Participation in gardening activity and its association with improved mental health among family caregivers of people with dementia in rural Uganda

Ainamani, Herbert E.; Bamwerinde, Wilson M.; Rukundo, Godfrey Zari; Tumwesigire, Sam; Kalibwani, Rebecca; Bikaitwaho, Evard M.; Tsai, Alexander C.

doi:10.1016/j.pmedr.2021.101412

Cited by 9 publications

(8 citation statements)

References 51 publications

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“…This was a quantitative cross-sectional study carried out in March and April 2022 among women aged 40 years and above with a history of pregnancy complications in districts of Kabale, Rubanda and Rukiga where the prevalence of dementia is presumed to be high [ 7 , 34 ]. This area has a high prevalence of people with Alzheimer’s disease, other related dementias [ 7 , 12 , 35 ] and high fertility rate [ 36 ]. We excluded women who were less than two years postpartum, the very ill, and those who were known to have been diagnosed with severe mental illness.…”

Section: Methodsmentioning

confidence: 99%

Cognitive impairment and the associated factors among women with a history of pregnancy complications in rural southwestern Uganda

Kihumuro,

Kellen,

Chun

et al. 2023

PLoS ONE

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Background Worldwide, there is a growing concern about the rising number of people with declining cognitive functioning. However, findings on this phenomenon are inconclusive. Our study aimed to assess the prevalence of cognitive impairment and the associated factors in women with a history of pregnancy complications in rural southwestern Uganda. Methods This was a cross-sectional study carried out among women above 40 years of age in the greater Kabale district of southwestern Uganda between March and April 2022. Study participants were identified using a consecutive sampling method. Predictor variables included pregnancy complications and other social demographic factors that were assessed by semi-structured interviews while cognitive functioning as an outcome variable was assessed by Montreal Cognitive Assessment (MoCA-B) tool. Data were analyzed using STATA at a 95% Confidence level. Logistic regression analyses were selected for statistical modelling while odds ratios were calculated to assess the strength of associations between the predictor and outcome variables. Results In total, 75% (212/280) of participants had some form of cognitive impairment, with 45% (123/280) falling into mild CI, 31% (86/280) moderate CI and 4% (10/280) severe CI. Twenty-three percent (68/280) of participants fell into category of normal cognitive functioning. Participants with >65 years of age had higher odds of developing cognitive impairment (OR = 2.94; 95%CI: 0.96–9.04, p = 0.06) than those with < 65 years of age. Protective factors to cognitive impairment include delivering from a health facility (OR = 0.31,95% CI:0.16–0.60, p = < .001), primary and post primary levels of education (OR = 0.05; 95% CI: 0.02–0.13, p<0.001, OR = 0.04; 95%CI: 0.02–0.23, p<0.001) respectively. Conclusion Results from this study show a high prevalence of cognitive impairment among women with a history of pregnancy complications in rural southwestern Uganda. Interventions geared toward preventing cognitive impairment among females with a history of pregnancy complications should be emphasized.

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Section: Methodsmentioning

confidence: 99%

Cognitive impairment and the associated factors among women with a history of pregnancy complications in rural southwestern Uganda

Kihumuro,

Kellen,

Chun

et al. 2023

PLoS ONE

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“…Other aspects, such as the mental health benefits of food production, empowerment, and the impacts of food environments on mental health have only begun to be explored in a more systematic way. For instance, gardening programs have offered benefits beyond food provision for caregivers of those with dementia in Uganda (41). Other evidence may be supported by similar causal mechanisms, providing a stronger theoretical framework for the links between the two.…”

