Restricted accessResearch articleFirst published online 2020-12-07
The MIND (Mediterranean-DASH Diet Intervention for Neurodegenerative Delay) and Mediterranean Diets are differently associated with psychosomatic complaints profile in adults: Results from SEPAHAN Cross-sectional study
In spite of an obvious association between diet and mental health, there is only few report regarding the association between diet and psychosomatic complaints.
OBJECTIVE:
To investigate the association of the Mediterranean-DASH diet intervention for neurodegenerative delay (MIND) diet with psychosomatic complaints profile in comparison with the Mediterranean diet (aMED).
METHODS:
In this cross-sectional study on 2818 Isfahanian adults, a validated dish-based food frequency questionnaire was used to assess dietary intakes. Psychosomatic complaints profile was evaluated through a self-administered Persian validated questionnaire by using exploratory factor analysis.
RESULTS:
After controlling for potential confounders, individuals in the highest quintile of the MIND diet had lower risk for experiencing psychological (odds ratio (OR) = 0.60, 95% confidence interval (CI): 0.42, 0.86; P trend < 0.0001), and pharyngeal-respiratory (OR = 0.57, 95% CI: 0.41, 0.79; P = 0.002). The association for neuro-skeletal complaints was marginally significant (OR = 0.66, 95% CI: 0.43, 1.03; P = 0.093). The aMED diet tended to lower gastrointestinal complaints (OR = 0.68, 95% CI: 0.46, 1.01; P = 0.062).
CONCLUSION:
The MIND diet was inversely associated with different psychosomatic complaints risk, but no evidence of such an association for the MED diet was observed.
NakaoM, TakeuchiT, FricchioneG. Definition of psychosomatic medicine and the applicability of DSM-IV-TR to outpatients visiting a Japanese psychosomatic clinic. Psychother Psychosom. 2014;83:120–1.
2.
KesslerRC, Aguilar-GaxiolaS, AlonsoJ, ChatterjiS, LeeS, OrmelJ, et al.The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys. Epidemiol Psichiatr Soc. 2009;18:23–33.
3.
OlesenJ, GustavssonA, SvenssonM, WittchenHU, JonssonB. The economic cost of brain disorders in Europe. Eur J Neurol. 2012;19:155–62.
4.
SobockiP, JonssonB, AngstJ, RehnbergC. (Cost of depression in Europe. J Ment Health Policy Econ. 2006;9(2):87–98.
5.
StrainJJ. Globalization of psychosomatic medicine. Gen Hosp Psychiatry. 2017;48:62–4.
6.
VermeulenE, StronksK, VisserM, BrouwerIA, ScheneAH, MockingRJ, et al.The association between dietary patterns derived by reduced rank regression and depressive symptoms over time: the Invecchiare in Chianti (InCHIANTI) study. Br J Nutr. 2016;115:2145–53.
7.
VeroneseN, StubbsB, NoaleM, SolmiM, LuchiniC, MaggiS. Adherence to the Mediterranean diet is associated with better quality of life: data from the Osteoarthritis Initiative. Am J Clin Nutr. 2016;104:1403–9.
8.
RaheC, UnrathM, BergerK. Dietary patterns and the risk of depression in adults: a systematic review of observational studies. Eur J Nutr. 2014;53:997–1013.
9.
RienksJ, DobsonAJ, MishraGD. Mediterranean dietary pattern and prevalence and incidence of depressive symptoms in mid-aged women: results from a large community-based prospective study. Eur J Clin Nutr. 2013;67:75–82.
10.
MunozMA, FitoM, MarrugatJ, CovasMI, SchroderH. Adherence to the Mediterranean diet is associated with better mental and physical health. Br J Nutr. 2009;101:1821–7.
11.
TianHY, QiuR, JingLP, ChenZY, ChenGD, ChenYM. Alternate Mediterranean diet score is positively associated with skeletal muscle mass index in middle-aged adults. Br J Nutr. 2017;117:1181–8.
12.
CarlosS, De La Fuente-ArrillagaC, Bes-RastrolloM, RazquinC, Rico-CampaA, Martinez-GonzalezMA, et al.Mediterranean Diet and Health Outcomes in the SUN Cohort. Nutrients. 2018;10(4):439.
13.
HodgeAM, BassettJK, DuguePA, ShivappaN, HebertJR, MilneRL, et al.Dietary inflammatory index or Mediterranean diet score as risk factors for total and cardiovascular mortality. Nutr Metab Cardiovasc Dis. 2018;28:461–9.
14.
