The Inflammatory Potential of Diet and Mental Health in Adult Women from Sinaloa: An Analysis of Specific Components of the Dietary Inflammatory Index
DOI:
https://doi.org/10.70983/yq5kzg46Keywords:
Dietary Inflammatory index, Inflammation, Mental health, Stress, Depression, Omega-3, Omega-6, Trans fatsAbstract
Introduction: Diet can modulate systemic inflammation, a factor implicated in mental health. The Dietary Inflammatory Index (DII) quantifies this potential. The objective was to evaluate the correlation between the DII (global and components) and mental health in Mexican women.
Methods: A pilot, analytical, cross-sectional study was conducted with 34 women (18–45 years) from Culiacán, Sinaloa. Diet was assessed using three 24-hour recalls to calculate the DII. Mental health was measured using the DASS-21 scale. Correlations were determined using the Spearman correlation coefficient. Results: The sample's diet was markedly pro-inflammatory (Median global DII: +4.1; Interquartile range: 3.4–4.7). No significant correlation was found between the global DII and depression, anxiety, or stress scores (p > 0.05). Specific component analysis showed that the pro-inflammatory DII score for omega-6 fatty acids correlated with higher anxiety (r = 0.611; p = 0.0001), and the DII score for trans fats correlated positively with greater depression (r = 0.372; p = 0.030). A positive DII score for omega-3 fatty acids (indicative of deficiency) correlated with higher anxiety (r = 0.425; p = 0.012). Conclusion: In this sample with a pro-inflammatory baseline diet, the global DII was not a predictor of mental health. However, a fatty acid imbalance (high omega-6, high trans, and low omega-3) correlated significantly with greater symptoms of anxiety and stress. These preliminary findings suggest that the type and balance of dietary lipids may be modulators of mental health.
References
Al-Shaer, A. E., Buddenbaum, N., & Shaikh, S. R. (2021). Polyunsaturated fatty acids, specialized pro-resolving mediators, and targeting inflammation resolution in the age of precision nutrition. Biochimica et Biophysica Acta (BBA)-Molecular and Cell Biology of Lipids, 1866(7), 158936.
Arias-Gastélum, M., Lindberg, N. M., Leo, M. C., Bruening, M., Whisner, C. M., Der Ananian, C., Hooker, S. P., LeBlanc, E. S., Stevens, V. J., Shuster, E., Meenan, R. T., Gille, S., Vaughn, K. A., Turner, A., & Vega-López, S. (2021). Dietary Patterns with Healthy and Unhealthy Traits Among Overweight/Obese Hispanic Women with or at High Risk for Type 2 Diabetes. Journal of Racial and Ethnic Health Disparities, 8(2), 293–303. https://doi.org/10.1007/s40615-020-00782-y
Arita, M., Bianchini, F., Aliberti, J., Sher, A., Chiang, N., Hong, S., Yang, R., Petasis, N. A., & Serhan, C. N. (2005). Stereochemical assignment, antiinflammatory properties, and receptor for the omega-3 lipid mediator resolvin E1. The Journal of experimental medicine, 201(5), 713–722.
Beaton, G. H., Milner, J., Corey, P., McGuire, V., Cousins, M., Stewart, E., De Ramos, M., Hewitt, D., Grambsch, P., Kassim, N., & others. (1979). Sources of variance in 24-hour dietary recall data: Implications for nutrition study design and interpretation. The American journal of clinical nutrition, 32(12), 2546–2559.
