 were recruited (n = 95 completed 3-month and n = 85 completed 6-month assessments). At 3 months, the MedDiet group had a higher MedDiet score (t = 3.95, P < 0.01), consumed more vegetables (t = 3.95, P < 0.01), fruit (t = 2.10, P = 0.04), nuts (t = 2.29, P = 0.02), legumes (t = 2.41, P = 0.02) wholegrains (t = 2.63, P = 0.01), and vegetable diversity (t = 3.27, P < 0.01); less unhealthy snacks (t = -2.10, P = 0.04) and red meat/chicken (t = -2.13, P = 0.04). The MedDiet group had greater reduction in depression (t = -2.24, P = 0.03) and improved mental health QoL scores (t = 2.10, P = 0.04) at 3 months. Improved diet and mental health were sustained at 6 months. Reduced depression was correlated with an increased MedDiet score (r = -0.298, P = 0.01), nuts (r = -0.264, P = 0.01), and vegetable diversity (r = -0.303, P = 0.01). Other mental health improvements had similar correlations, most notably for increased vegetable diversity and legumes. There were some correlations between increased omega-3, decreased omega-6 and improved mental health.

Discussion

This is one of the first randomized controlled trials to show that healthy dietary changes are achievable and, supplemented with fish oil, can improve mental health in people with depression.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).

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