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:: Volume 23, Issue 2 (7-2021) ::
J Gorgan Univ Med Sci 2021, 23(2): 58-66 Back to browse issues page
Relationship between dietary energy density and indices of mental health in overweight and obese women
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
Abstract:   (1804 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.

Keywords: Mental Health [MeSH], Mood Disorders [MeSH], Obesity [MeSH]
Article ID: Vol23-27
Full-Text [PDF 1148 kb]   (9499 Downloads)    
Type of Study: Original Articles | Subject: Nutrition
1. Sadegh Tabrizi J, Sadeghi-Bazargani H, Farahbakhsh M, Nikniaz L, Nikniaz Z. Prevalence and Associated Factors of Overweight or Obesity and Abdominal Obesity in Iranian Population: A Population-based Study of Northwestern Iran. Iran J Public Health. 2018 Oct; 47(10): 1583-92. [PubMed]
2. Kulsoom B, Afsar NA. Stress, anxiety, and depression among medical students in a multiethnic setting. Neuropsychiatr Dis Treat. 2015 Jul; 11: 1713-22. DOI: 10.2147/NDT.S83577 [DOI] [PubMed]
3. Taylor DJ, Lichstein KL, Durrence HH, Reidel BW, Bush AJ. Epidemiology of insomnia, depression, and anxiety. Sleep. 2005 Nov; 28(11): 1457-64. DOI: 10.1093/sleep/28.11.1457 [DOI] [PubMed]
4. Strine TW, Mokdad AH, Balluz LS, Berry JT, Gonzalez O. Impact of depression and anxiety on quality of life, health behaviors, and asthma control among adults in the United States with asthma, 2006. J Asthma. 2008 Mar; 45(2): 123-33. DOI: 10.1080/02770900701840238 [DOI] [PubMed]
5. Apolzan JW, Bray GA, Hamilton MT, Zderic TW, Han H, Champagne CM, et al. Short-term overeating results in incomplete energy intake compensation regardless of energy density or macronutrient composition. Obesity (Silver Spring). 2014 Jan; 22(1): 119-30. DOI: 10.1002/oby.20587 [DOI] [PubMed]
6. Rouhani MH, Haghighatdoost F, Surkan PJ, Azadbakht L. Associations between dietary energy density and obesity: A systematic review and meta-analysis of observational studies. Nutrition. 2016 Oct; 32(10): 1037-47. DOI: 10.1016/j.nut.2016.03.017 [DOI] [PubMed]
7. Aburto TC, Cantoral A, Hernández-Barrera L, Carriquiry AL, Rivera JA. Usual Dietary Energy Density Distribution Is Positively Associated with Excess Body Weight in Mexican Children. J Nutr. 2015 Jul; 145(7): 1524-30. DOI: 10.3945/jn.114.206359 [DOI] [PubMed]
8. Piernas C, Popkin BM. Increased portion sizes from energy-dense foods affect total energy intake at eating occasions in US children and adolescents: patterns and trends by age group and sociodemographic characteristics, 1977-2006. Am J Clin Nutr. 2011 Nov; 94(5): 1324-32. DOI: 10.3945/ajcn.110.008466 [DOI] [PubMed]
9. McNaughton SA, Wattanapenpaiboon N, Wark JD, Nowson CA. An energy-dense, nutrient-poor dietary pattern is inversely associated with bone health in women. J Nutr. 2011 Aug; 141(8): 1516-23. DOI: 10.3945/jn.111.138271 [DOI] [PubMed]
10. Cedillo YE, Garr-Barry V, Maciel B, Fernández JR. Dietary Energy-Density and Adiposity Markers Among a Cohort of Multi-ethnic Children. Matern Child Health J. 2019 Nov; 23(11): 1536-46. DOI: 10.1007/s10995-019-02793-6 [DOI] [PubMed]
11. Marshall NS, Glozier N, Grunstein RR. Is sleep duration related to obesity? A critical review of the epidemiological evidence. Sleep Med Rev. 2008 Aug; 12(4): 289-98. DOI: 10.1016/j.smrv.2008.03.001 [DOI] [PubMed]
12. Dimov S, Mundy LK, Bayer JK, Jacka FN, Canterford L, Patton GC. Diet quality and mental health problems in late childhood. Nutr Neurosci. 2021 Jan; 24(1): 62-70. DOI: 10.1080/1028415X.2019.1592288 [DOI] [PubMed]
