Evaluation of nutritional status, sleep status and magnesium intake of women using antidepressants during menopause

Depression is a mental health problem that is rapidly increasing in prevalence worldwide and is more common in women. Depression is also common during menopause. This study was carried out with 48 volunteer female individuals between February-October 2020 who came to a private nutrition and counseling center in Ankara, entered menopause (had not had menstruation for at least 12 months after the permanent cessation of menstruation) and were using antidepressants. Individuals' personal characteristics, eating habits, sleep conditions and depression status were determined using a questionnaire form using face-to-face interview method. In order to determine the daily energy and nutrient intake, 3-day food consumption records were taken with a retrospective reminder method and their physical activity status was determined. Anthropometric measurements of the individuals were taken and their body composition was evaluated with the bioelectrical impedance analysis device. Pittsburgh Sleep Quality Scale (PSQI) and Depression Anxiety Stress Scale (DASS) were applied to the individuals. The average age of individuals who have entered menopause is 57.1 ± 8.67 years, and the average period of not having regular menstruation is 9.1 ± 8.25 years. The waist circumference of the individuals was determined as 89.1 ± 13.38 cm, waist / hip ratio was 0.86 ± 0.04 and body fat ratio was 35.21 ± 4.83%. The majority of individuals (85.4%) use selective serotonin reuptake inhibitor (SSRI) type antidepressants. Dietary energy (1238.5±371.94 kcal) and carbohydrate (114.6±54.43 g) intakes of women are below the recommendations of Turkey Nutrition Guide 2015, while the dietary protein intake of women is normal for recommendations and the dietary fat intake of women is above the recommendations. It was determined that individuals who did not take their fiber need at a sufficient level had higher depression scores compared to those who took them adequately (p> 0.05). Magnesium intake for all individuals is below recommendations. 52.1% of the individuals have poor sleep quality and 47.9% have good sleep quality. Individuals with poor sleep quality had lower magnesium intake than those with good sleep quality (p> 0.05). It was determined that with increasing sleep quality, depression score decreased (p> 0.05). At the same time, it was found that the depression score decreased with sufficient magnesium (p> 0.05). In conclusion, dietary habits, magnesium intake, sleep quality and depression of menopausal women are interrelated; It affects women's health along with menopausal symptoms. Keywords: Menopause, Depression, Nutritional Status, Sleep quality, Magnesium