Adherence to the DASH diet in relation to psychological profile of Iranian adults
Introduction Although empirically derived dietary patterns have been examined in relation to depression, limited data are available linking theory-based dietary patterns and psychological health. Objective We aimed to investigate the association between adherence to DASH-style diet and psychological...
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Veröffentlicht in: | European journal of nutrition 2017-02, Vol.56 (1), p.309-320 |
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description | Introduction
Although empirically derived dietary patterns have been examined in relation to depression, limited data are available linking theory-based dietary patterns and psychological health.
Objective
We aimed to investigate the association between adherence to DASH-style diet and psychological health among Iranian adults.
Methods
This cross-sectional study was done among 3846 general public adults in Isfahan, Iran. Dietary assessment was conducted using a validated 106-item dish-based semiquantitative food frequency questionnaire. To investigate participants’ adherence to DASH-style diet, we created DASH score based on earlier publications focusing on eight components (fruits, vegetables, nuts and legumes, dairy products, grains, sweetened beverages and sweets, sodium, and red and processed meats). Participants were classified into three categories based on their DASH score [low (≤40), moderate (41–50), and high adherence (≥51)]. This categorization, instead of distribution-based classification, was used due to low adherence to the DASH dietary pattern in the study population. Psychological health was examined by means of validated Hospital Anxiety and Depression Scale and General Health Questionnaire. Depression, anxiety, and psychological distress were defined based on standard criteria.
Results
We found that moderate adherence to DASH-style diet was associated with lower odds of depression (OR 0.73; 95 % CI 0.59–0.90,
P
trend
= 0.63) compared with those with the lowest adherence. In our stratified analyses, these associations remained significant for women (0.70; 0.54–0.91) and for normal-weight participants (0.70; 0.52–0.92). Moreover, after controlling for potential confounders, an inverse association was observed between high adherence to DASH-style diet and anxiety in normal-weight participants (0.61; 0.37–0.98). Such associations were also seen between moderate adherence to DASH-eating style and anxiety in overweight or obese individuals (0.63; 0.42–0.95). We failed to find any significant association between consumption of DASH-style diet and psychological distress.
Conclusion
We found an inverse association between moderate adherence to DASH dietary pattern and depression. Further prospective studies are required to confirm these findings. |
doi_str_mv | 10.1007/s00394-015-1081-0 |
format | Article |
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Although empirically derived dietary patterns have been examined in relation to depression, limited data are available linking theory-based dietary patterns and psychological health.
Objective
We aimed to investigate the association between adherence to DASH-style diet and psychological health among Iranian adults.
Methods
This cross-sectional study was done among 3846 general public adults in Isfahan, Iran. Dietary assessment was conducted using a validated 106-item dish-based semiquantitative food frequency questionnaire. To investigate participants’ adherence to DASH-style diet, we created DASH score based on earlier publications focusing on eight components (fruits, vegetables, nuts and legumes, dairy products, grains, sweetened beverages and sweets, sodium, and red and processed meats). Participants were classified into three categories based on their DASH score [low (≤40), moderate (41–50), and high adherence (≥51)]. This categorization, instead of distribution-based classification, was used due to low adherence to the DASH dietary pattern in the study population. Psychological health was examined by means of validated Hospital Anxiety and Depression Scale and General Health Questionnaire. Depression, anxiety, and psychological distress were defined based on standard criteria.
Results
We found that moderate adherence to DASH-style diet was associated with lower odds of depression (OR 0.73; 95 % CI 0.59–0.90,
P
trend
= 0.63) compared with those with the lowest adherence. In our stratified analyses, these associations remained significant for women (0.70; 0.54–0.91) and for normal-weight participants (0.70; 0.52–0.92). Moreover, after controlling for potential confounders, an inverse association was observed between high adherence to DASH-style diet and anxiety in normal-weight participants (0.61; 0.37–0.98). Such associations were also seen between moderate adherence to DASH-eating style and anxiety in overweight or obese individuals (0.63; 0.42–0.95). We failed to find any significant association between consumption of DASH-style diet and psychological distress.
