Original Article

Does Interaction between Sleep Quality and Major Dietary Patterns Predicts Depression among Overweight and Obese Women in Iran?

Abstract

Background: Although major dietary patterns and sleep quality independently affect psychiatric disorders, their interactive association on depression is not clear. This study assesses the independent association of dietary patterns and sleep quality on depression, and also investigates their interactive associations on depression among overweight and obese women in Iran

Methods: Cross-sectional study was conducted among 304 participants, age 18 and above in 2018 at Tehran Iran. Usual dietary intake was collected with 174-FFQ. Participants’ biochemical parameters and depression were measured using standard protocol. Major dietary patterns were extracted by factor analysis and grouped into Fruits&Vegetable group (healthy dietary pattern), High Fat diary&Red Meat group (unhealthy dietary pattern) and Crackers&High Energy Drinks group (western dietary patterns).

Results: After adjusting for confounders poor sleep was associated with moderate and high depression; AOR (95%CI): 0.41(0.19-0.90) and 0.29(0.13-0.60) respectively. However, healthy dietary patterns (tertiles 2nd and 3rd) interact with sleep for depression; AOR (95%CI): 4.168(1.166-14.992) and 2.966(1.068-8.234) respectively. Unhealthy dietary pattern tertiles 2nd and 3rd interact with sleep for depression; AOR (95%CI): 2.925(1.055-8.113) and 4.216(1.182-15.042) respectively and Western dietary pattern tertile 3rd interacts with sleep for depression; AOR (95%CI): 4.264(1.494-12.169).

Conclusion: Sleep deprivation could be associated with depression. However, sleep quality could interacts with dietary patterns to be associate with depression among overweight and obese people.

1. WHO (2017). Depression and other common mental disorders. https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
2. Jacka FN (2017). Nutritional psychiatry: where to next? EBioMedicine, 17:24-29.
3. Yaping X, Jie Y, Zhili Z, et al (2016). Associa-tion between sleep quality and psychiatric disorders in patients with subjective tinnitus in China. Eur Arch Otorhinolaryngol, 273(10):3063-72.
4. Meghna P, Bhanu PK, Salim S, et al (2012). Sleep deprivation in resident physicians, work hour limitations, and related outcomes: a systemat-ic review of the literature. Postgrad Med, 124 (4): 241-249.
5. Beccuti G, Pannain S (2011). Sleep and obesity. Curr Opin Clin Nutr Metab Care, 14(4):402-12.
6. National Academy of Sciences (U.S.) (2006). Sleep disorders and sleep deprivation: an unmet public health problem. Ed, RC Harvey, MA Bruce. The National Academies Press publishing, 500 Fifth Street, N.W., Lockbox 285 Washington, DC,US, pp. 20-30.
7. Hagen EW, Starke SJ, Peppard PE (2015). The association between sleep duration and leptin, ghrelin, and adiponectin among children and adolescents. Curr Sleep Med Rep, 1(4): 185-194.
8. Peuhkuri K, Sihvola N, Korpela R (2012). Diet promotes sleep duration and quality. Nutr Res, 32(5): 309-319.
9. Ryoko K, Satomi K, Hitomi S, et al (2014). Low intake of vegetables, high intake of- confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health, 56(5): 359-368.
10. Shelly RM, Gail M, Angela B, et al (2012). Mental health, wellness, and childhood overweight/ obesity. J Obes, 2012:281801.
11. Halfon N, Larson K, and Slusser W (2013). Associations between obesity and comorbid mental- health, developmental, and physical health conditions in a nationally-representative sample of US children aged 10 to 17. Acad Pediatr, 13(1): 6-13.
12. Assari S (2014). The link between mental health and obesity: role of individual and contextual- factors. Int J Prev Med, 5(3): 247-9.
13. Seung IS, Do HK, Mi YL, et al (2012). The reliability and validity of the Korean version of-the Pittsburgh Sleep Quality Index. Sleep Breath, 16(3): 803-812.
14. Szabó M. (2010). The short version of the Depression Anxiety Stress Scales (DASS-21):Factor structure in a young adolescent sample. J Adolesc, 33(1): 1–8.
15. Craig C L, Marshall AL, Michael S, et al (2003). International physical activity questionnaire:12-country reliability and validity. Med Sci Sports Exerc, 35(8):1381-95.
16. Rodrigo SC, Santiago NC, Carlos CM, et al (2015). Analysis of dietary pattern impact on- weight status for personalised nutrition through on-line advice: the Food4Me Spanish cohort. Nutrients, 7(11): 9523-9537.
17. Hadis S, Zahra S, Sahar L, et al (2016). Die-tary pattern as identified by factorial anal-ysis and its association with lipid profile and fasting plasma glucose among Irani-an-individuals with spinal cord injury. J Spinal Cord Med, 39(4): 433-442.
18. Nasrin DZ, Rokiah MY, Haleh E, et al (2015). Association of dietary pattern with biochemical blood profiles and body weight among adults with Type 2 diabetes mellitus in Tehran, Iran. J Diabetes Metab Disord, 14: 28.
19. Neuschwander-Tetri BA (2010). Hepatic lipotoxicity and the pathogenesis of nonalcoholic steatohepatitis: The central role of nontriglyceride fatty acid metabolites. Hepatology,52(2):774-788.
20. Osonoi Y, Mita T, Osonoi T, et al (2015). Poor sleep quality is associated with increased arterial stiffness in Japanese patients with type 2 diabetes mellitus. BMC Endocr Disord,15:29.
21. Blümel JE, Chedraui P, Aedo S, et al (2015). Obesity and its relation to depressive symptoms-and sedentary lifestyle in middle-aged women. Maturitas, 80(1):100-105.
22. Rashidkhani B, Pourghassem GB, Ranjbar F, et al (2013). Dietary patterns and-anthropometric indices among Iranian women with major depressive disorder. Psychiatry Res, 210(1):115-20.
23. Khosravi M, Sotoodeh G, Majdzadeh R, et al (2015). Healthy and unhealthy dietary patterns are related to depression: a case-control study. Psychiatry Investig, 12(4):434-42.
Files
IssueVol 50 No 7 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v50i7.6635
Keywords
Overweight Obesity Dietary-patterns Sleep quality Depression Women Iran
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Doglikuu B-I, Djazayery A, Mirzababaei A, Sajjadi SF, Badruj N, Mirzaei K. Does Interaction between Sleep Quality and Major Dietary Patterns Predicts Depression among Overweight and Obese Women in Iran?. Iran J Public Health. 2021;50(7):1445-1453.