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  • a Shiraz University of Medical Sciences, Shiraz, Iran
  • | b Shiraz University of Medical Sciences, Razi Blvd., Shiraz, Iran
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In this study we investigated the relationship between dietary patterns and anxiety and stress in adults living in Shiraz, Iran. In a cross-sectional design, 416 subjects (180 men and 236 women) aged 20 to 50 years were selected by stratified multistage random sampling. Dietary intakes were assessed using a semi-quantitative food frequency questionnaire (FFQ). Mental health information was collected by depression, anxiety and stress scale (DASS) questionnaire. Three major dietary patterns were extracted by factor analysis: vegetable, Western, and Mediterraneantype dietary patterns. Regression analysis showed a strong positive association between Western dietary pattern and anxiety (β=0.66; 95% CI: 0.03, 1.28), and stress (β=0.84; 95% CI: 0.1, 1.57). Also, there was an inverse association between Mediterranean-type dietary pattern and anxiety (β= ‒0.81; 95% CI: ‒1.43, ‒0.19). These associations remained statistically significant even after adjustments for demographic characteristics, physical activity, smoking, body mass index, and energy intake. No association was found between vegetable dietary pattern and any of the assessed psychiatric disorders.

  • AGARWAL, U., MISHRA, S., XU, J., LEVIN, S., GONZALES, J. & BARNARD, N.D. (2014): A multicenter randomized controlled trial of a nutrition intervention program in a multiethnic adult population in the corporate setting reduces depression and anxiety and improves quality of life: The GEICO study. Am. J. Health Promot., 29, 245254.

    • Search Google Scholar
    • Export Citation
  • AINSWORTH, B.E., HASKELL, W.L., WHITT, M.C., IRWIN, M.L., SWARTZ, A.M., STRATH, S.J., BRIEN, W.L.O., BASSETT, D.R., SCHMITZ, K.H. & EMPLAINCOURT, P.O. (2000): Compendium of physical activities: An update of activity codes and met intensities. Med. Sci. Sport. Exer., 32, 498504.

    • Search Google Scholar
    • Export Citation
  • BAKHTIYARI, M., EHRAMPOUSH, E., ENAYATI, N., JOODI, G., SADR, S., DELPISHEH, A., ALIHAYDARI, J. & HOMAYOUNFAR, R. (2013): Anxiety as a consequence of modern dietary pattern in adults in Tehran, Iran. Eat. Behav., 14, 107112.

    • Search Google Scholar
    • Export Citation
  • BOUAYED, J. (2010): Polyphenols: A potential new strategy for the prevention and treatment of anxiety and depression. Curr. Nutr. Food Sci., 6, 1318.

    • Search Google Scholar
    • Export Citation
  • CHO, H.-J. & KHANG, Y.-H. (2010): Family affluence scale, other socioeconomic position indicators, and self-rated health among South Korean adolescents: Findings from the Korea youth risk behavior web-based survey (KYRBWS). J. Public Health, 18, 169178.

    • Search Google Scholar
    • Export Citation
  • DAVISON, K.M. & KAPLAN, B.J. (2012): Food intake and blood cholesterol levels of community-based adults with mood disorders. BMC Psychiatry, 12, 10.

    • Search Google Scholar
    • Export Citation
  • ESFAHANI, F.H., ASGHARI, G., MIRMIRAN, P. & AZIZI, F. (2009): Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran lipid and glucose study. J. Epidemiol., 20, 150158.

    • Search Google Scholar
    • Export Citation
  • ESMAILZADEH, A. & AZADBAKHT, L. (2008): Major dietary patterns in relation to general obesity and central adiposity among Iranian women. J. Nutr., 138, 358363.

    • Search Google Scholar
    • Export Citation
  • FUNG, T.T., HU, F.B., PEREIRA, M.A., LIU, S., STAMPFER, M.J., COLDITZ, G.A. & WILLETT, W.C. (2002): Whole-grain intake and the risk of type 2 diabetes: A prospective study in men. Am. J. Clin. Nutr., 76, 535540.

    • Search Google Scholar
    • Export Citation
  • GHAFFARPOUR, M., HOUSHIAR-RAD, A. & KIANFAR, H. (Eds) (1999): {bdThe manual for household measures, cooking yields factors and edible portion of foods}. (in Farsi) Keshavarzi press, Tehran, Iran

  • GHASSEMI, H., HARRISON, G. & MOHAMMAD, K. (2002): {itAn accelerated nutrition transition in Iran}. Public Health Nutr., 5, 149155.

  • JACKA, F.N., MYKLETUN, A., BERK, M., BJELLAND, I. & TELL, G.S. (2011): The association between habitual diet quality and the common mental disorders in community-dwelling adults: The Hordaland health study. Psychosom. Med., 73, 483490.

    • Search Google Scholar
    • Export Citation
  • JACKA, F.N., PASCO, J.A., MYKLETUN, A., WILLIAMS, L.J., HODGE, A.M., O’REILLY, S.L., NICHOLSON, G.C., KOTOWICZ, M.A. & BERK, M. (2010): Association of Western and traditional diets with depression and anxiety in women. Am. J. Psychiatry, 167, 305311.