MorrisMC, TangneyCC, WangY, SacksFM, BarnesLL, BennettDA, et al.MIND diet slows cognitive decline with aging. Alzheimers Dement. 2015;11:1015–22.
15.
van de RestO, BerendsenAA, Haveman-NiesA, de GrootLC. Dietary patterns, cognitive decline, and dementia: a systematic review. Adv Nutr. 2015;6:154–68.
16.
TrichopoulouA, LagiouP. Healthy traditional Mediterranean diet: an expression of culture, history, and lifestyle. Nutr Rev. 1997;55:383–9.
17.
AsghariG, FarhadnejadH, MirmiranP, DizaviA, YuzbashianE, AziziF. Adherence to the Mediterranean diet is associated with reduced risk of incident chronic kidney diseases among Tehranian adults. Hypertens Res. 2017;40:96–102.
18.
AsghariG, MirmiranP, Hosseni-EsfahaniF, NazeriP, MehranM, AziziF. Dietary quality among Tehranian adults in relation to lipid profile: findings from the Tehran Lipid and Glucose Study. J Health Popul Nutr. 2013;31:37–48.
19.
IzadiV, TehraniH, HaghighatdoostF, DehghanA, SurkanPJ, AzadbakhtL. Adherence to the DASH and Mediterranean diets is associated with decreased risk for gestational diabetes mellitus. Nutrition. 2016;32:1092–6.
20.
MirmiranP, MoslehiN, MahmoudofH, SadeghiM, AziziF. A Longitudinal Study of Adherence to the Mediterranean Dietary Pattern and Metabolic Syndrome in a Non-Mediterranean Population. Int J Endocrinol Metab. 2015;13:e26128.
21.
VeissiM, AnariR, AmaniR, ShahbazianH, LatifiSM. Mediterranean diet and metabolic syndrome prevalence in type 2 diabetes patients in Ahvaz, southwest of Iran. Diabetes Metab Syndr. 2016;10:S26–9.
22.
FresanU, Bes-RastrolloM, Segovia-SiapcoG, Sanchez-VillegasA, LahortigaF, de la RosaPA, et al.Does the MIND diet decrease depression risk? A comparison with Mediterranean diet in the SUN cohort. Eur J Nutr. 2019;58(3):1271–82.
23.
MorrisMC, TangneyCC, WangY, SacksFM, BennettDA, AggarwalNT. MIND diet associated with reduced incidence of Alzheimer’s disease. Alzheimers Dement. 2015;11:1007–14.
24.
PanzaF, FrisardiV, CapursoC, D’IntronoA, ColaciccoAM, ImbimboBP, et al.Late-life depression, mild cognitive impairment, and dementia: possible continuum?Am J Geriatr Psychiatry. 2010;18:98–116.
25.
HaghighatdoostF, FeiziA, EsmaillzadehA, Feinle-BissetC, Hassanzadeh KeshteliA, AfsharH, AdibiP. Association between the dietary inflammatory index with common mental health disorders profile scores. Clin Nutr. 2019;38(4):1643–50.
26.
HaghighatdoostF, FeiziA, EsmaillzadehA, Feinle-BissetC, Hassanzadeh KeshteliA, RoohafzaH, et al.The relationship between dietary inflammatory index and psychosomatic complaints profiles: results from SEPAHAN cross-sectional study. Biopsychosoc Med. 2019;13:27.
27.
HaghighatdoostF, FeiziA, EsmaillzadehA, Hassanzadeh KeshteliA, RoohafzaH, AfsharH, et al.Dietary patterns in relation with psychosomatic complaints profile: Results from SEPAHAN study among a large sample of general adults. Nutr Neurosci. 2020;23(3):190–200.
28.
HaapakoskiR, MathieuJ, EbmeierKP, AleniusH, KivimakiM. Cumulative meta-analysis of interleukins 6 and 1beta, tumour necrosis factor alpha and C-reactive protein in patients with major depressive disorder. Brain Behav Immun. 2015;49:206–15.
29.
MaesM. Inflammatory and oxidative and nitrosative stress pathways underpinning chronic fatigue, somatization and psychosomatic symptoms. Curr Opin Psychiatry. 2009;22:75–83.
30.
WhalenKA, McCulloughML, FlandersWD, HartmanTJ, JuddS, BostickRM. Paleolithic and Mediterranean Diet Pattern Scores Are Inversely Associated with Biomarkers of Inflammation and Oxidative Balance in Adults. J Nutr. 2016;146:1217–26.
31.
RichardC, CoutureP, DesrochesS, LamarcheB. Effect of the Mediterranean diet with and without weight loss on markers of inflammation in men with metabolic syndrome. Obesity. 2013;21:51–7.
