植物性饮食模式和心理症状：偏头痛患者的横断面调查

IF 3.6 4区医学 Q2 NEUROSCIENCES

Nutritional Neuroscience Pub Date : 2025-01-28 DOI:10.1080/1028415X.2025.2454168

Elham Karimi, Hajar Heidari, Maryam Kazemi, Amir Hadi, Gholamreza Askari, Fariborz Khorvash, Arman Arab

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引用次数: 0

摘要

目的：本研究评估了伊朗女性偏头痛患者的植物性饮食指数（PDI）与心理症状（包括抑郁症状、压力和焦虑）之间的关系。方法：对262例偏头痛患者(年龄20 ~ 50岁；身体质量指数18.5-30 kg/m²)。根据通过168项食物频率问卷（FFQ）收集的饮食数据，计算了三种版本的PDI：总体PDI，健康PDI （hPDI）和不健康PDI （uPDI）。心理症状，包括抑郁症状、焦虑和压力，使用抑郁、焦虑、压力量表-21 （DASS-21）问卷进行评估。结果：在对潜在混杂因素进行校正后，PDI最高分位数的患者出现抑郁症状的风险较低[优势比(OR) = 0.41, 95%可信区间（CI）： 0.22, 0.77]。此外，PDI评分与压力风险之间存在明显的负相关（OR = 0.46, 95% CI: 0.24, 0.85）。讨论：坚持以植物为基础的饮食模式与降低心理症状的风险有关。然而，未来的纵向研究和临床试验应该重复我们的观察结果，并描述驱动这些关联的潜在机制。

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Plant-based eating pattern and psychological symptoms: a cross-sectional survey among patients with migraine.

Objectives: The present study evaluated the association between plant-based diet index (PDI) and psychological symptoms, including depressive symptoms, stress, and anxiety among Iranian women diagnosed with migraine headaches.

Methods: A cross-sectional study was conducted on 262 patients with migraine (aged 20-50 years; body mass index, 18.5-30 kg/m²). Three versions of the PDI were calculated: overall PDI, healthy PDI (hPDI), and unhealthy PDI (uPDI) based on dietary data collected via a 168-item food frequency questionnaire (FFQ). Psychological symptoms, including depressive symptoms, anxiety, and stress, were assessed using the Depression, Anxiety, Stress Scale-21 (DASS-21) questionnaire.

Results: After adjustment for potential confounders, patients in the highest tertile of the PDI showed a lower risk of depressive symptoms [odds ratio (OR) = 0.41, 95% confidence interval (CI): 0.22, 0.77]. Furthermore, inverse associations were evident between the PDI score and the risk of stress (OR = 0.46, 95% CI: 0.24, 0.85).

Discussion: Higher adherence to a plant-based eating pattern is associated with a reduced risk of psychological symptoms. However, future longitudinal studies and clinical trials should replicate our observations and delineate the underlying mechanisms driving these associations.

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来源期刊

Nutritional Neuroscience 医学-神经科学

CiteScore

8.50

自引率

2.80%

发文量

236

审稿时长

>12 weeks

期刊介绍： Nutritional Neuroscience is an international, interdisciplinary broad-based, online journal for reporting both basic and clinical research in the field of nutrition that relates to the central and peripheral nervous system. Studies may include the role of different components of normal diet (protein, carbohydrate, fat, moderate use of alcohol, etc.), dietary supplements (minerals, vitamins, hormones, herbs, etc.), and food additives (artificial flavours, colours, sweeteners, etc.) on neurochemistry, neurobiology, and behavioural biology of all vertebrate and invertebrate organisms. Ideally this journal will serve as a forum for neuroscientists, nutritionists, neurologists, psychiatrists, and those interested in preventive medicine.