Berger, M. E., Smesny, S., Kim, S.-W., Davey, C. G., Rice, S., Sarnyai, Z., Schlögelhofer, M., Schäfer, M. R., Berk, M., McGorry, P. D., & Amminger, G. P. (2017). Omega-6 to omega-3 polyunsaturated fatty acid ratio and subsequent mood disorders in young people with at-risk mental states: A 7-year longitudinal study. Translational Psychiatry, 7(8), e1220–e1220. https://doi.org/10.1038/tp.2017.190
Bernier, V., Debarge, M.-H., Hein, M., Ammendola, S., Mungo, A., & Loas, G. (2023). Major Depressive Disorder, Inflammation, and Nutrition: A Tricky Pattern? Nutrients, 15(15), 3438. https://doi.org/10.3390/nu15153438
Borsini, A., Nicolaou, A., Camacho-Muñoz, D., Kendall, A. C., Di Benedetto, M. G., Giacobbe, J., Su, K.-P., & Pariante, C. M. (2021). Omega-3 polyunsaturated fatty acids protect against inflammation through production of LOX and CYP450 lipid mediators: Relevance for major depression and for human hippocampal neurogenesis. Molecular psychiatry, 26(11), 6773–6788.
Calagua-Bedoya, E. A., Rajasekaran, V., De Witte, L., & Perez-Rodriguez, M. M. (2024). The Role of Inflammation in Depression and Beyond: A Primer for Clinicians. Current Psychiatry Reports, 26(10), 514–529. https://doi.org/10.1007/s11920-024-01526-z
Clemente-Suárez, V. J., Beltrán-Velasco, A. I., Redondo-Flórez, L., Martín-Rodríguez, A., & Tornero-Aguilera, J. F. (2023). Global Impacts of Western Diet and Its Effects on Metabolism and Health: A Narrative Review. Nutrients, 15(12), 2749. https://doi.org/10.3390/nu15122749
Denova-Gutiérrez, E., Muñoz-Aguirre, P., Shivappa, N., Hébert, J. R., Tolentino-Mayo, L., Batis, C., & Barquera, S. (2018). Dietary Inflammatory Index and Type 2 Diabetes Mellitus in Adults: The Diabetes Mellitus Survey of Mexico City. Nutrients, 10(4), 385. https://doi.org/10.3390/nu10040385
Dickerman, B., & Liu, J. (2011). Do the Micronutrients Zinc and Magnesium Play a Role in Adult Depression? Topics in Clinical Nutrition, 26(3), 257–267. https://doi.org/10.1097/TIN.0b013e3182260d86
Fajstova, A., Galanova, N., Coufal, S., Malkova, J., Kostovcik, M., Cermakova, M., Pelantova, H., Kuzma, M., Sediva, B., Hudcovic, T., Hrncir, T., Tlaskalova-Hogenova, H., Kverka, M., & Kostovcikova, K. (2020). Diet Rich in Simple Sugars Promotes Pro-Inflammatory Response via Gut Microbiota Alteration and TLR4 Signaling. Cells, 9(12), 2701. https://doi.org/10.3390/cells9122701
Ford, P. A., Jaceldo-Siegl, K., Lee, J. W., & Tonstad, S. (2016). Trans fatty acid intake is related to emotional affect in the Adventist Health Study-2. Nutrition Research (New York, N.Y.), 36(6), 509–517. https://doi.org/10.1016/j.nutres.2016.01.005
Friedrich, M. J. (2017). Depression Is the Leading Cause of Disability Around the World. JAMA, 317(15), 1517. https://doi.org/10.1001/jama.2017.3826
Gárate, I., Garcia-Bueno, B., Madrigal, J. L. M., Caso, J. R., Alou, L., Gomez-Lus, M. L., Micó, J. A., & Leza, J. C. (2013). Stress-Induced Neuroinflammation: Role of the Toll-Like Receptor-4 Pathway. Biological Psychiatry, 73(1), 32–43. https://doi.org/10.1016/j.biopsych.2012.07.005
Ge, Z., Hu, D., Kan, W., Li, L., Xu, J., Zhang, Y., Zheng, N., Wang, G., & Du, J. (2025). Lipid metabolic dysregulation-induced neuroinflammation in the pathophysiology of major depressive disorder. Frontiers in Immunology, 16, 1625087.
