Impact of citrus fruit intake on the mental health of patients with chronic heart failure

•Depression is a major contributor to heart failure (HF) progression.•Chronic HF patients with depression had a lowered citrus fruit intake.•Dietary intakes of antioxidants were also decreased in depressed HF patients.•A lowered intake of citrus fruits was associated with depression in HF patients....

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Published in:Journal of cardiology 2022-06, Vol.79 (6), p.719-726
Main Authors: Kakutani, Naoya, Yokota, Takashi, Fukushima, Arata, Obata, Yoshikuni, Ono, Taisuke, Sota, Takeshi, Kinugasa, Yoshiharu, Takahashi, Masashige, Matsuo, Hisashi, Matsukawa, Ryuichi, Yoshida, Ichiro, Kakinoki, Shigeo, Yonezawa, Kazuya, Himura, Yoshihiro, Yokota, Isao, Yamamoto, Kazuhiro, Tsuchihashi-Makaya, Miyuki, Kinugawa, Shintaro
Format: Article
Language:English
Subjects:
Antioxidant
Chronic Disease
Chronic heart failure
Citrus
Citrus fruits
Depression
Diet
Fruit
Heart Failure - epidemiology
Humans
Mental Health
Oxidative stress
Vegetables
Vitamin C
β-carotene
β-cryptoxanthin
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Summary:•Depression is a major contributor to heart failure (HF) progression.•Chronic HF patients with depression had a lowered citrus fruit intake.•Dietary intakes of antioxidants were also decreased in depressed HF patients.•A lowered intake of citrus fruits was associated with depression in HF patients. The full impact of the intake of citrus fruits on the risk of depression in individuals with chronic heart failure (HF) is unknown. Here, we examined the associations between the estimated habitual intakes of citrus fruits and depressive symptoms in patients with chronic HF. We enrolled 150 stable outpatients with chronic HF who had a history of worsening HF. To assess the patients' daily dietary patterns, we used a brief self-administered diet-history questionnaire to calculate the daily consumption of foods and nutrients. To assess the patients' mental state, we used a nine-item Patient Health Questionnaire (PHQ-9). Twelve patients (8%) were identified as having moderate-to-severe depression (PHQ-9 score ≥10). The patients with PHQ-9 ≥10 had lower daily intakes of citrus fruits compared to those with no or mild depressive symptoms (PHQ-9
ISSN:0914-5087
1876-4738
DOI:10.1016/j.jjcc.2021.12.004