DOI QR코드

DOI QR Code

Higher adherence to a Mediterranean-type diet is associated with reduced psychosocial stress levels in baby boomers: a cross-sectional study

  • Eun-Hee Jang (Department of Food and Nutrition, Sungshin Women's University) ;
  • Ranmi Jung (Department of Food and Nutrition, Sungshin Women's University) ;
  • Seungmin Lee (Department of Food and Nutrition, Sungshin Women's University)
  • 투고 : 2024.01.15
  • 심사 : 2024.02.28
  • 발행 : 2024.04.01

초록

BACKGROUND/OBJECTIVES: This study investigated the relationship between adherence to the Mediterranean diet among Korean baby boomers and their levels of psychosocial stress. SUBJECTS/METHODS: The study included 1,656 adults (889 men and 797 women) born between 1955 and 1963 who participated in the 2005-2006 survey of the community-based Korean Genome and Epidemiology Study (KoGES). The Mediterranean-type diet score (MTDS) was calculated from the semi-quantitative food frequency questionnaire (SQFFQ) data. The psychosocial stress levels were calculated using the psychosocial well-being indexshort form (PWI-SF). Logistic regression analyses were performed to analyze the association between the MTDS (tertiles) and the prevalence of high psychosocial stress by gender. RESULTS: The ranges of the MTDS tertile groups were T1 (20-33 points), T2 (34-37 points), and T3 (38-39 points) for men, T1 (20-33 points), T2 (34-37 points), and T3 (38-48 points) for women. In both men and women, the consumption of whole grains, potatoes, fruits, vegetables, legumes, and fish increased with higher MTDS, while the consumption of red meat and dairy products decreased (P for trend < 0.05). As MTDS score increased the intake of energy, fiber, vitamins, and minerals (P for trend < 0.05). Men in the highest MTDS tertile had a 41% lower odds ratio (OR) of high psychosocial stress compared with those in the lowest tertile (OR, 0.59; 95% confidence interval [CI], 0.38-0.91). Similarly, women in the highest tertile of the MTDS had a 39% lower OR of high psychosocial stress compared with those in the lowest tertile (OR, 0.61; 95% CI, 0.40-0.95). CONCLUSION: Promoting adherence to the Mediterranean diet among baby boomers may have a positive impact on reducing their levels of psychosocial stress.

키워드

과제정보

This work was supported by the Sungshin Women's University Research Grant of 2021.

