The association between protein consumption from animal and plant sources with psychological distress in older people in the Mediterranean region

2020 ◽  
Vol 5 (4) ◽  
pp. 273-285
Author(s):  
Nathan M. D’Cunha ◽  
Alexandra Foscolou ◽  
Stefanos Tyrovolas ◽  
Christina Chrysohoou ◽  
Loukianos Rallidis ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Older People ◽  
Mediterranean Diet ◽  
Protein Intake ◽  
Animal Protein ◽  
Plant Protein ◽  
Protein Consumption ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence

BACKGROUND: The potential for diet to prevent and treat mental health conditions is an exciting area of investigation; however, the impact of different protein sources on mental health outcomes is unclear. OBJECTIVE: To evaluate the association between dietary protein intake and psychological distress, in people aged >50 years of age, living in Greece. METHODS: A combined data set of older people living in the Athens metropolitan area and 20 Greek islands, from the ATTICA (n = 1,128) and MEDIS (n = 2,221) population-based cross-sectional studies was developed. Anthropometric, clinical and socio-demographic and lifestyle characteristics, and protein consumption (total, animal, plant) consumed based on validated FFQ, were derived through standard procedures and questionnaires. “Psychological distress” (PDS) was assessed as a combined variable representing symptoms of depression and anxiety using Item Response Theory methodology and fitting a Graded Response Model. RESULTS: Animal protein, but not plant protein intake, was associated with higher PDS following adjustment for age, sex, education level, Mediterranean diet adherence and physical activity (b±SE: 0.399±0.090, p = 0.003). Following analysis by Mediterranean diet adherence level, among low adherers, animal protein intake was positively associated with PDS (b±SE: 1.119±0.174, p = 0.003), and no associations were observed in moderate or high adherence groupsin regards to plant protein intake and PDS. CONCLUSIONS: Animal protein intake is associated with PDS, suggesting a bi-directional relationship, which may be influenced by Mediterranean diet adherence.

scholarly journals Association between Mediterranean diet adherence and mental health

2014 ◽  
Vol 1 ◽  
pp. 33-34 ◽  
Author(s):  
J. Cho ◽  
D. Zarnowiecki ◽  
A. Villani ◽  
A. Wilson ◽  
S. Bogomolova ◽  
...  
Keyword(s):  
Mental Health ◽  
Mediterranean Diet ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence

scholarly journals Mediterranean diet and mental health in university students: an Italian cross-sectional study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Corezzi ◽  
F Bert ◽  
G Lo Moro ◽  
A Buda ◽  
M R Gualano ◽  
...  
Keyword(s):  
Mental Health ◽  
University Students ◽  
Mediterranean Diet ◽  
Well Being ◽  
Cross Sectional Study ◽  
Protective Role ◽  
Sectional Study ◽  
Cross Sectional ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence

Abstract Background Well-being is essential for positive mental health among university students, influencing their later attitudinal and career outcomes. Many factors contribute to endanger students' mental health, including academic stressors, as well as unhealthy lifestyles. Following a Mediterranean diet (MD), widespread in Europe, is proved to have a protective role for mental health. Our aim was to investigate mental well-being and adherence to the MD in university students. Methods In 2019, a cross-sectional study was performed in Turin, Italy. Totally, 502 university students were enrolled. A socio-demographic form, the Mediterranean Diet Adherence Screener (MEDAS) and Warwick-Edinburgh Mental Wellbeing Scale (WEMBS), were used. Mainly, multivariable linear and logistic regressions were performed to investigate potential predictors of adherence to the MD and of psychological well-being (p < 0.05 considered significant). Results The 24% of the sample resulted at high risk of depression (WEMWBS score<40) and the 22.7% at high risk of psychological distress (WEMWBS score 41-45). The median MEDAS score was 6 (IQR=2, non-normal distribution) in a possible range between 0 and 14 (the higher is the score, the higher is the adherence). Preliminary results showed that a MEDAS score ≥6 was associated to a lower risk of depression (OR = 0.78, p = 0.006). Not being on time with university exams (OR = 2.65, p = 0.002) and not having an excellent health status (OR = 1.94, p = 0.23) led to a higher depression risk instead. The main variables that had a negative association with MD adherence were WEMWBS<40 (coef=-0.65, p = 0.001) and not cooking personally (coef=-0.30, p = 0.04). Conclusions Students who reported greater adherence to the MD were those with the lowest risk of depression. The potential protective role that MD has for mental health in young adults could be used to help developing more comprehensive intervention strategies of health promotion among European university students. Key messages Adherence to the Mediterranean diet and good mental health seem to be related in a sample of university students analyzed through multivariable regressions. European policies and strategies addressing unhealthy lifestyles and encouraging Mediterranean diet adherence could be useful to improve well-being and mental health of university students.

