The association of major dietary patterns with depression, anxiety and stress in apparently healthy adults
Abstract
Background: Mental disorders are prevalent worldwide, and can expose people to significant harm. Diet plays an important role in the development and progression of mental illness. Thus, possible associations were investigated between major dietary patterns and depression, anxiety and stress in adults.
Methods: This cross-sectional study was conducted on a random sample of adult participants (n=265) in Tehran. Anthropometric characteristics were measured, and physical activity was assessed using a short-form physical activity questionnaire (IPAQ). Dietary patterns were determined using factor analysis on 25 food groups using a valid, reliable, 147-item semi-quantitative food frequency questionnaire (FFQ). The dietary patterns were analyzed by factor analysis (PCA) method. Blood samples were taken for measurement of blood parameters. Data about depression, anxiety and stress were collected using the Depression Anxiety Stress Score (DASS-21).
Results: The unhealthy and healthy dietary patterns were extracted. The findings showed that higher adherence to a healthy dietary pattern led to a reduction in the mean depression score (P = 0.03). There were no statistically significant differences between the unhealthy dietary pattern and depression, anxiety and stress scores. In logistic regression models, after adjusting for potential confounders, the results showed that higher adherence to the healthy dietary pattern led to a reduction in anxiety odds ratio (OR) (P = 0.03). There was no statistically significant association between the major dietary patterns with the risk of depression and stress in the crude and adjusted models.
Conclusion: The findings from this study indicate that adherence to a healthy dietary pattern led to a reduction in mean depression score and anxiety OR.
Hosseinzadeh, M., et al., Empirically derived dietary patterns in relation to psychological disorders. Public Health Nutr, 2016. 19(2): p. 204-17.
Shadloo, B., et al., Psychiatric Disorders Are Associated with an Increased Risk of Injuries: Data from the Iranian Mental Health Survey (IranMHS). Iran J Public Health, 2016. 45(5): p. 623-35.
Khosravi, M., et al., Healthy and Unhealthy Dietary Patterns Are Related to Depression: A Case-Control Study. Psychiatry Investig, 2015. 12(4): p. 434-42.
Sadeghirad, B., et al., Epidemiology of major depressive disorder in iran: a systematic review and meta-analysis. International journal of preventive medicine, 2010. 1(2).
Sharifi, V., et al., Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian Mental Health Survey, 2011. Arch Iran Med, 2015. 18(2): p. 76-84.
Zender, R. and E. Olshansky, Women's mental health: depression and anxiety. Nurs Clin North Am, 2009. 44(3): p. 355-64.
Le Port, A., et al., Association between dietary patterns and depressive symptoms over time: a 10-year follow-up study of the GAZEL cohort. PLoS One, 2012. 7(12): p. e51593.
Sanchez-Villegas, A. and M.A. Martinez-Gonzalez, Diet, a new target to prevent depression? BMC Med, 2013. 11: p. 3.
Mohammadi, M.R., et al., An epidemiological survey of psychiatric disorders in Iran. Clin Pract Epidemiol Ment Health, 2005. 1: p. 16.
Poorrezaeian, M., et al., Association of dietary diversity score with anxiety in women. Psychiatry Res, 2015. 230(2): p. 622-7.
Kim, W.K., D. Shin, and W.O. Song, Are Dietary Patterns Associated with Depression in U.S. Adults? J Med Food, 2016. 19(11): p. 1074-1084.
Bakhtiyari, M., et al., Anxiety as a consequence of modern dietary pattern in adults in Tehran—Iran. Eat Behav, 2013. 14(2): p. 107-112.
Jacka, F.N., et al., The association between habitual diet quality and the common mental disorders in community-dwelling adults: the Hordaland Health study. Psychosom Med, 2011. 73(6): p. 483-90.
Beezhold, B., et al., Vegans report less stress and anxiety than omnivores. Nutr Neurosci, 2015. 18(7): p. 289-96.
Beezhold, B.L. and C.S. Johnston, Restriction of meat, fish, and poultry in omnivores improves mood: a pilot randomized controlled trial. Nutr J, 2012. 11: p. 9.
Beezhold, B.L., C.S. Johnston, and D.R. Daigle, Vegetarian diets are associated with healthy mood states: a cross-sectional study in seventh day adventist adults. Nutr J, 2010. 9: p. 26.
Crichton, G.E., et al., Mediterranean diet adherence and self-reported psychological functioning in an Australian sample. Appetite, 2013. 70: p. 53-9.
Hodge, A., et al., Patterns of dietary intake and psychological distress in older Australians: benefits not just from a Mediterranean diet. Int Psychogeriatr, 2013. 25(3): p. 456-66.
Sanchez-Villegas, A., et al., Mediterranean diet and depression. Public Health Nutr, 2006. 9(8A): p. 1104-9.
