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Eurasian Society of Educational Research
Christiaan Huygensstraat 44, Zipcode:7533XB, Enschede, THE NETHERLANDS
Eurasian Society of Educational Research
Christiaan Huygensstraat 44, Zipcode:7533XB, Enschede, THE NETHERLANDS
major depression food cravings nutritional status physical activity level eating patterns

Food Cravings, Nutritional Status and Physical Activity in Patients with Major Depression in Turkey

Selen Muftuoglu , Gul Kiziltan , Mehtap Akcil Ok

Our goal was to determine food cravings, nutritional status and physical activity of patients diagnosed with major depression. The study was conducted.


Our goal was to determine food cravings, nutritional status and physical activity of patients diagnosed with major depression. The study was conducted on 203 (144 women, 59 men) patients, aged 20-64 years, who were diagnosed with major depression at three psychiatry centers. Anthropometric measurements, demographic data, current health status, depression duration, drug use, eating habits, food craving status (Food Craving Questionnaire-Trait/FCQ-T), food consumption frequency, energy and nutrient intake and physical activity level (International Physical Activity Questionnaire-Short Form/IPAQ) were evaluated. Depression duration, the frequency of antidepressant use and FCQ-T scores were higher in females than males. We found a positive correlation between FCQ-T score with the frequency of antidepressant use, depression duration and eating speed  (p < 0.05). Also, depression duration was negatively correlated with folate, vitamin B6, vitamin C and zinc (p < 0.05). Lastly, depression duration and FCQ-T were positively correlated with body weight, body mass index, waist circumference, hip circumference, body fat (%) and fat tissue (kg) (p< 0.05). In addition, physical activity is a very important statement for FCQ-T scores. Both men and women, the risk of FCQ-T score who exercised for <600 Met-min/week were greater relative to that of those who exercised for ≥3000 Met-min/week. The results of this study showed that an inverse correlation between a number of nutrients intake and depression duration, antidepressant use or FCQ-T scores.  It also emphasizes the beneficial effects of habitual exercise participation on food cravings. Future research exploring the nutritional status of individuals with depression is warranted.

Keywords: Major depression, food cravings, nutritional status, physical activity level, eating patterns.

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Avena, N. M., & Gold, M. S. (2011). Food and addiction–sugars, fats and hedonic overeating. Addiction, 106(7), 1214-1215.

Berthoud, H. R. (2006). Homeostatic and non-homeostatic pathways involved in the control of food intake and energy balance. Obesity (Silver Spring), 14(Suppl 5), 197-200.

Blundell, J. (2011). Physical activity and appetite control: Can we close the energy gap? Nutrition Bulletin, 36, 356-366.

Bjelland, I., Ueland, P. M., & Vollset, S. E. (2003). Folate and depression. Psychotherapy and psychosomatics, 72(2), 59-60.

Bodnar, L. M., & Wisner, K. L. (2005). Nutrition and depression: implications for improving mental health among childbearing-aged women. Biological psychiatry, 58(9), 679-685.

Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., De Girolamo, G., ... & Karam, A. N. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC medicine, 9(1), 90.

Centres for Disease Control. (2015). About adult BMI. Retrieved from http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html.

Cepeda-Benito, A., Gleaves, D. H., Williams, T. L., & Erath, S. A. (2001). The development and validation of the state and trait food-cravings questionnaires. Behaviour Therapy, 31(1), 151-173.

Cepeda-Benito, A., Fernandez, M. C., & Moreno, S. (2003). Relationship of gender and eating disorder symptoms to reported cravings for food: construct validation of state and trait craving questionnaires in Spanish. Appetite, 40(1), 47-54.

Chao, A. M., Grilo, C. M., & Sinha, R. (2016). Food cravings, binge eating, and eating disorder psychopathology: Exploring the moderating roles of gender and race. Eating behaviours, 21, 41-47.

Chao, A., Grilo, C. M., White, M. A., & Sinha, R. (2014). Food cravings, food intake, and weight status in a community-based sample. Eating behaviours, 15(3), 478-482.

Cornier, M. A., Melanson, E. L., Salzberg, A. K., Bechtell, J. L., & Tregellas, J. R. (2012). The effects of exercise on the neuronal response to food cues. Physiology and Behavior, 105(4), 1028-1034.

Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., ... & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine & science in sports & exercise, 35(8), 1381-1395.

Davis, C. A., Levitan, R. D., Reid, C., Carter, J. C., Kaplan, A. S., Patte, K. A., ... & Kennedy, J. L. (2009). Dopamine for “wanting” and opioids for “liking”: a comparison of obese adults with and without binge eating. Obesity, 17(6), 1220-1225.