13. Stelmach-Mardas M, Iqbal K, Mardas M, Schwingshackl L, Walkowiak J, Tower RJ, et al. Synchronic inverse seasonal rhythmus of energy density of food intake and sleep quality: a contribution to chrono-nutrition from a Polish adult population. Eur J Clin Nutr. 2017 Jun; 71(6): 718-22. DOI: 10.1038/ejcn.2016.229 [DOI] [PubMed]
14. Dashti HS, Scheer FA, Jacques PF, Lamon-Fava S, Ordovás JM. Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Adv Nutr. 2015 Nov; 6(6): 648-59. DOI: 10.3945/an.115.008623 [DOI] [PubMed]
15. Weiss A, Xu F, Storfer-Isser A, Thomas A, Ievers-Landis CE, Redline S. The association of sleep duration with adolescents' fat and carbohydrate consumption. Sleep. 2010 Sep; 33(9): 1201-9. DOI: 10.1093/sleep/33.9.1201 [DOI] [PubMed]
16. Mohseni R, Mohseni F, Alizadeh S, Abbasi S. The Association of Dietary Approaches to Stop Hypertension (DASH) Diet with the Risk of Colorectal Cancer: A Meta-Analysis of Observational Studies. Nutr Cancer. 2020; 72(5): 778-90. DOI: 10.1080/01635581.2019.1651880 [DOI] [PubMed]
17. Alizadeh S, Shab-Bidar S, Mohtavinejad N, Djafarian K. A posteriori dietary patterns and risk of pancreatic and renal cancers: A systematic review and meta-analysis. Nutrition & Food Science. 2017; 47(6): 839-68. DOI: 10.1108/NFS-03-2017-0053 [Article] [DOI]
18. Ledikwe JH, Blanck HM, Kettel Khan L, Serdula MK, Seymour JD, Tohill BC, et al. Dietary energy density determined by eight calculation methods in a nationally representative United States population. J Nutr. 2005 Feb; 135(2): 273-78. DOI: 10.1093/jn/135.2.273 [DOI] [PubMed]
19. Alizadeh S, Mirzaei K, Mohammadi C, Keshavarz SA, Maghbooli Z. Circulating omentin-1 might be associated with metabolic health status in different phenotypes of body size. Arch Endocrinol Metab. 2017 Dec; 61(6): 567-74. DOI: 10.1590/2359-3997000000269 [DOI] [PubMed]
20. Heath G, Dorrian J, Coates A. Associations between shift type, sleep, mood, and diet in a group of shift working nurses. Scand J Work Environ Health. 2019 Jul; 45(4): 402-12. DOI: 10.5271/sjweh.3803 [DOI] [PubMed]
21. Torres SJ, Nowson CA. Relationship between stress, eating behavior, and obesity. Nutrition. Nov-Dec 2007; 23(11-12): 887-94. DOI: 10.1016/j.nut.2007.08.008 [DOI] [PubMed]
22. Oliver G, Wardle J, Gibson EL. Stress and food choice: a laboratory study. Psychosom Med. 2000 Nov-Dec; 62(6): 853-65. DOI: 10.1097/00006842-200011000-00016 [DOI] [PubMed]
23. Mikolajczyk RT,El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J. 2009 Jul; 8: 31. DOI: 10.1186/1475-2891-8-31 [DOI] [PubMed]
24. Ng DM, Jeffery RW. Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychol. 2003 Nov; 22(6): 638-42. DOI: 10.1037/0278-6133.22.6.638 [DOI] [PubMed]
25. O'Connor DB, Jones F, Conner M, McMillan B, Ferguson E. Effects of daily hassles and eating style on eating behavior. Health Psychol. 2008 Jan; 27(1S): S20-31. DOI: 10.1037/0278-6133.27.1.S20 [DOI] [PubMed]
26. Singh A, Trumpff C, Genkinger J, Davis A, Spann M, Werner E, et al. Micronutrient Dietary Intake in Latina Pregnant Adolescents and Its Association with Level of Depression, Stress, and Social Support. Nutrients. 2017 Nov; 9(11): 1212. DOI: 10.3390/nu9111212 [DOI] [PubMed]
27. Widaman AM, Witbracht MG, Forester SM, Laugero KD, Keim NL. Chronic Stress Is Associated with Indicators of Diet Quality in Habitual Breakfast Skippers. J Acad Nutr Diet. 2016 Nov; 116(11): 1776-84. DOI: 10.1016/j.jand.2016.03.016 [DOI] [PubMed]
28. Takeda E, Terao J, Nakaya Y, Miyamoto KI, Baba Y, Chuman H, et al. Stress control and human nutrition. J Med Invest. 2004 Aug; 51(3-4): 139-45. DOI: 10.2152/jmi.51.139 [DOI] [PubMed]
29. Prentice AM, Jebb SA. Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev. 2003 Nov; 4(4): 187-94. DOI: 10.1046/j.1467-789x.2003.00117.x [DOI] [PubMed]