참고문헌

  1. Doepke M, Hazan M, Maoz Y; National Bureau of Economic Research. The Baby Boom and World War II a Macroeconomic Analysis. NBER Working Paper Series Working Paper 13707. Cambridge (MA): National Bureau of Economic Research; 2007.
  2. Statistics Korea. Life Tables for Korea, 2022 [Internet]. Daejeon: Statistics Korea; 2022 [cited 2023 December 20]. Available from: https://kosis.kr/publication/publicationThema.do?pubcode=LL.
  3. Vaillant GE, Mukamal K. Successful aging. Am J Psychiatry 2001;158:839-47.
  4. Shao M, Lin X, Jiang D, Tian H, Xu Y, Wang L, Ji F, Zhou C, Song X, Zhuo C. Depression and cardiovascular disease: shared molecular mechanisms and clinical implications. Psychiatry Res 2020;285:112802.
  5. Turner AD, James BD, Capuano AW, Aggarwal NT, Barnes LL. Perceived stress and cognitive decline in different cognitive domains in a cohort of older African Americans. Am J Geriatr Psychiatry 2017;25:25-34.
  6. Krantz DS, Shank LM, Goodie JL. Post-traumatic stress disorder (PTSD) as a systemic disorder: pathways to cardiovascular disease. Health Psychol 2022;41:651-62.
  7. Booth J, Connelly L, Lawrence M, Chalmers C, Joice S, Becker C, Dougall N. Evidence of perceived psychosocial stress as a risk factor for stroke in adults: a meta-analysis. BMC Neurol 2015;15:233.
  8. Steptoe A, Marmot M. Burden of psychosocial adversity and vulnerability in middle age: associations with biobehavioral risk factors and quality of life. Psychosom Med 2003;65:1029-37.
  9. Chang HK. Influencing factors on mid-life crisis. Korean J Adult Nurs 2018;30:98-105. CROSSREF
  10. Jacka FN, Cherbuin N, Anstey KJ, Butterworth P. Does reverse causality explain the relationship between diet and depression? J Affect Disord 2015;175:248-50.
  11. Elstgeest LE, Visser M, Penninx BW, Colpo M, Bandinelli S, Brouwer IA. Bidirectional associations between food groups and depressive symptoms: longitudinal findings from the Invecchiare in Chianti (InCHIANTI) study. Br J Nutr 2019;121:439-50.
  12. Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, Medina FX, Battino M, Belahsen R, Miranda G, et al. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr 2011;14:2274-84.
  13. Lara J, McCrum LA, Mathers JC. Association of Mediterranean diet and other health behaviours with barriers to healthy eating and perceived health among British adults of retirement age. Maturitas 2014;79:292-8.
  14. Sanchez-Villegas A, Delgado-Rodriguez M, Alonso A, Schlatter J, Lahortiga F, Serra Majem L, Martinez- Gonzalez MA. Association of the Mediterranean dietary pattern with the incidence of depression: the Seguimiento Universidad de Navarra/University of Navarra follow-up (SUN) cohort. Arch Gen Psychiatry 2009;66:1090-8.
  15. Godos J, Grosso G, Ferri R, Caraci F, Lanza G, Al-Qahtani WH, Caruso G, Castellano S. Mediterranean diet, mental health, cognitive status, quality of life, and successful aging in southern Italian older adults. Exp Gerontol 2023;175:112143.
  16. Shively CA, Frye BM, Negrey JD, Johnson CS, Sutphen CL, Molina AJ, Yadav H, Snyder-Mackler N, Register TC. The interactive effects of psychosocial stress and diet composition on health in primates. Neurosci Biobehav Rev 2023;152:105320.
  17. D'Amico D, Huang V, Fiocco AJ. Examining the moderating role of a Mediterranean diet in the relationship between perceived stress and cognitive function in older adults. J Gerontol B Psychol Sci Soc Sci 2021;76:435-43.
  18. Kim Y, Han BG; KoGES group. Cohort profile: the Korean Genome and Epidemiology Study (KoGES) consortium. Int J Epidemiol 2017;46:e20.
  19. Ahn Y, Kwon E, Shim JE, Park MK, Joo Y, Kimm K, Park C, Kim DH. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur J Clin Nutr 2007;61:1435-41.
  20. Ahn Y, Lee JE, Paik HY, Lee HK, Jo I, Kimm K. Development of a semi-quantitative food frequency questionnaire based on dietary data from the Korea National Health and Nutrition Examination Survey. Nutr Sci 2003;6:173-84.
  21. Panagiotakos DB, Pitsavos C, Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to clinical and biological markers of cardiovascular disease risk. Nutr Metab Cardiovasc Dis 2006;16:559-68.
  22. Park E. Effect of a Mediterranean-type diet on a reduction of cardiovascular disease risk: using the Korean Genome and Epidemiology Study data [master's thesis]. Seoul: Korea University; 2017.
  23. Park JE, Choi TY, Ryu Y, Cho SI. The relationship between mild alcohol consumption and mortality in Koreans: a systematic review and meta-analysis. BMC Public Health 2015;15:918.
  24. Hutchins-Wiese HL, Bales CW, Porter Starr KN. Mediterranean diet scoring systems: understanding the evolution and applications for Mediterranean and non-Mediterranean countries. Br J Nutr 2022;128:1371-92.
