The relationship between dairy food intake and psychological distress among Iranian adults: results from a large cross-sectional population-based study

Abstract

Aim

Psychological distress is associated with decreased quality of life. The nutritional factor is one of the most important for mental well-being.

Subjects and methods

The aim of the present study was to determine the relationship between dairy food intake and psychological distress. In this cross-sectional study, data on the dietary food intake of 4763 participants were collected using a validated FFQ. Also, the Iranian validated version of the GHQ was used to screen psychological distress.

Results

Individuals in the highest tertile of total dairy food intake were less likely to have psychological distress (OR 0.80, 95% CI 0.70–0.91, P = 0.04) in the final adjusted model. At stratified analysis based on sex, the same findings were obtained only among women. Inversely, individuals in the highest category of high-fat dairy intake had greater odds of suffering from psychological distress (OR 1.45, 95% CI 1.07–1.83, P = 0.01). Also, higher intake of high-fat dairy was significantly associated with greater odds of psychological distress among women in models stratified by sex. However, we found a marginally significant inverse association between higher intake of low-fat dairy and psychological distress risk (OR 0.85, 95% CI 0.69–1.01, P = 0.07). This association was not significant among men and women in a stratified analysis based on sex.

Conclusions

The result showed dairy intake is associated with psychological distress. Further studies are required to confirm these associations.

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References

  1. Adibi P (2012) The study on the epidemiology of psychological, alimentary health and nutrition (SEPAHAN): overview of methodology. J Res Med Sci 17:S292–S298

    Google Scholar 

  2. Akbari F, Azadbakht L (2014) A systematic review on diet quality among Iranian youth: focusing on reports from Tehran and Isfahan. Arch Iran Med 17:574–584

    PubMed  Google Scholar 

  3. Alonso A, Beunza JJ, Delgado-Rodriguez M, Martinez JA, Martinez-Gonzalez MA (2005) Low-fat dairy consumption and reduced risk of hypertension: the Seguimiento Universidad de Navarra (SUN) cohort. Am J Clin Nutr 82:972–979

    CAS  Article  Google Scholar 

  4. Atkins J, Naismith SL, Luscombe GM, Hickie IB (2013) Psychological distress and quality of life in older persons: relative contributions of fixed and modifiable risk factors. Bmc Psychiatr 13. https://doi.org/10.1186/1471-244x-13-249

  5. Camfield DA, Owen L, Scholey AB, Pipingas A, Stough C (2011) Dairy constituents and neurocognitive health in ageing. Brit J Nutrit 106:159–174. https://doi.org/10.1017/S0007114511000158

    CAS  Article  PubMed  Google Scholar 

  6. Crichton GE, Murphy KJ, Bryan J (2010) Dairy intake and cognitive health in middle-aged South Australians. Asia Pac J Clin Nutr 19:161–171

    CAS  PubMed  Google Scholar 

  7. Da Silva MS, Rudkowska I (2015) Dairy nutrients and their effect on inflammatory profile in molecular studies. Mol Nutr Food Res 59:1249–1263. https://doi.org/10.1002/mnfr.201400569

    CAS  Article  PubMed  Google Scholar 

  8. de Souza RJ et al. (2015) Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies Bmj-Brit Med J 351. https://doi.org/10.1136/Bmj.H3978

  9. Ghasemian A (2014) National and sub-national burden of chronic diseases attributable to lifestyle risk factors in Iran 1990–2013; study protocol. Arch Iran Med 17:146–158

    PubMed  Google Scholar 

  10. Ginter E, Simko V (2016) New data on harmful effects of trans-fatty acids. Bratislavske lekarske listy 117:251–253

    CAS  PubMed  Google Scholar 

  11. Gonzalez S, Duncan SE, O’Keefe SF, Sumner SS, Herbein JH (2003) Oxidation and textural characteristics of butter and ice cream with modified fatty acid profiles. J Dairy Sci 86:70–77. https://doi.org/10.3168/jds.S0022-0302(03)73585-1

    CAS  Article  PubMed  Google Scholar 

  12. Hagan KA, Wu T, Rimm EB, Eliassen AH, Okereke OI (2015) Phobic anxiety and plasma levels of global oxidative stress in women. Eur J Psychiatr 29:7–20. https://doi.org/10.4321/S0213-61632015000100001

    Article  Google Scholar 

  13. Haghighatdoost F (2016) Glycemic index, glycemic load, and common psychological disorders. Am J Clin Nutr 103:201–209. https://doi.org/10.3945/ajcn.114.105445

