scholarly journals Associations of maternal stress and/or depressive symptoms with diet quality during pregnancy: a narrative review

2020 ◽  
Author(s):  
Alycia K Boutté ◽  
Gabrielle M Turner-McGrievy ◽  
Sara Wilcox ◽  
Jihong Liu ◽  
Jan M Eberth ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Diet Quality ◽  
Fast Food ◽  
Current Data ◽  
Narrative Review ◽  
Assessment Tools ◽  
Future Research ◽  
Food Groups ◽  
Theoretical Frameworks ◽  
Cross Sectional

Abstract Background Pregnancy can be a stressful time for many women; however, it is unclear if higher stress and depressive symptoms are associated with poorer diet quality during pregnancy. Objective The aims for this narrative review were to (1) synthesize findings of original, peer-reviewed studies that examined associations of stress and/or depressive symptoms with diet quality during pregnancy; (2) review the measurement tools used to assess stress, depressive symptoms, and diet quality; (3) identify current gaps in the extant literature; and (4) offer recommendations for future research. Methods A search strategy was used to identify peer-reviewed manuscripts published between January 1997 and October 2018, using the following databases: PubMed, CINAHL Complete, PsycINFO, Academic Search Complete, and Psychology & Behavioral Sciences Collection. The search was updated December 2019. Two reviewers independently assessed title, abstract, and full-text of the studies that met the inclusion criteria. Data were extracted and a quality assessment was conducted. Results Twenty-seven observational studies were identified in this review (21 cross-sectional and 6 longitudinal). In 22 studies, higher stress and/or depressive symptoms were associated with poorer diet quality or unhealthy dietary patterns; 5 studies found no association. Findings are mixed and inconclusive regarding the relationship among stress, depressive symptoms, and food groups related to diet quality and frequency of fast-food consumption. Conclusions The current data suggest stress and depressive symptoms may be a barrier to proper diet quality during pregnancy; however, variability in the assessment tools, timing of assessments, and use of covariates likely contribute to the inconsistency in study findings. Gaps in the literature include limited use of longitudinal study designs, limited use of comprehensive diet-quality indices, underrepresentation of minority women, and lack of multilevel theoretical frameworks. Studies should address these factors to better assess associations of stress and/or depressive symptoms with diet quality during pregnancy.

scholarly journals Food consumption frequency and perceived stress and depressive symptoms among female university students in the UAE

2020 ◽  
Author(s):  
Ohoud Mohamad ◽  
Haleama Al Sabbah ◽  
Linda Smail ◽  
Ehab W Hermena ◽  
Rola Al Ghali
Keyword(s):  
Depressive Symptoms ◽  
University Students ◽  
Perceived Stress ◽  
Fast Food ◽  
Simple Random Sampling ◽  
Soft Drinks ◽  
Food Groups ◽  
Cross Sectional ◽  
Frequent Consumption ◽  
Independent Variable

Abstract Background This study assessed whether perceived stress and depressive symptoms were associated with the frequency of consumption of specific food groups among female university students. Methods A cross-sectional study was conducted among female university students using a simple random sampling method. The response rate was 97% yielded a total number of 385 participants. The associations between stress levels and the most/least consumed food groups, and between depressive symptoms levels and the most/least consumed food groups were assessed. The questionnaire included a 12-item self-administered food frequency questionnaire, Cohen’s Perceived Stress Scale, and Beck Depression Inventory-II. The study was approved by the University Ethical Committee before data collection. One-way Analysis of Variance (ANOVA) and the independent-sample t-test were carried out to test the equality of population means across the categories of each independent variable depending on the number of categories of the independent variable. Results Overall, this group of female university students fell under the mild mood disturbance category (depressive symptoms) (BDI-II) and had moderate perceived stress (PSS). Perceived stress was associated with more frequent consumption of salad/raw vegetables and cooked vegetables, and less frequent consumption of cake/cookies and meat/sausage products (p < .05). Additionally, depressive symptoms were associated with less frequent consumption of fresh fruits and more consumption of fast food/canned food and soft drinks (p < .05). Conclusions The data showed that stress and depression were associated with different dietary preferences consistent with distinctions between stress and depression on human behavior. Specifically, the results revealed associations between soft drinks consumption and higher depressive symptoms, and between frequent consumption of salad/raw vegetables and cooked vegetables and higher perceived stress among this group of female university students.

scholarly journals Determinants of Fast Food Consumption Among Puerto Rican Adults Living in a Rural Community

