Dietary guidance for patients with depressive disorder: A retrospective study focusing on factors associated with discontinuation
Accumulating evidence has suggested the importance of nutritional approaches in the treatment of depressive disorder. In this study, we tried to identify main nutritional conditions targeted for the guidance of depressed patients and factors associated with continuation/discontinuation of the guid...
Saved in:
| Published in | New diet therapy Vol. 40; no. 1; pp. 3 - 10 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Clinical Nutrition Association
2024
一般社団法人 日本臨床栄養協会 |
| Online Access | Get full text |
| ISSN | 0910-7258 2434-7159 |
| DOI | 10.32270/jcna.40.1_3 |
Cover
| Abstract | Accumulating evidence has suggested the importance of nutritional approaches in the treatment of depressive disorder. In this study, we tried to identify main nutritional conditions targeted for the guidance of depressed patients and factors associated with continuation/discontinuation of the guidance for 6 months. We retrospectively reviewed medical charts of 43 patients with depressive disorder who underwent nutritional guidance by registered dietitians at the National Center of Neurology and Psychiatry Hospital. As a result, most of the requested diseases in the guidance of depressed patients were conditions related to metabolic syndrome. Continuation of the guidance for 6 months was related to a longer history of depression, taking antidepressants, a history of receiving guidance in the past, higher BMI, and type 2 diabetes mellitus. The discontinuation group had a higher rate of missed meals. There was no clear change in BMI of the guidance-continuation group; however, some obese patients showed a substantial reduction of BMI. These results warrant further investigations for the nutrition guidance for depressed patients. |
|---|---|
| AbstractList | Accumulating evidence has suggested the importance of nutritional approaches in the treatment of depressive disorder. In this study, we tried to identify main nutritional conditions targeted for the guidance of depressed patients and factors associated with continuation/discontinuation of the guidance for 6 months. We retrospectively reviewed medical charts of 43 patients with depressive disorder who underwent nutritional guidance by registered dietitians at the National Center of Neurology and Psychiatry Hospital. As a result, most of the requested diseases in the guidance of depressed patients were conditions related to metabolic syndrome. Continuation of the guidance for 6 months was related to a longer history of depression, taking antidepressants, a history of receiving guidance in the past, higher BMI, and type 2 diabetes mellitus. The discontinuation group had a higher rate of missed meals. There was no clear change in BMI of the guidance-continuation group; however, some obese patients showed a substantial reduction of BMI. These results warrant further investigations for the nutrition guidance for depressed patients. |
