Dietary Treatment Options for Depression among Diabetic Patient, Focusing on Macronutrients

Haghighatdoost, Fahimeh; Azadbakht, Leila

doi:10.1155/2013/421832

Cited by 6 publications

(5 citation statements)

References 114 publications

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“…18 Dietary recommendations for depression are the same for chronic NCDs. 19 Personal counselling sessions and medications to manage depression (if required) could improve PA levels in these diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

The magnitude, determinants and barriers for physical activities among diabetic patients in Qassim area of Saudi Arabia

Aldukhayel

2018

Int J Adv Med

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Background:To review the level of physical activity (PA) among adult diabetics and barriers to PA in this population. Methods: This survey was performed in 2017 and enrolled adult diabetics from primary health center of the National Guard in Qassim, Saudi Arabia. International Physical activity questionnaire was used to grade the level of PA. The three intensities of PA (walking, moderate and vigorous exercise), and number of days per week and hours per day were queried for each participant. Metabolic equivalent (MET), a proxy indicator of PA was calculated. Data were analyzed for associations to demographic and diabetes-related factors. Participants were queried on barriers to PA such as time, space, high cost, physical disability, preoccupation with other priorities and languor. Results: We interviewed 395 diabetic patients. The low and moderate levels of PA were noted for 320 (81%) and 75 (19%) participants respectively. None had a high level of PA. Gender (P=0.4), age (P=0.45), body mass index (P=0.66) were not associated to PA. Joint problems (43%), languor (35.2%) and family time (33.9%) were the main barriers that lowered PA. Conclusions: There was a low level of PA among diabetics in Qassim. Barriers to PA should be proactively addressed during patient counseling to improve PA in this population. Counseling direct towards increasing PA may mitigate the physically disabling complications of cardiovascular events among diabetics.Cite this article as: Aldukhayel A. The magnitude, determinants and barriers for physical activities among diabetic patients in Qassim area of Saudi Arabia. Int J Adv Med 2018;5:482-6.

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Section: Discussionmentioning

confidence: 99%

The magnitude, determinants and barriers for physical activities among diabetic patients in Qassim area of Saudi Arabia

Aldukhayel

2018

Int J Adv Med

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“…Many unpredictable effects such as changes in nutritional behaviour over time, which are difficult to control for, bias results even in carefully designed studies [ 25 ]. The nutritional effect of carbohydrates and protein on mood has been discussed for some time [ 26 - 28 ]. A high-fat diet is supposed to have a protective effect on chronic stress exposure in mice [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Placebo-controlled dietary intervention of stress-induced neurovegetative disorders with a specific amino acid composition: a pilot-study

Chaborski

Bitterlich²,

Alteheld

et al. 2015

Nutr J

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BackgroundPsychosocial stress leads to altered neuroendocrine functions, such as serotonergic dysfunction, as well as alterations of the autonomic nervous system and the hypothalamic-pituitary-adrenal (HPA)-axis activity resulting in an imbalance between inhibitory and excitatory neurotransmitters. Poor dietary intake of L-tryptophan as a precursor of serotonin increases sensitivity to stress.MethodsThis randomized, double-blind, placebo-controlled study investigated the effect of a specific amino acid composition with micronutrients on neurovegetative disorders and the cardiometabolic risk profile in psychosocially stressed patients. 32 patients (18–65 years) were eligible for protocol analysis. Points in the Psychological Neurological Questionnaire (PNF), clinical and blood parameter, in particular the serotonin level, salivary cortisol levels, and dietary intake were evaluated at baseline and 12 weeks after supplementation.ResultsThe intervention in the form of either verum or placebo resulted in both groups in a significant decrease of neurovegetative symptoms. However, patients of the placebo group achieved significantly less points in the PNF compared to the verum group. But the rate of responders (≥10 points loss in PNF) was not significantly different between the groups. The macronutrient intake did not differ between verum and placebo group. On average, the HPA-axis was not disturbed in both groups. Blood serotonin indicated in both groups no significant correlation with dietary tryptophan intake or PNF.ConclusionsDaily supplementation of a specific amino acid composition with micronutrients in psychologically stressed patients resulted in no improvement of neurovegetative disorders as measured by the PNF when compared to the placebo group.Trial registrationClinical Trials.gov (NCT01425983)Electronic supplementary materialThe online version of this article (doi:10.1186/s12937-015-0030-3) contains supplementary material, which is available to authorized users.

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“…The changes described may be related to increased intake of omega-3 unsaturated fatty acids and possibly also by mediating levels of brainderived neurotrophic factor (BDNF), a neurotrophin implicated in depressive disorder. Patients with pre-existing metabolic and cardiovascular comorbidities have been shown to have inverse relationships with depressive symptoms and adherence to a Mediterranean diet that correlate with increases in serum BDNF [19,20]. While the sample sizes in these studies are small, it is reasonable to recommend consumption of a Mediterranean diet as an adjunct treatment for depressive symptoms and general mood disorders.…”

Section: Mediterranean Dietmentioning

confidence: 99%

“…Patients with depression showed changes in white matter integrity after six weeks of high-dose supplementation with omega-3 fatty acids [26], and one meta-analysis demonstrated inverse associations between depressive symptoms and omega-3 fatty acid intake in patients with diabetes [20]. A small RCT in elderly patients demonstrated improved geriatric depression scale scores (GDS) in patients with depression and cognitive decline after supplementation with omega-3 fatty acids [27], and several studies on patients with either major depressive disorder or depressive symptoms have suggested an association between omega-3 fatty acid supplementation and clinical improvement in depressive symptoms.…”

Section: Omega-3 Fatty Acidsmentioning

confidence: 99%

Gut Health = Mental Health? The Impact of Diet and Dietary Supplements on Mood Disorders

2020

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Purpose of Review Depression and mood disorders impact a significant number of our population. The purpose of this review was to investigate the current literature on dietary strategies or supplements that may impact mood and cognition. Recent Findings Several recent studies and reviews have found that promoting a "healthy" diet may help improve depressive symptoms, and that such interventions are cost-effective. Other reviews have found that there may be some benefit to multiple dietary interventions/supplementations on a variety of mood disorders. Summary While these studies offer a safe, cost-effective option, the quality of evidence is poor. Regardless, promoting a healthy diet including healthy fats, whole grains, and a variety of fruits and vegetables promotes not only mental health, but also a variety of other chronic conditions. Thus, while not ready as standalone therapy, dietary counseling/intervention should be included as we address mental health concerns of our patients.

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Dietary Treatment Options for Depression among Diabetic Patient, Focusing on Macronutrients

Cited by 6 publications

References 114 publications

The magnitude, determinants and barriers for physical activities among diabetic patients in Qassim area of Saudi Arabia

The magnitude, determinants and barriers for physical activities among diabetic patients in Qassim area of Saudi Arabia

Placebo-controlled dietary intervention of stress-induced neurovegetative disorders with a specific amino acid composition: a pilot-study

Gut Health = Mental Health? The Impact of Diet and Dietary Supplements on Mood Disorders

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