scholarly journals Influence of Confinement Due to COVID-19 on Physical Activity and Mediterranean Diet Adherence and Its Relationship with Self-Esteem in Pre-Adolescent Students

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 848
Author(s):  
Gracia Cristina Villodres ◽  
Laura García-Pérez ◽  
Juan Miguel Corpas ◽  
José Joaquín Muros
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Socioeconomic Status ◽  
Mediterranean Diet ◽  
Self Esteem ◽  
School Type ◽  
Physical And Mental Health ◽  
School Students ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence

Regular physical activity and good adherence to the Mediterranean diet are important for improving physical and mental health. Confinement due to the COVID-19 pandemic has led to a lack of exercise and poor nutrition. Preadolescent mental health, specifically regarding self-esteem, may have been affected. This is particularly relevant between the ages of 10 and 14. The influence of total confinement due to COVID-19 on physical activity and Mediterranean diet adherence, and its relationship with self-esteem was studied in third-year primary school students and first-year secondary school students in the provinces of Granada and Malaga, Spain. Validated questionnaires were administered to evaluate physical activity (PAQ-C), Mediterranean diet adherence (KIDMED) and self-esteem (Rosenberg Scale). In the same way, the FAS III test was used to evaluate socioeconomic status and an ad-hoc questionnaire was developed to collect sociodemographic data and evaluate screen time. Data were analyzed using IBM SPSS 25.0 statistical software. During the period of total confinement, statistically significant differences were found between examined variables, according to sex, school year, school type, socioeconomic status and whether or not the participant had contracted COVID-19. These data were compared with those collected during a previous time period. Those with a low socioeconomic status and girls were most affected.

scholarly journals Mediterranean Diet Adherence, Body Composition and Performance in Beach Handball Players: A Cross Sectional Study

2021 ◽  
Vol 18 (6) ◽  
pp. 2837
Author(s):  
Alejandro Martínez-Rodríguez ◽  
María Martínez-Olcina ◽  
María Hernández-García ◽  
Jacobo Á. Rubio-Arias ◽  
Javier Sánchez-Sánchez ◽  
...  
Keyword(s):  
Body Composition ◽  
Mediterranean Diet ◽  
Lean Body Mass ◽  
Body Mass ◽  
Eating Habits ◽  
Individual Performance ◽  
Dominant Hand ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence ◽  
And Performance

Background: Beach handball (BH) is a sport in which sporting performance is influenced, together with team interaction, by individual performance in terms of strength. Body composition is one of the main factors for sports performance and eating habits can condition this variable. The Mediterranean diet (MD) can significantly reduce the risk of mortality or cardiovascular disease. In addition, the Spanish Ministry of Agriculture, Food and Environment carries out different campaigns to promote it among young athletes, establishing it as a suitable diet for sports. Objectives: The main aims of the study are to assess body composition, physical activity and adherence to the MD of beach handball players. It also aims to evaluate age group differences in male and female players, as well as studying the possible relationship between MD, body composition and performance variables. Methods: A total of 59 Spanish BH players were recruited in the national championship of BH in the province of Alicante. Thirty-eight male (14 junior; 17.0 ± 0.1 years and 24 seniors; 25.5 ± 4.7 years) and twenty-one female (7 junior; 16.1 ± 1.46 years and 14 seniors; 23.2 ± 2.0 years) BH players participated in this study. The questionnaire to evaluate eating habits was Mediterranean diet adherence (KIDMED). Body composition was measured with electrical bioimpedance. Strength was evaluated by means of a maximum isometric handgrip test of the dominant hand with handgrip and height of jump by counter-jump on contact platform. In the statistical analysis, descriptions and correlations between the study variables were made. Results: In females, when the adherence to the MD is lower, the weight is higher, the lean body mass is lower and worse results are observed in performance tests. As for males, there are differences in weight and lean body mass according to category. Conclusions: Adequate eating habits are related to the weight of beach handball athletes. In addition, specifically with junior players, it has been observed that adherence to the MD correlates with weight.

