Open Access, Peer-reviewed
pISSN 2288-3886
eISSN 2288-3959
    Korean J Nutr. 2012 Jun;45(3):229-239. Korean.
    Published online Jun 28, 2012.
    https://doi.org/10.4163/kjn.2012.45.3.229
    © 2012 The Korean Nutrition Society
    Original Article

    Dietary intake, dietary habits, and depression in Korean women with polycystic ovary syndrome

    Seung Hyun Kim,1,** Hyesook Kim,1,** Seung Hee Park,1 Ji Yun Hwang,2 Hey Won Chung,3 and Namsoo Chang1
      • 1Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.
      • 2Graduate School of Education, Sangmyung University, Seoul 110-743, Korea.
      • 3Department of Obstetrics and Gynecology, Ewha Womans University College of Medicine, Seoul 158-710, Korea.
    • To whom correspondence should be addressed. (Email: nschang@ewha.ac.kr )

      **These authors contributed equally to this work.
    Received March 23, 2012; Revised May 02, 2012; Accepted May 16, 2012.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    The purpose of this study was to investigate and examine the relationship between dietary habits, food intake patterns, and depression in Korean women with polycystic ovary syndrome (PCOS). The Center for Epidemiologic Studies Depression Scale Korean Version was used to determine whether a participant was depressed or not. The dietary habits were assessed by the Min-Dietary Assessment (MDA) method, and food intake data were collected by the 24-hour recall method on two non-consecutive days, at least 7 days apart, and the average of the two days was used to estimate the usual dietary intake. The total MDA scores of the Depression Group was significantly lower than that of the No-Depression Group (31.5 ± 6.4 vs 33.4 ± 6.0, p = 0.027). The intake of cereals/potatoes/sugar products, milk and milk products, plant protein, and calcium for the Depression Group were significantly lower compared to the No-Depression Group. The Depression Group had a significantly higher percentage of energy intakes from protein as well as the consumption of fish and shellfish compared to the No-Depression Group. There was a significant inverse relationship between milk and milk products consumption and the prevalence of depression [OR (95% CI) for the highest tertile compared to the lowest: 0.390 (0.177-0.857); p for trend = 0.016]. There were also significant positive relationships between the prevalence of depression and the consumption of the following: fish and shellfish [OR (95% CI) for the highest tertile compared to the lowest: 2.319 (1.128-4.770); p for trend = 0.009], animal protein (p for trend = 0.049), and the percentage of energy intakes from protein [OR (95% CI) for the highest tertile compared with the lowest: 2.546(1.156-5.609); p for trend = 0.025]. Further studies are needed in order to investigate whether the intake of protein and of animal protein is indeed associated with depression in PCOS patients in Korea and the possible mechanisms thereof. The results of our study can be applicable for the development of effective nutrition counseling and education programs regarding PCOS patients with depression as part of their successful treatment regimen.

    Keywords
    PCOS; depression; dietary intake; dietary habits

    Tables

    Table 1
    General characteristics of the subjects by depression1)

    Table 2
    Mini Dietary Assessment (MDA) scores1)of subjects by depression2)

    Table 3
    Odds ratio (OR) and 95% confidence interval (CI) of depression according to food group intake1)

    Table 4
    Odds ratio (OR) and 95% confidence interval (CI) of depression according to nutrient intake1)

    Notes

    This study was supported by a grant of the Korea Centers for Disease Control and Prevention (2010-1101-1-1) and BK21 project in 2011.

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    MeSH Terms
    Animals
    Calcium
    Counseling
    Depression
    Eating
    Epidemiologic Studies
    Female
    Food Habits
    Humans
    Korea
    Milk
    Plants
    Polycystic Ovary Syndrome
    Prevalence
    Shellfish
    Staphylococcal Protein A
    Metrics
    Share
    Tables
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