Table 4.
Associations of increases in HEI-C 2015 and MMDS scores with number of physician visits for depression following exclusions.
| Unadjusted | Parsimonious a | Fully Adjusted b | |||||||
|---|---|---|---|---|---|---|---|---|---|
| RR (95% CI) | (1-RR)% | p-Value | RR (95% CI) | (1-RR)% | p-Value | RR (95% CI) | (1-RR)% | p-Value | |
| Six-Month Exclusion Prior to Enrollment (n = 22,419) | |||||||||
| HEI-C 2015 c | 0.96 (0.93, 1.00) | 3.58% | 0.025 | 0.94 (0.91, 0.98) | 5.60% | 0.001 | 0.95 (0.91, 0.98) | 5.39% | 0.002 |
| Moderation c | 0.94 (0.89, 1.00) | 5.85% | 0.033 | 0.92 (0.86, 0.99) | 7.69% | 0.026 | 0.93 (0.86, 1.00) | 7.00% | 0.056 |
| Adequacy c | 0.97 (0.94, 1.01) | 2.53% | 0.202 | 0.92 (0.87, 0.96) | 8.36% | 0.001 | 0.91 (0.86, 0.96) | 8.98% | 0.001 |
| MMDS d | 0.95 (0.93, 0.97) | 5.39% | <0.001 | 0.97 (0.95, 0.99) | 2.61% | 0.014 | 0.98 (0.96, 1.00) | 2.31% | 0.030 |
| One-Year Exclusion Prior to Enrollment (n = 19,625) | |||||||||
| HEI-C 2015 c | 0.96 (0.93, 0.99) | 4.07% | 0.023 | 0.94 (0.91, 0.98) | 5.85% | 0.002 | 0.95 (0.91, 0.98) | 5.38% | 0.006 |
| Moderation c | 0.92 (0.86, 0.98) | 8.35% | 0.006 | 0.91 (0.84, 0.98) | 9.21% | 0.017 | 0.92 (0.84, 1.00) | 8.50% | 0.039 |
| Adequacy c | 0.98 (0.94, 1.03) | 1.91% | 0.395 | 0.92 (0.87, 0.97) | 7.96% | 0.004 | 0.92 (0.86, 0.98) | 8.12% | 0.006 |
| MMDS d | 0.94 (0.92, 0.97) | 5.58% | <0.001 | 0.97 (0.95, 0.99) | 2.84% | 0.017 | 0.98 (0.95, 1.00) | 2.50% | 0.036 |
| Two-Year Exclusion Prior to Enrollment (n = 12,359) | |||||||||
| HEI-C 2015 c | 0.99 (0.94, 1.03) | 1.50% | 0.537 | 0.96 (0.91, 1.01) | 4.39% | 0.088 | 0.98 (0.93, 1.03) | 2.14% | 0.426 |
| Moderation c | 0.94 (0.86, 1.02) | 6.12% | 0.144 | 0.89 (0.80, 0.99) | 11.03% | 0.035 | 0.94 (0.84, 1.05) | 6.05% | 0.278 |
| Adequacy c | 1.01 (0.95, 1.07) | −0.78% | 0.796 | 0.96 (0.89, 1.04) | 4.11% | 0.290 | 0.98 (0.90, 1.07) | 1.83% | 0.660 |
| MMDS d | 0.96 (0.93, 0.99) | 3.94% | 0.013 | 0.98 (0.95, 1.00) | 2.27% | 0.160 | 0.98 (0.95, 1.01) | 2.06% | 0.203 |
| Variable-Length Exclusion Prior to Enrollment (n = 17,335) | |||||||||
| HEI-C 2015 c | 0.92 (0.89, 0.96) | 7.61% | <0.001 | 0.91 (0.87, 0.95) | 9.17% | <0.001 | 0.92 (0.88, 0.96) | 8.34% | <0.001 |
| Moderation c | 0.88 (0.82, 0.94) | 11.87% | <0.001 | 0.87 (0.79, 0.95) | 13.45% | 0.002 | 0.87 (0.79, 0.96) | 12.85% | 0.005 |
| Adequacy c | 0.94 (0.90, 0.99) | 5.74% | 0.022 | 0.87 (0.81, 0.93) | 13.04% | <0.001 | 0.87 (0.81, 0.93) | 12.76% | <0.001 |
| MMDS d | 0.94 (0.92, 0.97) | 5.91% | <0.001 | 0.97 (0.95, 1.00) | 2.75% | 0.043 | 0.97 (0.95, 1.00) | 2.57% | 0.059 |
| Exclusion of Visits Three Months Following Enrollment (n = 25,016) | |||||||||
| HEI-C 2015 c | 0.96 (0.94, 0.99) | 3.75% | 0.009 | 0.95 (0.92, 0.98) | 5.08% | 0.001 | 0.95 (0.92, 0.98) | 4.68% | 0.002 |
| Moderation c | 0.94 (0.89, 0.99) | 6.11% | 0.015 | 0.94 (0.88, 1.00) | 6.41% | 0.039 | 0.96 (0.89, 1.02) | 4.48% | 0.172 |
| Adequacy c | 0.97 (0.94, 1.01) | 2.81% | 0.115 | 0.92 (0.88, 0.96) | 8.06% | <0.001 | 0.91 (0.87, 0.96) | 8.78% | <0.001 |
| MMDS d | 0.94 (0.92, 0.96) | 5.82% | <0.001 | 0.97 (0.95, 0.99) | 2.75% | 0.004 | 0.98 (0.96, 0.99) | 2.46% | 0.011 |
95% CI, 95% Confidence Interval; HEI-C 2015, Health Eating Index-Canada 2015; MMDS, Modified Mediterranean Diet Score; RR, rate ratio; a Adjusted for sex, age, BMI, leisure time MVPA, household income, educational attainment, caloric intake; b Adjusted for sex, age, BMI, urban/rural location, family history of addiction, leisure time MVPA, smoking status, household income, educational attainment, marital status, employment status, chronic disease comorbidities, use of vitamin D supplements, use of other supplements, weekly alcohol intake, caloric intake; c Per 10-unit increase in score; d Per 1-unit increase in score.