Research Article
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Year 2024, Volume: 10 Issue: 4, 262 - 272, 01.10.2024

Hatice Merve Bayram , Adile Gizem Aydın , Hilal Okur , Ahmet Evren Karalı , Arda Öztürkcan

https://doi.org/10.3153/FH24025
https://izlik.org/JA69CY92RK

Abstract

Project Number

TUBITAK2209A-1919B012307441

References

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  • Bayram, H.M., Majoo, F.M., Ozturkcan, A. (2021). Polyphenols in the prevention and treatment of non-alcoholic fatty liver disease: An update of preclinical and clinical studies. Clinical Nutrition ESPEN, 44, 1-14. http://doi.org/10.1016/j.clnesp.2021.06.026
  • Behl, T., Rana, T., Alotaibi, G. H., Shamsuzzaman, M., Naqvi, M., Sehgal, A., Singh, S., Sharma, N., Almoshari, Y., Abdellatif, A.A.H., Iqbal, M.S., Bhatia, S., Al-Harrasi, A., Bungau, S. (2022). Polyphenols inhibiting MAPK signalling pathway mediated oxidative stress and inflammation in depression. Biomedicine & Pharmacotherapy, 146, 112545. http://doi.org/10.1016/j.biopha.2021.112545
  • Bremner, J.D., Moazzami, K., Wittbrodt, M.T., Nye, J.A., Lima, B.B., Gillespie, C.F., Rapaport, M.H., Pearce, B.D., Shah, A.J., Vaccarino, V. (2020). Diet, stress and mental health. Nutrients, 12(8), 2428. http://doi.org/10.3390/nu12082428
  • Buysse, D.J., Reynolds III, C.F., Monk, T.H., Berman, S.R., Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213. http://doi.org/10.1016/0165-1781(89)90047-4
  • Castro-Barquero, S., Lamuela-Raventós, R.M., Doménech, M., Estruch, R. (2018). Relationship between Mediterranean dietary polyphenol intake and obesity. Nutrients, 10(10), 1523. http://doi.org/10.3390/nu10101523
  • Dominguez, L.J., Di Bella, G., Veronese, N., Barbagallo, M. (2021). Impact of Mediterranean diet on chronic non-communicable diseases and longevity. Nutrients, 13(6), 2028. http://doi.org/10.3390/nu13062028
  • Food and Agriculture Organization of United Nations. (2018). Dietary Assessment: A resource guide to method selection and application in low resource settings. Rome. pp. 30. ISBN: 97-92-5-130635-2.
  • Fisk, J., Khalid, S., Reynolds, S.A., Williams, C.M. (2020). Effect of 4 weeks daily wild blueberry supplementation on symptoms of depression in adolescents. British Journal of Nutrition, 124(2), 181-188. http://doi.org/10.1017/S0007114520000926
  • Godos, J., Ferri, R., Lanza, G., Caraci, F., Vistorte, A.O.R., Yelamos Torres, V., Grosso, G., Castellano, S. (2024). Mediterranean Diet and Sleep Features: A Systematic Review of Current Evidence. Nutrients, 16(2), 282. http://doi.org/10.3390/nu16020282
  • Golmohammadi, A., Ebrahimi, S., Shiraseb, F., Asjodi, F., Hosseini, A. M., Mirzaei, K. (2023). The association between dietary polyphenols intake and sleep quality, and mental health in overweight and obese women. PharmaNutrition, 24, 100338. https://doi.org/10.1016/j.phanu.2023.100338
  • Harbron, J., van der Merwe, L., Zaahl, M.G., Kotze, M.J., Senekal, M. (2014). Fat mass and obesity associated (FTO) gene polymorphisms are associated with physical activity, food intake, eating behaviors, psychological health, and modeled change in body mass index in overweight/obese Caucasian adults. Nutrients, 6(8), 3130-3152. http://doi.org/10.3390/nu6083130
  • Hibi, M. (2023). Potential of Polyphenols for Improving Sleep: A Preliminary Results from Review of Human Clinical Trials and Mechanistic Insights. Nutrients, 15(5), 1257. http://doi.org/10.3390/nu15051257
  • Hinojosa-Nogueira, D., Pérez-Burillo, S., García-Rincón, I., Rufián-Henares, J.Á., de la Cueva, S.P. (2021). A useful and simple tool to evaluate and compare the intake of total dietary polyphenols in different populations. Public Health Nutrition, 24(12), 1-21. http://doi.org/10.1017/S136898002100183X
  • Huang, Q., Liu, H., Suzuki, K., Ma, S., Liu, C. (2019). Linking what we eat to our mood: a review of diet, dietary antioxidants, and depression. Antioxidants, 8(9), 376. http://doi.org/10.3390/antiox8090376
  • Jacka, F.N., Pasco, J.A., Mykletun, A., Williams, L.J., Hodge, A.M., O’Reilly, S.L., Nicholson, G.C., Kotowicz, M.A., Berk, M. (2010). Association of Western and traditional diets with depression and anxiety in women. American Journal of Psychiatry, 167, 305–311. http://doi.org/10.1176/appi.ajp.2009.09060881
  • Kabra, A., Garg, R., Brimson, J., Živković, J., Almawash, S., Ayaz, M., Nawaz, A., Ul Hassan, S.S., Bungau, S. (2022). Mechanistic insights into the role of plant polyphenols and their nano-formulations in the management of depression. Frontiers in Pharmacology, 13, 1046599. https://doi.org/10.3389/fphar.2022.1046599
