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阿富汗喀布尔育龄妇女膳食甲基供体营养素与常见心理状况(抑郁、焦虑和压力)的关联。

Associations of dietary methyl donor nutrients with common psychological conditions (depression, anxiety and stress) among reproductive-aged women in Kabul, Afghanistan.

作者信息

Zahidi Fawzia, Abbasi Hanieh, Surkan Pamela J, Azadbakht Leila

机构信息

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P. O. Box: 1416643931, Tehran, Iran.

Department of International Health, John Hopkins School of Public Health, Baltimore, MD, USA.

出版信息

BMC Nutr. 2023 Nov 23;9(1):135. doi: 10.1186/s40795-023-00796-9.

Abstract

BACKGROUND

Higher levels of methyl donor nutrients may be associated with better psychological conditions. Little is known about the association of methyl donor nutrients with psychological conditions among women especially in Asian countries such as Afghanistan.

METHOD

This cross-sectional study was conducted in Kabul, Afghanistan to assess the association of methyl donor nutrients with common psychological conditions (depression, anxiety and stress) among reproductive-aged women using multistage random sampling to choose one health center from each municipality out of four cardinal directions. Finally a sample of 421 reproductive-aged women with a mean BMI of 23.3 ± 5.0 kg/m2 and an age range of 15-45 years were collected. All women's dietary intakes were obtained using a 24-recall questionnaire. Depression, Anxiety and Stress Scale - 21 Items (DASS-21) was used to assess psychological conditions. Chi-square tests and one-way ANOVAs were performed to assess general characteristics. Residual model test while adjusting for energy intake was used to assess nutrient intake of methyl donor nutrients and food groups. We fitted logistic regression models to assess risk for Common mental health problems (CMHPs) based on methyl donor tertiles.

RESULT

We observed that there is no significant association between methyl donor nutrients and psychological disorders in both crude and adjusted models (depression, OR = 0.95, CI: 0.48; 1.88; anxiety, OR = 0.88, CI: 0.43, 1.79; stress, OR = 0.73, CI: 0.38, 1.40), (p > 0.05).

CONCLUSION

Overall, we did not find any significant association between methyl donor nutrients and depression, anxiety and stress.

摘要

背景

较高水平的甲基供体营养素可能与更好的心理状况相关。关于甲基供体营养素与女性心理状况之间的关联,尤其是在阿富汗等亚洲国家,人们知之甚少。

方法

本横断面研究在阿富汗喀布尔进行,旨在评估甲基供体营养素与育龄妇女常见心理状况(抑郁、焦虑和压力)之间的关联。采用多阶段随机抽样从四个主要方向的每个市中选择一个卫生中心。最后收集了421名育龄妇女的样本,她们的平均体重指数为23.3±5.0kg/m²,年龄范围为15至45岁。所有女性的饮食摄入量均通过24小时回忆问卷获得。使用抑郁、焦虑和压力量表-21项(DASS-21)评估心理状况。进行卡方检验和单因素方差分析以评估一般特征。在调整能量摄入的同时,使用残差模型测试来评估甲基供体营养素和食物组的营养素摄入量。我们拟合逻辑回归模型,以根据甲基供体三分位数评估常见心理健康问题(CMHP)的风险。

结果

我们观察到,在粗模型和调整模型中,甲基供体营养素与心理障碍之间均无显著关联(抑郁,OR = 0.95,CI:0.48;1.88;焦虑,OR = 0.88,CI:0.43,1.79;压力,OR = 0.73,CI:0.38,1.40),(p>0.05)。

结论

总体而言,我们未发现甲基供体营养素与抑郁、焦虑和压力之间存在任何显著关联。

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