Relationship between psychological distress and the adherence to the Korean healthy eating index (KHEI): the Korea National Health and Nutrition Examination Survey (KNHANES) 2013 and 2015
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BACKGROUND/OBJECTIVES This study examined the association of depressive symptoms, stress perception, and suicidal ideation with overall dietary quality using the newly developed Korean healthy eating index (KHEI). SUBJECTS/METHODS This study included 9,607 adults (3,939 men and 5,668 women, ≥ 19 years) who participated in the 6th Korea National Health and Nutrition Examination Survey 2013 and 2015. The KHEI scores were calculated using the food frequency questionnaire data. Survey logistic regression analyses were performed to analyze the association between psychiatric distress and dietary quality. RESULTS The percentage of subjects with experience of depressive mood, higher stress perception, and suicidal ideation was 8.2%, 25.0%, and 3.7% in men and 15.4%, 27.3%, and 6.0% in women, respectively. The mean KHEI score was 61.5 ± 0.29 in men and 64.8 ± 0.24 in women (P < 0.001). The present study found a difference in the adherence to specific dietary components of the KHEI between sexes. Men experiencing depressive symptoms were less likely to eat meat, fish, eggs, and beans, while depressed women showed lower vegetable intake. Both men and women with suicidal ideation showed a lower intake of vegetables. The men with stress had a lower breakfast eating score than those without stress (7.21 vs. 6.77, P = 0.016). The multivariate-adjusted odds ratios for depressive symptoms, stress perception, and the suicidal idea in women with the highest quartile of KHEI scores compared to the lowest quartile was 0.69 (95% confidence interval, 0.51–0.92), 0.73 (0.58–0.82), and 0.52 (0.33–0.82), respectively and significant dose-response associations were observed (P for trends < 0.05 for all). On the other hand, these associations were not observed in men after adjusting for the confounding variables (P for trends > 0.05 for all). CONCLUSIONS Poor adherence to dietary recommendations is associated with psychological distress, especially in women.
Abstract
BACKGROUND/OBJECTIVES This study examined the association of depressive symptoms, stress perception, and suicidal ideation with overall dietary quality using the newly developed Korean healthy eating index (KHEI). SUBJECTS/METHODS This study included 9,607 adults (3,939 men and 5,668 women, ≥ 19 years) who participated in the 6th Korea National Health and Nutrition Examination Survey 2013 and 2015. The KHEI scores were calculated using the food frequency questionnaire data. Survey logistic regression analyses were performed to analyze the association between psychiatric distress and dietary quality. RESULTS The percentage of subjects with experience of depressive mood, higher stress perception, and suicidal ideation was 8.2%, 25.0%, and 3.7% in men and 15.4%, 27.3%, and 6.0% in women, respectively. The mean KHEI score was 61.5 ± 0.29 in men and 64.8 ± 0.24 in women (P < 0.001). The present study found a difference in the adherence to specific dietary components of the KHEI between sexes. Men experiencing depressive symptoms were less likely to eat meat, fish, eggs, and beans, while depressed women showed lower vegetable intake. Both men and women with suicidal ideation showed a lower intake of vegetables. The men with stress had a lower breakfast eating score than those without stress (7.21 vs. 6.77, P = 0.016). The multivariate-adjusted odds ratios for depressive symptoms, stress perception, and the suicidal idea in women with the highest quartile of KHEI scores compared to the lowest quartile was 0.69 (95% confidence interval, 0.51–0.92), 0.73 (0.58–0.82), and 0.52 (0.33–0.82), respectively and significant dose-response associations were observed (P for trends < 0.05 for all). On the other hand, these associations were not observed in men after adjusting for the confounding variables (P for trends > 0.05 for all). CONCLUSIONS Poor adherence to dietary recommendations is associated with psychological distress, especially in women.
참고문헌 (43)
- Epidemiological Survey of Mental Disorders in Korea, "Ministry of Health & Welfare", Ministry of Health & Welfare, ~ (2016)
- "Suicide rates" (2016)[URL]
- Nicolaou M, "Association of a priori dietary patterns with depressive symptoms : a harmonised meta-analysis of observational studies", Psychol Med, 50, pp.1872~1883 (2020)
- Lassale C, "Healthy dietary indices and risk of depressive outcomes : a systematic review and meta-analysis of observational studies", Mol Psychiatry, 24, pp.965~986 (2019)
- Seon Joo Park, "The association between dietary pattern and depression in middle-aged Korean adults", Nutrition Research and Practice, 13(4), pp.316~322 (2019), 한국영양학회[DOI]
- So Hyun Park, "Comparison of nutrient intakes by nutritional anemia and the association between nutritional anemia and chronic diseases in Korean elderly: Based on the 2013-2015 Korea National Health and Nutrition Examination Survey Data", Nutrition Research and Practice, 13(6), pp.543~554 (2019), 한국영양학회[DOI]
- 육성민, "국민건강영양조사 자료를 이용한 한국 성인의 식생활평가지수 개발", Journal of Nutrition and Health, 48(5), pp.419~428 (2015), 한국영양학회
- Kwon AR, "Eating alone and metabolic syndrome : a population-based Korean National Health and Nutrition Examination Survey 2013–2014", Obes Res Clin Pract, 12, pp.146~157 (2018)
- Lee J, "Development of the Korean global physical activity questionnaire : reliability and validity study", Glob Health Promot, 27, pp.44~55 (2020)
- 전민영, "Validity and Reliability of Korean Version of International Physical Activity Questionnaire Short Form in the Elderly", Korean Journal of Family Medicine, 33(3), pp.144~151 (2012), 대한가정의학회[DOI]
