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BMC Pulmonary Medicine

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01-12-2021 | Affective Disorder | Research article

The associations between dietary pattern of chronic obstructive pulmonary disease patients and depression: a cross-sectional study

Authors: Fahimeh Dinparast, Akbar Sharifi, Sara Moradi, Maedeh Alipour, Beitullah Alipour

Published in: BMC Pulmonary Medicine | Issue 1/2021

Abstract

Background

Chronic obstructive pulmonary disease (COPD) is a common lung disease during middle age which one of its complications is depression. Depression is considered one of the major causes of severe disability worldwide. One of the factors that affect the severity and incidence of this disease is a lifestyle, especially dietary pattern. On the other hand, some studies showed the relationship between dietary patterns and depression. The present study aims to investigate the dietary patterns of people with chronic obstructive pulmonary disease and its association with depression.

Methods

The present cross-sectional study was performed on 220 patients (mean ± SD age = 54.58 ± 5.08) with chronic obstructive pulmonary disease (56.6% men, 43.4% women) from Tabriz, Iran. Questionnaires of general information, food frequency, Beck depression and physical activity were completed. The dominant dietary patterns were determined by factor analysis, and their relationship with depression was discussed by regression analysis.

Results

Three dominant dietary patterns were identified as healthy, unhealthy, and mixed dietary patterns. An inverse relationship was found between healthy and mixed dietary patterns with depression. There is no meaningful connection between unhealthy dietary patterns and depression. Depression had a significant inverse relationship with physical activity. There was no relationship between dietary patterns and Forced Expiratory Volume for 1 s (FEV1) and Forced Vital Capacity (FVC) criteria. A positive and significant relationship was observed between mixed dietary patterns with FEV1/FVC.

Conclusion

Inverse relationships exist between healthy dietary patterns and depression in patients with COPD, and improves the function of the lungs. Further studies are needed to show the exact relationship between diet and COPD depression.

Khayyatzadeh SS, Shafiee M, Far PE, Ziaee SS, Bagherniya M, Ebrahimi S, et al. Adherence to a healthy dietary pattern is associated with less severe depressive symptoms among adolescent girls. Psychiatry Res. 2019;272:467–73.PubMedCrossRef

Rennard SI. Chronic obstructive pulmonary disease: linking outcomes and pathobiology of disease modification. Proc Am Thoracic Soc. 2006;3(3):276–80.CrossRef

Sharifi H, Masjedi MR, Emami H, Ghanei M, Eslaminejad A, Radmand G, et al. Burden of obstructive lung disease study in Tehran: Prevalence and risk factors of chronic obstructive pulmonary disease. Lung India office Organ Indian Chest Soc. 2015;32(6):572.CrossRef

Kunik ME, Roundy K, Veazey C, Souchek J, Richardson P, Wray NP, et al. Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest. 2005;127(4):1205–11.PubMed

Appelhans BM, Whited MC, Schneider KL, Ma Y, Oleski JL, Merriam PA, et al. Depression severity, diet quality, and physical activity in women with obesity and depression. J Acad Nutr Dietetics. 2012;112(5):693–8.CrossRef

Atlantis E, Fahey P, Cochrane B, Smith S. Bidirectional associations between clinically relevant depression or anxiety and COPD: a systematic review and meta-analysis. Chest. 2013;144(3):766–77.PubMedCrossRef

Yohannes AM, Kaplan A, Hanania NA. Anxiety and depression in chronic obstructive pulmonary disease: recognition and management. Cleve Clin J Med. 2018;85(2 Suppl 1):S11–8.PubMedCrossRef

Fan VS, Meek PM. Anxiety, depression, and cognitive impairment in patients with chronic respiratory disease. Clin Chest Med. 2014;35(2):399–409.PubMedCrossRef

Miravitlles M, Soriano JB, Garcia-Rio F, Muñoz L, Duran-Tauleria E, Sanchez G, et al. Prevalence of COPD in Spain: impact of undiagnosed COPD on quality of life and daily life activities. Thorax. 2009;64(10):863–8.PubMedCrossRef

10.

Ståhl E, Lindberg A, Jansson S-A, Rönmark E, Svensson K, Andersson F, et al. Health-related quality of life is related to COPD disease severity. Health Quality Life Outcomes. 2005;3(1):56.CrossRef

11.

Kauppi P, Kupiainen H, Lindqvist A, Tammilehto L, Kilpeläinen M, Kinnula VL, et al. Overlap syndrome of asthma and COPD predicts low quality of life. J Asthma. 2011;48(3):279–85.PubMedCrossRef

12.

