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Food and nutrient intake in relation to mental wellbeing.

Reeta Hakkarainen, Timo Partonen, Jari Haukka, Jarmo Virtamo, Demetrius Albanes et al.
Other Nutrition journal 2004 72 citations
PubMed DOI CC-BY PDF
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Study Design

Study Type
Observational Study
Sample Size
27111
Intervention
Food and nutrient intake in relation to mental wellbeing.
Comparator
Placebo
Effect Direction
Mixed
Risk of Bias
Moderate

Abstract

BACKGROUND: We studied food consumption and nutrient intake in subjects with depressed mood, anxiety and insomnia as indices of compromised mental wellbeing. METHODS: The study population consisted of 29,133 male smokers aged 50 to 69 years who entered the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study in 1985-1988. This was a placebo-controlled trial to test whether supplementation with alpha-tocopherol or beta-carotene prevents lung cancer. At baseline 27,111 men completed a diet history questionnaire from which food and alcohol consumption and nutrient intake were calculated. The questionnaire on background and medical history included three symptoms on mental wellbeing, anxiety, depression and insomnia experienced in the past four months. RESULTS: Energy intake was higher in men who reported anxiety or depressed mood, and those reporting any such symptoms consumed more alcohol. Subjects reporting anxiety or depressed mood had higher intake of omega-3 fatty acids and omega-6 fatty acids. CONCLUSIONS: Our findings conflict with the previous reports of beneficial effects of omega-3 fatty acids on mood.

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Tables

Table 1

Depressed moodAnxietyInsomniaAll three symptomsNo symptoms
(n = 4314)(n = 6498)(n = 5550)(n = 1670)(n = 19116)
MeanSDMeanSDMeanSDMeanSDMeanSD
Age (years)57.24.957.04.857.85.156.94.857.85.1
Energy (kcal/day)28778132888801282881828868632793777
Alcohol consumption (g/day)21.726.221.525.122.025.424.328.516.519.8
BMI (kg/m2)26.33.926.23.926.13.926.13.826.33.7
Total serum cholesterol (mmol/l)6.161.196.221.186.151.196.131.216.261.16
Serum HDL-cholesterol (mmol/l)1.240.361.260.361.270.371.270.381.230.34

Table 2

Depressed mood (n = 4314)Anxiety(n = 6498)Insomnia(n = 5550)All three symptoms(n = 1670)No symptoms(n = 19116)
MeanSDMeanSDMeanSDMeanSDMeanSD
Fish (g)39.330.239.930.240.130.340.332.939.329.8
Milk (g)212315203316226321219325220322
Coffee (ml)595374601372567364583382609349
Meat (g)78.038.480.238.877.638.678.037.878.637.2
Vegetables (g)256103264104253104255106263101
Margarine (g)11.521.111.520.810.720.311.821.310.219.8
Carbohydrate (g)30897.730996.830096.730497.630394.0
Protein (g)10530.610530.210331.210531.610328.9
Fat (g)12541.812541.812342.212543.412240.6
Sugar (g)38.527.538.328.036.926.737.727.638.126.5
Lysine (g)6.421.976.441.956.372.016.442.046.301.86
Serine (g)4.121.314.271.304.221.334.281.354.181.24
Tryptophan (g)1.280.381.290.381.270.391.290.401.260.36
Omega-3 fatty acids (total) (g)2.210.932.240.922.160.922.230.972.140.87
Omega-3 fatty acids (from fish) (g)0.470.280.480.290.482.890.490.300.460.28
Omega-3 fatty acids (from vegetables) (g)1.770.821.790.801.700.801.770.861.700.77
Omega-6 fatty acids (g)10.126.8210.146.709.706.6510.177.059.446.31
Omega-6/omega-3 ratio4.472.004.452.014.412.034.502.304.341.85
Folic acid (μg)342106344105335106340107336103
Vitamin D (μg)5.593.215.653.185.603.185.723.235.453.08

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