Adherence to the dietary approaches to stop hypertension (DASH) dietary pattern and mental health in Iranian university students

Faghih, Shiva; Babajafari, Siavash; Mirzaei, Afsaneh; Akhlaghi, Masoumeh

doi:10.1007/s00394-019-01961-2

Cited by 20 publications

(13 citation statements)

References 56 publications

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“…For instance, the results of a cross-sectional study on 3176 adults found an inverse association between greater adherence to the MIND diet and odds of depression and psychological distress, while similar to our findings, no significant association was reported between adherence to the MIND diet and odds of anxiety [ 42 ]. Faghih et al performed a cross-sectional study on 240 university students and concluded that subjects in the highest tertile of DASH score had lower means score for depression, anxiety and stress compared to those in the lowest tertile [ 43 ]. The results of another study on 580 adolescent girls revealed significant inverse association between greater adherence to the DASH diet and lower odds of depression, however, found no significant relationship between a DASH-style diet and aggression [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Adherence to the MIND dietary pattern and sleep quality, sleep related outcomes and mental health in male adults: a cross-sectional study

et al. 2022

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Background A large number of studies have investigated the association of the Mediterranean and DASH diets with psychological health as well as sleep related outcomes. However, only a few number of studies have examined the association of their newly proposed hybrid, Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) dietary pattern, with sleep quality and sleep related outcomes. Methods This cross-sectional study was conducted on 400 male health professions (mean age 38.67 years). Dietary information was collected using a validated 168-item semi-quantitative food frequency questionnaire. The MIND score was computed based on major dietary components emphasized or minimized in this pattern. The higher the MIND score of a subject, the greater his adherence to the MIND pattern. Mental health was evaluated using the 21-item depression, anxiety, and stress scale (DASS-21). Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. Sleep-related outcomes (day-time sleepiness and insomnia) were also evaluated using standard questionnaires Results No significant associations were found between adherence to the MIND diet score and odds of stress, anxiety and depression either in the crude or multivariable-adjusted models (P > 0.05). Nevertheless, participants with the greatest adherence to the MIND diet had lower odds of poor sleep quality (OR for T3 vs. T1: 0.56 (95% CI: 0.34, 0.92), P-trend = 0.023). The results remained significant after full adjustment for confounding variables (P-trend = 0.042). Participants in the highest tertile of MIND diet had a 42% lower odds of daytime sleepiness in the crude and multivariable-adjusted model (P-trend < 0.05). Although no significant association was observed between adherence to the MIND diet and severity of insomnia in the crude model (P-trend = 0.055), the multivariable-adjusted model showed that the highest adherence to the MIND diet was associated with lower odds of insomnia (OR for T3 vs. T1: 0.54 (95% CI: 0.31, 0.93), P-trend = 0.031). Conclusion While no significant associations were found between adherence to the MIND diet and stress, anxiety and depression, greater adherence to the MIND diet were associated with lower odds of poor sleep quality and sleep-related outcomes.

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Section: Discussionmentioning

confidence: 99%

Adherence to the MIND dietary pattern and sleep quality, sleep related outcomes and mental health in male adults: a cross-sectional study

et al. 2022

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“…The literature reviewed shows that many studies have been conducted on the association of various dietary patterns [ 13 , 14 ] or dietary scores (i.e., healthy eating index [ 15 , 16 ], Mediterranean diet [ 17 ], DASH diet [ 18 ], etc.) with the risk of mental disorders, although these studies have been done on migraine-free individuals.…”

Section: Introductionmentioning

confidence: 99%

Empirically derived dietary patterns and their association with mental health: a cross-sectional sample of Iranian migraine patients (2019–2020)

et al. 2022

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Objectives Based on a comprehensive search, we realized that there is no previous study conducted among migraine patients to assess the association between major dietary patterns and mental health. Therefore, the present study aims to explore the relationship between empirically-derived dietary patterns and depression, anxiety, and stress in a sample of Iranian migraine patients. Methods A total of 262 migraine patients (20–50 years) were selected through simple random sampling method for this study. Dietary intake during the previous year was determined using a validated 168-item, semi-quantitative food frequency questionnaire (FFQ), and major dietary patterns were derived using principal component analysis (PCA). For mental health evaluation, authors used the Depression, Anxiety, and Stress Scales (DASS- 21) questionnaire. Statistical analysis included multinomial logistic regression analysis and results were expressed as odds ratio (OR) with a 95% confidence interval (CI). Results We identified three major dietary patterns including “traditional”, “western”, and “healthy”. After controlling for potential confounders, those in the highest tertile of the healthy dietary pattern had lower odds of depression (OR = 0.44, 95% CI: 0.22, 0.88; P for trend: 0.030) and stress (OR = 0.50, 95% CI: 0.25, 0.99; P for trend: 0.049). However, no significant association was observed between western and traditional dietary patterns and mental disorders. Conclusions In summary, significant associations were documented between healthy dietary patterns and risk of depression and stress. Current findings urge migraine patients to increase their intakes of fruits, vegetables, eggs, whole grains, nuts and seeds, meat, and poultry and reduce the intake of fast foods and snacks, processed meat, fish, cola drink, condiments, dairy, and vegetable pickles to diminish the chance of depression and stress.

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“…Nine studies examined the influence of diet quality on anxiety, of which eight found significant associations. Of these studies, four used a diet quality measure and all found a negative association of diet quality with anxiety [ 46 , 49 , 64 , 65 ]. Studies using questionnaires also showed that unhealthy diet was positively associated with anxiety [ 57 , 58 , 60 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the association of diet quality with the mental health of university students: implications in health education practice

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et al. 2022

Health Education Research

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University students are at risk of experiencing mental health problems during the transition from home to university. This transition can also adversely affect their diet quality. This review aims to examine bidirectional associations from observational studies regarding the influence of diet quality on the mental health of university students, and vice versa. The databases PubMed, CINAHL, EMBASE, PsycINFO, The Cochrane Library and Web of Science were searched using relevant search terms. The searches were last updated on 15 July 2022. Majority of studies (36 out of 45) found that good diet quality of students was associated with better mental health in terms of depression, anxiety, stress and overall general mental well-being. Moreover, majority of studies (19 out of 23) found that stress and anxiety of students were associated with poorer diet quality. The effect sizes observed were generally small–moderate. Healthy diets of students have been associated with better mental health in terms of depression, anxiety, stress or other mental health issues. Stress experienced by university students has been associated with unhealthy diets. There are implications for health education research, as interventions to improve diet quality at the university level could reduce mental health issues; additionally, interventions to support students under stress may lead to healthier dietary habits when living on campuses. Randomized controlled trials and intervention studies are needed to further investigate these implications.

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Adherence to the dietary approaches to stop hypertension (DASH) dietary pattern and mental health in Iranian university students

Cited by 20 publications

References 56 publications

Adherence to the MIND dietary pattern and sleep quality, sleep related outcomes and mental health in male adults: a cross-sectional study

Adherence to the MIND dietary pattern and sleep quality, sleep related outcomes and mental health in male adults: a cross-sectional study

Empirically derived dietary patterns and their association with mental health: a cross-sectional sample of Iranian migraine patients (2019–2020)

A systematic review of the association of diet quality with the mental health of university students: implications in health education practice

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