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Areca nut chewing is associated with common mental disorders: a population-based study.

Tzu-Yu Lin1, Huan-Cheng Chang2,3, Kuang-Hung Hsu4,5,6

  • 1Healthy Aging Research Centre, Chang Gung University, Taoyuan, Taiwan.

Social Psychiatry and Psychiatric Epidemiology
|November 17, 2017
PubMed
Summary

Areca nut chewing is linked to common mental disorders (CMDs) and abnormal biophysiological indicators in Taiwan. This highlights the need to consider lifestyle factors in mental health prevention and management.

Keywords:
Areca nut chewingBiophysiological testsCommon mental disordersCommunity cohortPopulation-based study

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Area of Science:

  • Epidemiology
  • Psychiatry
  • Public Health

Background:

  • Habitual substance use like smoking and alcohol are known risk factors for common mental disorders (CMDs).
  • While areca nut chewing's effects on metabolic and liver health are known, its association with CMDs is unclear.
  • This study investigates the link between areca nut chewing and CMDs, and its impact on biophysiological markers.

Purpose of the Study:

  • To examine the association between areca nut chewing and common mental disorders (CMDs).
  • To explore the relationship between areca nut chewing and biophysiological indicators in a community-based population.
  • To identify potential mechanistic pathways linking areca nut chewing to CMDs.

Main Methods:

  • Analysis of 4477 community dwellers from a 2-year cohort study in northern Taiwan (2006-2012).
  • Utilized the Chinese Health Questionnaire (CHQ-12) for screening potential psychotic mental disorders.
  • Employed multiple logistic regression and stratified analyses, examining biophysiological tests from one year prior to CMD assessment.

Main Results:

  • 18.23% of participants were diagnosed with CMDs.
  • Areca nut chewing was significantly associated with CMDs (OR 1.828), along with female sex, age (30-49), and lower socioeconomic status.
  • Areca nut chewers showed higher triglycerides, white blood cells, diastolic blood pressure, and glutamic oxaloacetic transaminase levels compared to controls.

Conclusions:

  • Areca nut chewing is associated with CMDs and altered biophysiological tests in a Taiwanese community.
  • Findings suggest areca nut chewing may influence CMDs through multiple pathways, potentially interacting with existing biophysiological abnormalities.
  • Lifestyle variables, including areca nut consumption, are crucial for future mental disorder prevention and management strategies.