Section: State Of Current Knowledge and Synergies In Researchmentioning

confidence: 99%

Global Mental Health and Nutrition: Moving Toward a Convergent Research Agenda

Sparling

Cheng

Deeney

et al. 2021

Front. Public Health

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Both malnutrition and poor mental health are leading sources of global mortality, disease, and disability. The fields of global food security and nutrition (FSN) and mental health have historically been seen as separate fields of research. Each have undergone substantial transformation, especially from clinical, primary care orientations to wider, sociopolitical approaches to achieve Sustainable Development Goals. In recent years, the trajectories of research on mental health and FSN are further evolving into an intersection of evidence. FSN impacts mental health through various pathways such as food insecurity and nutrients important for neurotransmission. Mental health drives FSN outcomes, for example through loss of motivation and caregiving capacities. They are also linked through a complex and interrelated set of determinants. However, the heterogeneity of the evidence base limits inferences about these important dynamics. Furthermore, interdisciplinary projects and programmes are gaining ground in methodology and impact, but further guidance in integration is much needed. An evidence-driven conceptual framework should inform hypothesis testing and programme implementation. The intersection of mental health and FSN can be an opportunity to invest holistically in advancing thinking in both fields.

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“…Given the significant role family caregivers play in the care of older-age persons with ADRD in Africa ( Ainamani et al., 2020b ; Kakongi et al., 2020 ; Kamoga et al., 2019 ; Mubangizi, Maling, Obua, & Tsai, 2020 ) and their high levels of symptoms depression and anxiety ( Ainamani et al., 2020a ; Ainamani et al., 2021 ), it is important to provide evidence on potentially modifiable factors that can reduce the mental health burden of depression and anxiety in this particular group of caregivers. Our study aimed to estimate the association between fruit and vegetable intake and symptoms of depression and anxiety in a sample of family caregivers of people with ADRD in a rural area of southwestern Uganda.…”

Section: Introductionmentioning

confidence: 99%

Fruit and vegetable intake and mental health among family caregivers of people with dementia in Uganda

Ainamani

Bamwerinde

Rukundo

et al. 2021

Mental Health & Prevention

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Consumption of fruits and vegetables is correlated with improved mental wellbeing. Although this growing body of research has been recognized by researchers and clinicians in high-income countries, fewer studies examining this relationship have been conducted in low- and middle-income settings. In this study, we sought to estimate the association between fruit and vegetable intake and symptoms of depression and anxiety. We conducted a cross-sectional study among 242 family caregivers of people with dementia in southwestern Uganda. Fruit and vegetable intake in the past week was measured with a food frequency questionnaire. Depression and anxiety were assessed using the depression and anxiety subscales of the 42-item Depression, Anxiety and Stress Scales. Multivariable regression models were used to estimate the associations between fruits and vegetable consumption and depression and anxiety, adjusting for caregiving burden and other potential confounders. Depression symptom severity was negatively associated with consumption of jackfruits (b =-4.68; 95% confidence interval [CI], -8.96 to -0.39), green leafy vegetables (b =-14.1; 95% CI, -18.0 to -10.1), root vegetables (b =-14.0; 95% CI, -19.5 to -8.63), and other vegetables (b =-14.8; 95% CI, -19.3 to -10.3), and frequent consumption of vegetables (b =-1.91; 95% CI, -3.77 to -0.04). Anxiety symptom severity was negatively associated with consumption of green leafy vegetables (b =-12.2; 95% CI, -16.0 to -8.46), root vegetables (b=-12.6; 95% CI, -17.5 to -7.58), and other vegetables (b =-12.7; 95% CI, -17.0 to -8.40), and frequent consumption of vegetables (b =-2.07; 95% CI, -3.84 to -0.29). Our results suggest that fruit and vegetable consumption is associated with reduced depression and anxiety symptoms.

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Participation in gardening activity and its association with improved mental health among family caregivers of people with dementia in rural Uganda

Abstract: Highlights Family caregivers of people living with dementia experience high levels of anxiety and stress. Participating in gardening is associated with lower symptoms of depression, anxiety and stress. These findings may provide insights into future gardening intervention trials.

Cited by 9 publications

References 51 publications

Cognitive impairment and the associated factors among women with a history of pregnancy complications in rural southwestern Uganda

Cognitive impairment and the associated factors among women with a history of pregnancy complications in rural southwestern Uganda

Global Mental Health and Nutrition: Moving Toward a Convergent Research Agenda

Fruit and vegetable intake and mental health among family caregivers of people with dementia in Uganda

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