Introduction Hypothesis

References

For Further Information:

Methods

• Globally, 350 million people suffer from depression 1

• Depression is a leading cause in disability 2

• Half of all married couples divorce in the U.S. 3

• Individuals who have experienced stress or trauma, such as from divorce, are at higher depression risk 4

• Martially separated or divorced adults are at a higher risk for depression than all other adults 5

• No specific diet is prescribed to patients diagnosed with depression, although certain foods are associated with higher or lower levels of depression.

• Mediterranean diet associated with lower levels of depression 6

• Another study shows that eating more fast and processed foods; and a lower consumption of fruits and vegetables, is associated with higher depression levels7

• The average American diet consists of 16% added sugar 8

• A cross-national study found an association between added sugar and major depression 9

Purpose• This study will examine associations of added sugar

intake in recently divorced adults before and after exposure to a six week intervention, Let’s Eat Actively Together (Let’s EAT).

Contact: Adi Fish (AF) afish@mail.sfsu.com

Adi Fish First reader: Dr. Gretchen George, R.D. Assistant Professor Family and Consumer Studies/ Dietetics

The Association Between Levels of Added Sugar and Depression in Divorces Parents Participating in Let’s Eat Actively Together

Consumer and Family Sciences, San Francisco State University, San Francisco CA

• Let’s EAT focuses on the prevention of obesity in children of separation and divorce in a novel six-week family intervention to improve family routines; specifically routines related to nutritious (and delicious) eating, basic cooking skills and family practices during divorce.

• Let’s EAT is the first of its kind to propose an intervention focused on nutrition and family routines within families transitioning the trauma of through separation and divorce.

A primary goal of Let’s EAT is to improve family routines related to healthy eating and cooking.

Secondary goals of graduate student AF are examiningassociations with added sugarand depression.

Study participants:• Ages 26-50, with children• Divorce or separation within 24 months

Data collected:• Anthropometry (height and weight)• Brief Symptom Inventory Depression and Anxiety

(BSI-DA) 10-item survey will be collected over the phone pre- and post- Let’s EAT intervention

• Three- unannounced dietary recalls using Food Processor SQL will be collected by trained researchers (AF) pre- and post- intervention.

Results & Discussion

• Anticipated data collection and analysis: 2016• Anticipated defense: Spring 2017

1. Adult participants of Let’s EAT have an increase prevalence of depression as indicated by BSI-DA10 compare to national statistics.

2. Added sugar intake in adult participants of Let’s EAT will be exceed the Dietary Guidelines for America recommended amount.

3. An association between added sugar intake and depression (BSI-DA) exists in adult participants of Let’s EAT.

1.Depression. (n.d.). Retrieved April 19, 2016, from http://www.who.int/mediacentre/factsheets/fs369/en/2.Greenberg, P. E., Kessler, R. C., Birnbaum, H. G., Leong, S. A., Lowe, S. W., Berglund, P. A., & Corey-Lisle, P. K. (2003). The Economic Burden ofDepression in the United States. J. Clin. Psychiatry The Journal of Clinical Psychiatry, 64(12), 1465-1475. doi:10.4088/jcp.v64n12113.Marriage & Divorce. (2016). Retrieved April 19, 2016, from http://www.apa.org/topics/divorce/4.Depression. (2016, March). Retrieved April 12, 2016, from http://www.nimh.nih.gov/health/topics/depression/index.shtml#part_1453965.Anthony, J. C., & Petronis, K. R. (1991). Suspected Risk Factors for Depression among Adults 18–44 Years Old. Epidemiology, 2(2), 123-132. doi:10.1097/00001648-199103000-000066.Hodge, A., Almeida, O., English, D., Giles, G., & Flicker, L. (2012). Patterns of dietary intake and psychological distress in older Australians: Benefits not just from a Mediterranean diet. International Psychogeriatrics, 25(3), 456-466. doi:10.1017/S10416102120019867.Kim, T., Choi, J., Lee, H., & Park, Y. (2015). Associations between Dietary Pattern and Depression in Korean Adolescent Girls. Journal of Pediatric and Adolescent Gynecology, 28(6), 533-537. doi:10.1016/j.jpag.2015.04.0058.Dietary Guidelines -- 2010. (2010, December). Retrieved April 19, 2016, from http://www.cnpp.usda.gov/dietary-guidelines-20109.Westover, A. N., & Marangell, L. B. (2002). A cross-national relationship between sugar consumption and major depression? Depression and Anxiety Depress. Anxiety, 16(3), 118-120. doi:10.1002/da.1005410. Derogatis, L. R. (1993). Brief Symptom Inventory. Retrieved April 20, 2016, from http://www.pearsonclinical.com/psychology/products/100000450/brief-symptom-inventory-bsi.html#tab-details