Gómez-Gómez, M. E., & Zapico, S. C. (2019). Frailty, Cognitive Decline, Neurodegenerative Diseases and Nutrition Interventions. International Journal of Molecular Sciences, 20(11), 2842. https://doi.org/10.3390/ijms20112842
Jayedi, A., Soltani, S., Abdolshahi, A., & Shab-Bidar, S. (2020). Healthy and unhealthy dietary patterns and the risk of chronic disease: An umbrella review of meta-analyses of prospective cohort studies. The British Journal of Nutrition, 124(11), 1133–1144. https://doi.org/10.1017/S0007114520002330
Kiecolt-Glaser, J. K., Belury, M. A., Andridge, R., Malarkey, W. B., & Glaser, R. (2011). Omega-3 supplementation lowers inflammation and anxiety in medical students: A randomized controlled trial. Brain, Behavior, and Immunity, 25(8), 1725–1734. https://doi.org/10.1016/j.bbi.2011.07.229
Li, X., Chen, M., Yao, Z., Zhang, T., & Li, Z. (2022). Dietary inflammatory potential and the incidence of depression and anxiety: A meta-analysis. Journal of Health, Population, and Nutrition, 41(1), 24. https://doi.org/10.1186/s41043-022-00303-z
Lin, H., Bai, Z., Wu, D., Yang, Q., & Qu, S. (2025). Association of omega-3, omega-6 fatty acids intakes and omega-6: Omega-3 ratio with the prevalence of suicidal ideation: mediating role of C-reactive protein. Lipids in Health and Disease, 24(1), 178. https://doi.org/10.1186/s12944-025-02587-6
Lopez-Gambino, L., Castro-Acosta, M.-L., Zepeda-Gomez, E., Angulo-Leyva, E., & Galindo, P. (2020). Food Insecurity and Cardiometabolic Disease Risk Factors in Mexican Women from Sinaloa. Current Developments in Nutrition, 4, nzaa043_082. https://doi.org/10.1093/cdn/nzaa043_082
Ma, X., Nan, F., Liang, H., Shu, P., Fan, X., Song, X., Hou, Y., & Zhang, D. (2022). Excessive intake of sugar: An accomplice of inflammation. Frontiers in Immunology, 13. https://doi.org/10.3389/fimmu.2022.988481
Malau, I. A., Chang, J. P.-C., Lin, Y.-W., Chang, C.-C., Chiu, W.-C., & Su, K.-P. (2024). Omega-3 Fatty Acids and Neuroinflammation in Depression: Targeting Damage-Associated Molecular Patterns and Neural Biomarkers. Cells, 13(21), 1791. https://doi.org/10.3390/cells13211791
Melo, H. M., Santos, L. E., & Ferreira, S. T. (2019). Diet-Derived Fatty Acids, Brain Inflammation, and Mental Health. Frontiers in Neuroscience, 13. https://doi.org/10.3389/fnins.2019.00265
Regulska, M., Szuster-Głuszczak, M., Trojan, E., Leśkiewicz, M., & Basta-Kaim, A. (2021). The Emerging Role of the Double-Edged Impact of Arachidonic Acid- Derived Eicosanoids in the Neuroinflammatory Background of Depression. Current Neuropharmacology, 19(2), 278–293. https://doi.org/10.2174/1570159X18666200807144530
Ruiz, F. J., Martín, M. B. G., Falcón, J. C. S., & González, P. O. (2017). The hierarchical factor structure of the Spanish version of Depression Anxiety and Stress Scale-21. International Journal of Psychology and Psychological Therapy, 17(1), 97–105.
