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Association between Psychological Disorders, Mediterranean Diet, and Chronotype in a Group of Italian Adults

Monica Dinu (), Sofia Lotti (), Antonia Napoletano, Abigail Corrao, Giuditta Pagliai, Marta Tristan Asensi, Vincenza Gianfredi, Daniele Nucci, Barbara Colombini and Francesco Sofi
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Monica Dinu: Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
Sofia Lotti: Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
Antonia Napoletano: Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
Abigail Corrao: Department of Human Science, Georgetown University, Washington, DC 20057, USA
Giuditta Pagliai: Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
Marta Tristan Asensi: Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
Vincenza Gianfredi: Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy
Daniele Nucci: Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, Via Gattamelata, 64, 35128 Padua, Italy
Barbara Colombini: Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy
Francesco Sofi: Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy

IJERPH, 2022, vol. 20, issue 1, 1-11

Abstract: Mental health conditions are a significant contributor to the global burden of disease. The aim of this study was to explore the association between psychological disorders, Mediterranean diet (MD), and chronotype. A total of 344 participants (74% women) with a mean age of 33.5 ± 13 years were recruited. According to the Depression Anxiety Stress Scale (DASS-21) score, 22% of participants had symptoms of depression, 23% anxiety, and 10% stress. The assessment of MD adherence through the Medi-Lite score revealed that participants with psychological disorders had significantly ( p < 0.05) lower MD adherence than those without these conditions. Furthermore, less than 10% of the subjects with at least one symptom reported consuming the optimal amount of fruit and vegetables, while 72% showed excessive consumption of meat and meat products. Regarding chronotype, evening subjects reported the lowest MD adherence and the highest prevalence of all three psychological disorders analyzed. A multivariate analysis showed that female gender, age, being unmarried/single, sedentary lifestyle, and low MD adherence were associated with a significantly higher risk of depression, anxiety, and stress. Future studies are needed to explore the relationship between mental health and risk factors to improve personal and global population health.

Keywords: depression; anxiety; stress; Medi-Lite; Mediterranean diet; chronotype (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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