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Association Between Fruit and Vegetable Consumption and Mental Health According to Physical Activity among Korean Adult Women - Korea National Health and Nutrition Examination Survey 2014~2016 -

한국 성인 여성의 신체활동에 따른 과일 채소 섭취와 정신건강의 연관성 - 2014~2016년 국민건강영양조사 자료를 이용하여 -

  • Ji, Jie (Department of Human Ecology, Korea University Graduate School) ;
  • Kim, Yookyung (Department of Home Economics Education, Korea University) ;
  • Shin, Woo-Kyoung (Department of Preventive Medicine, Seoul National University College of Medicine)
  • 지지에 (고려대학교 대학원 생활과학과) ;
  • 김유경 (고려대학교 가정교육과) ;
  • 신우경 (서울대학교 의과대학 예방의학교실)
  • Received : 2019.12.27
  • Accepted : 2020.01.23
  • Published : 2020.02.28

Abstract

There is only limited evidence for the association between fruit and vegetable consumption and mental health in Korea. This study examined the relationship between fruit and vegetable consumption and mental health according to physical activity among Korean adult women. Based on data of the Korean National Health and Nutrition Examination Survey (2014-2016), a total of 5,332 participants were included in this analysis. With increasing fruits and vegetables consumption, the prevalence of depressive mood was significantly decreased (p for trend=0.0248). The prevalence of stress perception (p for trend=0.0422) and the prevalence of depressive mood (p for trend=0.0300) were decreased with increasing fruit consumption. The prevalence of depressive mood was significantly decreased when fruit and vegetable consumption (p for trend=0.0370) and fruit consumption (p for trend=0.0356) were increased for those Korean women with low intensity of physical activity. For the obesity group (Body mass index 25 kg/㎡), the prevalence of depressive mood was decreased with increasing fruit and vegetable consumption (p for trend=0.0111) and increasing fruit consumption (p for trend=0.0165). In conclusion, fruit and vegetable consumption were associated with mental health according to physical activity among Korean adult women. Further prospective studies are warranted to explore the association between fruit and vegetable consumption and mental health among Korean adult women.