Conclusion
We found an inverse association between moderate adherence to DASH dietary pattern and depression. Further prospective studies are required to confirm these findings.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>EISSN: 1435-1293</identifier><identifier>DOI: 10.1007/s00394-015-1081-0</identifier><identifier>PMID: 26520851</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Body Mass Index ; Chemistry ; Chemistry and Materials Science ; Cross-Sectional Studies ; Dairy Products ; Depression - epidemiology ; Fabaceae ; Female ; Fruit ; Healthy Diet ; Humans ; Iran ; Logistic Models ; Male ; Meat Products ; Mental Health ; Multivariate Analysis ; Nutrition ; Nutrition Assessment ; Nuts ; Original Contribution ; Patient Compliance ; Prevalence ; Red Meat ; Socioeconomic Factors ; Surveys and Questionnaires ; Vegetables ; Waist Circumference ; Whole Grains</subject><ispartof>European journal of nutrition, 2017-02, Vol.56 (1), p.309-320</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>European Journal of Nutrition is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-cedf3bea520dffc659ff388d4968a3fd691322a33e2b358aa7cfdf9317f21b603</citedby><cites>FETCH-LOGICAL-c471t-cedf3bea520dffc659ff388d4968a3fd691322a33e2b358aa7cfdf9317f21b603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-015-1081-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-015-1081-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26520851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valipour, Ghazaleh</creatorcontrib><creatorcontrib>Esmaillzadeh, Ahmad</creatorcontrib><creatorcontrib>Azadbakht, Leila</creatorcontrib><creatorcontrib>Afshar, Hamid</creatorcontrib><creatorcontrib>Hassanzadeh, Ammar</creatorcontrib><creatorcontrib>Adibi, Peyman</creatorcontrib><title>Adherence to the DASH diet in relation to psychological profile of Iranian adults</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>Introduction
Although empirically derived dietary patterns have been examined in relation to depression, limited data are available linking theory-based dietary patterns and psychological health.
Objective
We aimed to investigate the association between adherence to DASH-style diet and psychological health among Iranian adults.
Methods
This cross-sectional study was done among 3846 general public adults in Isfahan, Iran. Dietary assessment was conducted using a validated 106-item dish-based semiquantitative food frequency questionnaire. To investigate participants’ adherence to DASH-style diet, we created DASH score based on earlier publications focusing on eight components (fruits, vegetables, nuts and legumes, dairy products, grains, sweetened beverages and sweets, sodium, and red and processed meats). Participants were classified into three categories based on their DASH score [low (≤40), moderate (41–50), and high adherence (≥51)]. This categorization, instead of distribution-based classification, was used due to low adherence to the DASH dietary pattern in the study population. Psychological health was examined by means of validated Hospital Anxiety and Depression Scale and General Health Questionnaire. Depression, anxiety, and psychological distress were defined based on standard criteria.
Results
We found that moderate adherence to DASH-style diet was associated with lower odds of depression (OR 0.73; 95 % CI 0.59–0.90,
P
trend
= 0.63) compared with those with the lowest adherence. In our stratified analyses, these associations remained significant for women (0.70; 0.54–0.91) and for normal-weight participants (0.70; 0.52–0.92). Moreover, after controlling for potential confounders, an inverse association was observed between high adherence to DASH-style diet and anxiety in normal-weight participants (0.61; 0.37–0.98). Such associations were also seen between moderate adherence to DASH-eating style and anxiety in overweight or obese individuals (0.63; 0.42–0.95). We failed to find any significant association between consumption of DASH-style diet and psychological distress.
Conclusion
We found an inverse association between moderate adherence to DASH dietary pattern and depression. Further prospective studies are required to confirm these findings.</description><subject>Adult</subject><subject>Body Mass Index</subject><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Cross-Sectional Studies</subject><subject>Dairy Products</subject><subject>Depression - epidemiology</subject><subject>Fabaceae</subject><subject>Female</subject><subject>Fruit</subject><subject>Healthy Diet</subject><subject>Humans</subject><subject>Iran</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Meat Products</subject><subject>Mental Health</subject><subject>Multivariate Analysis</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nuts</subject><subject>Original Contribution</subject><subject>Patient Compliance</subject><subject>Prevalence</subject><subject>Red Meat</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Vegetables</subject><subject>Waist Circumference</subject><subject>Whole