  • Kivimäki, M., Shipley, M.J., Batty, G.D., Hamer, M., Akbaraly, T.N., Kumari, M., Jokela, M., Virtanen, M., Lowe, G.D., Ebmeier, K.P., Brunner, E.J., Singh-Manoux, A. (2014). Long term inflammation increases risk of common mental disorder: a cohort study. Mol Psychiatry. 19(2), 149-150. http://doi.org/10.1038/mp.2013.35
  • Kivimaki, M., Tabak, A.G., Batty, G.D., Singh-Manoux, A., Jokela, M., Akbaraly, T.N., Witte, D.R., Brunner, E.J., Marmot, M.G., Lawloe, D.A. (2009). Hyperglycemia, type 2 diabetes, and depressive symptoms: the British Whitehall II study. Diabetes Care, 32(10), 1867-1869. http://doi.org/10.2337/dc09-0716
  • Lin, K., Li, Y., Toit, E. D., Wendt, L., Sun, J. (2021). Effects of polyphenol supplementations on improving depression, anxiety, and quality of life in patients with depression. Frontiers in Psychiatry, 12, 765485. http://doi.org/10.3389/fpsyt.2021.765485
  • Liu, H., Li, D., Zhao, X., Fang, B., Zhang, Q., Li, T. (2021). Longitudinal impact of frailty states and sleep duration on subsequent depressive symptoms of older adults. Journal of the American Geriatrics Society, 69(4), 1003-1011. http://doi.org/10.1111/jgs.16999
  • Manna, P., Jain, S.K. (2015). Obesity, oxidative stress, adipose tissue dysfunction, and the associated health risks: Causes and therapeutic strategies. Metabolic syndrome and related disorders, 13(10), 423-444. http://doi.org/10.1089/met.2015.0095
  • Martínez-González, M.Á., Corella, D., Salvado, J., Ros, E., Covaz, M.I., Fiol, M., Wärnberg, J., Arós, F., Ruíz-Gutiérrez, V., Lamuela-Raventós, R.M., Lapetra, J., Muñoz, M. A., Martínez, J. A., Sáez, G., Serra-Majem, L., Pintó, X., Mitjavila, M.T., Tur, J.A., Del Puy Portillo, M., Estruch, R., PREDIMED Study Investigators (2012). Cohort profile: design and methods of the PREDIMED study. International Journal of Epidemiology, 41, 377-385. http://doi.org/10.1093/ije/dyq250
  • Lovibond, P.F., Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. http://doi.org/10.1016/0005-7967(94)00075-u
  • Mannan, M., Mamun, A., Doi, S., Clavarino, A. (2016). Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta Analysis of Longitudinal Studies. PLoS One, 11(6), e0157240. http://doi.org/10.1371/journal.pone.0157240
  • Melguizo-Ibáñez, E., González-Valero, G., Badicu, G., Yagin, F.H., Alonso-Vargas, J.M., Ardigò, L.P., Puertas-Molero, P. (2023). Mediterranean diet adherence on self-concept and anxiety as a function of weekly physical activity: an explanatory model in higher education. Frontiers in Nutrition, 10, 1215359. https://doi.org/10.3389/fnut.2023.1215359
  • Mofrad, M.D., Siassi, F., Guilani, B., Bellissimo, N., Azadbakht, L. (2019). Association of dietary phytochemical index and mental health in women: a cross-sectional study. British Journal of Nutrition, 121(9), 1049-1056. http://doi.org/10.1017/S0007114519000229
  • Mousavi, S.A., Mirzababaei, A., Shiraseb, F., Clark, C.C.T., Mirzaei, K. (2022). The association between modified Nordic diet with sleep quality and circadian rhythm in overweight and obese woman: a cross-sectional study. Eating and Weight Disorders, 27(5), 1835-1845. http://doi.org/10.1007/s40519-021-01327-w
  • Noorwali, E.A., Cade, J.E., Burley, V.J., Hardie, L.J. (2018). The relationship between sleep duration and fruit/vegetable intakes in UK adults: a cross-sectional study from the National Diet and Nutrition Survey. BMJ Open, 8(4), e020810. https://doi.org/10.1136/bmjopen-2017-020810
  • Ouyang, P., Sun, W. (2019). Depression and sleep duration: findings from middle-aged and elderly people in China. Public Health, 166, 148-154. https://doi.org/10.1016/j.puhe.2018.10.007
  • Pehlivanoğlu, E.F.Ö., Balcıoğlu, H., Ünlüoğlu, İ. (2020). Akdeniz diyeti bağlılık ölçeği’nin türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Osmangazi Tıp Dergisi, 42(2), 160-164. https://doi.org/10.20515/otd.504188
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  • Sarıçam, H. (2018). The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive-Behavioral Psychotherapy and Research, 7(1), 19-30. http://doi.org/10.5455/JCBPR.274847
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The relationship between dietary polyphenol intake and adherence to the Mediterranean diet, mental health, and sleep quality among Turkish adults: A cross-sectional study

