The MIND (Mediterranean-DASH Diet Intervention for Neurodegenerative Delay) and Mediterranean Diets are differently associated with psychosomatic complaints profile in adults: Results from SEPAHAN Cross-sectional study

Article type: Research Article

Authors: Haghighatdoost, Fahimeh^a | Feizi, Awat^{b; f; e; *} | Esmaillzadeh, Ahmad^c | Keshteli, Ammar Hassanzadeh^{d; e} | Roohafza, Hamidreza^f | Afshar, Hamid^g | Adibi, Peyman^e

Affiliations: [a] Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran | [b] Biostatistics and Epidemiology Department, School of Health and Psychosomatic research center, Isfahan University of Medical Sciences, Isfahan, Iran | [c] Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran | [d] Department of Medicine, University of Alberta, Edmonton, Alberta, Canada | [e] Gastroenterology and Hepatology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran | [f] Cardiac rehabilitation research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran | [g] Psychosomatic Research Center and Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence: [*] Corresponding author: Dr. Awat Feizi, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran. Tel.: +98 313 792 3250; Fax: +98 313 7923232; E-mail: [email protected].

Abstract: BACKGROUND:In spite of an obvious association between diet and mental health, there is only few report regarding the association between diet and psychosomatic complaints. OBJECTIVE:To investigate the association of the Mediterranean-DASH diet intervention for neurodegenerative delay (MIND) diet with psychosomatic complaints profile in comparison with the Mediterranean diet (aMED). METHODS:In this cross-sectional study on 2818 Isfahanian adults, a validated dish-based food frequency questionnaire was used to assess dietary intakes. Psychosomatic complaints profile was evaluated through a self-administered Persian validated questionnaire by using exploratory factor analysis. RESULTS:After controlling for potential confounders, individuals in the highest quintile of the MIND diet had lower risk for experiencing psychological (odds ratio (OR)  = 0.60, 95% confidence interval (CI): 0.42, 0.86; P trend < 0.0001), and pharyngeal-respiratory (OR = 0.57, 95% CI: 0.41, 0.79; P = 0.002). The association for neuro-skeletal complaints was marginally significant (OR = 0.66, 95% CI: 0.43, 1.03; P = 0.093). The aMED diet tended to lower gastrointestinal complaints (OR = 0.68, 95% CI: 0.46, 1.01; P = 0.062). CONCLUSION:The MIND diet was inversely associated with different psychosomatic complaints risk, but no evidence of such an association for the MED diet was observed.

Keywords: MIND diet, mediterranean diet, psychosomatic complaints, psychological, pharyngeal-respiratory, neuro-skeletal, gastrointestinal complaints

DOI: 10.3233/MNM-200426

Journal: Mediterranean Journal of Nutrition and Metabolism, vol. 13, no. 4, pp. 341-359, 2020