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Depression is very common and multi-problematic disorder, and it can affect almost all aspects of lives of people including the way people eat, sleep, behave and perform. Depression can also lead to increase in consumption of unhealthy foods. This study is set to assess impact of depression on the consumption frequency of various food groups among final-year medical students of Rawalpindi Medical University Pakistan. This may bring new way to improve physical health through application of interventions for mental health. This descriptive cross-sectional study was conducted in December 2019 among final year medical MBBS students of Rawalpindi Medical University Pakistan. Two questionnaires were used for data collection including, Center for Epidemiologic Studies Depression Scale Revised-10 (CESD-R-10) for depression assessment while a self-structured questionnaire which was designed to get information regarding demographic details and food consumption of various food groups (Fresh foods, Sweet foods, Ready to eat foods, Snack foods and Fast Foods). Students who had any physical and mental illness and irregular dietary habits were excluded. From the total of 307 participants of study, 269 participants gave back properly filled questionnaires, therefore, final sample size became 269. Data analysis was accomplished through SPSS v.25.0. Because of non-parametric nature of data different non-parametric statistical tests including Mann–Whitney test, Kruskal–Wallis test and Spearman correlation were applied to evaluate the study variables. A p-value less than 0.05 was considered statistically significant. Difference in depression was statistically significant, across gender (p=0.007) and boarding status (p=0.000). Significant differences of depression were also found across intake three frequency levels of sweet foods(p=0.000), fast foods(p=0.000), snack foods(p=0.000), ready to eat foods(p=0.000) and fruits and vegetables(p=0.000). Spearman correlation coefficient was positive for four foods groups including sweet foods (0.426 with p=0.000), fast foods (0.610 with p=0.000), snack foods (0.611 with p=0.000), ready to eat foods (0.649 with p=0.000), while for fruits and vegetables ( -0.640 with p=0.000) it was negative. Positive values of Spearman correlation coefficient for sweet foods, fast foods, snack foods, and ready to eat foods indicate that, increase in depression leads to increase in consumption of these food groups while, negative value for fruits and vegetables indicates that increase in depression leads to reduction in consumption of this food group. Our study results show that depression leads to change in consumption frequency of various food groups. Increase in depression leads to increase consumption frequency of unhealthy food groups including sweet foods, fast foods, snack foods, ready to eat foods while increase in depression leads to decrease consumption frequency of fruits and vegetables. Therefore, by applying suitable intervention for the alleviation of depression we can improve dietary habits and consequently physical health.

