PMID- 37573955 OWN - NLM STAT- Publisher LR - 20231021 IS - 1096-0260 (Electronic) IS - 0091-7435 (Linking) VI - 175 DP - 2023 Oct TI - Association of dietary mineral mixture with depressive symptoms: A combination of Bayesian approaches. PG - 107661 LID - S0091-7435(23)00241-4 [pii] LID - 10.1016/j.ypmed.2023.107661 [doi] AB - The relationships between mixtures of multiple minerals and depression have not been explored. Therefore, we analyzed the relationship between the mixture of nine dietary minerals [calcium (Ca), phosphorus, magnesium (Mg), iron (Fe), zinc, copper (Cu), sodium, potassium (K), and selenium (Se)] and depressive symptoms in the general population. We screened 20,342 participants from the National Health and Nutrition Examination Survey (NHANES) 2007-2018. We fitted the general linear regression, Bayesian kernel machine regression (BKMR), and Bayesian semiparametric regression models to explore associations and interactions. We obtained the relative importance of dietary minerals by calculating posterior inclusion probabilities (PIPs). The dietary intakes of minerals were obtained using the 24-h dietary recall interview, and depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). The linear analysis showed that nine minerals were negatively associated with PHQ-9 scores. The BKMR analysis showed a negative association between the dietary mineral mixture and PHQ-9 scores, with Se having the largest PIP at 1.0000, followed by K (0.7784). We also observed potential interactions between Ca and Fe, Se and Fe, and K and Mg. Among them, the interaction of Ca and Fe had the largest PIP of 0.986. In addition, the overall effect was more pronounced in females than males, and Cu's PIP (0.8376) was higher in females. Two sensitivity analyses showed that our results were robust. Our study provides a basis for formulating nutritional intervention programs for depression in the future. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Chen, Shumin AU - Chen S AD - Department of Epidemiology and Health Statistics, The School of Public Health of Qingdao University, 308 Ningxia Road, Qingdao, Shandong 266071, People's Republic of China. FAU - Liu, Jin AU - Liu J AD - Department of Epidemiology and Health Statistics, The School of Public Health of Qingdao University, 308 Ningxia Road, Qingdao, Shandong 266071, People's Republic of China. FAU - Kang, Xiao AU - Kang X AD - Department of Epidemiology and Health Statistics, The School of Public Health of Qingdao University, 308 Ningxia Road, Qingdao, Shandong 266071, People's Republic of China. FAU - Cui, Kaiwen AU - Cui K AD - Department of Epidemiology and Health Statistics, The School of Public Health of Qingdao University, 308 Ningxia Road, Qingdao, Shandong 266071, People's Republic of China. FAU - Zhang, Dongfeng AU - Zhang D AD - Department of Epidemiology and Health Statistics, The School of Public Health of Qingdao University, 308 Ningxia Road, Qingdao, Shandong 266071, People's Republic of China. Electronic address: zhangdongfeng@qdu.edu.cn. LA - eng PT - Journal Article DEP - 20230811 PL - United States TA - Prev Med JT - Preventive medicine JID - 0322116 SB - IM OTO - NOTNLM OT - BKMR OT - Bayesian semiparametric regression OT - Depressive symptoms OT - Dietary mineral intake OT - Interaction OT - NHANES COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/08/14 00:42 MHDA- 2023/08/14 00:42 CRDT- 2023/08/13 19:23 PHST- 2023/04/22 00:00 [received] PHST- 2023/07/26 00:00 [revised] PHST- 2023/08/10 00:00 [accepted] PHST- 2023/08/14 00:42 [pubmed] PHST- 2023/08/14 00:42 [medline] PHST- 2023/08/13 19:23 [entrez] AID - S0091-7435(23)00241-4 [pii] AID - 10.1016/j.ypmed.2023.107661 [doi] PST - ppublish SO - Prev Med. 2023 Oct;175:107661. doi: 10.1016/j.ypmed.2023.107661. Epub 2023 Aug 11.