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 503-503
Author(s):  
Kiara Amaro-Rivera ◽  
Elena Carbone
Keyword(s):  
Food Consumption ◽  
Rural Community ◽  
Diet Quality ◽  
Urban Areas ◽  
Fast Food ◽  
Weight Status ◽  
Future Research ◽  
Poverty Level ◽  
Cross Sectional ◽  
Fast Food Consumption

Abstract Objectives The aim of this study was to explore the association between fast food consumption, sociodemographic and health-related variables among adults living in a small rural community in Puerto Rico. Methods This study was cross-sectional. A researcher-designed questionnaire was distributed to every household in the community. A multivariable logistic regression was conducted to examine the association between fast food consumption (&lt;1 or ≥1 time/week), and the following independent variables: age; gender; education; poverty level estimate; employment status; weight status; self-rated health; self-perceived diet quality; self-perceived weight status; currently trying to lose weight; fruit, non-starchy vegetables, starchy vegetables, and sugar-sweetened beverages (SSB) intake; physical activity; and recreational screen time. Results A total of 195 adults aged ≥18 years participated in this study. Of these, 53.1% were female, 53.1% completed more than high school, 45.4% were employed, 28.7% were overweight and 32.3% were obese. Over one-third (34.9%) of participants reported consuming fast food ≥1 time/week. Eating fast food ≥1 time/week was associated with ages 35–49 years (OR = 0.38, 95% CI: 0.16–0.94) and ≥50 years (OR = 0.09, 95% CI: 0.03–0.32) as compared to being 18–34 years old; being unemployed/homemaker/disabled (OR = 0.24, 95% CI: 0.08–0.73) as compared to being employed; being obese (OR = 3.17, 95% CI: 1.02–9.85) as compared to being under/normal weight; currently trying to lose weight (OR = 3.00, 95% CI: 1.31–6.88) as compared to those not trying to lose weight; eating fewer than 1 cup of non-starchy vegetables daily (OR = 0.39 95% CI: 0.16–0.93) as compared to those who eat ≥1cup daily; and drinking SSB ≥1 times daily (OR = 3.80 95% CI: 1.50–9.60) as compared to those who drink SSB less than once daily in the adjusted model. Conclusions Fast food consumption was associated with older age, employment, obesity, trying to lose weight, and intake of non-starchy vegetables and SSB in our sample. Future research should examine the relationship between fast food consumption and diet quality among those living in rural communities, as previous research has shown that Puerto Ricans living in urban areas are undergoing a nutrition transition to lower quality diets. Funding Sources The authors received no financial support for this research.

Examining the Relationship Between Black Racial Identity Clusters and Postpartum Depressive Symptoms

2021 ◽  
pp. 107839032110026
Author(s):  
Kortney Floyd James ◽  
Dawn M. Aycock ◽  
Jennifer L. Barkin ◽  
Kimberly A. Hires
Keyword(s):  
Depressive Symptoms ◽  
Racial Identity ◽  
Assessment Tools ◽  
Future Research ◽  
Full Time ◽  
Black Mothers ◽  
Postpartum Depressive Symptoms ◽  
Black Racial Identity ◽  
Postpartum Mothers ◽  
The Relationship

Background: This study examined the relationship between racial identity clusters and postpartum depressive symptoms (PPDS) in Black postpartum mothers living in Georgia. Aims: A cross-sectional study design using Cross’s nigrescence theory as a framework was used to explore the relationship between Black racial identity and PPDS. Method: Black mothers were administered online questionnaires via Qualtrics. A total sample of 116 self-identified Black mothers were enrolled in the study. Participants ranged in age from 18 to 41 years ( M = 29.5 ± 5.3) and their infants were 1 to 12 months old ( M = 5.6 ± 3.5). The majority of mothers were married or cohabitating with their partner (71%), had a college degree (53%), and worked full-time (57%). Results: Hierarchical cluster analysis identified six racial identity clusters within the sample: Assimilated and Miseducated, Self-Hating, Anti-White, Multiculturalist, Low Race Salience, and Conflicted. A Kruskal-Wallis H test determined there was no difference in PPDS scores between racial identity clusters. Conclusion: This study is the first to explore the relationship between Black racial identity clusters of postpartum mothers and their mental health. Findings emphasize the complexity of Black racial identity and suggest that the current assessment tools may not adequately detect PPDS in Black mothers. The implications for these findings in nursing practice and future research are discussed.