De Wit, L., Luppino, F., van Straten, A., Penninx, B., Zitman, F., & Cuijpers, P. (2010). Depression and obesity: a meta-analysis of community-based studies. Psychiatry research, 178(2), 230-235.

Dietary Guidelines for Turkey (2006) Recommended Safe Level of Intake of Energy and Nutrients for Turkey, The Ministry of Health of Turkey, The General Directorate of Primary Health Care, Ankara, Turkey. Retrieved from http://www.bdb.hacettepe.edu.tr/dokumanlar/dietaryguidelines.pdf.

Dye, L., Warner, P., & Bancroft, J. (1995). Food craving during the menstrual cycle and its relationship to stress, the happiness of relationship and depression; a preliminary enquiry. Journal of affective disorders, 34(3), 157-164.

Grothe, K. B., Roach, J., Low, A., Himes, S., Craft, J. M., Norman, G. J., et al. (2013). Sedentary behaviour and food cravings in diverse overweight women: A pilot study. Women and Health, 53(4), 405-418.

Eby, G. A., & Eby, K. L. (2006). Rapid recovery from major depression using magnesium treatment. Medical hypotheses, 67(2), 362-370.

England, M. J. E., & Sim, L. J. (2009). Depression in parents, parenting, and children: Opportunities to improve identification, treatment, and prevention. National Academies Press.

Finlayson, G., & Dalton, M. (2012). Hedonics of Food Consumption: Are Food ‘Liking’ and ‘Wanting’ Viable Targets for Appetite Control in the Obese? Current Obesity Reports, 1(1), 42-49.

Ford, A., Almeida, O. P., Flicker, L., Hirani, V., McCaul, K., Singh, U., & Van Bockxmeer, F. (2015). B-vitamins and Depression. European Psychiatry, 30, 1318.

Franken, I. H., & Muris, P. (2005). Individual differences in reward sensitivity are related to food craving and relative body weight in healthy women. Appetite, 45(2), 198-201.

Hamilton, M. T., Healy, G. N., Dunstan, D. W., Zderic, T. W., & Owen, N. (2008). Too little exercise and too much sitting: inactivity physiology and the need for new recommendations on sedentary behaviour. Current Cardiovascular Risk Reports, 2(4), 292-298.

Horner, K. M., Finlayson, G., Byrne, N. M., & King, N. A. (2016). Food reward inactive compared to inactive men: Roles for gastric emptying and body fat. Physiology and Behavior, 160, 43-49.

Hormes, J. M., & Timko, C. A. (2011). All cravings are not created equal. Correlates of menstrual versus non-cyclic chocolate craving. Appetite, 57(1), 1-5.

Jeffery, R. W., Linde, J. A., Simon, G. E., Ludman, E. J., Rohde, P., Ichikawa, L. E., & Finch, E. A. (2009). Reported food choices in older women in relation to body mass index and depressive symptoms. Appetite, 52(1), 238-240.

Jorm, A. F., Christensen, H., Griffiths, K. M., & Rodgers, B. (2002). The effectiveness of complementary and self-help treatments for depression. Medical Journal of Australia, 176(10), S84.

Kaner, G., Soylu, M., Yuksel, N., Inanc, N., Ongan, D., & Basmisirli, E. (2015). Evaluation of nutritional status of patients with depression. BioMed Research International, 2015, 1-9.

Kessler, R. C., & Ustun, T. B. (2004). The world mental health (WMH) survey initiative version of the world health organization (WHO) composite international diagnostic interview (CIDI). International Journal of Methods in Psychiatric Research, 13(2), 93-121.

King, N. A., Horner, K., Hills, A. P., Byrne, N. M., Wood, R. E., Bryant, E., …Blundell, J. E. (2012). Exercise, appetite and weight management: Understanding the compensatory responses in eating behaviour and how they contribute to variability in exercise-induced weight loss. British Journal of Sports Medicine, 46(5), 315-322.

Konttinen, H., Männisto, S., Sarlio-Lähteenkorva, S., Silventoinen, K., & Haukkala, A. (2010). Emotional eating, depressive symptoms and self-reported food consumption. A population-based study. Appetite, 54(3), 473-479.

Lafay, L., Thomas, F., Mennen, L., Charles, M. A., Eschwege, E., & Borys, J. M. (2001). Gender differences in the relation between food cravings and mood in an adult community: Results from the Fleurbaix Laventie Ville Sante study. International Journal of Eating Disorders, 29(2), 195-204.

Lehto, S. M., Ruusunen, A., Tolmunen, T., Voutilainen, S., Tuomainen, T. P., & Kauhanen, J. (2013). Dietary zinc intake and the risk of depression in middle-aged men: a 20-year prospective follow-up study. Journal of Affective Disorders, 150(2), 682-685.

