Does Interaction between Sleep Quality and Major Dietary Patterns Predicts Depression among Overweight and Obese Women in Iran?

Be-Ikuu Dominic Doglikuu; Abolghassem Djazayery; Atieh Mirzababaei; Seyedeh Forough Sajjadi; Negin Badruj; Khadijeh Mirzaei

doi:10.18502/ijph.v50i7.6635

Does Interaction between Sleep Quality and Major Dietary Patterns Predicts Depression among Overweight and Obese Women in Iran?

Iran J Public Health. 2021 Jul;50(7):1445-1453. doi: 10.18502/ijph.v50i7.6635.

Authors

Be-Ikuu Dominic Doglikuu^{1

2}, Abolghassem Djazayery³, Atieh Mirzababaei³, Seyedeh Forough Sajjadi³, Negin Badruj³, Khadijeh Mirzaei³

Affiliations

¹ Department of Community Nutrition, School of Nutritional Sciences and Dietetics, International Campus, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
² Ministry of Health, Nursing and Midwifery Training College, Twifo Praso, Central Region, Ghana.
³ Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Abstract

Background: Although major dietary patterns and sleep quality independently affect psychiatric disorders, their interactive association on depression is not clear. This study assesses the independent association of dietary patterns and sleep quality on depression, and also investigates their interactive associations on depression among overweight and obese women in Iran.

Methods: Cross-sectional study was conducted among 304 participants, age 18 and above in 2018 at Tehran Iran. Usual dietary intake was collected with 174-FFQ. Participants' biochemical parameters and depression were measured using standard protocol. Major dietary patterns were extracted by factor analysis and grouped into Fruits&Vegetable group (healthy dietary pattern), High Fat diary&Red Meat group (unhealthy dietary pattern) and Crackers&High Energy Drinks group (western dietary patterns).

Results: After adjusting for confounders poor sleep was associated with moderate and high depression; AOR (95%CI): 0.41(0.19-0.90) and 0.29(0.13-0.60) respectively. However, healthy dietary patterns (tertiles 2^nd and 3^rd) interact with sleep for depression; AOR (95%CI): 4.168(1.166-14.992) and 2.966(1.068-8.234) respectively. Unhealthy dietary pattern tertiles 2^nd and 3^rd interact with sleep for depression; AOR (95%CI): 2.925(1.055-8.113) and 4.216(1.182-15.042) respectively and Western dietary pattern tertile 3^rd interacts with sleep for depression; AOR (95%CI): 4.264(1.494-12.169).

Conclusion: Sleep deprivation could be associated with depression. However, sleep quality could interacts with dietary patterns to be associate with depression among overweight and obese people.

Keywords: Depression; Dietary patterns; Iran; Obesity; Overweight; Sleep quality; Women.