Grains</subject><issn>1436-6207</issn><issn>1436-6215</issn><issn>1435-1293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1LxDAQhoMoKuoP8CIBL16q-dik6XHxGwQR9RzSZOJGus2atAf_vSmrIoLgKQnz5JkZXoQOKTmlhNRnmRDezCpCRUWJohXZQLt0xmUlGRWb33dS76CDnENLiBJEKFVvox0mBStPuose5m4BCXoLeIh4WAC-mD_eYBdgwKHHCTozhNhPxVV-t4vYxZdgTYdXKfrQAY4e3ybTB9Nj48ZuyPtoy5suw8HnuYeery6fzm-qu_vr2_P5XWVnNR0qC87zFkwZxHlvpWi850q5WSOV4d7JhnLGDOfAWi6UMbX1zjec1p7RVhK-h07W3jLJ2wh50MuQLXSd6SGOWVMlFSeSivofKJOyNFGT9fgX-hrH1JdFJqFgokwgCkXXlE0x5wRer1JYmvSuKdFTOnqdji7p6CkdPZmPPs1juwT3_eMriwKwNZBLqX-B9KP1n9YPW0iYWA</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Valipour, Ghazaleh</creator><creator>Esmaillzadeh, Ahmad</creator><creator>Azadbakht, Leila</creator><creator>Afshar, Hamid</creator><creator>Hassanzadeh, Ammar</creator><creator>Adibi, Peyman</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Adherence to the DASH diet in relation to psychological profile of Iranian adults</title><author>Valipour, Ghazaleh ; Esmaillzadeh, Ahmad ; Azadbakht, Leila ; Afshar, Hamid ; Hassanzadeh, Ammar ; Adibi, Peyman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-cedf3bea520dffc659ff388d4968a3fd691322a33e2b358aa7cfdf9317f21b603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Cross-Sectional Studies</topic><topic>Dairy Products</topic><topic>Depression - epidemiology</topic><topic>Fabaceae</topic><topic>Female</topic><topic>Fruit</topic><topic>Healthy Diet</topic><topic>Humans</topic><topic>Iran</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Meat Products</topic><topic>Mental Health</topic><topic>Multivariate Analysis</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nuts</topic><topic>Original Contribution</topic><topic>Patient Compliance</topic><topic>Prevalence</topic><topic>Red Meat</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Vegetables</topic><topic>Waist Circumference</topic><topic>Whole Grains</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valipour, Ghazaleh</creatorcontrib><creatorcontrib>Esmaillzadeh, Ahmad</creatorcontrib><creatorcontrib>Azadbakht, Leila</creatorcontrib><creatorcontrib>Afshar, Hamid</creatorcontrib><creatorcontrib>Hassanzadeh, Ammar</creatorcontrib><creatorcontrib>Adibi, Peyman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valipour, Ghazaleh</au><au>Esmaillzadeh, Ahmad</au><au>Azadbakht, Leila</au><au>Afshar, Hamid</au><au>Hassanzadeh, Ammar</au><au>Adibi, Peyman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to the DASH diet in relation to psychological profile of Iranian adults</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>56</volume><issue>1</issue><spage>309</spage><epage>320</epage><pages>309-320</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><eissn>1435-1293</eissn><abstract>Introduction
Although empirically derived dietary patterns have been examined in relation to depression, limited data are available linking theory-based dietary patterns and psychological health.
Objective
We aimed to investigate the association between adherence to DASH-style diet and psychological health among Iranian adults.
Methods
This cross-sectional study was done among 3846 general public adults in Isfahan, Iran. Dietary assessment was conducted using a validated 106-item dish-based semiquantitative food frequency questionnaire. To investigate participants’ adherence to DASH-style diet, we created DASH score based on earlier publications focusing on eight components (fruits, vegetables, nuts and legumes, dairy products, grains, sweetened beverages and sweets, sodium, and red and processed meats). Participants were classified into three categories based on their DASH score [low (≤40), moderate (41–50), and high adherence (≥51)]. This categorization, instead of distribution-based classification, was used due to low adherence to the DASH dietary pattern in the study population. Psychological health was examined by means of validated Hospital Anxiety and Depression Scale and General Health Questionnaire. Depression, anxiety, and psychological distress were defined based on standard criteria.
Results
We found that moderate adherence to DASH-style diet was associated with lower odds of depression (OR 0.73; 95 % CI 0.59–0.90,
P
trend
= 0.63) compared with those with the lowest adherence. In our stratified analyses, these associations remained significant for women (0.70; 0.54–0.91) and for normal-weight participants (0.70; 0.52–0.92). Moreover, after controlling for potential confounders, an inverse association was observed between high adherence to DASH-style diet and anxiety in normal-weight participants (0.61; 0.37–0.98). Such associations were also seen between moderate adherence to DASH-eating style and anxiety in overweight or obese individuals (0.63; 0.42–0.95). We failed to find any significant association between consumption of DASH-style diet and psychological distress.
Conclusion
We found an inverse association between moderate adherence to DASH dietary pattern and depression. Further prospective studies are required to confirm these findings.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26520851</pmid><doi>10.1007/s00394-015-1081-0</doi><tpages>12</tpages></addata></record> |
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subjects | Adult Body Mass Index Chemistry Chemistry and Materials Science Cross-Sectional Studies Dairy Products Depression - epidemiology Fabaceae Female Fruit Healthy Diet Humans Iran Logistic Models Male Meat Products Mental Health Multivariate Analysis Nutrition Nutrition Assessment Nuts Original Contribution Patient Compliance Prevalence Red Meat Socioeconomic Factors Surveys and Questionnaires Vegetables Waist Circumference Whole Grains |
title | Adherence to the DASH diet in relation to psychological profile of Iranian adults |
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