Adherence to the Mediterranean diet and depressive, anxiety, and stress symptoms in Spanish adolescents: results from the EHDLA study.

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Title: Adherence to the Mediterranean diet and depressive, anxiety, and stress symptoms in Spanish adolescents: results from the EHDLA study.
Authors: Jiménez-López, Estela, Mesas, Arthur Eumann, Visier-Alfonso, María Eugenia, Pascual-Morena, Carlos, Martínez-Vizcaíno, Vicente, Herrera-Gutiérrez, Eva, López-Gil, José Francisco
Source: European Child & Adolescent Psychiatry. Aug2024, Vol. 33 Issue 8, p2637-2646. 10p.
Subjects: Cross-sectional method, Lifestyles, Mediterranean diet, Food consumption, Mental health, Logistic regression analysis, Socioeconomic factors, Questionnaires, Anxiety, Descriptive statistics, Odds ratio, Psychological stress, Food habits, Health behavior, Confidence intervals, Anthropometry, Mental depression
Geographic Terms: Spain
Abstract: Depression and anxiety are prevalent and disabling conditions among adolescents. The aim of this study was to examine the relationship between adherence to the Mediterranean diet (MD) and depressive, anxiety, and stress symptoms in adolescents. This cross-sectional study included a sample of 698 adolescent students from a region of Spain (mean age of 13.9 ± 1.5 years; 56.2% girls). Adherence to the MD was evaluated with the Mediterranean Diet Quality Index in children and adolescents (KIDMED). Mental health symptoms were measured with the Depression, Anxiety, and Stress Scale (DASS-21). Logistic regression models were performed, including a wide range of potential confounders. Compared to individuals with low adherence to the MD, those with moderate and high adherence had lower odds of experiencing depressive symptoms (odds ratio [OR] = 0.40, 95% confidence interval [CI] 0.24–0.65 and OR = 0.33, 95% CI 0.20–0.55, respectively), which were statistically significant even after adjustment. No significant associations were found regarding anxiety or stress symptoms. Therefore, according to our results, higher adherence to the MD is inversely related to having depressive symptoms among adolescents, regardless of socioeconomic, anthropometric, and lifestyle factors. Considering the deleterious effects of mental health problems in youths, further research on the role of nonpharmacological strategies for the prevention and treatment of depressive symptoms in adolescence is essential. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Adherence to the Mediterranean diet and depressive, anxiety, and stress symptoms in Spanish adolescents: results from the EHDLA study.
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  Data: <searchLink fieldCode="AR" term="%22Jiménez-López%2C+Estela%22">Jiménez-López, Estela</searchLink><br /><searchLink fieldCode="AR" term="%22Mesas%2C+Arthur+Eumann%22">Mesas, Arthur Eumann</searchLink><br /><searchLink fieldCode="AR" term="%22Visier-Alfonso%2C+María+Eugenia%22">Visier-Alfonso, María Eugenia</searchLink><br /><searchLink fieldCode="AR" term="%22Pascual-Morena%2C+Carlos%22">Pascual-Morena, Carlos</searchLink><br /><searchLink fieldCode="AR" term="%22Martínez-Vizcaíno%2C+Vicente%22">Martínez-Vizcaíno, Vicente</searchLink><br /><searchLink fieldCode="AR" term="%22Herrera-Gutiérrez%2C+Eva%22">Herrera-Gutiérrez, Eva</searchLink><br /><searchLink fieldCode="AR" term="%22López-Gil%2C+José+Francisco%22">López-Gil, José Francisco</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Aug2024, Vol. 33 Issue 8, p2637-2646. 10p.
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  Data: Depression and anxiety are prevalent and disabling conditions among adolescents. The aim of this study was to examine the relationship between adherence to the Mediterranean diet (MD) and depressive, anxiety, and stress symptoms in adolescents. This cross-sectional study included a sample of 698 adolescent students from a region of Spain (mean age of 13.9 ± 1.5 years; 56.2% girls). Adherence to the MD was evaluated with the Mediterranean Diet Quality Index in children and adolescents (KIDMED). Mental health symptoms were measured with the Depression, Anxiety, and Stress Scale (DASS-21). Logistic regression models were performed, including a wide range of potential confounders. Compared to individuals with low adherence to the MD, those with moderate and high adherence had lower odds of experiencing depressive symptoms (odds ratio [OR] = 0.40, 95% confidence interval [CI] 0.24–0.65 and OR = 0.33, 95% CI 0.20–0.55, respectively), which were statistically significant even after adjustment. No significant associations were found regarding anxiety or stress symptoms. Therefore, according to our results, higher adherence to the MD is inversely related to having depressive symptoms among adolescents, regardless of socioeconomic, anthropometric, and lifestyle factors. Considering the deleterious effects of mental health problems in youths, further research on the role of nonpharmacological strategies for the prevention and treatment of depressive symptoms in adolescence is essential. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00787-023-02351-0
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        Text: English
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        Type: general
      – SubjectFull: Lifestyles
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      – SubjectFull: Mediterranean diet
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      – SubjectFull: Food consumption
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