Godos J, Castellano S, Marranzano M. Adherence to a Mediterranean dietary pattern is associated with higher quality of life in a cohort of Italian adults. Nutrients. 2019;11(5):981.PubMedCentralCrossRef

13.

Ruano C, Henriquez P, Martínez-González MÁ, Bes-Rastrollo M, Ruiz-Canela M, Sanchez-Villegas A. Empirically derived dietary patterns and health-related quality of life in the SUN project. PLoS ONE. 2013;8(5):e61490.PubMedPubMedCentralCrossRef

14.

Khalesi S, Irwin C, Sun J. Dietary patterns, nutrition knowledge, lifestyle, and health-related quality of life: Associations with anti-hypertension medication adherence in a sample of Australian adults. High Blood Press Cardiovasc Prev. 2017;24(4):453–62.PubMedCrossRef

15.

Li Y, Lv M-R, Wei Y-J, Sun L, Zhang J-X, Zhang H-G, et al. Dietary patterns and depression risk: a meta-analysis. Psychiatry Res. 2017;253:373–82.PubMedCrossRef

16.

Murakami K, Mizoue T, Sasaki S, Ohta M, Sato M, Matsushita Y, et al. Dietary intake of folate, other B vitamins, and ω-3 polyunsaturated fatty acids in relation to depressive symptoms in Japanese adults. Nutrition. 2008;24(2):140–7.PubMedCrossRef

17.

Alipour B, Rashidkhani B, Edalati S. Dietary flavonoid intake, total antioxidant capacity and lipid oxidative damage: a cross-sectional study of Iranian women. Nutrition. 2016;32(5):566–72.PubMedCrossRef

18.

Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3–9.PubMedCrossRef

19.

Sanchez-Villegas A, Henríquez P, Figueiras A, Ortuño F, Lahortiga F, Martínez-González MA. Long chain omega-3 fatty acids intake, fish consumption and mental disorders in the SUN cohort study. Eur J Nutr. 2007;46(6):337–46.PubMedCrossRef

20.

Sánchez-Villegas A, Delgado-Rodríguez M, Alonso A, Schlatter J, Lahortiga F, Majem LS, et al. 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(10):1090–8.PubMedCrossRef

21.

Le Port A, Gueguen A, Kesse-Guyot E, Melchior M, Lemogne C, Nabi H, et al. Association between dietary patterns and depressive symptoms over time: a 10-year follow-up study of the GAZEL cohort. PLoS ONE. 2012;7(12):e51593.PubMedPubMedCentralCrossRef

22.

Akbaraly TN, Brunner EJ, Ferrie JE, Marmot MG, Kivimaki M, Singh-Manoux A. Dietary pattern and depressive symptoms in middle age. Br J Psychiatry. 2009;195(5):408–13.PubMedPubMedCentralCrossRef

23.

Weng T-T, Hao J-H, Qian Q-W, Cao H, Fu J-L, Sun Y, et al. Is there any relationship between dietary patterns and depression and anxiety in Chinese adolescents? Public Health Nutr. 2012;15(4):673–82.PubMedCrossRef

24.

Chan R, Leung J, Woo J. A prospective cohort study to examine the association between dietary patterns and sarcopenia in Chinese community-dwelling older people in Hong Kong. J Am Med Dir Assoc. 2016;17(4):336–42.PubMedCrossRef

25.

Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2010;13(5):654–62.PubMedCrossRef

26.

Bakhtiyari M, Emaminaeini M, Hatami H, Khodakarim S, Sahaf R. Depression and perceived social support in the elderly. Salmand Iran J Ageing. 2017;12(2):192–207.CrossRef

27.

Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936–42.PubMedCrossRef

28.

Moghaddam MB, Aghdam FB, Jafarabadi MA, Allahverdipour H, Nikookheslat SD, Safarpour S. The Iranian Version of International Physical Activity Questionnaire (IPAQ) in Iran: content and construct validity, factor structure, internal consistency and stability. World Appl Sci J. 2012;18(8):1073–80.

29.

Adeli SH, Faker H, Mozafari A, Heidari A, Mirzapour M, Asadi M. Frequency of depression in 207 patients with COPD in QOM City, 2008. Qom Univ Med Sci J. 2011;5(2):34–8.

30.

Beck AT, Steer RA, Carbin MG. Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77–100.CrossRef

31.

Kant AK. Dietary patterns: biomarkers and chronic disease risk. Appl Physiol Nutr Metab. 2010;35(2):199–206.PubMedCrossRef

32.

