1. Changes in endothelial function and depression scores are associated following long-term dietary intervention: A secondary analysis.
- Author
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Moran, Lisa J., Wilson, Carlene J., Buckley, Jonathan D., Noakes, Manny, Clifton, Peter M., and Brinkworth, Grant D.
- Subjects
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ANXIETY diagnosis , *DIAGNOSIS of mental depression , *ENDOTHELIUM physiology , *OBESITY complications , *ACADEMIC medical centers , *BLOOD sugar , *BODY weight , *C-reactive protein , *DIET , *HIGH density lipoproteins , *HOMEOSTASIS , *INSULIN , *LOW density lipoproteins , *NUTRITION , *RESEARCH funding , *TRIGLYCERIDES , *DATA analysis , *MULTIPLE regression analysis , *SECONDARY analysis , *BODY mass index , *CROSS-sectional method , *DESCRIPTIVE statistics - Abstract
Objective: Cross-sectional studies show associations between depression and endothelial function (as measured by endothelium-dependent brachial artery flow-mediated dilatation [FMD]); but it is not known whether changes in these parameters are associated following dietary management. We have previously reported that compared with consumption of a high-carbohydrate (HC) diet, despite comparable weight loss, a very low-carbohydrate (LC diet) impaired FMD and increased depression. The purpose of this study was to conduct a secondary analysis to examine whether there was an association between changes in FMD and depression. Methods: Forty-seven overweightmen and women (body mass index 26-43 kg/m² and ages 24-64 y) completed a 12-mo randomized controlled trial during which participants consumed either an energy-restricted, isocaloric LC or HC diet. Weight, body composition, Homeostasis Assessment of Insulin Resistance (HOMA), depression (Beck Depression Inventory [BDI]), Anxiety (Spielberger State-Trait Anxiety Inventory [STAI]) and FMD were assessed before and after the intervention. This secondary analysis focused on multiple regression analysis of these parameters. Results: Changes in BDI were independently predicted by changes in FMD (β = -0.356; P = 0.026) but not by diet intervention assignment or changes in weight or HOMA. No variables were significant predictors of the change in STAI. Conclusions: Over time, impairments in FMD were independently associated with increased depression, independent of diet composition, or changes in weight and insulin resistance. This data supports a mechanistic association between depression and endothelial function, which may influence long-term health. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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