32.
AdibiP, KeshteliAH, EsmaillzadehA, AfsharH, RoohafzaH, Bagherian-SararoudiR, et al. The study on the epidemiology of psychological, alimentary health and nutrition (SEPAHAN): overview of methodology. J Res Med Sci. 2012.
33.
FungTT, HuFB, PereiraMA, LiuS, StampferMJ, ColditzGA, et al.Whole-grain intake and the risk of type 2 diabetes: a prospective study in men. Am J Clin Nutr. 2002;76:535–40.
34.
KeshteliA, EsmaillzadehA, RajaieS, AskariG, Feinle-BissetC, AdibiP. A Dish-based Semi-quantitative Food Frequency Questionnaire for Assessment of Dietary Intakes in Epidemiologic Studies in Iran: Design and Development. Int J Prev Med. 2014;5:29–36.
35.
WillettWC, SampsonL, StampferMJ, RosnerB, BainC, WitschiJ, HennekensCH, SpeizerFE. Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol. 1985;122(1):51–65.
36.
GhaffarpourM, Houshiar-RadA, KianfarH. The manual for household measures, cooking yields factors and edible portion of foods. Tehran: Nashre Olume Keshavarzy. 1999;7:213.
TrichopoulouA, CostacouT, BamiaC, TrichopoulosD. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348:2599–608.
39.
WillettW, StampferMJ. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol. 1986;124:17–27.
40.
LacourtT, HoutveenJ, van DoornenL. “Functional somatic syndromes, one or many?” An answer by cluster analysis. J Psychosom Res. 2013;74:6–11.
41.
LipowskiZJ. Somatization: the concept and its clinical application. Am J Psychiatry. 1988;145:1358–68.
42.
De GuchtV, FischlerB. Somatization: a critical review of conceptual and methodological issues. Psychosomatics. 2002;43:1–9.
43.
KroenkeK, SpitzerRL, WilliamsJB. The PHQ- validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64:258–66.
44.
HeidariZ, KeshteliAH, FeiziA, AfsharH, AdibiP. Somatic Complaints Are Significantly Associated with Chronic Uninvestigated Dyspepsia and Its Symptoms: A Large Cross-sectional Population Based Study. J Neurogastroenterol Motil. 2017;23:80–91.
45.
HeidariZ, FeiziA, RoohafzaH, Hassanzadeh KeshteliA, AdibiP. Somatoform symptoms profiles in relation to psychological disorders - A population classification analysis in a large sample of general adults. Psychiatry Res. 2017;254:173–8.
46.
for Nursing NCC. The General Practice Physical Activity Questionnaire (GPPAQ). 2008.
47.
Van VugtJL, CakirH, KornmannVN, et al.The new body mass index as a predictor of postoperative complications in elective colorectal cancer surgery. Clin Nutr. 2015;34(4):700–704.
48.
RoohafzaH, RamezaniM, SadeghiM, ShahnamM, ZolfagariB, SarafzadeganN. Development and validation of the stressful life event questionnaire. Int J Public Health. 2011;56:441–8.
49.
FarzaeiMH, RahimiR, NikfarS, AbdollahiM. Effect of resveratrol on cognitive and memory performance and mood: A meta-analysis of 225 patients. Pharmacol Res. 2018;128:338–44.
50.
NabaviSM, NabaviSF, SuredaA, CaprioliG, IannarelliR, SokengAJT, et al.The water extract of tutsan (Hypericum androsaemum L.) red berries exerts antidepressive-like effects and in vivo antioxidant activity in a mouse model of post-stroke depression. Biomed Pharmacother. 2018;99:290–8.
51.
YangY, JeY. Fish consumption and depression in Korean adults: the Korea National Health and Nutrition Examination Survey, 2013–2015. Eur J Clin Nutr. 2018;72:1142–1149.
52.
SadeghiO, Hassanzadeh-KeshteliA, AfsharH, EsmaillzadehA, AdibiP. The association of whole and refined grains consumption with psychological disorders among Iranian adults. Eur J Nutr. 2019;58(1):211–25.
53.
MottaghiT, AmirabdollahianF, HaghighatdoostF. Fruit and vegetable intake and cognitive impairment: a systematic review and meta-analysis of observational studies. Eur J Clin Nutr. 2018;72(10):1336–44.
54.
O’BrienJ, OkerekeO, DevoreE, RosnerB, BretelerM, GrodsteinF. Long-term intake of nuts in relation to cognitive function in older women. J Nutr Health Aging. 2014;18:496–502.
55.
