Higher Dietary Inflammatory Index Scores Are Associated With Stress and Anxiety in Dormitory-Residing Female University Students in the United Arab Emirates

Attlee, Amita; Saravanan, Coumaravelou; Shivappa, Nitin; Wirth, Michael D.; Aljaberi, Mashael; Alkaabi, Reem; Bataineh, Malik; Hébert, James R.

doi:10.3389/fnut.2022.814409

Cited by 8 publications

(8 citation statements)

References 47 publications

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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

Solomou

Logue

Reilly

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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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

Solomou

Logue

Reilly

et al. 2022

Health Education Research

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“…Among older Irish adults at a mean age of 59, the positive association between E-DII tertiles and anxiety symptoms was significant in women as well (OR = 1.60, 95% CI = 1.15–2.24) [ 10 ]. Leveraging a 21-item Depression, Anxiety, and Stress Scale, an approximately 3-fold increased anxiety risk was observed among dormitory-residing female university students who were at the highest E-DII tertile [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…Diet may directly or indirectly influence anxiety development through several mechanisms, for which chronic inflammation serves as a common substrate, such as those involved in the production and metabolism of neurotransmitters and the microbiome-gut-brain axis (MGBA) [ 7 , 8 , 9 ]. To date, with the use of the dietary inflammatory index (DII ® ), several studies have evaluated the inflammatory potential of the diet in association with anxiety symptoms, generating inconsistent findings [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. All these studies have been cross-sectional or case-control in design, limiting inferences about causality, especially when the association between diet and mental disorders is complex and likely to be bidirectional [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Dietary Inflammatory Potential, Inflammation-Related Lifestyle Factors, and Incident Anxiety Disorders: A Prospective Cohort Study

Zheng,

Liu,

Zhao

et al. 2023

Nutrients

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It is unclear whether diet-associated inflammation is related to the development of anxiety disorders. We aimed to investigate the association between energy-adjusted dietary inflammatory index (E-DII) scores and the incidence of anxiety disorders, and explore the joint effects of E-DII scores with other inflammatory lifestyles in enhancing anxiety risk. In the UK Biobank Study of 96,679 participants, baseline E-DII scores were calculated from the average intake of at least two 24 h dietary recalls. Multivariable-adjusted Cox models were used to evaluate the associations between E-DII scores and the incidence of total anxiety disorders, and primary types and subtypes; additive and multiplicative interactions of a pro-inflammatory diet and seven inflammatory lifestyles were examined. After a median follow-up of 9.4 years, 2785 incident cases of anxiety disorders occurred. Consuming a pro-inflammatory diet was significantly associated with a higher risk of total anxiety disorders (HRQ4vsQ1 = 1.12, 95% CI = 1.00–1.25), and positive associations were consistently identified for primary types and subtypes of anxiety disorders, with HRs ranging from 1.08 to 1.52, and were present in women only. Both additive and multiplicative interactions of current smoking and a proinflammatory diet on total anxiety risk were identified. A proinflammatory diet was associated with a higher incidence of anxiety disorders, and current smoking may synergize with a proinflammatory diet to promote anxiety risk, particularly among women.

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“…Work has revealed that chronic stress, low-grade chronic inflammation and body composition are interrelated and potentially affected negatively by imbalanced dietary intakes in university students [ 12 ]. Furthermore, the inadequate/imbalance diet problem often observed in college students may be more exacerbated in those living in dormitories due to practical and logistical challenges in addition to stress [ 13 , 14 ]. Other reasons contributing, not exclusively though, to nutritional problems include inadequate education and low economic status.…”

Section: Introductionmentioning

confidence: 99%

The Risk of T2DM in College Women: The Predictive Power of Financial versus Residential Status in a Cross-Sectional Pilot Study in Turkey

Kristo

Pınarlı

Kelleher

et al. 2022

Behavioral Sciences

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Aim: This study aimed to investigate the relationships between dietary habits, income levels and type 2 diabetes mellitus (T2DM) risk in Turkish female university students who are living with their family or in the dormitory. Materials and Methods: This work was a cross-sectional pilot study conducted during December 2016–January 2017 in Istanbul Yeni Yuzyıl University. A survey was administered to 100 female students, 60 living with their family and 40 in dormitories. Income level was determined based on TURKSTAT 2015 percentiles. T2DM risk was determined using the Finnish Diabetes Association Type 2 Diabetes Risk Assessment Form (FINDRISC). Food frequency questionnaire and 24 h dietary recall results were analyzed by the diet analysis software Beslenme Bilgi Sistemi (BeBiS), specially developed for Turkey. Results: Results indicated inadequacies and imbalanced nutrition among female college students overall. Notably, there was a statistically significant higher diet quality for the students living with their families compared to those living in dormitories. Income level was consistently positively associated with better nutritional outcomes, while negatively associated with T2DM risk, but interestingly, only in the case of students living in the dormitory and not for those living with family. Conclusions: Our findings indicated that financial status, rather than living in the dormitory versus with family, is positively associated with increased T2DM risk as assessed via FINDRISC among Turkish female college students. This study’s results indicate a potential need for educational programs and nutritional support for students, particularly those living away from family.

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Higher Dietary Inflammatory Index Scores Are Associated With Stress and Anxiety in Dormitory-Residing Female University Students in the United Arab Emirates

Cited by 8 publications

References 47 publications

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

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

Dietary Inflammatory Potential, Inflammation-Related Lifestyle Factors, and Incident Anxiety Disorders: A Prospective Cohort Study

The Risk of T2DM in College Women: The Predictive Power of Financial versus Residential Status in a Cross-Sectional Pilot Study in Turkey

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