Hadia Safarat Kirmani
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA. Universidad Francisco Marroquin, Guatemala.
Maiara Cássia Pigatto
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA
Kendra Aira Cabrera
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Débora Renz Barreto Vianna
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Carolina Parra Mardones
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Ila Marques Porto Linares
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Claudia Lopez Muñoz
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA. Pharmacy Services, Clinica Davila, Santiago, Chile.
Paul Pereyra
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Marie Andree Cosenza Barnéond
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Florentina Diaconescu
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
José Elías León Donis
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Vinicius Costa de Assis
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Basira Hanafi Lawal
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Elizabeth Leon-Cuevas
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Giliana Melany Collado
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA. Pontificia Universidad Catolica Madre y Maestra, Santiago, Dominican Republic
Giovanna Brandão Saliba
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Nagheli Fernanda Borjas-Calderón
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Ibelema Alaere Ijeoma Datubo-Brown
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Sofia Gnecco
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Silvia Di-Bonaventura
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Orleancio Gomes Ripardo de Azevedo
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Adriana Romina Menendez-Mite
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA. Universidad Catolica de Santiago de Guayaquil, Ecuador.
Areerat Suputtitada
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Tarek Khalaf Saleh Rabiei
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
José Omar Santellán Hernández
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Carolina Schibuola Crespo
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA
Motaz Almahmood
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Walter Araujo Zin
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Sara Barbosa Franco
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Rui Nakamura
Principles and Practice of Clinical Research Program, Executive and Continuing Professional Education (ECPE), Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Abstract
Depression is a multifaceted mental health disorder affecting 280 million people globally. The pursuit of effective interventions has triggered investigations into the role of fiber intake in modulating depression, which remains a controversial issue. At least part of the discrepancies may result from the large number of covariates not accounted for in studies linking depression and fiber intake. We aimed to fill this gap using data from a large recent American population-based cross-sectional study from the National Health and Nutrition Examination Survey (NHANES 2017-2018) and a detailed assessment of known covariates. Data from 9,254 adult subjects were analyzed and 3,979 fulfilled the inclusion/exclusion criteria. The variables were categorized to undergo evaluation by a logistic regression model adjusted for covariates by StataNow v18.5. The model was proven statistically acceptable. Supplementary fiber intake, vigorous recreational activities, living with a partner, and old age's odds ratios indicated that these variables showed 24.91%, 46.79%, 52.66%, and 65.48% decreased odds of presenting moderate to severe depression, respectively, constituting protective factors against depression. However, poverty, thyroid issues, comorbidities, obesity, and being a female odds ratios revealed that these factors accounted for 55.23%, 37.56%, 65.41%, 38.37%, and 25.94% increase odds of aggravating moderate to severe depression. In conclusion, supplementary fiber consumption may be a protective tool against moderate to severe depression.