    CAS  Article  PubMed  Google Scholar 

  14. Hajian S (2016) Positive effect of antioxidants on immune system. Immunopathologia Persa 1

  15. Hill DR, Newburg DS (2015) Clinical applications of bioactive milk components. Nutr Rev 73:463–476. https://doi.org/10.1093/nutrit/nuv009

    Article  PubMed  PubMed Central  Google Scholar 

  16. Hosseinzadeh M (2016) Empirically derived dietary patterns in relation to psychological disorders. Public Health Nutr 19:204–217. https://doi.org/10.1017/S136898001500172X

    Article  PubMed  Google Scholar 

  17. Hsieh CC, Hernandez-Ledesma B, Fernandez-Tome S, Weinborn V, Barile D, de Moura Bell JM (2015) Milk proteins, peptides, and oligosaccharides: effects against the 21st century disorders. Biomed Res Int 2015:146840. https://doi.org/10.1155/2015/146840

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  18. Huth PJ, Park KM (2012) Influence of dairy product and milk fat consumption on cardiovascular disease risk: a review of the evidence. Adv Nutrit 3:266–285. https://doi.org/10.3945/an.112.002030

    CAS  Article  Google Scholar 

  19. Hwang JY, Lee SE, Kim SH, Chung HW, Kim WY (2010) Psychological distress is associated with inadequate dietary intake in Vietnamese marriage immigrant women in Korea. J Am Diet Assoc 110:779–785. https://doi.org/10.1016/j.jada.2010.02.004

    Article  PubMed  Google Scholar 

  20. Kalantari N, Doaei S, Gordali M, Rahimzadeh G, Gholamalizadeh M (2016) The Association between dairy intake, simple sugars and body mass index with expression and extent of anger in female students. Iranian J Psychiatr 11:43–50

    Google Scholar 

  21. Keshteli A, Esmaillzadeh A, Rajaie S, Askari G, Feinle-Bisset C, Adibi P (2014) A dish-based semi-quantitative food frequency questionnaire for assessment of dietary intakes in epidemiologic studies in Iran: design and development. Int J Prevent Med 5:29–36

    Google Scholar 

  22. Lang UE, Beglinger C, Schweinfurth N, Walter M, Borgwardt S (2015) Nutritional aspects of depression. Cell Physiol Biochem:Int J Experiment Cell Physiol Biochem Pharmacol 37:1029–1043. https://doi.org/10.1159/000430229

    CAS  Article  Google Scholar 

  23. Lim SY, Kim EJ, Kim A, Lee HJ, Choi HJ, Yang SJ (2016) Nutritional factors affecting mental health. Clin Nutrit Res 5:143–152. https://doi.org/10.7762/cnr.2016.5.3.143

    Article  Google Scholar 

  24. Malekinejad H, Rezabakhsh A (2015) Hormones in dairy foods and their impact on public health—a narrative review article. Iran J Public Health 44:742–758

    PubMed  PubMed Central  Google Scholar 

  25. Mendoza C, Barreto GE, Avila-Rodriguez M, Echeverria V (2016) Role of neuroinflammation and sex hormones in war-related PTSD. Mol Cell Endocrinol 434:266–277. https://doi.org/10.1016/j.mce.2016.05.016

    CAS  Article  PubMed  Google Scholar 

  26. Michaelsson K, Wolk A, Langenskiold S, Basu S, Warensjo Lemming E, Melhus H, Byberg L (2014) Milk intake and risk of mortality and fractures in women and men: cohort studies. Bmj 349:g6015. https://doi.org/10.1136/bmj.g6015

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  27. Mitchell AJ, Rao S, Vaze A (2011) Can general practitioners identify people with distress and mild depression? A meta-analysis of clinical accuracy. J Affect Disord 130:26–36. https://doi.org/10.1016/j.jad.2010.07.028

    Article  PubMed  Google Scholar 

  28. Morio B, Fardet A, Legrand P, Lecerf JM (2016) Involvement of dietary saturated fats, from all sources or of dairy origin only, in insulin resistance and type 2 diabetes. Nutrit Rev 74:33–47. https://doi.org/10.1093/nutrit/nuv043

    Article  PubMed  Google Scholar 

  29. Oddo VM, Mabli J (2015) Association of participation in the supplemental nutrition assistance program and psychological distress. Am J Publ Heal 105:E30–E35. https://doi.org/10.2105/Ajph.2014.302480