scholarly journals An Italian Survey on Dietary Habits and Changes during the COVID-19 Lockdown

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1197
Author(s):  
Luana Izzo ◽  
Antonio Santonastaso ◽  
Gaetano Cotticelli ◽  
Alessandro Federico ◽  
Severina Pacifico ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Dietary Habits ◽  
Lifestyle Changes ◽  
World Health ◽  
Italian Population ◽  
Online Questionnaire ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence ◽  
The World ◽  
The Impact

The World Health Organization has declared the coronavirus outbreak a Public Health Emergency of International Concern; the outbreak has led to lockdowns in several parts of the world, and sudden changes in people’s lifestyles. This study explores the impact of the first coronavirus disease 2019 (COVID-19) pandemic period on dietary habits, lifestyle changes, and adherence to the Mediterranean diet among the Italian population, through an online questionnaire, conducted from April to May 2020, involving 1519 participants. The 14-point Mediterranean Diet Adherence Screener (MEDAS) highlighted a medium Mediterranean diet adherence in 73.5% of responders, which principally included the younger population, aged 18–30 years (p < 0.05). In regards to changes in eating habits, 33.5% of responders declared an influence of the pandemic period on nutritional practice. A decrease in alcohol consumption was reported by 81% of responders, while an increase in frozen food consumption was reported by 81.3% of responders. In addition, 58.8% reported positive weight modification (40.8%, +1–3 kg); physical activity reduction was reported for 70.5% of responders. Our study contributes toward amplifying the investigation on the dietary habits and changes of the Italian population during the COVID-19 lockdown, although the pandemic is ongoing. Similar studies should be performed around the world to understand how the emergency has impacted people’s habits.

scholarly journals Influence of Mediterranean Diet Adherence and Physical Activity on Bone Health in Celiac Children on a Gluten-Free Diet

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1636
Author(s):  
Teresa Nestares ◽  
Rafael Martín-Masot ◽  
Carlos de Teresa ◽  
Rocío Bonillo ◽  
José Maldonado ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mediterranean Diet ◽  
Bone Mineral ◽  
Lean Mass ◽  
Bone Health ◽  
Gluten Free ◽  
Z Score ◽  
Mineral Density ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence

We aimed to assess the influence of the Mediterranean Diet adherence and physical activity (PA) on body composition, with a particular focus on bone health, in young patients with celiac disease (CD). The CD group (n = 59) included children with CD with a long (>18 months, n = 41) or recent (<18 months, n = 18) adherence to a gluten-free diet (GFD). The non-celiac group (n = 40) included non-celiac children. After adjusting for potential confounders, the CD group showed lower body weight (p = 0.034), lean mass (p = 0.003), bone mineral content (p = 0.006), and bone Z-score (p = 0.036) than non-celiac children, even when the model was further adjusted for adherence to a GFD for at least 18 months. Among CD children, spending greater time in vigorous physical activity was associated with higher lean mass (p = 0.020) and bone mineral density with evidence of statistical significance (p = 0.078) regardless of the time they followed a GFD. In addition, a greater Mediterranean Diet adherence was associated with a higher bone Z-score (p = 0.020). Moreover, lean mass was strongly associated with bone mineral density and independently explained 12% of its variability (p < 0.001). These findings suggest the importance of correctly monitoring lifestyle in children with CD regarding dietary habits and PA levels to improve lean mass and, consequently, bone quality in this population.