Sabine Kransel, M. S., Jaramillo Zafra, J. J., Osorio Diago, I., & Becerra Hernández, L. V. (2024). Depresión, ansiedad y microbiota intestinal: Mecanismos neurobiológicos. Acta Neurológica Colombiana, 40(3). https://doi.org/10.22379/anc.v40i3.1341
Satokari, R. (2020). High Intake of Sugar and the Balance between Pro- and Anti-Inflammatory Gut Bacteria. Nutrients, 12(5), 1348. https://doi.org/10.3390/nu12051348
Shakya, P. R., Melaku, Y. A., Shivappa, N., Hébert, J. R., Adams, R. J., Page, A. J., & Gill, T. K. (2021). Dietary inflammatory index (DII®) and the risk of depression symptoms in adults. Clinical Nutrition (Edinburgh, Scotland), 40(5), 3631–3642. https://doi.org/10.1016/j.clnu.2020.12.031
Shivappa, N., Steck, S. E., Hurley, T. G., Hussey, J. R., & Hébert, J. R. (2014). Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutrition, 17(8), 1689–1696. https://doi.org/10.1017/S1368980013002115
Shivappa, N., Steck, S. E., Hurley, T. G., Hussey, J. R., Ma, Y., Ockene, I. S., Tabung, F., & Hébert, J. R. (2014). A population-based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS). Public health nutrition, 17(8), 1825–1833.
Su, K.-P., Tseng, P.-T., Lin, P.-Y., Okubo, R., Chen, T.-Y., Chen, Y.-W., & Matsuoka, Y. J. (2018). Association of Use of Omega-3 Polyunsaturated Fatty Acids With Changes in Severity of Anxiety Symptoms: A Systematic Review and Meta-analysis. JAMA Network Open, 1(5), e182327. https://doi.org/10.1001/jamanetworkopen.2018.2327
Tallima, H. (2021). Clarification of Arachidonic Acid Metabolic Pathway Intricacies. ACS Omega, 6(24), 15559–15563. https://doi.org/10.1021/acsomega.1c01952
Vázquez-Salas, A., Hubert, C., Portillo-Romero, A., Valdez-Santiago, R., Barrientos-Gutiérrez, T., & Villalobos, A. (2023). Sintomatología depresiva en adolescentes y adultos mexicanos: Ensanut 2022. Salud Pública de México, 65, s117–s125. https://doi.org/10.21149/14827
Vega-Cárdenas, M., Barragán, M., Terán-García, M., Manuel Vargas-Morales, J., Patricia Portales-Pérez, D., & Aradillas-García, C. (2025). Association between Dietary Inflammatory Index and IL-17A level in a Mexican cross-sectional study. Nutrición Hospitalaria, 42(2), 243–252. https://doi.org/10.20960/nh.05344
Wang, B., Fan, Y., Tang, S., Guo, W., Li, Y., & Dai, C. (2025). Dietary inflammatory index mediation lifestyle patterns and depression among women with osteopenia or osteoporosis. Frontiers in Nutrition, 12. https://doi.org/10.3389/fnut.2025.1578954
Wang, J., Um, P., Dickerman, B. A., & Liu, J. (2018). Zinc, Magnesium, Selenium and Depression: A Review of the Evidence, Potential Mechanisms and Implications. Nutrients, 10(5), 584. https://doi.org/10.3390/nu10050584
Wang, J., Zhou, Y., Chen, K., Jing, Y., He, J., Sun, H., & Hu, X. (2019). Dietary inflammatory index and depression: A meta-analysis. Public Health Nutrition, 22(4), 654–660. https://doi.org/10.1017/S1368980018002628
Yirmiya, R. (2024). The inflammatory underpinning of depression: An historical perspective. Brain, Behavior, and Immunity, 122, 433–443. https://doi.org/10.1016/j.bbi.2024.08.048
Zhan, L., Zheng, J., Meng, J., Fu, D., Pang, L., & Ji, C. (2022). Toll-like receptor 4 deficiency alleviates lipopolysaccharide-induced intestinal barrier dysfunction. Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie, 155, 113778. https://doi.org/10.1016/j.biopha.2022.113778
Zhou, L., Xiong, J.-Y., Chai, Y.-Q., Huang, L., Tang, Z.-Y., Zhang, X.-F., Liu, B., & Zhang, J.-T. (2022). Possible antidepressant mechanisms of omega-3 polyunsaturated fatty acids acting on the central nervous system. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.933704
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Autor

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.