Adipokines: The possible association between low carbohydrate diet score and depression
Abstract Background Due to lack of enough date to confirm the association of obesity and depression in middle east, We aimed to explore the possible mediatory role of adipokines such as galactin1, transforming growth factor beta (TGF-beta), and endothelial plasminogen activator inhibitor (PAI-1) in the association between obesity and depression.Methods A total of 256 women ranged between 18-48 years old were grouped based on their low carbohydrate diet (LCD) score. Body composition and dietary intake were assessed. Enzyme-linked immunosorbent assay was used to measure serum adipokines levels.Results There was a negative association between LCD score as a covariant and depression as an independent variable (P= 0.02) (beta ±SE= -0.143±0.031) (CI= -0.129 to -0.08). A regression model linear analysis using galactin1, TGF-β, and PAI 1 as a covariant indicated the mediatory effects of these adipokines (P > 0.05). The higher adherence to LCD was associated with a decrease of anthropometric components (p < 0.05).Conclusion We indicated that a higher adherence to LCD would probably ameliorate depression through the mediatory role of the study adipokines. The higher adherence of LCD in depressive obese individuals due to possible improvement effects on mental health.