    • Search Google Scholar
    • Export Citation
  • JACKSON, J.S., TORRES, M., CALDWELL, C.H., NEIGHBORS, H.W., NESSE, R.M., TAYLOR, R.J., TRIERWEILER, S.J. & WILLIAMS, D.R. (2004): The national survey of American life: A study of racial, ethnic and cultural influences on mental disorders and mental health. Int. J. Method. Psych., 13, 196207.

    • Search Google Scholar
    • Export Citation
  • KATCHER, H. I., FERDOWSIAN, H.R., HOOVER, V.J., COHEN, J.L. & BARNARD, N.D. (2010): A worksite vegan nutrition program is well-accepted and improves health-related quality of life and work productivity. Ann. Nutr. Metab., 56, 245252.

    • Search Google Scholar
    • Export Citation
  • KESSLER, R.C., ANGERMEYER, M., ANTHONY, J.C., DE GRAAF, R., DEMYTTENAERE, K., GASQUET, I., DEGIROLAMO, G., GLUZMAN, S., GUREJE, O. & HARO, J.M. (2007): Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s world mental health survey initiative. World Psychiatry, 6, 168176.

    • Search Google Scholar
    • Export Citation
  • LIU, C., XIE, B., CHOU, C.-P., KOPROWSKI, C., ZHOU, D., PALMER, P., SUN, P., GUO, Q., DUAN, L. & SUN, X. (2007): Perceived stress, depression and food consumption frequency in the college students of China seven cities. Physiol. Behav., 92, 748754.

    • Search Google Scholar
    • Export Citation
  • LOVIBOND, S.H. & LOVIBOND, P.F. (1996): Manual for the depression anxiety stress scales. Psychology Foundation of Australia.Sydney. 42 pages.

    • Search Google Scholar
    • Export Citation
  • MCEWEN, B.S. (2004): Protection and damage from acute and chronic stress: Allostasis and allostatic overload and relevance to the pathophysiology of psychiatric disorders. Ann. NY Acad. Sci., 1032, 17.

    • Search Google Scholar
    • Export Citation
  • OLIVER, G. & WARDLE, J. (1999): Perceived effects of stress on food choice. Physiol. Behav., 66, 511515.

  • ORTOLANI, D., OYAMA, L., FERRARI, E., MELO, L. & SPADARI-BRATFISCH, R. (2011): Effects of comfort food on food intake, anxiety-like behavior and the stress response in rats. Physiol. Behav., 103, 487492.

    • Search Google Scholar
    • Export Citation
  • PURI, B.K., RICHARDSON, A.J., STOLL, A.L., MARANGELL, L. & SEVERUS, W.E. (2000): The effects of olive oil on omega-3 fatty acids and mood disorders. Arch. Gen. Psychiat., 57, 715.

    • Search Google Scholar
    • Export Citation
  • SAHEBI, A., ASGHARI, M.J. & SALARI, R. (2005): Validation of depression, anxiety and stress (DASS-21) for Iranian population. Iran. Psychol., 1, 5060.

    • Search Google Scholar
    • Export Citation
  • SARRIS, J., MOYLAN, S., CAMFIELD, D.A., PASE, M., MISCHOULON, D., BERK, M., JACKA, F. & SCHWEITZER, I. (2012): Complementary medicine, exercise, meditation, diet, and lifestyle modification for anxiety disorders: A review of current evidence. Evid. Based Compl. Alt., 2012, Article ID809653, 20 pages.

    • Search Google Scholar
    • Export Citation
  • SCOTT, K., BRUFFAERTS, R., TSANG, A., ORMEL, J., ALONSO, J., ANGERMEYER, M., BENJET, C., BROMET, E., GIROLAMO, D. & GRAAF, D.R. (2007): Depression–anxiety relationships with chronic physical conditions: Results from the World Mental Health Surveys. J. Affect. Disorders, 103, 113120.

    • Search Google Scholar
    • Export Citation
  • SHARIFI, V., AMIN-ESMAEILI, M., HAJEBI, A., MOTEVALIAN, A., RADGOODARZI, R., HEFAZI, M. & RAHIMI-MOVAGHAR, A. (2015): Twelve-month prevalence and correlates of psychiatric disorders in Iran: The Iranian Mental Health Survey, 2011. Arch. Iran. Med., 18, 7684.

    • Search Google Scholar
    • Export Citation
  • SLATTERY, M.L. (2010): Analysis of dietary patterns in epidemiological research. Appl. Physiol. Nutr. Me., 35, 207210.

  • TSAI, A.C., CHANG, T.-L. & CHI, S.-H. (2012): Frequent consumption of vegetables predicts lower risk of depression in older Taiwanese –results of a prospective population-based study. Public Health Nutr., 15, 10871092.

    • Search Google Scholar
    • Export Citation

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