scholarly journals Perceived stress and depressive symptoms not neuropsychiatric symptoms predict caregiver burden in Alzheimer’s disease: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Manee Pinyopornpanish ◽  
Kanokporn Pinyopornpanish ◽  
Atiwat Soontornpun ◽  
Surat Tanprawate ◽  
Angkana Nadsasarn ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Depressive Symptoms ◽  
Caregiver Burden ◽  
Perceived Stress ◽  
Neuropsychiatric Symptoms ◽  
Cross Sectional Study ◽  
Assessment Tools ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Caregiver burden affects the caregiver’s health and is related to the quality of care received by patients. This study aimed to determine the extent to which caregivers feel burdened when caring for patients with Alzheimer’s Disease (AD) and to investigate the predictors for caregiving burden. Methods A cross-sectional study was conducted. One hundred two caregivers of patients with AD at Maharaj Nakorn Chiang Mai Hospital, a tertiary care hospital, were recruited. Assessment tools included the perceived stress scale (stress), PHQ-9 (depressive symptoms), Zarit Burden Interview-12 (burden), Clinical Dementia Rating (disease severity), Neuropsychiatric Inventory Questionnaires (neuropsychiatric symptoms), and Barthel Activities Daily Living Index (dependency). The mediation analysis model was used to determine any associations. Results A higher level of severity of neuropsychiatric symptoms (r = 0.37, p < 0.01), higher level of perceived stress (r = 0.57, p < 0.01), and higher level of depressive symptoms (r = 0.54, p < 0.01) were related to a higher level of caregiver burden. The direct effect of neuropsychiatric symptoms on caregiver burden was fully mediated by perceived stress and depressive symptoms (r = 0.13, p = 0.177), rendering an increase of 46% of variance in caregiver burden by this parallel mediation model. The significant indirect effect of neuropsychiatric symptoms by these two mediators was (r = 0.21, p = 0.001). Conclusion Caregiver burden is associated with patients’ neuropsychiatric symptoms indirectly through the caregiver’s depressive symptoms and perception of stress. Early detection and provision of appropriate interventions and skills to manage stress and depression could be useful in reducing and preventing caregiver burden.

scholarly journals Post-COVID-19 Syndrome: The Persistent Symptoms at the Post-viral Stage of the Disease. A Systematic Review of the Current Data

2021 ◽  
Vol 8 ◽  
Author(s):  
Francesca Salamanna ◽  
Francesca Veronesi ◽  
Lucia Martini ◽  
Maria Paola Landini ◽  
Milena Fini
Keyword(s):  
Systematic Review ◽  
Chronic Fatigue ◽  
Current Data ◽  
Assessment Tools ◽  
Current Evidence ◽  
Case Control Studies ◽  
Cross Sectional ◽  
Persistent Symptoms ◽  
Collection Form

Whilst the entire world is battling the second wave of COVID-19, a substantial proportion of patients who have suffered from the condition in the past months are reporting symptoms that last for months after recovery, i. e., long-term COVID-19 symptoms. We aimed to assess the current evidence on the long-term symptoms in COVID-19 patients. We did a systematic review on PubMed, Web of Science, EMBASE, and Google Scholar from database inception to February 15, 2021, for studies on long-term COVID-19 symptoms. We included all type of papers that reported at least one long-term COVID-19 symptom. We screened studies using a standardized data collection form and pooled data from published studies. Cohort cross-sectional, case-report, cases-series, case-control studies, and review were graded using specific quality assessment tools. Of 11,361 publications found following our initial search we assessed 218 full-text articles, of which 145 met all selection criteria. We found that 20.70% of reports on long-term COVID-19 symptoms were on abnormal lung functions, 24.13% on neurologic complaints and olfactory dysfunctions, and 55.17% on specific widespread symptoms, mainly chronic fatigue, and pain. Despite the relatively high heterogeneity of the reviewed studies, our findings highlighted that a noteworthy proportion of patients who have suffered from SARS-CoV-2 infection present a “post-COVID syndrome.” The multifaceted understanding of all aspects of the COVID-19 pandemic, including these long-term symptoms, will allow us to respond to all the global health challenges, thus paving the way to a stronger public health.

Neighborhood Social Cohesion and Mobility Limitations Among Community-dwelling Older Americans: The Mediating Roles of Depressive Symptoms and Mastery

2021 ◽  
pp. 009141502110376
Author(s):  
Fei Wang ◽  
Weidi Qin ◽  
Jiao Yu
Keyword(s):  
Depressive Symptoms ◽  
Social Cohesion ◽  
Ordinary Least Squares ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Future Research ◽  
Social Aspect ◽  
Mobility Limitations ◽  
Cross Sectional ◽  
Neighborhood Social Cohesion

