Relationship between dietary energy density and indices of mental health in overweight and obese women
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Niloofasadat Maddahi1 , Habib Yarizadeh2 , Atieh Mirzababaei3 , Leila Setayesh1 , Yasaman Nasir1 , Khadijeh Mirzaei * 4 |
1- Master of Science in Health Sciences in Nutrition, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. 2- Master of Science in Health Sciences in Nutrition, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. 3- Master of Science in Nutrition Sciences, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. 4- Associate Professor of Nutritional Sciences, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. , mirzaei_kh@tums.ac.ir |
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Abstract: (1973 Views) |
Background and Objective: Mood disorders such as depression, anxiety, stresses, and low sleep quality are common among overweight / obese people. Accumulating evidence support the role of diet quality in brain function and behavior. This study was done to determine the relationship between dietary energy density and indices of mental health in overweight and obese women.
Methods: This descriptive-analytical study was performed on 301 women, referring to Tehran health centers, with mean BMI 30.7±3.7 kg/m2 aged 18-56 years during 2017-18. Based on a semi-quantitative food frequency questionnaire, dietary energy density was calculated by dividing the total dietary energy intake from consumed food (kcal/d) by the total weight (g/d) of consumed foods (excluding beverages). Physical activity was measured using International Physical Activity Questionnaire (IPAQ). The questionnaire includes 7 items to assess the intensity of activities by the vigorous, medium, and light for at least 10 minutes during the last week. Mental health was assessed using the 21-question version of the Depression Anxiety Stress Scales (DASS-21) and the Pittsburgh Sleep Quality Index was applied for screening sleep quality. Weight, height, BMI, hip, and waist circumference were measured for all participants.
Results: Women in the highest quartile of dietary energy density had higher systolic and diastolic blood pressure but lower serum triglyceride (P<0.05), compared with subjects in the first quartile. Univariate (95% CI: 1.01-4.56, P=0.04, OR=2.15) and multivariate (95% CI: 1.13-5.79, P=0.02, OR=2.56) logistic regression analysis, adjusted for age, BMI, and physical activity, showed that dietary energy density was significantly related to increased risk of stress. No significant association was detected between dietary energy density with sleep quality, depression, and anxiety.
Conclusion: Dietary energy density was directly associated with the presence of stress, but not depression, anxiety and low sleep quality.
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Keywords: Mental Health [MeSH], Mood Disorders [MeSH], Obesity [MeSH] Article ID: Vol23-27 |
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Type of Study: Original Articles |
Subject:
Nutrition
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Maddahi N, Yarizadeh H, Mirzababaei A, Setayesh L, Nasir Y, Mirzaei K. Relationship between dietary energy density and indices of mental health in overweight and obese women. J Gorgan Univ Med Sci 2021; 23 (2) :58-66 URL: http://goums.ac.ir/journal/article-1-3803-en.html
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