| Author | Kunugi, Hiroshi Miyamoto, Kayoko Segawa, Kazuhiko Kasahara, Kohei |
| Author_FL | 笠原 康平 功刀 浩 Segawa Kazuhiko 宮本 佳世子 |
| Author_FL_xml | – sequence: 1 fullname: 宮本 佳世子 – sequence: 2 fullname: 笠原 康平 – sequence: 3 fullname: Segawa Kazuhiko – sequence: 4 fullname: 功刀 浩 |
| Author_xml | – sequence: 1 fullname: Kunugi, Hiroshi organization: Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry – sequence: 1 fullname: Kasahara, Kohei organization: Nutrition Management Office, Department of General Internal Medicine, National Center of Psychiatry and Neurology Hospital – sequence: 1 fullname: Miyamoto, Kayoko organization: Nutrition Management Office, Department of General Internal Medicine, National Center of Psychiatry and Neurology Hospital – sequence: 1 fullname: Segawa, Kazuhiko organization: Department of General Internal Medicine, National Center of Psychiatry and Neurology Hospital |
| BackLink | https://cir.nii.ac.jp/crid/1390581854527017984$$DView record in CiNii |
| BookMark | eNo9kEtrwzAQhEVpoWmaW3-ADr061cu2XHoJ6RMCveQuFGmdKKSSkeSWHPvPa5PQyyzszszCd4MuffCA0B0lc85YTR72xuu5IHOq-AWaMMFFUdOyuUQT0lBS1KyU12iWktuQktS8YpWcoN9nB1nHI972zmpvALch4k5nBz4n_OPyDlvoIgy5b8DWpRAtxEe8wBFyDKkDk8dLyr09DmHTJ-e3OHjcapNDTFinFIzTGey5ziUTfHa-H74Ef4uuWn1IMDvPKVq_vqyX78Xq8-1juVgVe8lEIQRllanKDeeygVa22nIQRFKuK9GalvANIUY2tWltTRjjlvDG2opazUsqNJ-i-1Otd04ZNyrlDSkllaUoB360bqQYbE8n2z5lvQXVRfc14FE6ZmcOoEbIShBFR-H_a7PTUYHnf1OZe1o |
| ContentType | Journal Article |
| Copyright | 2024 The Japanese Clinical Nutrition Association |
| Copyright_xml | – notice: 2024 The Japanese Clinical Nutrition Association |
| DBID | RYH |
| DOI | 10.32270/jcna.40.1_3 |
| DatabaseName | CiNii Complete |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| DocumentTitleAlternate | うつ病患者に対する栄養食事指導～中断要因についての後方視調査を中心に |
| DocumentTitle_FL | うつ病患者に対する栄養食事指導～中断要因についての後方視調査を中心に |
| EISSN | 2434-7159 |
| EndPage | 10 |
| ExternalDocumentID | article_jcna_40_1_40_3_article_char_en |
| GroupedDBID | ABJNI ALMA_UNASSIGNED_HOLDINGS JMI JSF RJT RYH |
| ID | FETCH-LOGICAL-j824-44126c65b3389ef8fad3e40813a64fcf03b00c897cfd70223d039dd61da3514a3 |
| ISSN | 0910-7258 |
| IngestDate | Fri Jun 27 00:58:10 EDT 2025 Wed Sep 03 06:30:45 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | true |
| Issue | 1 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j824-44126c65b3389ef8fad3e40813a64fcf03b00c897cfd70223d039dd61da3514a3 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jcna/40/1/40_3/_article/-char/en |
| PageCount | 8 |
| ParticipantIDs | nii_cinii_1390581854527017984 jstage_primary_article_jcna_40_1_40_3_article_char_en |
| PublicationCentury | 2000 |
| PublicationDate | 2024 |
| PublicationDateYYYYMMDD | 2024-01-01 |
| PublicationDate_xml | – year: 2024 text: 2024 |
| PublicationDecade | 2020 |
| PublicationTitle | New diet therapy |
| PublicationTitleAlternate | ニュー・ダイエット・セラピー |
| PublicationTitle_FL | ニュー・ダイエット・セラピー |
| PublicationYear | 2024 |
| Publisher | The Japanese Clinical Nutrition Association 一般社団法人 日本臨床栄養協会 |
| Publisher_xml | – name: The Japanese Clinical Nutrition Association – name: 一般社団法人 日本臨床栄養協会 |