Year 2024, Volume: 10 Issue: 4, 262 - 272, 01.10.2024

Hatice Merve Bayram , Adile Gizem Aydın , Hilal Okur , Ahmet Evren Karalı , Arda Öztürkcan

https://doi.org/10.3153/FH24025
https://izlik.org/JA69CY92RK

Abstract

A high intake of polyphenols has been shown to benefit health, protect against the risk of mental disorders, and improve sleep quality. This study aimed to determine the relationship between polyphenol intake, sleep quality, depression, stress, and anxiety in Turkish adults. This cross-sectional study was conducted with adults aged 18-64 between December 5, 2023, and May 12, 2024, in Istanbul, Türkiye. Participants completed a questionnaire with demographic characteristics, the Mediterranean Dietary Adherence Screener (MEDAS), the Depression Anxiety Stress Scale, the Pittsburgh Sleep Quality Index, and a 7-day food consumption record. Data were analyzed using SPSS 24.0. One hundred nineteen adults (73.1% female, mean age 23.69 ± 3.76 years) participated. There was a statistically significant difference in MEDAS classification across tertiles of polyphenol intake (p: 0.015). After controlling for confounders, the depression score significantly decreased across tertiles of polyphenol intake (OR: 0.990, p: 0.001). Similar results were observed for the anxiety score (OR: 1.006, p< 0.001). MEDAS scores showed a statistically significant difference across tertiles in unadjusted and all adjusted models (p: 0.049, p: 0.030, p: 0.020, and p: 0.015, respectively). Our findings revealed that dietary polyphenols may have a beneficial effect on depression and anxiety.

Keywords

Anxiety Depression Dietary polyphenol Sleep quality Mediterranean diet

Ethical Statement

The Istanbul Gelisim University Ethics Committee approved the study during meeting number 2023/09 on 20.11.2023

Supporting Institution

This project was supported by TUBITAK, the Scientific and Technical Research Council of Türkiye.