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References

  1. Khan UH, Asif E, Hassan SA, Rahmat R, Zohra EH. Prevalence of Nutritional Anaemia with Association of (BMI) 3 Body Mass Index among Karachi University students, Pakistan 4. Journal of the Pakistan Medical Association. 2020 Oct 19:1-0.
    DOI  |   Google Scholar
  2. Reddy MS. Depression–The Global Crisis.
     Google Scholar
  3. Mikolajczyk RT, Maxwell AE, Naydenova V, Meier S, El Ansari W. Depressive symptoms and perceived burdens related to being a student: Survey in three European countries. Clinical Practice and Epidemiology in Mental Health. 2008 Dec 1;4(1):19.
    DOI  |   Google Scholar
  4. Mikolajczyk RT, Maxwell AE, El Ansari W, Naydenova V, Stock C, Ilieva S, Dudziak U, Nagyova I. Prevalence of depressive symptoms in university students from Germany, Denmark, Poland and Bulgaria. Social psychiatry and psychiatric epidemiology. 2008 Feb 1;43(2):105-12.
    DOI  |   Google Scholar
  5. Tavolacci MP, Ladner J, Grigioni S, Richard L, Villet H, Dechelotte P. Prevalence and association of perceived stress, substance use and behavioral addictions: a cross-sectional study among university students in France, 2009–2011. BMC public health. 2013 Dec 1;13(1):724.
    DOI  |   Google Scholar
  6. Behere SP, Yadav R, Behere PB. A comparative study of stress among students of medicine, engineering, and nursing. Indian journal of psychological medicine. 2011 Jul;33(2):145.
    DOI  |   Google Scholar
  7. Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: A cross‐sectional study. Medical education. 2005 Jun;39(6):594-604.
    DOI  |   Google Scholar
  8. Iqbal S, Gupta S, Venkatarao E. Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. The Indian journal of medical research. 2015 Mar;141(3):354.
    DOI  |   Google Scholar
  9. El Ansari W, Adetunji H, Oskrochi R. Food and mental health: relationship between food and perceived stress and depressive symptoms among university students in the United Kingdom. Central European journal of public health. 2014 Jun 1;22(2):90-7.
    DOI  |   Google Scholar
  10. Bhujade VM. Depression, anxiety and academic stress among college students: A brief review. Indian Journal of Health & Wellbeing. 2017 Jul 1;8(7).
     Google Scholar
  11. Kunwar D, Risal A, Koirala S. Study of depression, anxiety and stress among the medical students in two medical colleges of Nepal. Kathmandu Univ Med J. 2016 Jan;53(1):22-6.
     Google Scholar
  12. Nwobi EA, Ekwueme OC, Ezeoke UE. Mental depression and coping strategies among medical students of University of Nigeria, Enugu campus. International Journal of Medicine and Health Development. 2009 Jan;14:42-8.
     Google Scholar
  13. Ali A, Rao MH, Ali S, Ahmed T, Safi M, Malik A, Husan B. Prevalence of anxiety and depression and their associated risk factors among engineering students in Karachi, Pakistan. Int J Emerg Technol Adv Eng. 2014;4:52-55.
     Google Scholar
  14. Moir F, Yielder J, Sanson J, Chen Y. Depression in medical students: current insights. Advances in medical education and practice. 2018;9:323.
    DOI  |   Google Scholar
  15. Turner DP, Thompson ME, Brunner Huber LR, Arif AA. Depressive symptoms and academic performance of North Carolina college students. North Carolina medical journal. 2012;73(3):169.
    DOI  |   Google Scholar
  16. Singh M. Mood, food, and obesity. Frontiers in psychology. 2014 Sep 1;5:925.
    DOI  |   Google Scholar
  17. Steiner-Hofbauer V, Holzinger A. How to cope with the challenges of medical education? Stress, depression, and coping in undergraduate medical students. Academic Psychiatry. 2020 Feb 20:1-8.
     Google Scholar
  18. Meyer BJ, Kolanu N, Griffiths DA, Grounds B, Howe PR, Kreis IA. Food groups and fatty acids associated with self-reported depression: an analysis from the Australian National Nutrition and Health Surveys. Nutrition. 2013 Jul 1;29(7-8):1042-7.
    DOI  |   Google Scholar
  19. Wurtman RJ, Wurtman JJ. Carbohydrates and depression. Scientific American. 1989 Jan 1;260(1):68-75.
    DOI  |   Google Scholar
  20. Liu C, Xie B, Chou CP, Koprowski C, Zhou D, Palmer P, Sun P, Guo Q, Duan L, Sun X, Johnson CA. Perceived stress, depression and food consumption frequency in the college students of China Seven Cities. Physiology & behavior. 2007 Nov 23;92(4):748-54.
    DOI  |   Google Scholar
  21. Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutrition journal. 2009 Dec 1;8(1):31.
    DOI  |   Google Scholar
  22. Akbaraly TN, Sabia S, Shipley MJ, Batty GD, Kivimaki M. Adherence to healthy dietary guidelines and future depressive symptoms: evidence for sex differentials in the Whitehall II study. The American journal of clinical nutrition. 2013 Feb 1;97(2):419-27.
    DOI  |   Google Scholar
  23. Rius-Ottenheim N, Kromhout D, Sijtsma FP, Geleijnse JM, Giltay EJ. Dietary patterns and mental health after myocardial infarction. Plos one. 2017 Oct 16;12(10):e0186368.
    DOI  |   Google Scholar
  24. Kehnt LN. Perceived Child Regard, Parenting Stress, and Depressive Symptoms of Nonresidential and Residential Stepmothers (Doctoral dissertation, Walden University).
     Google Scholar
  25. Ghayas S, Shamim S, Anjum F, Hussain M. Prevalence and severity of depression among undergraduate students in Karachi, Pakistan: A cross sectional study. Tropical Journal of Pharmaceutical Research. 2014 Dec 10;13(10):1733-8.
    DOI  |   Google Scholar
  26. Khasakhala LI, Ndetei DM, Mutiso V, Mbwayo AW, Mathai M. The prevalence of depressive symptoms among adolescents in Nairobi public secondary schools: association with perceived maladaptive parental behaviour. African journal of psychiatry. 2012;15(2):106-13.
    DOI  |   Google Scholar
  27. Oliver G, Wardle J, Gibson EL. Stress and food choice: a laboratory study. Psychosomatic medicine. 2000 Nov 1;62(6):853-65.
    DOI  |   Google Scholar


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