Depression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study

Jalal Moludi,1– 3 Mehdi Moradinazar,1 Behrooz Hamzeh,1 Farid Najafi,4 Davood Soleimani,3 Yahya Pasdar1,3 1Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Clinical Research Development Center, Imam Reza Hospital...

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Autores principales: Moludi J, Moradinazar M, Hamzeh B, Najafi F, Soleimani D, Pasdar Y
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:ac78595206b04f7c95a116ded01acf4c2021-12-02T11:39:40ZDepression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study1178-2021https://doaj.org/article/ac78595206b04f7c95a116ded01acf4c2020-06-01T00:00:00Zhttps://www.dovepress.com/depression-relationship-with-dietary-patterns-and-dietary-inflammatory-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jalal Moludi,1– 3 Mehdi Moradinazar,1 Behrooz Hamzeh,1 Farid Najafi,4 Davood Soleimani,3 Yahya Pasdar1,3 1Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran; 3Department of Nutritional Sciences, School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran; 4Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, IranCorrespondence: Yahya PasdarDepartment of Nutritional Sciences,School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, IranTel +98-8338362008Email Yahya.pasdar@kums.ac.irBackground and aims: Chronic inflammation is thought to have a major role in the pathophysiology of depression. Diet has been shown to modulate the inflammatory state, thus emphasizing its potential as a therapeutic role in depression. But, little is known about the relationship between dietary intake and depression. The current study aimed to investigate the relationship between major dietary patterns, a dietary inflammatory index (DII) score, and depression among women.Methods and Materials: This cross-sectional study included 4630 women aged 35– 65 years using baseline data from the Ravansar Non-Communicable Diseases (RaNCD) cohort study in Western Iran. Diet was evaluated using a validated 125-item food frequency questionnaire (FFQ) to determine DII scores and dietary patterns. Traditional, healthy, and unhealthy dietary patterns were extracted using factor analyses.Results: A significant upward trend in the odds of depression was observed across the tertiles s of DII scores (P-trend: 0.019). After the adjustment for possible risk factors, a high adherence to an unhealthy dietary pattern was associated with a higher risk of depression than a low adherence (OR: 1.63; 95% CI: 1.1– 2.4). A high adherence to a healthy dietary pattern was associated with the lower odds (OR: 0.61; 95% CI: 0.04– 0.92). Among the main food groups, a high intake of eggs and refined grains was associated with a higher risk of depression.Conclusion: In women, a refined grain dietary pattern is a risk factor for depression, whereas a healthy dietary pattern is protective. We have also shown that adherence to a pro-inflammatory diet was significantly associated with depression. Adherence to a dietary pattern with high intakes of dairy products, seafood, red meats, nuts, vegetables, fruits, flavor, and vegetable oils and diets with low inflammatory properties were associated with a lower risk of depression in women.Keywords: depression, food group, dietary pattern, dietary inflammatory indexMoludi JMoradinazar MHamzeh BNajafi FSoleimani DPasdar YDove Medical Pressarticledepressionfood groupdietary patterndietary inflammatory indexNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 1595-1603 (2020)
institution DOAJ
collection DOAJ
language EN
topic depression
food group
dietary pattern
dietary inflammatory index
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle depression
food group
dietary pattern
dietary inflammatory index
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Moludi J
Moradinazar M
Hamzeh B
Najafi F
Soleimani D
Pasdar Y
Depression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study
description Jalal Moludi,1– 3 Mehdi Moradinazar,1 Behrooz Hamzeh,1 Farid Najafi,4 Davood Soleimani,3 Yahya Pasdar1,3 1Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran; 3Department of Nutritional Sciences, School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran; 4Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, IranCorrespondence: Yahya PasdarDepartment of Nutritional Sciences,School of Nutritional Sciences and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, IranTel +98-8338362008Email Yahya.pasdar@kums.ac.irBackground and aims: Chronic inflammation is thought to have a major role in the pathophysiology of depression. Diet has been shown to modulate the inflammatory state, thus emphasizing its potential as a therapeutic role in depression. But, little is known about the relationship between dietary intake and depression. The current study aimed to investigate the relationship between major dietary patterns, a dietary inflammatory index (DII) score, and depression among women.Methods and Materials: This cross-sectional study included 4630 women aged 35– 65 years using baseline data from the Ravansar Non-Communicable Diseases (RaNCD) cohort study in Western Iran. Diet was evaluated using a validated 125-item food frequency questionnaire (FFQ) to determine DII scores and dietary patterns. Traditional, healthy, and unhealthy dietary patterns were extracted using factor analyses.Results: A significant upward trend in the odds of depression was observed across the tertiles s of DII scores (P-trend: 0.019). After the adjustment for possible risk factors, a high adherence to an unhealthy dietary pattern was associated with a higher risk of depression than a low adherence (OR: 1.63; 95% CI: 1.1– 2.4). A high adherence to a healthy dietary pattern was associated with the lower odds (OR: 0.61; 95% CI: 0.04– 0.92). Among the main food groups, a high intake of eggs and refined grains was associated with a higher risk of depression.Conclusion: In women, a refined grain dietary pattern is a risk factor for depression, whereas a healthy dietary pattern is protective. We have also shown that adherence to a pro-inflammatory diet was significantly associated with depression. Adherence to a dietary pattern with high intakes of dairy products, seafood, red meats, nuts, vegetables, fruits, flavor, and vegetable oils and diets with low inflammatory properties were associated with a lower risk of depression in women.Keywords: depression, food group, dietary pattern, dietary inflammatory index
format article
author Moludi J
Moradinazar M
Hamzeh B
Najafi F
Soleimani D
Pasdar Y
author_facet Moludi J
Moradinazar M
Hamzeh B
Najafi F
Soleimani D
Pasdar Y
author_sort Moludi J
title Depression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study
title_short Depression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study
title_full Depression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study
title_fullStr Depression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study
title_full_unstemmed Depression Relationship with Dietary Patterns and Dietary Inflammatory Index in Women: Result from Ravansar Cohort Study
title_sort depression relationship with dietary patterns and dietary inflammatory index in women: result from ravansar cohort study
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/ac78595206b04f7c95a116ded01acf4c
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AT hamzehb depressionrelationshipwithdietarypatternsanddietaryinflammatoryindexinwomenresultfromravansarcohortstudy
AT najafif depressionrelationshipwithdietarypatternsanddietaryinflammatoryindexinwomenresultfromravansarcohortstudy
AT soleimanid depressionrelationshipwithdietarypatternsanddietaryinflammatoryindexinwomenresultfromravansarcohortstudy
AT pasdary depressionrelationshipwithdietarypatternsanddietaryinflammatoryindexinwomenresultfromravansarcohortstudy
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