Project Number

TUBITAK2209A-1919B012307441

References

  • Bayes, J., Schloss, J., Sibbritt, D. (2020). Effects of polyphenols in a Mediterranean diet on symptoms of depression: a systematic literature review. Advances in Nutrition, 11(3), 602-615. http://doi.org/10.1093/advances/nmz117
  • Bayram, H.M., Majoo, F.M., Ozturkcan, A. (2021). Polyphenols in the prevention and treatment of non-alcoholic fatty liver disease: An update of preclinical and clinical studies. Clinical Nutrition ESPEN, 44, 1-14. http://doi.org/10.1016/j.clnesp.2021.06.026
  • Behl, T., Rana, T., Alotaibi, G. H., Shamsuzzaman, M., Naqvi, M., Sehgal, A., Singh, S., Sharma, N., Almoshari, Y., Abdellatif, A.A.H., Iqbal, M.S., Bhatia, S., Al-Harrasi, A., Bungau, S. (2022). Polyphenols inhibiting MAPK signalling pathway mediated oxidative stress and inflammation in depression. Biomedicine & Pharmacotherapy, 146, 112545. http://doi.org/10.1016/j.biopha.2021.112545
  • Bremner, J.D., Moazzami, K., Wittbrodt, M.T., Nye, J.A., Lima, B.B., Gillespie, C.F., Rapaport, M.H., Pearce, B.D., Shah, A.J., Vaccarino, V. (2020). Diet, stress and mental health. Nutrients, 12(8), 2428. http://doi.org/10.3390/nu12082428
  • Buysse, D.J., Reynolds III, C.F., Monk, T.H., Berman, S.R., Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213. http://doi.org/10.1016/0165-1781(89)90047-4
  • Castro-Barquero, S., Lamuela-Raventós, R.M., Doménech, M., Estruch, R. (2018). Relationship between Mediterranean dietary polyphenol intake and obesity. Nutrients, 10(10), 1523. http://doi.org/10.3390/nu10101523
  • Dominguez, L.J., Di Bella, G., Veronese, N., Barbagallo, M. (2021). Impact of Mediterranean diet on chronic non-communicable diseases and longevity. Nutrients, 13(6), 2028. http://doi.org/10.3390/nu13062028
  • Food and Agriculture Organization of United Nations. (2018). Dietary Assessment: A resource guide to method selection and application in low resource settings. Rome. pp. 30. ISBN: 97-92-5-130635-2.
  • Fisk, J., Khalid, S., Reynolds, S.A., Williams, C.M. (2020). Effect of 4 weeks daily wild blueberry supplementation on symptoms of depression in adolescents. British Journal of Nutrition, 124(2), 181-188. http://doi.org/10.1017/S0007114520000926
  • Godos, J., Ferri, R., Lanza, G., Caraci, F., Vistorte, A.O.R., Yelamos Torres, V., Grosso, G., Castellano, S. (2024). Mediterranean Diet and Sleep Features: A Systematic Review of Current Evidence. Nutrients, 16(2), 282. http://doi.org/10.3390/nu16020282
  • Golmohammadi, A., Ebrahimi, S., Shiraseb, F., Asjodi, F., Hosseini, A. M., Mirzaei, K. (2023). The association between dietary polyphenols intake and sleep quality, and mental health in overweight and obese women. PharmaNutrition, 24, 100338. https://doi.org/10.1016/j.phanu.2023.100338
  • Harbron, J., van der Merwe, L., Zaahl, M.G., Kotze, M.J., Senekal, M. (2014). Fat mass and obesity associated (FTO) gene polymorphisms are associated with physical activity, food intake, eating behaviors, psychological health, and modeled change in body mass index in overweight/obese Caucasian adults. Nutrients, 6(8), 3130-3152. http://doi.org/10.3390/nu6083130
  • Hibi, M. (2023). Potential of Polyphenols for Improving Sleep: A Preliminary Results from Review of Human Clinical Trials and Mechanistic Insights. Nutrients, 15(5), 1257. http://doi.org/10.3390/nu15051257