Neighborhood environment plays an important role in late-life health; yet, the social aspect of neighborhood environment and its impact on mobility limitations have rarely been examined. This nonexperimental, cross-sectional study examines the relationship between neighborhood social cohesion and mobility limitations and the potential mediators (i.e., depressive symptoms, mastery) of this relationship. A total of 8,317 Americans aged 65 years and older were selected from the Health and Retirement Study. Using ordinary least squares regressions, this study shows that neighborhood social cohesion was negatively associated with mobility limitations ( B  =  −0.04, p < .01). A Sobel test of mediation indicated that this relationship was significantly mediated by depressive symptoms ( z  =  −9.10, p < .001) and mastery ( z  =  −8.86, p < .001). Findings suggest that neighborhood cohesion can reduce mobility limitations through mitigating depressive symptoms and increasing mastery. Future research should disentangle the temporal ordering of the mediators.

scholarly journals Relative Density of Away from Home Food Establishments and Food Spend for 24,047 Households in England: A Cross-Sectional Study

2018 ◽  
Vol 15 (12) ◽  
pp. 2821 ◽  
Author(s):  
Tarra Penney ◽  
Thomas Burgoine ◽  
Pablo Monsivais
Keyword(s):  
Diet Quality ◽  
Fast Food ◽  
National Level ◽  
Cross Sectional Study ◽  
Food Sources ◽  
Cross Sectional ◽  
Household Food ◽  
Home Food ◽  
The Uk ◽  
Potential Precursor

Eating away from home is a risk factor for poor diet quality and obesity. With an ever-increasing proportion of household food spend directed toward eating out, the proliferation of these food establishments may contribute to their use, a potential precursor to less healthy food choices and low overall diet quality. However few studies are conducted at the national level and across a range of away from home food sources. The purpose of this study was to examine the association between the density of away from home food establishments (e.g., restaurants, fast food outlets and cafés) and household spend on away from home food within a nationally representative sample for England, UK. A cross-sectional analysis of data from Wave 1 of the UK Household Longitudinal Survey (n = 24,047 adults aged ≥19y) was conducted. Exposure was characterised as the density of away from home food establishments to all other food sources within 1 mile of the home, divided into quintiles (Q1 as lowest exposure and Q5 as highest exposure). The primary outcome included households with a high away from home equivalised monthly food spend (≥25% of total food spend). Logistic regression was used to estimate associations between away from home food establishment exposure and high away from home food spend. Away from home food establishment density was significantly associated with a greater odds of high monthly food spend (Q3: OR = 1.18, 95% CI = 1.07, 1.30; Q4: OR = 1.30, 95% CI = 1.18, 1.43; and Q5: OR = 1.52, 95% CI = 1.37, 1.68) with attenuation after controlling for known socioeconomic confounders (Q4: OR = 1.13, 95% CI = 1.02, 1.25; and Q5: OR = 1.16, 95% CI = 1.04, 1.30) compared to those least exposed (Q1). Those most exposed to away from home food establishments had a 16% greater odds of allocating more than 25% of household food spend on away from home food sources. This study provides one of the first analyses at the national level to examine the role of the local food environment in relation to household food spend, a potential precursor to diet quality and health.

Exploring the Relationship Between MyPlate Knowledge, Perceived Diet Quality, and Healthy Eating Behaviors Among Adolescents

2020 ◽  
Vol 34 (7) ◽  
pp. 713-721 ◽  
Author(s):  
Miranda Westfall ◽  
Sarah E. Roth ◽  
Monique Gill ◽  
Alec M. Chan-Golston ◽  
Lindsay N. Rice ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Healthy Eating ◽  
Diet Quality ◽  
Fast Food ◽  
Fruits And Vegetables ◽  
Strong Association ◽  
Eighth Grade ◽  
School Students ◽  
Cross Sectional ◽  
Eighth Grade Students

Purpose: MyPlate is the current dietary guidance icon meant to communicate healthy eating patterns. The purpose of this study is to evaluate knowledge of MyPlate nutrition education messages among middle school students and its association with dietary intake and perceived diet quality. Design: Secondary analysis of cross-sectional data. Settings: Survey of eighth-grade students from 16 middle schools in California. Subjects: A total of 3521 eighth-grade students. Measures: MyPlate knowledge was assessed with 3 questions asking how much of the plate in a typical meal should be (1) fruits and vegetables, (2) grains, and (3) proteins. A brief food frequency questionnaire measured intake of fruits, vegetables, sweets, salty snacks, fast-food, and sugar-sweetened beverages (SSBs) over the past 7 days. Students self-rated their diet quality as poor, fair, good, or excellent. Analysis: Hierarchical logistic regression models controlling for gender, ethnicity, and socioeconomic status. Results: Only 11% of students answered all MyPlate questions correctly. MyPlate knowledge was associated with 65% higher odds of not consuming SSBs, but 46% lower odds of not consuming sweets. MyPlate knowledge was not associated with adolescents’ perceived diet quality or intake of salty snacks, fruits, or vegetables. Conclusion: Knowledge of nutrition education messages communicated by the MyPlate dietary guidance icon is limited among adolescents. The association between MyPlate knowledge and lower consumption of SSBs is encouraging, given the strong association between SSBs and childhood obesity.