  25. Chang SJ. Stress. In: The Korean Society for Preventive Medicine, editor. Health Data Collection and Standardization of Them Measurements. Seoul: Keychuk Munwhasa; 2000. p. 92-143
  26. Marin MF, Lord C, Andrews J, Juster RP, Sindi S, Arsenault-Lapierre G, Fiocco AJ, Lupien SJ. Chronic stress, cognitive functioning and mental health. Neurobiol Learn Mem 2011;96:583-95.
  27. Black PH. The inflammatory response is an integral part of the stress response: Implications for atherosclerosis, insulin resistance, type II diabetes and metabolic syndrome X. Brain Behav Immun 2003;17:350-64.
  28. Mohan A, Huybrechts I, Michels N. Psychosocial stress and cancer risk: a narrative review. Eur J Cancer Prev 2022;31:585-99.
  29. Sparrenberger F, Cichelero FT, Ascoli AM, Fonseca FP, Weiss G, Berwanger O, Fuchs SC, Moreira LB, Fuchs FD. Does psychosocial stress cause hypertension? A systematic review of observational studies. J Hum Hypertens 2009;23:12-9.
  30. Johnson TV, Abbasi A, Master VA. Systematic review of the evidence of a relationship between chronic psychosocial stress and C-reactive protein. Mol Diagn Ther 2013;17:147-64.
  31. McGrattan AM, McGuinness B, McKinley MC, Kee F, Passmore P, Woodside JV, McEvoy CT. Diet and inflammation in cognitive ageing and Alzheimer's disease. Curr Nutr Rep 2019;8:53-65.
  32. Sarris J, Logan AC, Akbaraly TN, Amminger GP, Balanza-Martinez V, Freeman MP, Hibbeln J, Matsuoka Y, Mischoulon D, Mizoue T, et al. Nutritional medicine as mainstream in psychiatry. Lancet Psychiatry 2015;2:271-4.
  33. Lai JS, Hiles S, Bisquera A, Hure AJ, McEvoy M, Attia J. A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults. Am J Clin Nutr 2014;99:181-97.
  34. Osimo EF, Cardinal RN, Jones PB, Khandaker GM. Prevalence and correlates of low-grade systemic inflammation in adult psychiatric inpatients: An electronic health record-based study. Psychoneuroendocrinology 2018;91:226-34.
  35. Miller AH, Raison CL. The role of inflammation in depression: from evolutionary imperative to modern treatment target. Nat Rev Immunol 2016;16:22-34.
  36. Lassale C, Batty GD, Baghdadli A, Jacka F, Sanchez-Villegas A, Kivimaki M, Akbaraly T. Healthy dietary indices and risk of depressive outcomes: a systematic review and meta-analysis of observational studies. Mol Psychiatry 2019;24:965-86.
  37. Kastorini CM, Milionis HJ, Esposito K, Giugliano D, Goudevenos JA, Panagiotakos DB. The effect of Mediterranean diet on metabolic syndrome and its components: a meta-analysis of 50 studies and 534,906 individuals. J Am Coll Cardiol 2011;57:1299-313.
  38. Esposito K, Marfella R, Ciotola M, Di Palo C, Giugliano F, Giugliano G, D'Armiento M, D'Andrea F, Giugliano D. Effect of a mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA 2004;292:1440-6.
  39. Moylan S, Berk M, Dean OM, Samuni Y, Williams LJ, O'Neil A, Hayley AC, Pasco JA, Anderson G, Jacka FN, et al. Oxidative & nitrosative stress in depression: why so much stress? Neurosci Biobehav Rev 2014;45:46-62.
  40. Liu T, Zhong S, Liao X, Chen J, He T, Lai S, Jia Y. A meta-analysis of oxidative stress markers in depression. PLoS One 2015;10:e0138904.
  41. Godos J, Caraci F, Castellano S, Currenti W, Galvano F, Ferri R, Grosso G. Association between dietary flavonoids intake and cognitive function in an Italian cohort. Biomolecules 2020;10:1300.
  42. Grosso G, Laudisio D, Frias-Toral E, Barrea L, Muscogiuri G, Savastano S, Colao A. Anti-inflammatory nutrients and obesity-associated metabolic-inflammation: state of the art and future direction. Nutrients 2022;14:1137.
  43. Tardy AL, Pouteau E, Marquez D, Yilmaz C, Scholey A. Vitamins and minerals for energy, fatigue and cognition: a narrative review of the biochemical and clinical evidence. Nutrients 2020;12:228.
  44. Glabska D, Guzek D, Groele B, Gutkowska K. Fruit and vegetable intake and mental health in adults: a systematic review. Nutrients 2020;12:115.
  45. Hernandez-Diaz S, Martinez-Losa E, Fernandez-Jarne E, Serrano-Martinez M, Martinez-Gonzalez MA. Dietary folate and the risk of nonfatal myocardial infarction. Epidemiology 2002;13:700-6.
  46. Sachdev PS, Parslow RA, Lux O, Salonikas C, Wen W, Naidoo D, Christensen H, Jorm AF. Relationship of homocysteine, folic acid and vitamin B12 with depression in a middle-aged community sample. Psychol Med 2005;35:529-38.
  47. Calder PC. The relationship between the fatty acid composition of immune cells and their function. Prostaglandins Leukot Essent Fatty Acids 2008;79:101-8.
  48. Matsuoka YJ, Sawada N, Mimura M, Shikimoto R, Nozaki S, Hamazaki K, Uchitomi Y, Tsugane S. Dietary fish, n-3 polyunsaturated fatty acid consumption, and depression risk in Japan: a population-based prospective cohort study. Transl Psychiatry 2017;7:e1242.