Animal protein intake is inversely associated with mortality in older adults: the InCHIANTI study

2021 ◽  
Author(s):  
Tomás Meroño ◽  
Raúl Zamora-Ros ◽  
Nicole Hidalgo-Liberona ◽  
Montserrat Rabassa ◽  
Stefania Bandinelli ◽  
...  
Keyword(s):  
Older Adults ◽  
Total Energy ◽  
Cardiovascular Mortality ◽  
Protein Intake ◽  
Cox Regression ◽  
Clinical Information ◽  
Community Dwelling ◽  
Animal Protein ◽  
Plant Protein

Abstract Background In general, plant protein intake was inversely associated with mortality in studies in middle-aged adults. Our aim was to evaluate the long-term associations of animal and plant protein intake with mortality in older adults. Methods A prospective cohort study including 1,139 community-dwelling older adults (mean age 75 years, 56% women) living in Tuscany, Italy, followed for 20 years (InCHIANTI study) was analyzed. Dietary intake by food frequency questionnaires and clinical information were assessed five times during the follow-up. Protein intakes were expressed as percentages of total energy. Time-dependent Cox regression models adjusted for confounders were used to assess the association between plant and animal protein intake, and mortality. Results During the 20-years of follow up (mean: 12y), 811 deaths occurred (292 of cardiovascular- and 151 of cancer-related causes). Animal protein intake was inversely associated with all-cause (HR per 1% of total energy from protein increase, 95%CI: 0.96, 0.93-0.99) and cardiovascular mortality (HR per 1% of total energy from protein increase, 95%CI: 0.93, 0.87-0.98). Plant protein intake showed no association with any of the mortality outcomes, but an interaction with baseline hypertension was found for all-cause and cardiovascular mortality (p&lt;0.05). Conclusions Animal protein was inversely associated with all-cause and cardiovascular mortality in older adults. Further studies are needed to provide recommendations on dietary protein intake for older adults.

Adherence to Mediterranean Diet and its Effect on Obesity among Healthy Saudi Adults

2020 ◽  
Vol 57 (1) ◽  
pp. 1
Author(s):  
Maha M. Shatwan ◽  
Maryam H. Al-Zahrani
Keyword(s):  
Olive Oil ◽  
Mediterranean Diet ◽  
Physical Inactivity ◽  
Obesity Risk ◽  
Jeddah City ◽  
Diet Adherence ◽  
Mediterranean Diet Adherence ◽  
Global Burden Disease ◽  
Great Adherence ◽  
Lower Adherence

<p>Obesity is considered as a global burden disease and its prevalence is increased worldwide. Physical inactivity and excessive calorie consumption are associated with increased obesity risk. Therefore, strategies for losing weight involved increased physical activity and reduced calorie and macronutrient diet. Also, recent studies showed that higher adherence to Mediterranean diet is associated with lower risk of obesity. This study investigated association between adherence to Mediterranean diet and obesity among healthy Saudi adults. The sample size of 127 participants (50 men and 77 women) from Jeddah city with mean age 38.2 ± 13.3 years and Body Mass Index (BMI) 26.5 ± 5.2. Adherence to Mediterranean Diet (Med-diet) was measured using a validated 14-item questionnaire of Mediterranean diet adherence. Independent t-test was used to examine significant differences between groups. Results showed that lower adherence to Med-diet among the participants was with mean 5.7 ± 1.9. The analysis of 14-item Med-diet questionnaire showed that around 45% of participants used olive oil in cooking and only 35% of participants consumed more than 4 tablespoons of olive oil daily. The consumption from vegetable, fruit and fish was below recommendation from Med-diet, however, the consumption of red meat was high. Individuals with great adherence to Med-diet had lower BMI, however, values were not statistically significant compared to lower adherence to Med-diet. In conclusion, study showed lower adherence to Med-diet among Saudis and adherence to Med-diet was not associated with reduced risk of obesity.</p>

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