Social Psychiatry and Psychiatric Epidemiology
Volume 54, Issue 5, 2019, Pages 567-578

An apple a day: Protective associations between nutrition and the mental health of immigrants in Canada (Article)

Emerson S.D.* , Carbert N.S.
  • a School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, Canada
  • b School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, Canada, BC Children’s Hospital Research Institute, Vancouver, Canada

Abstract

Purpose: Mental illness represents a major public health burden among Canada’s large immigrant population. A burgeoning cross-sectional, longitudinal, and experimental evidence base implicates nutrition in mental health. Healthier diets (e.g., those rich in certain micro-nutrients) may benefit cognitive, social, and emotional functioning through attenuated inflammation and other bio-psychological pathways. The present study examined associations between nutrition and three markers of mental health among immigrants to Canada. Methods: Employing cross-sectional data from immigrant respondents (n = 37,071) to a nationally representative population-based survey (the Canadian Community Health Survey: CCHS 2011–2014), we modelled associations of daily fruit and vegetable consumption with three mental health outcomes: anxiety and/or mood disorder diagnosis, being distressed (assessed via the 6-item Kessler Psychological Distress Scale), and having good self-rated overall mental health. Multivariable logistic regression analyses were employed, adjusting for various socio-demographic and lifestyle-related variables. Results: Higher consumption of fruit and vegetables demonstrated significant, protective associations with odds of having a mood and/or anxiety disorder, being distressed, and self-rated good mental health. Such patterns of association were similar regardless of ethno-cultural minority status and recency of immigration. Moreover, the protective associations of nutrition and mental health were independent of socio-demographic, health, and lifestyle factors. Conclusions: Results suggested evidence of protective associations between healthy nutritional intake and mental illness among a large-scale sample of immigrants in Canada. Importantly, the protective associations of healthier diets with immigrants’ mental health were independent of various markers of healthy lifestyles (e.g., general health status, physical activity, alcohol use). Healthy dietary intake may, therefore, be worth consideration in efforts to prevent mental illness among immigrants. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.

Author Keywords

diet Mental health nutrition Immigration Canada

Index Keywords

anxiety mood disorder lifestyle Life Style Vegetables fruit vegetable mental health human middle aged protection statistics and numerical data health status diet Aged Logistic Models ethnology procedures Cross-Sectional Studies cross-sectional study migrant psychology Humans Adolescent male Canada Emigrants and Immigrants female Healthy Diet adult Protective Factors statistical model Diet Surveys Mood Disorders

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055701875&doi=10.1007%2fs00127-018-1616-9&partnerID=40&md5=ba08d77dd0aca7fc05d25968b6f5fb59

DOI: 10.1007/s00127-018-1616-9
ISSN: 09337954
Cited by: 1
Original Language: English