ChenX, HuangY, ChengHG. Lower intake of vegetables and legumes associated with cognitive decline among illiterate elderly Chinese: a 3-year cohort study. J Nutr Health Aging. 2012;16:549–52.
56.
HaghighatdoostF, BellissimoN, Totosy de ZepetnekJO, RouhaniMH. Association of vegetarian diet with inflammatory biomarkers: a systematic review and meta-analysis of observational studies. Public Health Nutr. 2017;20:2713–21.
57.
LiK, HuangT, ZhengJ, WuK, LiD. Effect of marine-derived n-3 polyunsaturated fatty acids on C-reactive protein, interleukin 6 and tumor necrosis factor alpha: a meta-analysis. PloS One. 2014;9:e88103.
58.
VinsonJA, CaiY. Nuts, especially walnuts, have both antioxidant quantity and efficacy and exhibit significant potential health benefits. Food Funct. 2012;3:134–40.
59.
ZhuF, DuB, XuB. Anti-inflammatory effects of phytochemicals from fruits, vegetables, and food legumes: A review. Crit Rev Food Sci Nutr. 2018;58:1260–70.
60.
ShivappaN, HebertJR, VeroneseN, CarusoMG, NotarnicolaM, MaggiS, et al.The relationship between the dietary inflammatory index (DII((R))) and incident depressive symptoms: A longitudinal cohort study. J Affect Disord. 2018;235:39–44.
61.
PhillipsCM, ShivappaN, HebertJR, PerryIJ. Dietary inflammatory index and mental health: A cross-sectional analysis of the relationship with depressive symptoms, anxiety and well-being in adults. Clin Nutr. 2018;37:1485–1491.
62.
HaydenKM, BeaversDP, SteckSE, HebertJR, TabungFK, ShivappaN, et al.The association between an inflammatory diet and global cognitive function and incident dementia in older women: The Women’s Health Initiative Memory Study. Alzheimers Dement. 2017;13:1187–96.
63.
Kesse-GuyotE, AssmannKE, AndreevaVA, TouvierM, NeufcourtL, ShivappaN, et al.Long-term association between the dietary inflammatory index and cognitive functioning: findings from the SU. VI.MAX study. Eur J Nutr. 2017;56:1647–55.
64.
RaviSK, NarasingappaRB, VincentB. Neuro-Nutrients as Anti-Alzheimer’s Disease Agents: A Critical Review. Crit Rev Food Sci Nutr. 2019;59(18):2999–3018.
65.
MaesM. The cytokine hypothesis of depression: inflammation, oxidative & nitrosative stress (IO&NS) and leaky gut as new targets for adjunctive treatments in depression. Neuro Endocrinol Lett. 2008;29:287–91.
66.
QinL, WuX, BlockML, LiuY, BreeseGR, HongJS, et al.Systemic LPS causes chronic neuroinflammation and progressive neurodegeneration. Glia. 2007;55:453–62.
67.
MaesM, MeltzerHY, ScharpeS, CooremanW, UyttenbroeckW, SuyE, et al.Psychomotor retardation, anorexia, weight loss, sleep disturbances, and loss of energy: psychopathological correlates of hyperhaptoglobinemia during major depression. Psychiatry Res. 1993;47:229–41.
68.
BlochM, AharonovI, Ben AviI, SchreiberS, AmitA, WeizmanA, et al.Gonadal steroids and affective symptoms during in vitro fertilization: implication for reproductive mood disorders. Psychoneuroendocrinology. 2011;36:790–6.
69.
Beer-BorstS, HercbergS, MorabiaA, BernsteinMS, GalanP, GalassoR, et al.Dietary patterns in six european populations: results from EURALIM, a collaborative European data harmonization and information campaign. Eur J Clin Nutr. 2000;54:253–62.
70.
MarksGC, HughesMC, van der PolsJC. Relative validity of food intake estimates using a food frequency questionnaire is associated with sex, age, and other personal characteristics. J Nutr. 2006;136:459–65.
71.
EspositoK, KastoriniCM, PanagiotakosDB, GiuglianoD. Mediterranean diet and weight loss: meta-analysis of randomized controlled trials. Metab Syndr Relat Disord. 2011;9:1–12.
72.
ParkYM, ZhangJ, SteckSE, FungTT, HazlettLJ, HanK, et al.Obesity Mediates the Association between Mediterranean Diet Consumption and Insulin Resistance and Inflammation in US Adults. J Nutr. 2017;147:563–71.
73.
JackaFN, CherbuinN, AnsteyKJ, ButterworthP. Does reverse causality explain the relationship between diet and depression?J Affect Disord. 2015;175:248–50.
