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Association of the Alternative Healthy Eating Index (AHEI-2010) with depression, stress and anxiety among Iranian military personnel
  1. Jamal Rahmani,
  2. A Milajerdi and
  3. A Dorosty-Motlagh
  1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  1. Correspondence to Dr A Dorosty-Motlagh, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran; dorostim42{at}yahoo.com

Abstract

Introduction Psychological disorders have a major role in the incidence of chronic diseases and may result in reductions in the cost-effectiveness of the Armed Forces. Previous civilian studies have shown a protective association between healthy eating guidelines and mental disorders, but evidence to support this for a military population is limited. The aim of this study was to examine the association of Alternative Healthy Eating Index (AHEI-2010) with depression, stress and anxiety among Iranian military personnel.

Method A cross-sectional study was conducted on 246 male Army soldiers. Stress, anxiety, depression and dietary intakes were assessed. The association between variables was determined using multivariate logistic regression.

Results The prevalence of depression, stress and anxiety in study participants was 15.9%, 10.6% and 27.2% respectively. Participants with the highest adherence to the AHEI-2010 had an 80% lower odds of depression than those with the lowest adherence (OR: 0.20; 95% CI 0.04 to 0.78). Such an association was also found between adherences to the AHEI-2010 and anxiety (OR: 0.28; 95% CI 0.05 to 0.95). No significant association between adherence to the AHEI-2010 and stress was found.

Conclusion An inverse association between adherence to the AHEI-2010 and odds of depression and anxiety was found. Further studies are required to clarify this relationship.

  • Alternative Healthy Eating Index
  • depression
  • anxiety
  • stress
  • military personnel

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Footnotes

  • Contributors All authors certify that they have made substantive and intellectual contribution to the article and assume public responsibility for its content. It is also certified that none of the material in this manuscript has been published previously or is currently under consideration for publication elsewhere. The authors who have contributed in respective areas are as follows: study concept/design: JR and AD-M; conduct of study: all authors; statistical analysis: JR and AD-M; drafting and manuscript revision and final approval of published version: all authors. All authors agree to submit the article to Journal of the Royal Army Medical Corps.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval The study protocol was approved by the ethics committee of Tehran University of Medical Sciences, Tehran, Iran (IR.TUMS.VCR.REC.1395.120).

  • Provenance and peer review Not commissioned; externally peer reviewed.

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