All cases of COVID-19 in the past 1 month who had negative PCR test or CT scan at the time of interview were included in the study as case group. The current case–control study was conducted on adults aged ≥ 30 years who referred to the clinic of Qaem Hospital, Mashhad, Iran, from November 2020 to January 2021. In this study, we aimed to investigate the relationship between compliance with DASH diet and psychological function in recovered covid-19 patients. Psychological impairments are crucial concerns during hospitalization and recovery in COVID-19 patients. The relationship between dietary patterns and COVID-19 outcomes have been evaluated in previous studies but to the best of our knowledge, this relationship has not yet been evaluated among long COVID patients. Also, one investigation has shown that DASH diet improves mood disorders in women after menopause. Nevertheless, two studies have indicated that DASH diet improves depression score. Few studies have been performed to assess the effects of the DASH diet on mood disorders. Several investigations have shown that the DASH diet has beneficial effects on cardiovascular and renal disease. DASH diet is characterized by high intake of vegetables, whole grains, fruits, nuts, and leguminous and low consumption of red meat, low-fat dairy, desserts, sugary beverages and sweets. The Dietary Approaches to Stop Hypertension (DASH) diet was developed to reduce the prevalence of hypertension. revealed that the prevalence of anxiety and depression in recovered COVID-19 patients was 5.8% and 5.0%, respectively. Likewise, in another research, 19% of COVID-19 patients had clinically significant symptoms of depression and 10.4% had mild to severe symptoms of anxiety after hospital discharge. Based on a recent study, 35% of COVID-19 patients had moderate to severe psychological symptoms. Therefore, psychological impairment is an important concern in COVID-19 patients and should be considered during hospitalization and recovery. Impaired mental health affects the quality of life (QoL). These symptoms can persist after recovery from COVID-19. It has been reported that COVID-19 patients experienced cognitive deficits after infection, including memory loss, loss of concentration, insomnia, depression, and anxiety. Due to multi-organ impairments caused by the infection, possible psychological damage also needs to be considered. Recovered covid-19 patients describe diverse symptoms such as fatigue, fever, and cough after hospitalization. Hence, it is necessary to follow up on patients suffering from COVID-19 after recovery and identify the adverse effects of the disease in other organs. COVID-19 may be accompanied with long term conditions even after recovery (Long COVID). SARS-CoV-2 infection may cause severe systemic disease that affects several organ systems, particularly the lungs. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) appears to have originated in Wuhan, Hubei Province, China, in December 2019 and resulted in a disease that was later called Coronavirus Disease 2019 (COVID-19) by the World Health Organization (WHO). ConclusionĪdherence to a DASH diet might be associated with depression and stress reduction in recovered COVID-19 patients. In multivariate-adjusted regression model, a significant association was found between adherence to DASH diet and depression and stress only in case group (OR = 0.7863, 95% CI 0.746–0.997, p = 0.046 and OR = 0.876, 95% CI 0.771–0.995, p = 0.042, respectively). There was a significant positive correlation between stress scores and the intake of red and processed meat ( P < 0.05). There was a significant inverse correlation between total depression score with vegetables, depression, anxiety, and stress score and dietary intake of nuts, legumes, and whole grains ( p < 0.05). Depression, anxiety and stress, insomnia, sleep quality, and quality of life of participants were evaluated using DASS, Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and SF-36 questionnaires, respectively. A valid and reliable food frequency questionnaire (FFQ) was used to determine dietary intake. This case–control study was conducted on 246 eligible adults (123 cases and 123 controls). We aimed to examine the adherence to the dietary approach to stop hypertension (DASH) diet in relation to psychological function in individuals who have recovered from COVID-19. Psychiatric symptoms can persist after patients recover from the infection. Follow-up of patients after recovery from coronavirus disease 2019 (COVID-19) and identifying the adverse effects of the disease in other organs is necessary.
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