Jones-McLean EM, Shatenstein B, Whiting SJ. Dietary patterns research and its applications to nutrition policy for the prevention of chronic disease among diverse North American populations. Appl Physiol Nutr Metab. 2010;35(2):195–8.PubMedCrossRef

33.

Rashidkhani B, Gargari BP, Ranjbar F, Zareiy S, Kargarnovin Z. Dietary patterns and anthropometric indices among Iranian women with major depressive disorder. Psychiatry Res. 2013;210(1):115–20.PubMedCrossRef

34.

Rezazadeh A, Rashidkhani B. The association of general and central obesity with major dietary patterns of adult women living in Tehran. Iran J Nutr Sci Vitaminol. 2010;56(2):132–8.PubMedCrossRef

35.

Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome. Circulation. 2008;117(6):754–61.PubMedCrossRef

36.

Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Dietary patterns and markers of systemic inflammation among Iranian women. J Nutr. 2007;137(4):992–8.PubMedCrossRef

37.

Shaheen S, Jameson K, Syddall H, Sayer AA, Dennison E, Cooper C, et al. The relationship of dietary patterns with adult lung function and COPD. Eur Respir J. 2010;36(2):277–84.PubMedCrossRef

38.

Ardestani ME, Onvani S, Esmailzadeh A, Feizi A, Azadbakht L. Adherence to dietary approaches to stop hypertension (DASH) dietary pattern in relation to chronic obstructive pulmonary disease (COPD): a case–control study. J Am Coll Nutr. 2017;36(7):549–55.PubMedCrossRef

39.

Laurin C, Lavoie KL, Bacon SL, Dupuis G, Lacoste G, Cartier A, et al. Sex differences in the prevalence of psychiatric disorders and psychological distress in patients with COPD. Chest. 2007;132(1):148–55.PubMedCrossRef

40.

Karimi Z, Jessri M, Houshiar-Rad A, Mirzaei H-R, Rashidkhani B. Dietary patterns and breast cancer risk among women. Public Health Nutr. 2014;17(5):1098–106.PubMedCrossRef

41.

Nanri A, Kimura Y, Matsushita Y, Ohta M, Sato M, Mishima N, et al. Dietary patterns and depressive symptoms among Japanese men and women. Eur J Clin Nutr. 2010;64(8):832–9.PubMedCrossRef

42.

Dipnall JF, Pasco JA, Meyer D, Berk M, Williams LJ, Dodd S, et al. The association between dietary patterns, diabetes and depression. J Affect Disord. 2015;174:215–24.PubMedCrossRef

43.

Park JK, Son SM. The dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Korean J Community Nutr. 2003;8(5):716–25.

44.

LaChance LR, Ramsey D. Antidepressant foods: An evidence-based nutrient profiling system for depression. World J Psychiatry. 2018;8(3):97.PubMedPubMedCentralCrossRef

45.

Penckofer S, Kouba J, Byrn M, Estwing FC. Vitamin D and depression: where is all the sunshine? Issues Mental Health Nursing. 2010;31(6):385–93.CrossRef

46.

Sugawara N, Yasui-Furukori N, Tsuchimine S, Kaneda A, Tsuruga K, Iwane K, et al. No association between dietary patterns and depressive symptoms among a community-dwelling population in Japan. Ann Gen Psychiatry. 2012;11(1):24.PubMedPubMedCentralCrossRef

47.

Steinemann N, Grize L, Pons M, Rothe T, Stolz D, Turk A, et al. Associations between dietary patterns and post-bronchodilation lung function in the SAPALDIA Cohort. Respiration. 2018;95:454–63.PubMedCrossRef

48.

Brigham EP, Steffen LM, London SJ, Boyce D, Diette GB, Hansel NN, et al. Diet pattern and respiratory morbidity in the atherosclerosis risk in communities study. Ann Am Thoracic Soc. 2018;15(6):675–82.CrossRef

Title: The associations between dietary pattern of chronic obstructive pulmonary disease patients and depression: a cross-sectional study
Authors: Fahimeh Dinparast
Akbar Sharifi
Sara Moradi
Maedeh Alipour
Beitullah Alipour
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Affective Disorder
Affective Disorder
Chronic Obstructive Lung Disease
Published in: BMC Pulmonary Medicine / Issue 1/2021
Electronic ISSN: 1471-2466
DOI: https://doi.org/10.1186/s12890-020-01383-5

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The associations between dietary pattern of chronic obstructive pulmonary disease patients and depression: a cross-sectional study

Abstract

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Results

Conclusion

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