Lowe, M. R., Bocarsley, M. E., & DelParigi, A. (2008). Human eating motivation in times of plenty: biological, environmental, and psychosocial influences. Appetite and Food Intake: Behavioral and Physiological Considerations. Boca Raton: CRC Press, 95-112.

Mamplekou, E., Bountziouka, V., Psaltopoulou, T., Zeimbekis, A., Tsakoundakis, N., Papaerakleous, N., ... & Lionis, C. (2010). Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: the MEDIS (MEDiterranean ISlands Elderly) study. The Journal of Nutrition, Health & Ageing, 14(6), 449-455.

Maserejian, N. N., Hall, S. A., & McKinlay, J. B. (2012). Low dietary or supplemental zinc is associated with depression symptoms among women, but not men, in a population-based epidemiological survey. Journal of Affective Disorders, 136(3), 781-788.

Merrill, R. M., Taylor, P., & Aldana, S. G. (2008). Coronary Health Improvement Project (CHIP) is associated with improved nutrient intake and decreased depression. Nutrition, 24(4), 314-321.

Miller, A. L. (2008). The methylation, neurotransmitter, and antioxidant connections between folate and depression. Alternative Medicine Review, 13(3), 216-227.

Meule, A., Hermann, T., & Kubler, A. (2014). A short version of the Food Cravings Questionnaire—Trait: the FCQ-T-reduced. Frontiers in Psychology, 5, 1-10.

Meule, A., Richard, A., & Platte, P. (2017). Food cravings prospectively predict decreases in perceived self-regulatory success in dieting. Eating Behaviours, 24, 34-38.

Moreno-Dominguez, S., Rodríguez-Ruiz, S., Martín, M., & Warren, C. S. (2012). Experimental effects of chocolate deprivation on cravings, mood, and consumption in high and low chocolate-cravers. Appetite, 58(1), 111-116.

Muftuoglu, S., Kiziltan, G., & Ok, M. A. (2017). Major Depresyon Hastalari Icin. Turkiye Klinikleri Journal of Health Sciences, 2(1), 13-22.

Nam, J. Y., Kim, J., Cho, K. H., Choi, J., Shin, J., & Park, E. C. (2017). The impact of sitting time and physical activity on major depressive disorder in South Korean adults: a cross-sectional study. BMC Psychiatry, 17(1), 274.

O'Doherty, J. P., Deichmann, R., Critchley, H. D., & Dolan, R. J. (2002). Neural responses during anticipation of a primary taste reward. Neuron, 33(5), 815-826.

Oishi, J., & Kawakami, N. (2009). Nutrition and depressive symptoms in community-dwelling elderly persons in Japan. Acta Medica Okayama, 63(1), 9-17.

Richard, A., Meule, A., Reichenberger, J., & Blechert, J. (2017). Food cravings in everyday life: An EMA study on snack-related thoughts, cravings, and consumption. Appetite, 113, 215-223.

Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and Motor Skills, 111(1), 278-284.

Sanchez-Villegas, A., Henriquez, P., Bes-Rastrollo, M., & Doreste, J. (2006). Mediterranean diet and depression. Public Health Nutrition, 9(8A), 1104-1109.

Sánchez-Villegas, A., Toledo, E., de Irala, J., Ruiz-Canela, M., Pla-Vidal, J., & Martínez-González, M. A. (2012). Fast-food and commercial baked goods consumption and the risk of depression. Public Health Nutrition, 15(3), 424-432.

Sanchez-Villegas, A., Ara, I., Guillen-Grima, F., Bes-Rastrollo, M., Varo-cenarruzabeitia, J. J., & Martinez-Gonzalez, M. A. (2008). Physical activity, sedentary index, and mental disorders in the SUN cohort study. Medicine & Science in Sports & Exercise, 40(5), 827-834.

Saper, C. B., Chou, T. C., & Elmquist, J. K. (2002). The need to feed: homeostatic and hedonic control of eating. Neuron, 36(2), 199-211.

Shariatpanaahi, M. V., Shariatpanaahi, Z. V., Moshtaaghi, M., Shahbaazi, S. H., & Abadi, A. (2007). The relationship between depression and serum ferritin level. European Journal of Clinical Nutrition, 61(4), 532-535.

Teychenne, M., Ball, K., & Salmon, J. (2010). Physical activity, sedentary behaviour and depression among disadvantaged women. Health Education Research, 25(4), 632-644.

Tremblay, M. S., Colley, R. C., Saunders, T. J., Healy, G. N., & Owen, N. (2010). Physiological and health implications of a sedentary lifestyle. Applied Physiology, Nutrition, and Metabolism, 35(6), 725-740.

Wilson, G. T. (2010). Eating disorders, obesity and addiction. European Eating Disorders Review, 18(5), 341-351.