- Analytic Guidelines of the Fifth Korea National Health and Nutrition Examination Survey, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2014)
- Rahmani J, "Association of the alternative healthy eating index(AHEI-2010)with depression, stress and anxiety among Iranian military personnel", J R Army Med Corps, 164, pp.87~91 (2018)
- Abshire DA, "Body mass index category moderates the relationship between depressive symptoms and diet quality in overweight and obese rural-dwelling adults", J Rural Health, 34, pp.377~387 (2018)
- Sánchez-Villegas A, "A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN project", BMC Med, 13, pp.197~ (2015)
- Appelhans BM, "Depression severity, diet quality, and physical activity in women with obesity and depression", J Acad Nutr Diet, 112, pp.693~698 (2012)
- Errisuriz VL, "Depression and physical activity affect diet quality of foreign-born Latina women living on the U.S.-Mexico border", Nutrients, 11, pp.1254~ (2019)
- Quehl R, "Food and mood : diet quality is inversely associated with depressive symptoms in female university students", Can J Diet Pract Res, 78, pp.124~128 (2017)
- De Vriendt T, "European adolescents' level of perceived stress is inversely related to their diet quality : the healthy lifestyle in Europe by nutrition in adolescence study", Br J Nutr, 108, pp.371~380 (2012)
- Isasi CR, "Psychosocial stress is associated with obesity and diet quality in Hispanic", Latino adults, 2015, pp.25, 84~89
- Widaman AM, "Chronic stress is associated with indicators of diet quality in habitual breakfast skippers", J Acad Nutr Diet, 116, pp.1776~1784 (2016)
- Elstgeest LEM, "Associations of depressive symptoms and history with three a priori diet quality indices in middle-aged and older adults", J Affect Disord, 249, pp.394~403 (2019)
- St-Pierre M, "Relationships between psychological distress and health behaviors among Canadian adults : differences based on gender, income, education, immigrant status, and ethnicity", SSM Popul Health, 7, pp.100385~ (2019)
- Sapranaviciute-Zabazlajeva L, "Link between healthy lifestyle and psychological well-being in Lithuanian adults aged 45–72: a cross-sectional study", BMJ Open, 7, pp.e014240~ (2017)
- Brown CS, "Gender differences and correlates of extreme dieting behaviours in US adolescents", J Health Psychol, 20, pp.569~579 (2015)
- Gibson-Smith D, "Diet quality in persons with and without depressive and anxiety disorders", J Psychiatr Res, 106, pp.1~7 (2018)
- Xiao Y, "A latent class analysis of health lifestyles and suicidal behaviors among US adolescents", J Affect Disord, 255, pp.116~126 (2019)
- Nanri A, "Dietary patterns and suicide in Japanese adults : the Japan public health center-based prospective study", Br J Psychiatry, 203, pp.422~427 (2013)
- Zhang J, "How does a suicide attempter eat differently from others? Comparison of macronutrient intakes", Nutrition, 21, pp.711~717 (2005)
- Perera S, "Exploring metabolic factors and health behaviors in relation to suicide attempts : a case-control study", J Affect Disord, 229, pp.386~395 (2018)
- Głąbska D, "Fruit and vegetable intake and mental health in adults : a systematic review", Nutrients, 12, pp.115~ (2020)
- Francis HM, "A brief diet intervention can reduce symptoms of depression in young adults - A randomised controlled trial", PLoS One, 14, pp.e0222768~ (2019)
- Almogbel E, "Stress associated alterations in dietary behaviours of undergraduate students of Qassim university, Saudi Arabia", Open Access Maced J Med Sci, 7, pp.2182~2188 (2019)
- Barrington WE, "Perceived stress and eating behaviors by sex, obesity status, and stress vulnerability : findings from the vitamins and lifestyle(VITAL)study", J Acad Nutr Diet, 114, pp.1791~1799 (2014)
- Ahmed F, "Association between stress and dietary behaviours among undergraduate students in Kuwait : gender differences", J Nutr Health Sci, 1, pp.1~8 (2014)
- Habhab S, "The relationship between stress, dietary restraint, and food preferences in women", Appetite, 52, pp.437~444 (2009)
- Ferrer-Cascales R, "Eat or skip breakfast? The important role of breakfast quality for health-related quality of life, stress and depression in Spanish adolescents", Int J Environ Res Public Health, 15, pp.1781~ (2018)
- Richards G, "Breakfast and energy drink consumption in secondary school children : breakfast omission, in isolation or in combination with frequent energy drink use, is associated with stress, anxiety, and depression cross-sectionally, but not at 6-month follow-up", Front Psychol, 7, pp.106~ (2016)
- Adjibade M, "Prospective association between adherence to dietary recommendations and incident depressive symptoms in the French NutriNet-Santé cohort", Br J Nutr, 120, pp.290~300 (2018)
- Molendijk M, "Diet quality and depression risk : a systematic review and dose-response meta-analysis of prospective studies", J Affect Disord, 226, pp.346~354 (2018)
- Jacka FN, "A randomised controlled trial of dietary improvement for adults with major depression(the ‘SMILES’ trial)", BMC Med, 15, pp.23~ (2017)
- Gigantesco A, "Development, reliability and factor analysis of a self-administered questionnaire which originates from the World Health Organization's composite international diagnostic interview-short form(CIDI-SF)for assessing mental disorders", Clin Pract Epidemol Ment Health, 4, pp.8~ (2008)
- Gaynes BN, "U.S. Preventive Services Task Force. Screening for suicide risk in adults: a summary of the evidence for the U.S. preventive services task force", Ann Intern Med, 140, pp.822~835 (2004)
- Lee JE, "Association of recommended food score with depression, anxiety, and quality of life in Korean adults : the 2014–2015 national fitness award project", BMC Public Health, 19, pp.956~ (2019)