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BioPsychoSocial Medicine
Published in: BioPsychoSocial Medicine 1/2019

Open Access 01-12-2019 | Research

The relationship between dietary inflammatory index and psychosomatic complaints profiles: results from SEPAHAN cross-sectional study

Authors: Fahimeh Haghighatdoost, Awat Feizi, Ahmad Esmaillzadeh, Christine Feinle-Bisset, Ammar Hassanzadeh Keshteli, Hamidreza Roohafza, Hamid Afshar, Peyman Adibi

Published in: BioPsychoSocial Medicine | Issue 1/2019

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Abstract

Background

Although the dietary inflammatory index (DII) has been evaluated in relation to psychological disorders risk, the association between DII and psychosomatic complaints is unclear. This study aimed to determine the association between DII, as a proxy measure of the inflammatory potential of the diet, and psychosomatic complaints.

Methods

This cross-sectional study included 2818 people from the general population, aged 19 to 69 years, of Isfahan province in Iran. Dietary intake was assessed using a validated dish-based food-frequency questionnaire. Psychosomatic complaints were assessed using a self-administered validated Persian questionnaire. Twenty-seven nutrients or foods were included in the calculation of DII. Each of them received a score based on their inflammatory ability, thus, a higher DII score indicated a more pro-inflammatory diet. The risk of being in the top median of a psychosomatic complaints profile across the tertiles of DII was assessed using logistic regression.

Results

Four psychosomatic complaints profiles (psychological, gastrointestinal, neuro-skeletal and pharyngeal- respiratory) were identified. After controlling for potential confounders, individuals in the top tertile of DII had higher odds for experiencing high somatic complaints scores for the psychological (odds ratio (OR) = 1.44, 95% confidence interval (CI): 1.10, 1.89; P trend = 0.009), gastrointestinal (OR = 1.22, 95% CI: 0.99, 1.75; P = 0.058) or neuro-skeletal (OR = 1.56, 95% CI: 1.10, 2.22; P = 0.013) profile. The association for pharyngeal-respiratory complaints did not remain significant after adjustment for stressful life events, medical condition, and anti-psychotropic medicine use.

Conclusion

The significant positive link between DII and the various psychosomatic complaints profiles suggests that a diet with anti-inflammatory potential might be favourably related to psychosomatic complaints. Further studies, particularly clinical trials and longitudinal studies, are warranted to investigate the inflammatory potential of diet in relation to psychosomatic complaints.
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Metadata
Title
The relationship between dietary inflammatory index and psychosomatic complaints profiles: results from SEPAHAN cross-sectional study
Authors
Fahimeh Haghighatdoost
Awat Feizi
Ahmad Esmaillzadeh
Christine Feinle-Bisset
Ammar Hassanzadeh Keshteli
Hamidreza Roohafza
Hamid Afshar
Peyman Adibi
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BioPsychoSocial Medicine / Issue 1/2019
Electronic ISSN: 1751-0759
DOI
https://doi.org/10.1186/s13030-019-0169-9

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