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Dietary total antioxidant capacity and its association with sleep, stress, anxiety, and depression score: A cross-sectional study among diabetic women.
Clin Nutr ESPEN. 2020 06; 37:187-194.CN

Abstract

BACKGROUND

Diabetes as a common chronic disease leads to several serious disabilities and complications. Patients with type 2 diabetes are involved with psychological and sleep disorders which diet can be effective in the management of these problems. The present study aimed to investigate the association of Dietary Total Antioxidant Capacity (DTAC) and sleep, stress, anxiety, and depression among diabetic women.

METHODS

This cross-sectional study conducted on 265 women with type 2 diabetes. A validated food frequency questionnaire was filled to evaluate dietary intakes. We calculated DTAC based on amounts of antioxidant in each dietary item using the ferric reducing ability of plasma (FRAP) and oxygen radical absorbance capacity (ORAC) databases. Pittsburgh Sleep Quality Index was used to assess sleep quality. Moreover, 21 items Depression, Anxiety, and Stress Scale was used to assess mental disorders.

RESULTS

Subjects in the highest tertile of FRAP and ORAC score compared to those in the lowest tertile of these scores had 94% and 87% lower risk of poor sleep, respectively. The odds of depression were negatively related to the highest tertile of FRAP and ORAC score (OR: 0.21, 95%CI: 0.09-0.50 and OR: 0.21, 95%CI: 0.10-0.48, respectively). Participants with the highest tertile of FRAP compared to those within the lowest tertile of FRAP score had a 59% lower risk of anxiety. The odds of stress were negatively related to the highest tertile of FRAP and ORAC score (OR: 0.10, 95%CI: 0.04-0.23 and OR: 0.13, 95%CI: 0.06-0.29, respectively).

CONCLUSION

There is a significant association between DTAC, sleep status and psychological disorders. However, prospective studies in both genders should be conducted to confirm the actual relationship.

Authors+Show Affiliations

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran; Chronic Diseases Research Center, and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran; Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: azadbakhtleila@gmail.com.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32359742

Citation

Daneshzad, Elnaz, et al. "Dietary Total Antioxidant Capacity and Its Association With Sleep, Stress, Anxiety, and Depression Score: a Cross-sectional Study Among Diabetic Women." Clinical Nutrition ESPEN, vol. 37, 2020, pp. 187-194.
Daneshzad E, Keshavarz SA, Qorbani M, et al. Dietary total antioxidant capacity and its association with sleep, stress, anxiety, and depression score: A cross-sectional study among diabetic women. Clin Nutr ESPEN. 2020;37:187-194.
Daneshzad, E., Keshavarz, S. A., Qorbani, M., Larijani, B., & Azadbakht, L. (2020). Dietary total antioxidant capacity and its association with sleep, stress, anxiety, and depression score: A cross-sectional study among diabetic women. Clinical Nutrition ESPEN, 37, 187-194. https://doi.org/10.1016/j.clnesp.2020.03.002
Daneshzad E, et al. Dietary Total Antioxidant Capacity and Its Association With Sleep, Stress, Anxiety, and Depression Score: a Cross-sectional Study Among Diabetic Women. Clin Nutr ESPEN. 2020;37:187-194. PubMed PMID: 32359742.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary total antioxidant capacity and its association with sleep, stress, anxiety, and depression score: A cross-sectional study among diabetic women. AU - Daneshzad,Elnaz, AU - Keshavarz,Seyed-Ali, AU - Qorbani,Mostafa, AU - Larijani,Bagher, AU - Azadbakht,Leila, Y1 - 2020/03/19/ PY - 2019/11/23/received PY - 2020/02/28/revised PY - 2020/03/01/accepted PY - 2020/5/4/entrez PY - 2020/5/4/pubmed PY - 2021/9/25/medline KW - Depression KW - Diabetic patients KW - Dietary total antioxidant capacity KW - Sleep KW - Women SP - 187 EP - 194 JF - Clinical nutrition ESPEN JO - Clin Nutr ESPEN VL - 37 N2 - BACKGROUND: Diabetes as a common chronic disease leads to several serious disabilities and complications. Patients with type 2 diabetes are involved with psychological and sleep disorders which diet can be effective in the management of these problems. The present study aimed to investigate the association of Dietary Total Antioxidant Capacity (DTAC) and sleep, stress, anxiety, and depression among diabetic women. METHODS: This cross-sectional study conducted on 265 women with type 2 diabetes. A validated food frequency questionnaire was filled to evaluate dietary intakes. We calculated DTAC based on amounts of antioxidant in each dietary item using the ferric reducing ability of plasma (FRAP) and oxygen radical absorbance capacity (ORAC) databases. Pittsburgh Sleep Quality Index was used to assess sleep quality. Moreover, 21 items Depression, Anxiety, and Stress Scale was used to assess mental disorders. RESULTS: Subjects in the highest tertile of FRAP and ORAC score compared to those in the lowest tertile of these scores had 94% and 87% lower risk of poor sleep, respectively. The odds of depression were negatively related to the highest tertile of FRAP and ORAC score (OR: 0.21, 95%CI: 0.09-0.50 and OR: 0.21, 95%CI: 0.10-0.48, respectively). Participants with the highest tertile of FRAP compared to those within the lowest tertile of FRAP score had a 59% lower risk of anxiety. The odds of stress were negatively related to the highest tertile of FRAP and ORAC score (OR: 0.10, 95%CI: 0.04-0.23 and OR: 0.13, 95%CI: 0.06-0.29, respectively). CONCLUSION: There is a significant association between DTAC, sleep status and psychological disorders. However, prospective studies in both genders should be conducted to confirm the actual relationship. SN - 2405-4577 UR - https://www.unboundmedicine.com/medline/citation/32359742/Dietary_total_antioxidant_capacity_and_its_association_with_sleep_stress_anxiety_and_depression_score:_A_cross_sectional_study_among_diabetic_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2405-4577(20)30036-X DB - PRIME DP - Unbound Medicine ER -