The relationship between depression, anxiety and stress and Adherence to DASH (dietary approaches to stop hypertension) diet in COVID-19 recovered patients.

Background: Coronavirus 2019 Disease (COVID‐19) may cause severe systemic disease that affects in some organs,it is necessary to follow up patients after recovery and identify the adverse effects of the disease in other organs.Persistent Psychiatrics symptoms might patients After Acute COVID-19. We aimed to examining the relationshipbetween depression, anxiety and stress and Adherence to DASH diet in recovered COVID-19.Method: In this cross-sectional study, the study population consisted of 120 recovered COVID-19 patients aged >30years were recruited. Using the valid and reliable food frequency questionnaire (FFQ), an expert dietitian including68 item was used to evaluate dietary intake Depression, anxiety and stress of participants was evaluated using DASSquestionnaire. We analyzed our data using crude and adjusted models. Adjustments were made for age and gender,energy intake, living status (urban or rural) , smoker status and education stage, using three different models.Result: The intake of dietary fiber, magnesium, potassium, also, the component of DASH-diet style including fruit,vegetables, nuts, legume, seed and low fat dairy in third tertile were higher than others. The intake of red and processedmeat was higher between participants in 1st tertile of adherence to the DASH diet- style compared to the subjects inthe T3 & T2. In multivariate multinomial logistic regression high adherence to DASH- dietary style was associatedwith lower depression (OR= 0.863; 95% CI: 0.741-1.006, p< 0.05), anxiety (OR= 0.867; 95% CI: 0.759-1.011,p<0.05) and these associations remained significant after adjustments. Regarding stress high adherence to DASHdietarystyle was associated with lower stress after adjustment in models.Conclusion: adherence to DASH- style diet may be associated with reduced depression, anxiety and stress inrecovered COVID-19 patients.

The relationship between depression, anxiety and stress and Adherence to DASH (dietary approaches to stop hypertension) diet in COVID-19 recovered patients. Keywords:

DASH diet , COVID-19 , Depression , anxiety , stress