  • Hinojosa-Nogueira, D., Pérez-Burillo, S., García-Rincón, I., Rufián-Henares, J.Á., de la Cueva, S.P. (2021). A useful and simple tool to evaluate and compare the intake of total dietary polyphenols in different populations. Public Health Nutrition, 24(12), 1-21. http://doi.org/10.1017/S136898002100183X
  • Huang, Q., Liu, H., Suzuki, K., Ma, S., Liu, C. (2019). Linking what we eat to our mood: a review of diet, dietary antioxidants, and depression. Antioxidants, 8(9), 376. http://doi.org/10.3390/antiox8090376
  • Jacka, F.N., Pasco, J.A., Mykletun, A., Williams, L.J., Hodge, A.M., O’Reilly, S.L., Nicholson, G.C., Kotowicz, M.A., Berk, M. (2010). Association of Western and traditional diets with depression and anxiety in women. American Journal of Psychiatry, 167, 305–311. http://doi.org/10.1176/appi.ajp.2009.09060881
  • Kabra, A., Garg, R., Brimson, J., Živković, J., Almawash, S., Ayaz, M., Nawaz, A., Ul Hassan, S.S., Bungau, S. (2022). Mechanistic insights into the role of plant polyphenols and their nano-formulations in the management of depression. Frontiers in Pharmacology, 13, 1046599. https://doi.org/10.3389/fphar.2022.1046599
  • Kivimäki, M., Shipley, M.J., Batty, G.D., Hamer, M., Akbaraly, T.N., Kumari, M., Jokela, M., Virtanen, M., Lowe, G.D., Ebmeier, K.P., Brunner, E.J., Singh-Manoux, A. (2014). Long term inflammation increases risk of common mental disorder: a cohort study. Mol Psychiatry. 19(2), 149-150. http://doi.org/10.1038/mp.2013.35
  • Kivimaki, M., Tabak, A.G., Batty, G.D., Singh-Manoux, A., Jokela, M., Akbaraly, T.N., Witte, D.R., Brunner, E.J., Marmot, M.G., Lawloe, D.A. (2009). Hyperglycemia, type 2 diabetes, and depressive symptoms: the British Whitehall II study. Diabetes Care, 32(10), 1867-1869. http://doi.org/10.2337/dc09-0716
  • Lin, K., Li, Y., Toit, E. D., Wendt, L., Sun, J. (2021). Effects of polyphenol supplementations on improving depression, anxiety, and quality of life in patients with depression. Frontiers in Psychiatry, 12, 765485. http://doi.org/10.3389/fpsyt.2021.765485
  • Liu, H., Li, D., Zhao, X., Fang, B., Zhang, Q., Li, T. (2021). Longitudinal impact of frailty states and sleep duration on subsequent depressive symptoms of older adults. Journal of the American Geriatrics Society, 69(4), 1003-1011. http://doi.org/10.1111/jgs.16999
  • Manna, P., Jain, S.K. (2015). Obesity, oxidative stress, adipose tissue dysfunction, and the associated health risks: Causes and therapeutic strategies. Metabolic syndrome and related disorders, 13(10), 423-444. http://doi.org/10.1089/met.2015.0095
  • Martínez-González, M.Á., Corella, D., Salvado, J., Ros, E., Covaz, M.I., Fiol, M., Wärnberg, J., Arós, F., Ruíz-Gutiérrez, V., Lamuela-Raventós, R.M., Lapetra, J., Muñoz, M. A., Martínez, J. A., Sáez, G., Serra-Majem, L., Pintó, X., Mitjavila, M.T., Tur, J.A., Del Puy Portillo, M., Estruch, R., PREDIMED Study Investigators (2012). Cohort profile: design and methods of the PREDIMED study. International Journal of Epidemiology, 41, 377-385. http://doi.org/10.1093/ije/dyq250
  • Lovibond, P.F., Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. http://doi.org/10.1016/0005-7967(94)00075-u
  • Mannan, M., Mamun, A., Doi, S., Clavarino, A. (2016). Prospective Associations between Depression and Obesity for Adolescent Males and Females- A Systematic Review and Meta Analysis of Longitudinal Studies. PLoS One, 11(6), e0157240. http://doi.org/10.1371/journal.pone.0157240