Sanchez-Villegas, A., et al., Mediterranean dietary pattern and depression: the PREDIMED randomized trial. BMC Med, 2013. 11: p. 208.
Sanchez-Villegas, A., et al., Association of the Mediterranean dietary pattern with the incidence of depression: the Seguimiento Universidad de Navarra/University of Navarra follow-up (SUN) cohort. Arch Gen Psychiatry, 2009. 66(10): p. 1090-8.
Rienks, J., A.J. Dobson, and G.D. Mishra, Mediterranean dietary pattern and prevalence and incidence of depressive symptoms in mid-aged women: results from a large community-based prospective study. Eur J Clin Nutr, 2013. 67(1): p. 75-82.
Esfahani, F.H., et al., Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol, 2010. 20(2): p. 150-8.
Mirmiran, P., et al., Reliability and relative validity of an FFQ for nutrients in the Tehran Lipid and Glucose Study. Public health nutrition, 2010. 13(5): p. 654-662.
Larsson, S.C., et al., Meat, fish, poultry and egg consumption in relation to risk of pancreatic cancer: a prospective study. International journal of cancer, 2006. 118(11): p. 2866-2870.
Newby, P. and K.L. Tucker, Empirically derived eating patterns using factor or cluster analysis: a review. Nutrition reviews, 2004. 62(5): p. 177-203.
Lovibond, P.F. and S.H. Lovibond, The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 1995. 33(3): p. 335-343.
Gregorio, M.J., et al., Dietary Patterns Characterized by High Meat Consumption Are Associated with Other Unhealthy Life Styles and Depression Symptoms. Front Nutr, 2017. 4: p. 25.
Li, Y., et al., Dietary patterns and depression risk: A meta-analysis. Psychiatry Res, 2017. 253: p. 373-382.
Martinez-Gonzalez, M.A. and A. Sanchez-Villegas, Food patterns and the prevention of depression. Proc Nutr Soc, 2016. 75(2): p. 139-46.
Nguyen, B., D. Ding, and S. Mihrshahi, Fruit and vegetable consumption and psychological distress: cross-sectional and longitudinal analyses based on a large Australian sample. BMJ Open, 2017. 7(3): p. e014201.
Akbaraly, T.N., et al., Dietary pattern and depressive symptoms in middle age. The British Journal of Psychiatry, 2009. 195(5): p. 408-413.
Saneei, P., et al., Adherence to Alternative Healthy Eating Index in relation to depression and anxiety in Iranian adults. Br J Nutr, 2016. 116(2): p. 335-42.
Rahe, C., M. Unrath, and K. Berger, Dietary patterns and the risk of depression in adults: a systematic review of observational studies. Eur J Nutr, 2014. 53(4): p. 997-1013.
Lai, J.S., et al., A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults. Am J Clin Nutr, 2014. 99(1): p. 181-97.
Xia, Y., et al., Dietary patterns are associated with depressive symptoms among Chinese adults: a case-control study with propensity score matching. Eur J Nutr, 2016.
Libuda, L., et al., [Nutrition and mental diseases : Focus depressive disorders]. Nervenarzt, 2016.
Adjibade, M., et al., Prospective association between adherence to the Mediterranean diet and risk of depressive symptoms in the French SU.VI.MAX cohort. Eur J Nutr, 2017.
Skarupski, K.A., et al., Mediterranean diet and depressive symptoms among older adults over time. J Nutr Health Aging, 2013. 17(5): p. 441-5.
Liu, X., et al., Fruit and vegetable consumption and the risk of depression: A meta-analysis. Nutrition, 2016. 32(3): p. 296-302.
McMartin, S.E., F.N. Jacka, and I. Colman, The association between fruit and vegetable consumption and mental health disorders: evidence from five waves of a national survey of Canadians. Prev Med, 2013. 56(3-4): p. 225-30.
Yannakoulia, M., et al., Eating habits in relations to anxiety symptoms among apparently healthy adults. A pattern analysis from the ATTICA Study. Appetite, 2008. 51(3): p. 519-25.
Molteni, R., et al., A high-fat, refined sugar diet reduces hippocampal brain-derived neurotrophic factor, neuronal plasticity, and learning. Neuroscience, 2002. 112(4): p. 803-14.
Duman, R.S., G.R. Heninger, and E.J. Nestler, A molecular and cellular theory of depression. Arch Gen Psychiatry, 1997. 54(7): p. 597-606.
Mlyniec, K., et al., Essential elements in depression and anxiety. Part I. Pharmacol Rep, 2014. 66(4): p. 534-44.
Mlyniec, K., et al., Essential elements in depression and anxiety. Part II. Pharmacol Rep, 2015. 67(2): p. 187-94.
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Issue | Vol 2, No 4 (Autumn 2016) | |
Section | Original Article(s) | |
Keywords | ||
dietary pattern depression anxiety stress mental disorders |
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