Statement: Dietary counselling to improve nutritional habits that is in line with healthy dietary guidelines and/or nutrient-dense dietary patterns may be used to reduce depressive symptoms in people with Major Depressive Disorder

Recommendation Grade: 3

Strength of evidence: Low; Grade C1 Acceptability: Good

Clinical recommendation was based on: 4x randomized controlled trials (N=395 participants)(Jacka et al. 2017; Parletta et al. 2018; Francis et al. 2019; Bayes et al. 2022) Effect size: Moderate to large (Standardized mean difference = 0.65 – 1.16) Risk of Bias assessment: High Risk of Bias