Keywords

References

  1. Abu-Omar K, Rütten A, Lehtinen V. 2004. Mental health and physical activity in the European Union. Sozial-und Praventivmedizin, 49(5):301-309
  2. Adam TC, Epel ES. 2007. Stress, eating and the reward system. Physiol. Behav., 91(4):449-458 https://doi.org/10.1016/j.physbeh.2007.04.011
  3. Babyak M, Blumenthal JA, Herman S, Khatri P, Doraiswamy M, Moore K, Craighead WE, Krishnan KR. 2000. Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosomatic Med., 62(5):633-638 https://doi.org/10.1097/00006842-200009000-00006
  4. Bae YJ. 2017. Nutrient and Food Intakes of Korean Female Adults depending on Perceived Stress -Based on the 2014-2015 Korea National Health and Nutrition Examination Survey. Korean Soc. Food Nutri., 30(4):759-770
  5. Barrington WE, Ceballos RM, Bishop SK, McGregor BA, Beresford SA. 2012. Peer reviewed: perceived stress, behavior, and body mass index among adults participating in a worksite obesity prevention program, Seattle, 2005-2007. Preventing Chronic Disease, 9
  6. Bishwajit G, O'Leary DP, Ghosh S, Sanni Y, Shangfeng T, Zhanchun F. 2017. Association between depression and fruit and vegetable consumption among adults in South Asia. BMC Psychiatry, 17(1):15 https://doi.org/10.1186/s12888-017-1198-1
  7. Bhui K, Fletcher A. 2000. Common mood and anxiety states:gender differences in the protective effect of physical activity. Soc. Psychiatry Psychiatr. Epidemiol., 35(1):28-35 https://doi.org/10.1007/s001270050005
  8. Chocano-Bedoya PO, O'Reilly EJ, Lucas M, Mirzaei F, Okereke OI, Fung TT, Ascherio AJ. 2013. Prospective study on long-term dietary patterns and incident depression in middle-aged and older women. American J. Clin. Nutri. 98(3):813-820 https://doi.org/10.3945/ajcn.112.052761
  9. Delbende C, Delarue C, Lefebvre H, Bunel DT, Szafarczyk A, Mocaer E, Vaudry H. 1992. Glucocorticoids, transmitters and stress. Br. J. Psychiatry, 160(S15):24-35
  10. Dunn AL, Reigle TG, Youngstedt SD, Armstrong RB, Dishman RK. 1996. Brain norepinephrine and metabolites after treadmill training and wheel running in rats. Med. Sci. Sports Exerc., 28(2):204-209
  11. Ford ES, Mokdad AH, Giles WH, Brown DW. 2003. The metabolic syndrome and antioxidant concentrations: findings from the Third National Health and Nutrition Examination Survey. Diabetes, 52(9):2346-2352 https://doi.org/10.2337/diabetes.52.9.2346
  12. Forsyth AK, Williams PG, Deane FP. 2012. Nutrition status of primary care patients with depression and anxiety. Aust. J. Prim. Health, 18(2):172-176 https://doi.org/10.1071/PY11023
  13. Goodwin RD. 2003. Association between physical activity and mental disorders among adults in the United States. Prev. Med., 36(6), 698-703 https://doi.org/10.1016/S0091-7435(03)00042-2
  14. Gussinyer S, Garcia-Reyna NI, Carrascosa A, Gussinyer M, Yeste D, Clemente M, Albisu M. 2008. Anthropometric, dietetic and psychological changes after application of the "Nin@ s en movimiento" program in childhood obesity. Medicina clinica, 131(7):245-249.
  15. Hassmen P, Koivula N, Uutela A. 2000. Physical exercise and psychological well-being: a population study in Finland. Prev. Med., 30(1):17-25 https://doi.org/10.1006/pmed.1999.0597
  16. Jacka FN, Pasco JA, Mykletun A, Williams LJ, Hodge AM, O'reilly SL, Berk M. 2010. Association of Western and traditional diets with depression and anxiety in women. Am. J. Psychiatry, 167(3):305-311 https://doi.org/10.1176/appi.ajp.2009.09060881
  17. Johnson R, Robertson W, Towey M, Stewart-Brown S, Clarke, A. 2017. Changes over time in mental well-being, fruit and vegetable consumption and physical activity in a community-based lifestyle intervention: A before and after study. Public Health, 146:118-125 https://doi.org/10.1016/j.puhe.2017.01.012
  18. Jung SK, Kim K, Tae K, Kong G, Kim MK. 2013. The effect of raw vegetable and fruit intake on thyroid cancer risk among women: a case-control study in South Korea. Br. J. Nutri., 109(1):118-128 https://doi.org/10.1017/S0007114512000591
  19. Kim J, Lee Y, Kye S, Chung YS, Kim KM. 2014. Association of vegetables and fruits consumption with sarcopenia in older adults: the Fourth Korea National Health and Nutrition Examination Survey. Age Ageing, 44(1):96-102 https://doi.org/10.1093/ageing/afu028
  20. Kumari M, Badrick E, Chandola T, Adler NE, Epel E, Seeman T, Marmot MG. 2010. Measures of social position and cortisol secretion in an aging population: findings from the Whitehall II study. Psychosomatic Med., 72(1):27-34 https://doi.org/10.1097/PSY.0b013e3181c85712
  21. Lai JS, Hiles S, Bisquera A, Hure AJ, McEvoy M, Attia J. 2013. A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults-. American J. Clin. Nutri., 99(1):181-197 https://doi.org/10.3945/ajcn.113.069880
