Fruits and vegetables intake and its subgroups are related to depression: a cross-sectional study from a developing country

Baharzadeh, Elham; Siassi, Fereydoun; Qorbani, Mostafa; Koohdani, Fariba; Pak, Neda; Sotoudeh, Gity

doi:10.1186/s12991-018-0216-0

Cited by 21 publications

(27 citation statements)

References 46 publications

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“…The systematic review of the observational studies analyzing the association between the intake of fruit and vegetable and mental health in adults revealed the possible beneficial influence of the indicated products. This association was studied for various aspects of mental health, ranging from general and mental well-being [35,45,49,62,68,77,82,84,94], quality of life [36,39,42,43,47,55,70], sleep quality [55], life satisfaction [50,66,82], flourishing [50], mood [50,62,68,77,81], self-efficacy [56], curiosity [68], creativity [68], optimism [91,93], self-esteem [90], stress [40,48,67,71,73,80,89,92], nervousness [82], or happiness [52,59,65,82], to anxiety [35,…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the indicated effect was studied and stated not only for fresh fruits and vegetables but also for fruit and vegetable products, such as juices [37,39,40,48,49,51,52,54,56,60,61,65,70,72,82,83,88,92,94], dried [37,49,54,66], and canned fruits and vegetables [37,38,49,50,58,65,66], salads [39,40,44,49,52,54,58,61,62,[72][73][74]89,93,94], soups [39,40,62], or ketchup [39,79], and even fo...…”

Section: Discussionmentioning

confidence: 99%

“…Results suggest a potential beneficial role of high vegetable intake and consumption of more varied vegetables on HR-QoL. 3 [48] After adjustment for confounding variables, the participants in the lower quartiles of total fruit and vegetables, total vegetables, total fruits, citrus, other fruits and green leafy vegetables intake were more likely to experience depression compared to those in the higher quartiles (p < 0.03).…”

Section: [44]mentioning

confidence: 99%

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Fruit and Vegetable Intake and Mental Health in Adults: A Systematic Review

et al. 2020

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The role of a properly balanced diet in the prevention and treatment of mental disorders has been suggested, while vegetables and fruits have a high content of nutrients that may be of importance in the case of depressive disorders. The aim of the study was to conduct a systematic review of the observational studies analyzing association between fruit and vegetable intake and mental health in adults. The search adhered to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and the review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42019138148). A search for peer-reviewed observational studies published until June 2019 was performed in PubMed and Web of Science databases, followed by an additional manual search for publications conducted via analyzing the references of the found studies. With respect to the intake of fruit and/or vegetable, studies that assessed the intake of fruits and/or vegetables, or their processed products (e.g., juices), as a measure expressed in grams or as the number of portions were included. Those studies that assessed the general dietary patterns were not included in the present analysis. With respect to mental health, studies that assessed all the aspects of mental health in both healthy participants and subjects with physical health problems were included, but those conducted in groups of patients with intellectual disabilities, dementia, and eating disorders were excluded. To assess bias, the Newcastle–Ottawa Scale (NOS) was applied. A total of 5911 studies were independently extracted by 2 researchers and verified if they met the inclusion criteria using a 2-stage procedure (based on the title, based on the abstract). After reviewing the full text, a total of 61 studies were selected. A narrative synthesis of the findings from the included studies was performed, which was structured around the type of outcome. The studies included mainly focused on depression and depressive symptoms, but also other characteristics ranging from general and mental well-being, quality of life, sleep quality, life satisfaction, flourishing, mood, self-efficacy, curiosity, creativity, optimism, self-esteem, stress, nervousness, or happiness, to anxiety, minor psychiatric disorders, distress, or attempted suicide, were analyzed. The most prominent results indicated that high total intake of fruits and vegetables, and some of their specific subgroups including berries, citrus, and green leafy vegetables, may promote higher levels of optimism and self-efficacy, as well as reduce the level of psychological distress, ambiguity, and cancer fatalism, and protect against depressive symptoms. However, it must be indicated that the studies included were conducted using various methodologies and in different populations, so their results were not always sufficiently comparable, which is a limitation. Taken together, it can be concluded that fruits and/or vegetables, and some of their specific subgroups, as well as processed fruits and vegetables, seems to have a positive influence on mental health, as stated in the vast majority of the included studies. Therefore, the general recommendation to consume at least 5 portions of fruit and vegetables a day may be beneficial also for mental health.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: [44]mentioning

confidence: 99%

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Fruit and Vegetable Intake and Mental Health in Adults: A Systematic Review

et al. 2020

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“…In this population, the prevalence of DM was significantly higher among depressed persons compared with non-depressed ones [44]. In another study, Baharzadeh et al [2],…”

