骨力矫正的倾向减轻了半素食主义和抑郁症状之间的关系。,Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity

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骨力矫正的倾向减轻了半素食主义和抑郁症状之间的关系。
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity ( IF 2.9 ) Pub Date : 2020-04-21 , DOI: 10.1007/s40519-020-00901-y
Johannes Baltasar Hessler-Kaufmann _{1,

2} , Adrian Meule _{1,

2} , Christina Holzapfel ₃ , Beate Brandl ₄ , Martin Greetfeld ₁ , Thomas Skurk ₄ , Sandra Schlegl ₂ , Hans Hauner _{3,

5} , Ulrich Voderholzer _{1,

2,

6}

Affiliation

目的素食主义和半素食主义（即素食主义者过度食用肉类而很少食用）与抑郁症反复相关。由于这种关联的性质尚不清楚，我们探讨了遵循素食饮食的正畸（即病理健康饮食）倾向和生态/伦理动机是否可以缓解（半）素食饮食与抑郁症状之间的关系。方法511名成年人（63.4％的女性； 71.2％的杂食者，19.2％的半素食主义者，9.6％的素食者）完成了患者健康问卷（PHQ-9）问卷，该问卷用于测量抑郁症状-以及杜塞尔多夫正交矫正量表（DOS）-测量矫正性倾向。根据各自的问题，参与者分为杂食动物，半素食主义者，和素食主义者（包括素食主义者），并被要求指出他们是否根据生态/道德动机选择饮食。用过程进行中度分析。结果根据年龄，性别和体重指数进行调整，在预测PHQ抑郁评分时，饮食（杂食与半素食主义与素食主义）和DOS评分之间存在统计学上显着的相互作用。在低或中等的DOS评分下，饮食的PHQ抑郁评分没有差异（所有ps> 0.05）。在高DOS评分下，半素食者的PHQ抑郁评分高于杂食者（p = 0.002）和素食者（p <0.001）。当预测PHQ抑郁评分时，饮食与生态/道德饮食动机之间的相互作用没有统计学意义（p = 0.41）。结论矫正性强的半素食主义者比杂食者和素食主义者表现出更多的抑郁症状。素食主义与抑郁症之间关系的复杂性需要进一步研究。证据级别III，病例对照分析研究。

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Orthorexic tendencies moderate the relationship between semi-vegetarianism and depressive symptoms.

PURPOSE Vegetarianism and semi-vegetarianism (i.e., overly vegetarian diet with rare consumption of meat) have been repeatedly linked with depression. As the nature of this association is unclear, we explored whether orthorexic (i.e., pathologically healthful eating) tendencies and ecological/ethical motives to follow a vegetarian diet may moderate the relationship between (semi-)vegetarian diets and depressive symptoms. METHODS Five-hundred eleven adults (63.4% females; 71.2% omnivores, 19.2% semi-vegetarians, 9.6% vegetarians) completed the Patient Health Questionnaire (PHQ-9) questionnaire-measuring depressive symptoms-and the Düsseldorf Orthorexia Scale (DOS)-measuring orthorexic tendencies. Based on respective questions, participants were categorized as omnivores, semi-vegetarians, and vegetarians (including vegans) and were asked to indicate whether they chose their diet based on ecological/ethical motives. Moderation analyses were carried out with PROCESS. RESULTS Adjusted for age, sex, and body mass index, there was a statistically significant interaction effect between diet (omnivore vs. semi-vegetarianism vs. vegetarianism) and DOS scores when predicting PHQ depression scores. At low or medium DOS scores, diets did not differ in PHQ depression scores (all ps > 0.05). At high DOS scores, however, semi-vegetarians had higher PHQ depression scores than both omnivores (p = 0.002) and vegetarians (p < 0.001). The interaction between diet and ecological/ethical eating motives when predicting PHQ depression scores was not statistically significant (p = 0.41). CONCLUSION Semi-vegetarians with strong orthorexic tendencies show more depressive symptoms than omnivores and vegetarians. The complex nature of the relationship between vegetarianism and depression requires further investigation. LEVEL OF EVIDENCE III, case-control analytic studies.

更新日期：2020-04-23

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