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Diet Quality Indices Are Associated With Sleep and Mental Health Status Among Diabetic Women: A Cross-Sectional Study Publisher Pubmed



Daneshzad E1, 2 ; Mansordehghan M3 ; Larijani B4 ; Heshmati J5 ; Rouzitalab T6 ; Pizarro AB7 ; Azadbakht L2, 8
Authors
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Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  2. 2. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Exercise, Physiology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
  4. 4. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Songhor Healthcare Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  6. 6. Department of Biochemistry and Diet Therapy, Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  7. 7. Clinical Research Center, Fundacion Valle del Lili, Cali, Colombia
  8. 8. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Eating and Weight Disorders Published:2022


Abstract

Objective: Diabetes is a common chronic disease with many complications. Controlling these complexities may enhance the quality of life. This study was conducted to investigate the association between diet quality indices and sleep, stress, anxiety, and depression among diabetic women. Design: Cross-sectional study. Setting: A validated and reliable food frequency questionnaire was filled to assess the dietary intake and adherence to the diet quality indices. Pittsburgh Sleep Quality Index and 21 items Depression, Anxiety, and Stress Scale were used to assess the sleep and mental disorders, respectively. Participants: This study was conducted on 230 Tehrani women with type 2 diabetes. Results: Patients who were in the top tertile of diet quality index consumed less fat, saturated mono-and poly-unsaturated fatty acids, and sodium (P < 0.05). Participants who were in top tertile of diet quality indices consumed more fruits, and vegetables. Patients in the highest tertile of diet quality index-international had less risk of depression (OR: 0.17; 95% CI: 0.07; 0.41), anxiety (OR: 0.36; 95% CI: 0.16; 0.80), stress (OR: 0.09; 95% CI: 0.04; 0.21), and poor sleep (OR: 0.12; 95% CI: 0.04; 0.36). Patients in the highest tertile of healthy eating index-international had less risk of depression (OR: 0.06; 95% CI: 0.02; 0.21), anxiety (OR: 0.10; 95% CI: 0.04; 0.26), stress (OR: 0.11; 95% CI: 0.05; 0.26), and poor sleep (OR: 0.08; 95% CI: 0.03; 0.20). Conclusion: Patients with higher adherence to diet quality indices were likely less to have mental disorders or poor sleep. Level of evidence: Level V: based on descriptive studies (a Cross-sectional study). © 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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