scholarly journals A comparison of diet quality indices in a nationally representative cross-sectional study of Iranian households

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Sara Ebrahimi ◽  
Sarah A. McNaughton ◽  
Rebecca M. Leech ◽  
Morteza Abdollahi ◽  
Anahita Houshiarrad ◽  
...  
Keyword(s):  
Diet Quality ◽  
Urban Areas ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
World Health ◽  
Future Research ◽  
Quality Indices ◽  
Cross Sectional ◽  
Nutrient Adequacy ◽  
Household Heads

Abstract Background Iranian diet quality has been evaluated using indices that have not been created based on Iranian dietary guidelines. This study aimed to examine the applicability of two diet quality indices by examining their associations with nutrient adequacy, nutrient intakes and sociodemographics. Methods Dietary data were collected using three 24-h dietary recalls from Iranian households. Nutrient adequacy was assessed using World Health Organization/Food and Agriculture Organization 2002 (WHO/FAO) cut points. Household diet quality was calculated using the Healthy Eating Index (HEI) and Diet Quality Index-International (DQI-I). Sociodemographics of the household members were assessed. Regression analyses were used to examine associations between diet quality and nutrient adequacy, and between sociodemographics and diet quality. Results A total of 6935 households were included in the analysis. Higher household diet quality was associated with adequate intake of calcium (HEI: OR 1.11, 95% CI: 1.10, 1.13; DQI-I: OR 1.14, 95% CI: 1.13, 1.16), vitamin C (HEI: OR 1.19, 95% CI: 1.17, 1.20; DQI-I: OR 1.12, 95% CI: 1.11, 1.12) and protein (HEI: OR 1.01, 95% CI: 1.00, 1.02; DQI-I: OR 1.09, 95% CI: 1.08, 1.09). Higher household diet quality was associated with household heads who were older (> 56 years old) (HEI: β 2.06, 95% CI: 1.63, 2.50; DQI-I β 2.90, 95% CI: 2.34, 3.45), higher educated (college/university completed) (HEI: β 4.54, 95% CI: 4.02, 5.06; DQI-I: β 2.11, 95% CI: 1.45, 2.77) and living in urban areas (HEI: β 2.85, 95% CI: 2.54, 3.16; DQI-I: β 0.72, 95% CI: 0.32, 1.12). Conclusions Based on associations with nutrient adequacy and sociodemographics, the applicability of two diet quality indices for assessing the diet quality of Iranian households was demonstrated. Results also indicated DQI-I may be more applicable than HEI for evaluating Iranian nutrient adequacy. Findings have implications for the design and assessment of diet quality in Iranian populations. Future research should examine the link between these diet quality indices and health outcomes.

scholarly journals Food Security and Diet Quality in Native Hawaiian, Pacific Islander, and Filipino Infants 3 to 12 Months of Age

Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2120
Author(s):  
Sally Campbell ◽  
John J. Chen ◽  
Carol J. Boushey ◽  
Heather Eicher-Miller ◽  
Fengqing Zhu ◽  
...  
Keyword(s):  
Food Security ◽  
Diet Quality ◽  
Native Hawaiian ◽  
Multinomial Logistic Regression ◽  
Pacific Islander ◽  
Infant Food ◽  
Food Groups ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
The Impact

Food insecurity and other nutritional risks in infancy pose a lifelong risk to wellbeing; however, their effect on diet quality in Native Hawaiian, Pacific Islander, and Filipino (NHPIF) infants in Hawai‘i is unknown. In this cross-sectional analysis, the association between various indicators of food security and NHPIF infant diet quality were investigated in 70 NHPIF infants aged 3–12 months residing on O‘ahu, Hawai‘i. The dietary assessments of the infants were collected using a mobile food recordTM. Foods consumed across four days were categorized into seven food groups. Indicators for food security were examined through an adapted infant food security index and other indicators. Data were analyzed using chi-square tests, independent sample t-tests, multinomial logistic regression, and linear regression models. In models adjusting for age and sex, infants defined as food insecure by the adapted index were found to consume foods from more food groups and consume flesh foods on a greater proportion of days. Of the indicators examined, the adapted index was shown to be the best indicator for food group consumption. Further work is needed on a more representative sample of NHPIF infants to determine the impact that food security has on nutritional status and other indicators of health.

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