  • Melguizo-Ibáñez, E., González-Valero, G., Badicu, G., Yagin, F.H., Alonso-Vargas, J.M., Ardigò, L.P., Puertas-Molero, P. (2023). Mediterranean diet adherence on self-concept and anxiety as a function of weekly physical activity: an explanatory model in higher education. Frontiers in Nutrition, 10, 1215359. https://doi.org/10.3389/fnut.2023.1215359
  • Mofrad, M.D., Siassi, F., Guilani, B., Bellissimo, N., Azadbakht, L. (2019). Association of dietary phytochemical index and mental health in women: a cross-sectional study. British Journal of Nutrition, 121(9), 1049-1056. http://doi.org/10.1017/S0007114519000229
  • Mousavi, S.A., Mirzababaei, A., Shiraseb, F., Clark, C.C.T., Mirzaei, K. (2022). The association between modified Nordic diet with sleep quality and circadian rhythm in overweight and obese woman: a cross-sectional study. Eating and Weight Disorders, 27(5), 1835-1845. http://doi.org/10.1007/s40519-021-01327-w
  • Noorwali, E.A., Cade, J.E., Burley, V.J., Hardie, L.J. (2018). The relationship between sleep duration and fruit/vegetable intakes in UK adults: a cross-sectional study from the National Diet and Nutrition Survey. BMJ Open, 8(4), e020810. https://doi.org/10.1136/bmjopen-2017-020810
  • Ouyang, P., Sun, W. (2019). Depression and sleep duration: findings from middle-aged and elderly people in China. Public Health, 166, 148-154. https://doi.org/10.1016/j.puhe.2018.10.007
  • Pehlivanoğlu, E.F.Ö., Balcıoğlu, H., Ünlüoğlu, İ. (2020). Akdeniz diyeti bağlılık ölçeği’nin türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Osmangazi Tıp Dergisi, 42(2), 160-164. https://doi.org/10.20515/otd.504188
  • Rakıcıoğlu N, Tek Acar N, Ayaz A, Pekcan G. (2009). Yemek ve Besin Fotoğraf Kataloğu-Ölçü ve Miktarlar, 2. Baskı, Ata Ofset Matbaacılık, Ankara.
  • Sangouni, A.A., Vasmehjani, A.A., Ghayour-Mobarhan, M., Ferns, G.A., Khayyatzadeh, S.S. (2022). The association between dietary phytochemical index with depression and quality of life in iranian adolescent girls. BioPsychoSocial Medicine, 16(1), 5. http://doi.org/10.1186/s13030-022-00234-5
  • Sarıçam, H. (2018). The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive-Behavioral Psychotherapy and Research, 7(1), 19-30. http://doi.org/10.5455/JCBPR.274847
  • Scoditti, E., Tumolo, M.R., Garbarino, S. (2022). Mediterranean diet on sleep: a health alliance. Nutrients, 14(14), 2998. http://doi.org/10.3390/nu14142998
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There are 42 citations in total.

Details

Primary Language English
Subjects Nutritional Science, Food Nutritional Balance
Journal Section Research Article
Authors

Hatice Merve Bayram 0000-0002-7073-2907

Adile Gizem Aydın 0009-0008-5363-4759

Hilal Okur 0009-0004-3678-1256

Ahmet Evren Karalı 0009-0008-5650-8483

Arda Öztürkcan 0000-0001-7982-6988

Project Number TUBITAK2209A-1919B012307441
Submission Date June 29, 2024
Acceptance Date August 2, 2024
Early Pub Date August 19, 2024
Publication Date October 1, 2024
DOI https://doi.org/10.3153/FH24025
IZ https://izlik.org/JA69CY92RK
Published in Issue Year 2024 Volume: 10 Issue: 4

Cite

APA Bayram, H. M., Aydın, A. G., Okur, H., Karalı, A. E., & Öztürkcan, A. (2024). The relationship between dietary polyphenol intake and adherence to the Mediterranean diet, mental health, and sleep quality among Turkish adults: A cross-sectional study. Food and Health, 10(4), 262-272. https://doi.org/10.3153/FH24025

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