outubro 20, 2011

Doidos por comida!

Olhaí...
Um bocado de tempo sem postar!
A culpa é do MBA e de algumas atividade associativas que assumi na minha sociedade de especialidade.
Aprenda isso: a culpa é alheia!
Após o congressso de anestesiologia, creio que volto a minha rotina de postagens menos espaçadas. Para quebrar o gelo, trago aqui um material que diz respeito a ligação entre saúde mental e dieta. a velha história do organismo remoso! Agora, mundialmente famoso com o nome de Síndrome Metabólica! Tudo junto: Hipertensão, diabetes, câncer, doença degenerativa articular, obesidade, esteatose hepática, apnéia do sono, infarto do miocárdio etc, etc, etc. Agora tb com o opcional: doença mental! Pois é... O material abaixo sugere que alguns distúrbios comportamentais da adolescência podem ter um fundo nutricional (pelo menos parcialmente). E na idade adulta tb! Se estiver a seu alcance (material em inglês) não deixe de dar uma olhada.
Quem sabe se a educação nutricional não deveria fazer parte do nosso projeto de felicidade para nossos filhos?
Eu já estou recomendando a meus amigos que não deixem suas esposas em TPM comerem hambúrgers, bacons e assemelhados!

A Prospective Study of Diet Quality and Mental Health in Adolescents

Felice N. Jacka1,2*, Peter J. Kremer3, Michael Berk1,2,4,5, Andrea M. de Silva-Sanigorski6, Marjorie Moodie7, Eva R. Leslie3, Julie A. Pasco8, Boyd A. Swinburn9 1 Barwon Psychiatric Research Unit, Deakin University, Geelong, Australia, 2 Department of Psychiatry, University of Melbourne, Melbourne, Australia, 3 School of Psychology, Deakin University, Geelong, Australia, 4 Orygen Youth Health, University of Melbourne, Melbourne, Australia, 5 Mental Health Research Institute, Melbourne, Australia, 6 Jack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population Health, University of Melbourne, Melbourne, Australia, 7 Deakin Health Economics, Deakin University, Melbourne, Australia, 8 Barwon Epidemiology and Biostatistics Unit, Deakin University, Geelong, Australia, 9WHO Collaborating Centre for Obesity Prevention, Deakin University, Geelong, Australia Abstract

Abstract
Objectives: A number of cross-sectional and prospective studies have now been published demonstrating inverse
relationships between diet quality and the common mental disorders in adults. However, there are no existing prospective
studies of this association in adolescents, the onset period of most disorders, limiting inferences regarding possible causal
relationships.
Methods: In this study, 3040 Australian adolescents, aged 11–18 years at baseline, were measured in 2005–6 and 2007–8.
Information on diet and mental health was collected by self-report and anthropometric data by trained researchers.
Results: There were cross-sectional, dose response relationships identified between measures of both healthy (positive) and
unhealthy (inverse) diets and scores on the emotional subscale of the Pediatric Quality of Life Inventory (PedsQL), where higher
scores mean better mental health, before and after adjustments for age, gender, socio-economic status, dieting behaviours,
body mass index and physical activity. Higher healthy diet scores at baseline also predicted higher PedsQL scores at follow-up,
while higher unhealthy diet scores at baseline predicted lower PedsQL scores at follow-up. Improvements in diet quality were
mirrored by improvements in mental health over the follow-up period, while deteriorating diet quality was associated with
poorer psychological functioning. Finally, results did not support the reverse causality hypothesis.
Conclusion: This study highlights the importance of diet in adolescence and its potential role in modifying mental health
over the life course. Given that the majority of common mental health problems first manifest in adolescence, intervention
studies are now required to test the effectiveness of preventing the common mental disorders through dietary
modification.

The Association Between Habitual Diet Quality and the Common Mental Disorders in Community-Dwelling Adults: The Hordaland Health Study


Felice N. Jacka, PhD, Arnstein Mykletun, PhD, Michael Berk, PhD, Ingvar Bjelland, MD, PhD and Grethe S. Tell, PhD

Objective Recent evidence suggests a role for diet quality in the common mental disorders depression and anxiety. We aimed to investigate the association between diet quality, dietary patterns, and the common mental disorders in Norwegian adults.
Methods This cross-sectional study included 5731 population-based men and women aged 46 to 49 and 70 to 74 years. Habitual diet was assessed using a validated food frequency questionnaire, and mental health was measured using the Hospital Anxiety and Depression Scale.
Results After adjustments for variables including age, education, income, physical activity, smoking, and alcohol consumption, an a priori healthy diet quality score was inversely related to depression (odds ratio [OR] = 0.71, 95% confidence interval [CI] = 0.59–0.84) and anxiety (OR = 0.77, 95% CI = 0.68–0.87) in women and to depression (OR = 0.83, 95% CI = 0.70–0.99) in men. Women scoring higher on a healthy dietary pattern were less likely to be depressed (OR = 0.68, 95% CI = 0.57–0.82) or anxious (OR = 0.87, 95% CI = 0.77–0.98), whereas men were more likely to be anxious (OR = 1.19, 95% CI = 1.03–1.38). A traditional Norwegian dietary pattern was also associated with reduced depression in women (OR = 0.77, 95% CI = 0.64–0.92) and anxiety in men (OR = 0.77, 95% CI = 0.61–0.96). A western-type diet was associated with increased anxiety in men (OR = 1.27, 95% CI = 1.14–1.42) and women (OR = 1.29, 95% CI = 1.17–1.43) before final adjustment for energy intake.
Conclusions In this study, those with better quality diets were less likely to be depressed, whereas a higher intake of processed and unhealthy foods was associated with increased anxiety.

Nenhum comentário:

Related Posts with Thumbnails