| References | 19） Serretti A, Mandelli L: Antideptessants and body weight: a comprehensive review and meta-analysis. J Clin Psychiatry 71（10）;1259-1272 2010 18） Capuron L, Miller A: Immune System to Brain Signaling: Neuropsychopharmacological Implications. Pharmacol Ther. 130（2）;226-238 2011 20） 阿部裕二、今泉博文、瀬川和彦、吉田寿美子. 肥満を合併した外来統合失調症患者に対する栄養食事指導の効果New Diet Therapy 33; 6-8, 2017 22） Prochaska J.O., Velicer W.F. The transtheoretical model of health behavior change. Am J Health Prom 12, 38‐48, 1997. 23） Cong H, Momma H, Nagatomi R, et al.:Independent and combined relationship of habitual unhealthy eating behaviors with depressive Symptoms: A prospective study. J Epidemiol 27; 42-47, 2017 7） Hidese S, Asano S, Saito K, Sasayama D, Kunugi H:Association of depression with body mass index classification, Metabolic disease and lifestyle : A web-based survey involving 11 ,876 Japanese people. J Psychiatr Res 102; 23-28, 2018 12） Culpepper L, Muskin P, Stahl S: Major Depressive Disorder: Understanding the Significance of Residual Symptoms and Balancing Efficacy with Tolerability The American Journal of Medicine Vol128, No9 A 2015 14） 日本うつ病学会 気分障害の治療ガイドライン作成委員会 日本うつ病学会治療ガイドライン Ⅱ.うつ病（DSM-5）/大うつ病性障害 2016（2019年7月24日 序文改定 24） Maki T, Eguchi M, Kuwahara K, Kochi T, Shamima A, Kashino I, Huanhuan H, Kurotani K, Kabe I, Kawakami N, Nanri A.:Breakfast consumption and the risk of depressive symptoms; The Furukawa Nutrition and Health Study. Psychiatry Res273; 551-558, 2019 11） Sarris J, Murphy J, Mischoulon D, Papakostas G, Fava M, Berk Michael B, H Ng C: Adjunctive Nutraceuticals for Depression: A Systematic Review and Meta-Analyses. Am J psychiatry Vol173;575-587 ,2016 8） 功刀浩、古賀賀恵、小川眞太郎「うつ患者における栄養学的異常」日本生物学的精神医学会誌 26;54-58, 2015 21） 功刀浩/阿部裕二（編著）:臨床に役立つ精神疾患の栄養食事指導 講談社, 2021 2） 厚生労働省医政局長 医療計画について（通達）医政発0330第28号 平成24年3月30日 17） Esser N, Legrand-Poels S, Piette J, Scheen A, Paquot N: Inflammation as a link Between obesity, metabolic syndrome and type 2 diabetes. Diabetes Research and Clinical Practice 105;141-150 2014 3） Kunugi H. Depression and lifestyle: focusing on nutrition, exercise, and their possible relevance to molecular mechanisms. Psychiatry Clin Neurosci 77: 420-433, 2023 10） 功刀浩 こころに効く精神栄養学. 女子栄養大学出版、東京、2016 1） 厚生労働省政策統括官付参事官付保険統計室 令和2年（2020）患者調査 https://www.mhlw.go.jp/toukei/list/10-20.html 16） Opie R S, Itsiopoulos C, Parletta N, Sanchez-Villegas A, Akbaraly T N, Ruusuen A, Jacka F N.:Dietary recommendations for the prevention of depression. Nutr Neurosci 161-171, 2017 9） 功刀浩 うつ病と栄養・運動療法の効果 臨床心理学 14; 120-125, 2014 6） Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, Zitman FG. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 67: 220-229, 2010. 13） 松岡豊、浜崎景. 食からメンタルヘルスを考える ―栄養精神医学の役割と可能性―精神神経学雑誌 118;880-894, 2016 4） 功刀浩: 食生活習慣とうつ病リスク. 医学のあゆみ 284: 33-38, 2023 5） 菅原典夫: 精神疾患とメタボリックシンドローム症候群 臨床栄養 133; 318-324, 2018 15） Firth J, Marx W, Dash S, Carney R, Teasdale S, Solmi M, Stubbs B, Schuch F, Schuch F, Carvalho A, Jacka F, Sarris Jerome S: The effects of dietary improvement on symptoms of depression and anxiety: A meta-analysis of randomized controlled trials. Psychosom Med 81; 265-280, 2019 |