  22. Lee S, Cho YH, Park J, Shin HR, Sung MK. 2013. Dietary intake of phytonutrients in relation to fruit and vegetable consumption in Korea. J. Academy Nutri. Dietetics, 113(9):1194-1199 https://doi.org/10.1016/j.jand.2013.04.022
  23. Lin TW, Kuo YM. 2013. Exercise benefits brain function: the monoamine connection. Brain Sci., 3(1):39-53 https://doi.org/10.3390/brainsci3010039
  24. Liu C, Xie B, Chou C, P, Koprowski C, Zhou D, Palmer P, Johnson CA. 2007. Perceived stress depression and food consumption frequency in the college students of China Seven Cities. Physiol. Behav. 92(4):748-754 https://doi.org/10.1016/j.physbeh.2007.05.068
  25. Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, Zitman FG. 2010. Overweight obesity and depression: a systematic review and meta-analysis of longitudinal studies. Arch. Gen. Psychiatry, 67(3):220-229 https://doi.org/10.1001/archgenpsychiatry.2010.2
  26. Maes M, Mihaylova I, Kubera M, Uytterhoeven M, Vrydags N, Bosmans E. 2009. Increased 8-hydroxy-deoxyguanosine a marker of oxidative damage to DNA in major depression and myalgic encephalomyelitis/chronic fatigue syndrome. Neuroendocrinol. Letters, 30(6):715
  27. McMartin SE, Jacka FN, Colman I. 2013. The association between fruit and vegetable consumption and mental health disorders: evidence from five waves of a national survey of Canadians, Prev. Med. 56(3-4):225-230 https://doi.org/10.1016/j.ypmed.2012.12.016
  28. Mihrshahi S, Dobson AJ, Mishra GD. 2015. Fruit and vegetable consumption and prevalence and incidence of depressive symptoms in mid-age women: results from the Australian longitudinal study on women's health. Eur. J. Clin. Nutri., 69(5):585 https://doi.org/10.1038/ejcn.2014.222
  29. Nabkasorn C, Miyai N, Sootmongkol A, Junprasert S, Yamamoto H, Arita M, Miyashita K. 2006. Effects of physical exercise on depression neuroendocrine stress hormones and physiological fitness in adolescent females with depressive symptoms. Eur. J. Pub. Health, 16(2):179-184 https://doi.org/10.1093/eurpub/cki159
  30. Nanri A, Kimura Y, Matsushita Y, Ohta M, Sato M, Mishima N, Mizoue T. 2010. Dietary patterns and depressive symptoms among Japanese men and women. Eur. J. Clin. Nutri., 64(8):832 https://doi.org/10.1038/ejcn.2010.86
  31. Nguyen B, Ding D, Mihrshahi S. 2017. Fruit and vegetable consumption and psychological distress: cross-sectional and longitudinal analyses based on a large Australian sample. BMJ open, 7(3):e014201 https://doi.org/10.1136/bmjopen-2016-014201
  32. Paluska SA, Schwenk TL. 2000. Physical activity and mental health. Sports Med., 29(3):167-180 https://doi.org/10.2165/00007256-200029030-00003
  33. Preiss K, Brennan L, Clarke D. 2013. A systematic review of variables associated with the relationship between obesity and depression. Obesity Rev.. 14(11):906-918 https://doi.org/10.1111/obr.12052
  34. Sanchez-Villegas A, Delgado-Rodriguez M, Alonso A, Schlatter J, Lahortiga F, Majem LS, Martinez-Gonzalez MA. 2009. Association of the Mediterranean dietary pattern with the incidence of depression: the Seguimiento Universidad de Navarra/University of Navarra followup (SUN) cohort. Archives General Psychiatry, 66(10):1090-1098 https://doi.org/10.1001/archgenpsychiatry.2009.129
  35. Seib C, Whiteside E, Humphreys J, Lee K, Thomas P, Chopin L, Anderson D. 2014. A longitudinal study of the impact of chronic psychological stress on health-related quality of life and clinical biomarkers: protocol for the Australian Healthy Aging of Women Study. BMC Public Health, 14(1):9 https://doi.org/10.1186/1471-2458-14-9
  36. Teegarden SL, Bale TL. 2008. Effects of stress on dietary preference and intake are dependent on access and stress sensitivity. Physiol. Behav., 93(4):713-723 https://doi.org/10.1016/j.physbeh.2007.11.030
  37. Thirlaway K, Benton D. 1992. Participation in physical activity and cardiovascular fitness have different effects on mental health and mood. J. Psychosomatic Res., 36(7):657-665 https://doi.org/10.1016/0022-3999(92)90055-7
  38. Tolmunen T, Laukkanen JA, Hintikka J, Kurl S, Viinamaki H, Salonen R, Salonen JT. 2006. Low maximal oxygen uptake is associated with elevated depressive symptoms in middle-aged men, Eur. J. Epidemiol., 21(9):701-706 https://doi.org/10.1007/s10654-006-9038-5
  39. Willett W. 2012. Nutritional epidemiology: Oxford University Press
  40. KCDC. 2016. Trends in prevalence of depressive disorder among Korean adults aged 19 years and over, 2014 and 2016. Available from: http://www.cdc.go.kr/board.es?mid=a20602010000&bid=0034&act=view&list_no=140810 [accessed 2019.12.16]