    Article  Google Scholar 

  30. Ozawa M et al (2014) Milk and dairy consumption and risk of dementia in an elderly Japanese population: the Hisayama Study. J Am Geriatr Soc 62:1224–1230. https://doi.org/10.1111/jgs.12887

    Article  PubMed  Google Scholar 

  31. Pasin G, Comerford KB (2015) Dairy foods and dairy proteins in the management of type 2 diabetes: a systematic review of the clinical evidence. Adv Nutr 6:245–259. https://doi.org/10.3945/an.114.007690

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  32. Perez-Cornago A, Zulet MA, Martinez JA (2015) Association between mood and diet quality in subjects with metabolic syndrome participating in a behavioural weight-loss programme: a cross-sectional assessment. Nutr Neurosci 18:137–144. https://doi.org/10.1179/1476830514Y.0000000116

    CAS  Article  PubMed  Google Scholar 

  33. Rahmati Najarkolaei F, Raiisi F, Rahnama P, Gholami Fesharaki M, Zamani O, Jafari MR, Montazeri A (2014) Factor structure of the Iranian version of 12-item general health questionnaire. Iran Red Crescent Med J 16:e11794. https://doi.org/10.5812/ircmj.11794

    Article  PubMed  PubMed Central  Google Scholar 

  34. Richard A, Rohrmann S, Vandeleur CL, Mohler-Kuo M, Eichholzer M (2015) Associations between fruit and vegetable consumption and psychological distress: results from a population-based study. Bmc Psychiatr 15. https://doi.org/10.1186/S12888-015-0597-4

  35. Russ TC, Kivimaki M, Morling JR, Starr JM, Stamatakis E, Batty GD (2015) Association between psychological distress and liver disease mortality: a meta-analysis of individual study. Participants Gastroenterology 148:958–U401. https://doi.org/10.1053/j.gastro.2015.02.004

    Article  PubMed  Google Scholar 

  36. Saneei P, Hajishafiee M, Keshteli AH, Afshar H, Esmaillzadeh A, Adibi P (2016) Adherence to Alternative Healthy Eating Index in relation to depression and anxiety in Iranian adults. Brit J Nutrit 116:335–342. https://doi.org/10.1017/S0007114516001926

    CAS  Article  PubMed  Google Scholar 

  37. Seidel C, Deufel T, Jahreis G (2005) Effects of fat-modified dairy products on blood lipids in humans in comparison with other fats. Ann Nutrit Metab 49:42–48. https://doi.org/10.1159/000084176

    CAS  Article  Google Scholar 

  38. Shahreza FD (2016) From oxidative stress to endothelial cell dysfunction. J Prevent Epidemiol 1

  39. Sorouri M et al (2010) Functional bowel disorders in Iranian population using Rome III criteria Saudi. J Gastroenterol:Off J Saudi Gastroenterol Assoc 16:154–160. https://doi.org/10.4103/1319-3767.65183

    Article  Google Scholar 

  40. Sturgeon JA, Arewasikporn A, Okun MA, Davis MC, Ong AD, Zautra AJ (2016) The psychosocial context of financial stress: implications for inflammation and psychological health. Psychoso Med 78:134–143. https://doi.org/10.1097/PSY.0000000000000276

    Article  Google Scholar 

  41. Uemura M et al (2016) Association between psychological distress and dietary intake among evacuees after the Great East Japan Earthquake in a cross-sectional study: the Fukushima Health Management Survey. BMJ Open 6:e011534. https://doi.org/10.1136/bmjopen-2016-011534

    Article  PubMed  PubMed Central  Google Scholar 

  42. Vaskonen T (2003) Dietary minerals and modification of cardiovascular risk factors. J Nutrit Biochem 14:492–506

    CAS  Article  Google Scholar 

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Acknowledgements

The authors thank the staff and participants of SEPAHAN for their important contributions.

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Correspondence to Awat Feizi.

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The authors declare no conflict of interest.

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The study protocol was approved by the regional bioethics committee of IUMS (Adibi 2012).

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Miraghajani, M., Feizi, A., Esmaillzadeh, A. et al. The relationship between dairy food intake and psychological distress among Iranian adults: results from a large cross-sectional population-based study. J Public Health (Berl.) 27, 781–789 (2019). https://doi.org/10.1007/s10389-018-0994-5

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Keywords

  • Dairy food intake
  • High-fat dairy
  • Low-fat dairy
  • Psychological distress