30. Tseng M, Fang CY. Stress is associated with unfavorable patterns of dietary intake among female chinese immigrants. Ann Behav Med. 2011 Jun; 41(3): 324-32. DOI: 10.1007/s12160-010-9259-4 [DOI] [PubMed]
31. Vermeulen E, Stronks K, Snijder MB, Schene AH, Lok A, de Vries JH, et al. A combined high-sugar and high-saturated-fat dietary pattern is associated with more depressive symptoms in a multi-ethnic population: the HELIUS (Healthy Life in an Urban Setting) study. Public Health Nutr. 2017 Sep; 20(13): 2374-82. DOI: 10.1017/S1368980017001550 [DOI] [PubMed]
32. Chocano-Bedoya PO, O'Reilly EJ, Lucas M, Mirzaei F, Okereke OI, Fung TT, et al. Prospective study on long-term dietary patterns and incident depression in middle-aged and older women. Am J Clin Nutr. 2013 Sep; 98(3): 813-20. DOI: 10.3945/ajcn.112.052761 [DOI] [PubMed]
33. Grossniklaus DA, Dunbar SB, Tohill BC, Gary R, Higgins MK, Frediani J. Psychological factors are important correlates of dietary pattern in overweight adults. J Cardiovasc Nurs. 2010 Nov-Dec; 25(6): 450-60. DOI: 10.1097/JCN.0b013e3181d25433 [DOI] [PubMed]
34. Atlantis E, Lange K, Goldney RD, Martin S, Haren MT, Taylor A, et al. Specific medical conditions associated with clinically significant depressive symptoms in men. Soc Psychiatry Psychiatr Epidemiol. 2011 Dec; 46(12): 1303-12. DOI: 10.1007/s00127-010-0302-3 [DOI] [PubMed]
35. Masana MF, Tyrovolas S, Kolia N, Chrysohoou C, Skoumas J, Haro JM, et al. Dietary Patterns and Their Association with Anxiety Symptoms among Older Adults: The ATTICA Study. Nutrients. 2019 May; 11(6): 1250. DOI: 10.3390/nu11061250 [DOI] [PubMed]
36. Bakhtiyari M, Ehrampoush E, Enayati N, Joodi G, Sadr S, Delpisheh A, et al. Anxiety as a consequence of modern dietary pattern in adults in Tehran—Iran. Eat Behav. 2013 Apr; 14(2): 107-12. DOI: 10.1016/j.eatbeh.2012.12.007 [DOI] [PubMed]
37. Dutheil S, Ota KT, Wohleb ES, Rasmussen K, Duman RS. High-Fat Diet Induced Anxiety and Anhedonia: Impact on Brain Homeostasis and Inflammation. Neuropsychopharmacology. 2016 Jun; 41(7): 1874-87. DOI: 10.1038/npp.2015.357 [DOI] [PubMed]
38. Onvani S, Mortazavi Najafabadi M, Haghighatdoost F, Larijani B, Azadbakht L. Short sleep duration is related to kidney-related biomarkers, but not lipid profile and diet quality in diabetic nephropathy patients. Int J Vitam Nutr Res. 2018 Feb; 88(1-2): 39-49. DOI: 10.1024/0300-9831/a000392 [DOI] [PubMed]
39. Kjeldsen JS, Hjorth MF, Andersen R, Michaelsen KF, Tetens I, Astrup A, et al. Short sleep duration and large variability in sleep duration are independently associated with dietary risk factors for obesity in Danish school children. Int J Obes (Lond). 2014 Jan; 38(1): 32-39. DOI: 10.1038/ijo.2013.147 [DOI] [PubMed]
40. Haghighatdoost F, Karimi G, Esmaillzadeh A, Azadbakht L. Sleep deprivation is associated with lower diet quality indices and higher rate of general and central obesity among young female students in Iran. Nutrition. 2012 Nov-Dec; 28(11-12): 1146-50. DOI: 10.1016/j.nut.2012.04.015 [DOI] [PubMed]
41. Morselli LL, Guyon A, Spiegel K. Sleep and metabolic function. Pflugers Arch. 2012 Jan;463(1): 139-60. DOI: 10.1007/s00424-011-1053-z [DOI] [PubMed]
42. Shlisky JD, Hartman TJ, Kris-Etherton PM, Rogers CJ, Sharkey NA, Nickols-Richardson SM. Partial sleep deprivation and energy balance in adults: an emerging issue for consideration by dietetics practitioners. J Acad Nutr Diet. 2012 Nov; 112(11): 1785-97. DOI: 10.1016/j.jand.2012.07.032 [DOI] [PubMed]
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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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Volume 23, Issue 2 (7-2021) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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