| References_xml | – reference: 2） 厚生労働省医政局長 医療計画について（通達）医政発0330第28号 平成24年3月30日 – reference: 20） 阿部裕二、今泉博文、瀬川和彦、吉田寿美子. 肥満を合併した外来統合失調症患者に対する栄養食事指導の効果New Diet Therapy 33; 6-8, 2017 – reference: 9） 功刀浩 うつ病と栄養・運動療法の効果 臨床心理学 14; 120-125, 2014 – reference: 19） Serretti A, Mandelli L: Antideptessants and body weight: a comprehensive review and meta-analysis. J Clin Psychiatry 71（10）;1259-1272 2010 – reference: 3） Kunugi H. Depression and lifestyle: focusing on nutrition, exercise, and their possible relevance to molecular mechanisms. Psychiatry Clin Neurosci 77: 420-433, 2023 – reference: 12） Culpepper L, Muskin P, Stahl S: Major Depressive Disorder: Understanding the Significance of Residual Symptoms and Balancing Efficacy with Tolerability The American Journal of Medicine Vol128, No9 A 2015 – reference: 16） Opie R S, Itsiopoulos C, Parletta N, Sanchez-Villegas A, Akbaraly T N, Ruusuen A, Jacka F N.:Dietary recommendations for the prevention of depression. Nutr Neurosci 161-171, 2017 – reference: 21） 功刀浩/阿部裕二（編著）:臨床に役立つ精神疾患の栄養食事指導 講談社, 2021 – reference: 5） 菅原典夫: 精神疾患とメタボリックシンドローム症候群 臨床栄養 133; 318-324, 2018 – reference: 23） Cong H, Momma H, Nagatomi R, et al.:Independent and combined relationship of habitual unhealthy eating behaviors with depressive Symptoms: A prospective study. J Epidemiol 27; 42-47, 2017 – reference: 13） 松岡豊、浜崎景. 食からメンタルヘルスを考える ―栄養精神医学の役割と可能性―精神神経学雑誌 118;880-894, 2016 – reference: 6） Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, Zitman FG. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 67: 220-229, 2010. – reference: 4） 功刀浩: 食生活習慣とうつ病リスク. 医学のあゆみ 284: 33-38, 2023 – reference: 1） 厚生労働省政策統括官付参事官付保険統計室 令和2年（2020）患者調査 https://www.mhlw.go.jp/toukei/list/10-20.html – reference: 10） 功刀浩 こころに効く精神栄養学. 女子栄養大学出版、東京、2016 – reference: 7） Hidese S, Asano S, Saito K, Sasayama D, Kunugi H:Association of depression with body mass index classification, Metabolic disease and lifestyle : A web-based survey involving 11 ,876 Japanese people. J Psychiatr Res 102; 23-28, 2018 – reference: 14） 日本うつ病学会 気分障害の治療ガイドライン作成委員会 日本うつ病学会治療ガイドライン Ⅱ.うつ病（DSM-5）/大うつ病性障害 2016（2019年7月24日 序文改定） – reference: 15） Firth J, Marx W, Dash S, Carney R, Teasdale S, Solmi M, Stubbs B, Schuch F, Schuch F, Carvalho A, Jacka F, Sarris Jerome S: The effects of dietary improvement on symptoms of depression and anxiety: A meta-analysis of randomized controlled trials. Psychosom Med 81; 265-280, 2019 – reference: 24） Maki T, Eguchi M, Kuwahara K, Kochi T, Shamima A, Kashino I, Huanhuan H, Kurotani K, Kabe I, Kawakami N, Nanri A.:Breakfast consumption and the risk of depressive symptoms; The Furukawa Nutrition and Health Study. Psychiatry Res273; 551-558, 2019 – reference: 8） 功刀浩、古賀賀恵、小川眞太郎「うつ患者における栄養学的異常」日本生物学的精神医学会誌 26;54-58, 2015 – reference: 18） Capuron L, Miller A: Immune System to Brain Signaling: Neuropsychopharmacological Implications. Pharmacol Ther. 130（2）;226-238 2011 – reference: 22） Prochaska J.O., Velicer W.F. The transtheoretical model of health behavior change. Am J Health Prom 12, 38‐48, 1997. – reference: 11） Sarris J, Murphy J, Mischoulon D, Papakostas G, Fava M, Berk Michael B, H Ng C: Adjunctive Nutraceuticals for Depression: A Systematic Review and Meta-Analyses. Am J psychiatry Vol173;575-587 ,2016 – reference: 17） Esser N, Legrand-Poels S, Piette J, Scheen A, Paquot N: Inflammation as a link Between obesity, metabolic syndrome and type 2 diabetes. Diabetes Research and Clinical Practice 105;141-150 2014 |
