DHA mediates the protective effect of fish consumption on new episodes of depression among women

Soininen, P; Ala-Korpela, M; Kangas, AJ; Venn, AJ; Smith, KJ; Dwyer, T; Magnussen, CG; Reeves, JL; Otahal, P
Abstract
In a longitudinal cohort study of young Australian adults, we reported that for women higher baseline levels of fish consumption were associated with reduced incidence of new depressive episodes during the 5-year follow-up. Fish are high in both n-3 fatty acids and tyrosine. In this study, we seek to determine whether n-3 fatty acids or tyrosine explain the observed association. During 2004-2006, a FFQ (nine fish items) was used to estimate weekly fish consumption among 546 women aged 26-36 years. A fasting blood sample was taken and high-throughput NMR spectroscopy was used to measure 233 metabolites, including serum n-3 fatty acids and tyrosine. During 2009-2011, new episodes of depression since baseline were identified using the lifetime version of the Composite International Diagnostic Interview. Relative risks were calculated using log-binomial regression and indirect effects estimated using the STATA binary_mediation command. Potential mediators were added to separate models, and mediation was quantified as the proportion of the total effect due to the mediator. The n-3 DHA mediated 25·3 % of the association between fish consumption and depression when fish consumption was analysed as a continuous variable and 16·6 % when dichotomised (reference group: <2 serves/week). Tyrosine did not mediate the association (<0·1 %). Components in fish other than n-3 fatty acids and tyrosine might be beneficial for women's mental health.
Journal BR J NUTR
ISSN 0007-1145
Published 01 Nov 2017
Volume 118
Issue 9
Pages 743-9
DOI 10.1017/S0007114517002768
Type Journal Article
Sponsorship
NHMRC: 211316, 544923, 1008299, 1072516; NHF: GOOH0578, 100849; Select Foundation: M0020771; Tasmanian Community Fund: D0013808; Veolia Environmental Services; Sigrid Juselius Foundation; University of Oulu, Finland; University of Bristol; UK MRC: MC_UU_12013/1; Sanitarium; ASICS Ltd; Target Australia Pty Ltd