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The Association of Dietary Macronutrient Quality Indices With Depression and Anxiety Symptoms and Quality of Life in Iranian Adults: The Lipokap Study Publisher Pubmed



Hajihashemi P1 ; Haghighatdoost F2 ; Mohammadifard N3 ; Maghroun M4 ; Sajjadi F3 ; Najafi F5 ; Farshidi H6 ; Lotfizadeh M7 ; Solati K14 ; Kazemi T8 ; Karimi S3 ; Roohafza H9 ; Sabri M10 ; De Oliveira C11 Show All Authors
Authors
  1. Hajihashemi P1
  2. Haghighatdoost F2
  3. Mohammadifard N3
  4. Maghroun M4
  5. Sajjadi F3
  6. Najafi F5
  7. Farshidi H6
  8. Lotfizadeh M7
  9. Solati K14
  10. Kazemi T8
  11. Karimi S3
  12. Roohafza H9
  13. Sabri M10
  14. De Oliveira C11
  15. Silveira EA11, 12
  16. Sarrafzadegan N3, 13
Show Affiliations
Authors Affiliations
  1. 1. Isfahan Gastroenterology and Hepatology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Research Center for Environmental determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
  6. 6. Hormozgan Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandarabbas, Iran
  7. 7. Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
  8. 8. Birjand Cardiovascular Research Center, Birjand University of Medical Sciences, Birjand, Iran
  9. 9. Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  10. 10. Prdiatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  11. 11. Department of Epidemiology & Public Health, Institute of Epidemiology & Health Care, University College London, United Kingdom
  12. 12. Postgraduate Program in Health Sciences, Faculty of Medicine, Federal University of Goias, Brazil
  13. 13. Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, V6T 1Z3, BC, Canada
  14. 14. Department of Psychiatry, Shahrekord University of Medical Sciences, Shahrekord, Iran

Source: Journal of Affective Disorders Published:2022


Abstract

Background: Macronutrients' quality may impact differently on mental health and quality of life (QOL). This study aimed to investigate the potential relationship between the carbohydrate quality index (CQI), fat quality index (FQI), protein quality index (PQI), the affective mental symptoms and QOL among Iranian adults. Methods: The LipoKAP is a cross-sectional study, conducted with 2456 adults in Iran. A validated food frequency questionnaire was used to evaluate usual dietary intakes. A validated Iranian version of the Hospital Anxiety and Depression Scale was used to assess the severity of anxiety and depression. QOL was assessed by EQ-5D. Result: In the fully adjusted model, participants in the highest tertile of CQI had lower QOL than those in the lowest tertile (OR = 1.35; 95 % CI: 1.06, 1.73). Individuals in the top tertile of FQI (OR = 0.71; 95 % CI: 0.55, 0.91) and PQI (OR = 0.78; 95 % CI: 0.60; 1.01) were less likely to report lower QOL than those in the bottom tertile. An inverse association was found between PQI and depressive symptoms (OR = 0.72, 95 % CI: 0.55, 0.95), but not for CQI and FQI. Limitations: The cross-sectional design of the study and the use of a memory-based dietary tool may limit the generalizability of our findings. Conclusion: Higher PQI was associated with lower risk of depressive symptoms and having a low-quality life. Although CQI and FQI were not related to depressive and anxiety symptoms, higher values of FQI were associated with better QOL, while CQI showed an inverse association. © 2022 Elsevier B.V.
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