Section: Discussionmentioning

confidence: 52%

“…Depression is a common illness worldwide, with more than 340 million people of all ages suffering from depression [1]. Women are more affected by depression than men [2]. Depression is the leading cause of disability worldwide, and is a major contributor to the overall global burden of disease [3].…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns and Their Association with Depression among Type 2 Diabetes Patients in Gaza Strip, Palestine

Bilbeisi¹,

Srour²,

Afifi³

et al. 2019

FNS

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Background: Depression is a common mental disorder. Globally, more than 340 million people of all ages suffer from depression. The aim of our study was to determine the association between major dietary patterns and depression among type 2 diabetes patients. Methods: This cross-sectional study was conducted among 480 type 2 diabetes patients attending primary healthcare centers in Gaza Strip, Palestine. The depression, anxiety, stress scales (DASS, 21-items) questionnaire was used to measure the score of depression. The participants' demographic, socioeconomic and medical history data was collected and the 98-items semi-quantitative food frequency questionnaire was used for evaluating the dietary patterns. Statistical analysis was performed using SPSS version 20. Results: Based on depression scale, 29.0% of type 2 diabetes patients had depression, (58.3% females, and 41.7% males). The prevalence of mild, moderate, severe, and very severe depression was 11.7%, 8.5%, 6.7%, and 2.1%, respectively. Furthermore, two major dietary patterns were identified by factor analysis: The Western, and the grains-vegetables, and fruits patterns. After adjusting for the potential confounders, patients in the lowest tertile (T1) of the grains-vegetables, and fruits dietary pattern had a lower odds for depression (OR 0.763 95% CI (0.667-0.871), P value = 0.001); where as a higher odds for healthy (OR 1.443 95% CI (1.131-1.839), P value = 0.004), compared to those in the highest tertile (T3). Conclusion: The grains-vegetables, and fruits dietary pattern may be associated with a lower prevalence of depression, and has been shown to be the healthiest dietary

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Associations of specific types of fruit and vegetables with perceived stress in adults: the AusDiab study

et al. 2022

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Purpose Higher total fruit and vegetable (FV) intakes have been associated with lower perceived stress. The relationship between specific types of FV and perceived stress remains uncertain. The aims of this cross-sectional study were to explore the relationship between consumption of specific types of FV with perceived stress in a population-based cohort of men and women aged ≥ 25 years from the Australian Diabetes, Obesity and Lifestyle (AusDiab) Study. Methods Dietary intake was assessed using a validated Food Frequency Questionnaire (n = 8,640). Perceived stress was evaluated using a validated Perceived Stress Questionnaire, with values ranging 0–1 (lowest to highest). High perceived stress cut-offs of ≥0.34 for men and ≥0.39 for women were obtained from the highest quartile of the perceived stress score for each sex. Multivariable-adjusted logistic regression was performed to investigate the associations. Results The mean age of participants (50.1% females) was 47.8 (SD 15) years. Persons in the highest, versus lowest, quartiles of apples and pears, orange and other citrus, and banana intakes had a significantly lower odds (24–31%) of having high perceived stress. Similarly, persons with higher intakes of cruciferous, yellow/orange/red, and legume vegetables had significantly lower odds (25–27%) of having high perceived stress. Conclusion In Australian adults, a higher consumption of apples and pears, oranges and other citrus, and bananas, as well as cruciferous, yellow/orange/red, and legume vegetables were associated with lower odds of having high perceived stress. The recommendations of “eating a rainbow” of colours may assist in preventing and/or reducing perceived stress.

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Fruits and vegetables intake and its subgroups are related to depression: a cross-sectional study from a developing country

Cited by 21 publications

References 46 publications

Fruit and Vegetable Intake and Mental Health in Adults: A Systematic Review

Fruit and Vegetable Intake and Mental Health in Adults: A Systematic Review

Dietary Patterns and Their Association with Depression among Type 2 Diabetes Patients in Gaza Strip, Palestine

Associations of specific types of fruit and vegetables with perceived stress in adults: the AusDiab study

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