Empirically derived dietary patterns in relation to psychological disorders

Public Health Nutrition - Tập 19 Số 2 - Trang 204-217 - 2016
Mahdieh Hosseinzadeh1, Mohammadreza Vafa2, Ahmad Esmaillzadeh3,4, Awat Feizi5, Reza Majdzadeh6, Hamidreza Afshar7, Ammar Hassanzadeh Keshteli8,9, Peyman Adibi9
1Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
2Department of Nutrition, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
3Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, PO Box 81745-151, Isfahan, Islamic Republic of Iran
4Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of Iran
5Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of Iran
6Department of Epidemiology and Biostatistics, School of Public Health and Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
7Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of Iran
8Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
9Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of Iran

Tóm tắt

AbstractObjectivePsychological disorders are highly prevalent worldwide. The present study aimed to investigate the relationship between major dietary patterns and prevalence of psychological disorders in a large sample of Iranian adults.DesignA cross-sectional study was done to identify dietary patterns derived from factor analysis. Dietary data were collected through the use of a validated dish-based semi-quantitative FFQ. Psychological health was examined by use of the Hospital Anxiety and Depression Scale and the General Health Questionnaire.SettingThe study was conducted in Isfahan, Iran, within the framework of the Study on Epidemiology of Psychological, Alimentary Health and Nutrition (SEPAHAN).SubjectsIranian adults (n 3846) aged 20–55 years.ResultsAfter adjustment for potential confounders, greater adherence to the lacto-vegetarian dietary pattern was protectively associated with depression in women (OR=0·65; 95 % CI 0·46, 0·91). Normal-weight participants in the top quintile of this dietary pattern tended to have decreased odds of anxiety compared with those in the bottom quintile (OR=0·61; 95 % CI 0·38, 1·00). In addition, the traditional dietary pattern was associated with increased odds of depression (OR=1·42; 95 % CI 1·01, 1·99) and anxiety (OR=1·56; 95 % CI 1·00, 2·42) in women. Normal-weight participants in the highest quintile of the traditional dietary pattern had greater odds for anxiety (OR=1·89; 95 % CI 1·12, 3·08) compared with those in the lowest quintile. The Western dietary pattern was associated with increased odds of depression in men (OR=1·73; 95 % CI 1·07, 2·81) and anxiety in normal-weight participants (OR=2·05; 95 % CI 1·22, 3·46). There was a significant increasing trend in the odds of psychological distress across increasing quintiles of the fast food dietary pattern in women (P-trend=0·02).ConclusionsRecommendation to increase the intake of fruits, citrus fruits, vegetables, tomato and low-fat dairy products and to reduce the intakes of snacks, high-fat dairy products, chocolate, carbonated drinks, sweets and desserts might be associated with lower chance of psychological disorders.

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Public Health Nutrition

Tập 19 Số 2

204-217

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