Abstract

BackgroundNutritional psychiatry is an emerging field of research and it is currently exploring the impact of nutrition and obesity on brain function and mental illness. Prior studies links between obesity, nutrition and depression among women. However, less is known how food insecurity may moderate that relationship.MethodsData were employed from the Collaborative Psychiatric Epidemiology Surveys (CPES), 2001–2003. Two logistic regression models were Logistic regression was used to determine the association between obesity, gender, food insecurity, and past year Major Depressive Disorder (MDD). We then stratified by gender, and tested the association between obesity and past year MDD, and if food insecurity moderated the association.ResultsObesity was associated with an increased risk for past year Major Depressive Disorder (MDD) among females (AOR = 1.35; 95% CI 1.17–1.55) and was not associated among males (AOR = 1.07; 95% CI, 0.86–1.32). Women who reported that reported both obesity and food insecurity reported higher odds of past year MDD episode (AOR = 3.16; 95% CI, 2.36–4.21, than women who did not report food insecurity (AOR = 1.08; 95% CI, 1.02–1.38).ConclusionWith rising rates of mental health problems, females should be closely monitored to understand how poor diets, food insecurity, and obesity play a role in mental health outcomes. It is recommended that clinicians and treatment providers consider the patient’s diet and access to nutritious foods when conducting their assessment.

Highlights

  • Nutritional psychiatry is an emerging field of research and it is currently exploring the impact of nutrition and obesity on brain function and mental illness

  • Data The current study used secondary data from the National Co-Morbidity Survey Replication (NCS-R), National Survey of American Life (NSAL), and National Latino and Asian American Study (NLAAS), as these were presented in the Collaborative Psychiatric Epidemiology Surveys (CPES), 2001–2003

  • We tested for interactions for gender and obesity, and found that females who reported obesity (AOR = 1.35; 95% CI 1.17– 1.55) reported higher odds of past year Major Depressive Disorder (MDD) than males (AOR = 1.07; 95% CI, 0.86–1.32)

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Summary

Introduction

Nutritional psychiatry is an emerging field of research and it is currently exploring the impact of nutrition and obesity on brain function and mental illness. Nutritional psychiatry is an emerging field of research and it is currently exploring the impact of nutrition on brain function and mental illness. Nutrition has been vastly overlooked as a contributor to mental health problems [1]. Several studies have found associations between obesity and mental health problems [7,8,9]. Simon and his colleagues (2006) concluded that obesity is associated with approximately 25% increase in odds of mood and anxiety disorders [10]. The associations between dietary patterns and depression remains significant and strong epidemiological evidence suggests that poor diet can have a negative effect on mental

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