| SSID | ssib050736268 ssj0003307196 ssib044810823 |
| Score | 2.3696117 |
| Snippet | Accumulating evidence has suggested the importance of nutritional approaches in the treatment of depressive disorder. In this study, we tried to identify... |
| SourceID | nii jstage |
| SourceType | Publisher |
| StartPage | 3 |
| Title | Dietary guidance for patients with depressive disorder: A retrospective study focusing on factors associated with discontinuation |
| URI | https://www.jstage.jst.go.jp/article/jcna/40/1/40_3/_article/-char/en https://cir.nii.ac.jp/crid/1390581854527017984 |
| Volume | 40 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | New diet therapy, 2024, Vol.40(1), pp.3-10 |
| journalDatabaseRights | – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 2434-7159 dateEnd: 99991231 omitProxy: true ssIdentifier: ssib050736268 issn: 0910-7258 databaseCode: M~E dateStart: 20210101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELa25cIFgQBRoMgHblWWxHYe5VaVogrUnhapt8hx7N0sUoKWBNQekPiH_CRm_Eh2gUPpxdq1dx1v5lvPePLNDCGvWV7FFUtZlFWFiQSLdQRaMYtyLo3KE1kzS_m_uMzOP4kPV-nVbPZri7U09NVc3fwzruQuUoU-kCtGyf6HZMdJoQNeg3yhBQlDeysZv2t0j6y35dDUlvqPnEGfKdWHrQWm6zeNz2Jsok0XjL7R_aYLcZYuyyx8XQ3Wd4D0Q1-IR3r5BZo6hvF2WF5imGS6nlJA1bCko343VcHHoR2Wrjp2A9dcNeOA_CoxYbTdbbqVHgcummsJGOoc3-O6-9yNniC9lN99GNvNsGr8iPdbsMljaWPewBLACptHpyH-8zIUH_gLl95dCfoiZy7N-1zbPiY4ckl9RnG_m7vkTzuodVsz39Lxjkn7p_aAvS1HvuVatXIuQJuUfNKSI3fRS7vET5UCjlDY8DJ0Y7AcYHOP3GPoIUIy6Y-zsMPBWTjBR5vhPRjjmA6oGL2CHLbcxBaVG3-wi9awa3uztTKwmNZwfsDEEHtt02wZRYuH5IE_zdATt6pHZLaWj8lPD0saYEkBljTAkiKK6ARLGmD5lp7QHVBSC0oaQEm7lnpQ0gmUfrpdUD4hi_dni9PzyFf6iNYFExGY5CxTWVpxMJ-1KYysuRZgrHKZCaNMzEE5qOI4V6bOwejkdcyP6zpLaomBKJI_Jftt1-pnhMaaZ0aYHMwuLYxJZFWByZoJVaSpgukOSOpuW_nFZXMpbyfPA3IId7lUDbZwaopTtHRFClLBlH_i-R3nfUHu45_DOfVekv1-M-hDMHP76pVFzm9RbrVv |
| linkProvider | ISSN International Centre |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Dietary+guidance+for+patients+with+depressive+disorder%3A+A+retrospective+study+focusing+on+factors+associated+with+discontinuation&rft.jtitle=New+diet+therapy&rft.au=Kunugi%2C+Hiroshi&rft.au=Kasahara%2C+Kohei&rft.au=Miyamoto%2C+Kayoko&rft.au=Segawa%2C+Kazuhiko&rft.date=2024&rft.pub=The+Japanese+Clinical+Nutrition+Association&rft.issn=0910-7258&rft.eissn=2434-7159&rft.volume=40&rft.issue=1&rft.spage=3&rft.epage=10&rft_id=info:doi/10.32270%2Fjcna.40.1_3&rft.externalDocID=article_jcna_40_1_40_3_article_char_en |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0910-7258&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0910-7258&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0910-7258&client=summon |