Repositorio
Institucional

Garrido-Miguel, Miriam

Morales, Gladys

Balboa-Castillo, Teresa

Fernandez-Rodriguez, Ruben

Guidoni, Camilo Molino

Sirtoli, Rafaela

Mesas, Arthur Eumann

Rodrigues, Renne

Adherence to the Mediterranean diet and depression, anxiety, and stress symptoms in Chilean university students: a cross-sectional study

Adherencia a la dieta mediterránea y síntomas de depresión, ansiedad y estrés en universitarios chilenos: un estudio transversal

CADERNOS SAUDE PUBLICA

CADERNOS DE SAUDE PUBLICA

en

This study aims to determine the association of adherence to the Mediterra-nean diet and its food groups with depressive symptoms in Chilean university students. The study design was cross-sectional. A total of 934 first-year stu-dents at a Chilean public university completed a self-report questionnaire. To assess adherence to Mediterranean diet, an index validated in Chile (Chilean-MDI) was used, and depression, anxiety, and stress symptoms were assessed using the Depression Anxiety and Stress Scale (DASS-21). Logistic regres-sion models were used to analyze the association of adherence to Mediterra-nean diet and its food groups with depression, anxiety, and stress symptoms adjusted for the main confounders. Students with moderate and high adher-ence to Mediterranean diet showed lower odds of depression [DASS-21 > 5, odds ratio (OR) = 0.64, 95% confidence interval (95%CI): 0.47-0.88] than those with low adherence to Mediterranean diet. The consumption of 1-2 serv-ings/day of vegetables (OR = 0.63, 95%CI: 0.43-0.92), > 2 servings/week of nuts (OR = 0.41, 95%CI: 0.21-0.80), 1-2 servings/day of fruits (OR = 0.60, 95%CI: 0.42-0.85), 1-2 servings/week of fish and seafood (OR = 0.67, 95%CI: 0.48-0.94), and 1/2-3 units/week of avocado (OR = 0.67, 95%CI: 0.48-0.93) showed low odds of depressive symptoms. The consumption of whole grains and cereals (> 2 servings/day) (OR = 1.63, 95%CI: 1.02-2.61) showed the opposite association. Adherence to Mediterranean diet and consumption of fruits, vegetables, nuts, avocado, fish, and seafood are associated with a lower likelihood of depression in Chilean university students. New policies and edu-cational strategies are recommended to improve diet quality and the mental health of the entire university community.

2023

artículo original

10.1590/0102-311XEN206722

PDF

Mediterranean Diet

Depression

Mental Health

Young Adults

Student Health

Salud pública, ambiental y ocupacional

Dieta mediterránea

Depresión

Salud mental

Adultos jovenes

Salud estudiantil

artículo original

versión publicada

CC BY

CC BY

acceso abierto

acceso abierto

WOS:001107045000001

0102-311X

diamante

Salud pública, ambiental y ocupacional