Can dietary fiber influence mental health?
Eating your favorite food might make you feel warm and fuzzy inside, while eating something you dislike might cause a minor dip in your mood.
But according to the latest research, the links between food and mood are much deeper than that.
There’s growing evidence that changes in your diet could significantly improve your mental health.
Researchers are still digging into the details, but for a summary of what they’ve found so far, have a listen to one of our recent ZOE Science & Nutrition podcasts on food and mood.
The episode features Felice Jacka, a professor of nutritional psychiatry and director of the Food & Mood Centre at Deakin University in Australia.
In this article, we’ll concentrate specifically on the role of dietary fiber in mental health.
Globally, around 4.4% of people have depression and 3.6% have anxiety. Medications are available, and talking therapies can help, too. But neither is perfect.
For instance, medications can have side effects, and talking therapies can be expensive and time-consuming.
If we could change our diets to reduce the risk of depression, it could be a game-changer for society at large.
But does the evidence stack up?
Fiber and mental health
First off, what is fiber? Fiber is a type of carbohydrate that you can’t digest. Because we lack the relevant enzymes to break it down, it just moves through your gut until it reaches your gut bacteria.
Your gut bugs do have the right enzymes, and fiber is their main source of fuel.
Several studies have spotted links between a high-fiber diet and improvements in mental health. We’ll briefly cover a few of these studies here.
Japan: 2,000 participants
A study in Japan enrolled almost 2,000 people aged 19–69. The researchers looked for relationships between different types and sources of fiber and depression symptoms.
Fiber comes in many forms. Commonly, experts describe it as soluble or insoluble.
As the names suggest, soluble fiber dissolves in water to form a gel-like substance, while insoluble fiber remains intact as it moves through your gut.
After analyzing the data, the team didn’t find any associations between depression symptoms and soluble, insoluble, or cereal fiber.
However, they did conclude that:
“Higher dietary fiber intake from vegetables and fruits may be associated with [a] lower likelihood of having depressive symptoms.”
Korea: 3,000 participants
Scientists in Korea carried out a similar study. The researchers recruited almost 3,000 adults aged 19–64. They found that:
“Higher intakes of seaweed and mushroom fiber were associated with a lower likelihood of depression.”
According to the authors, seaweed and mushroom are two of the most common sources of fiber in the Korean diet. They explain that dried brown seaweed, in particular, is very high in fiber.
Interestingly, the researchers didn’t find any links between other types of fiber and depression, including fiber from cereal, vegetables, and fruit.
Similar to the Japanese study, this suggests that different sources of fiber might impact mental health in different ways.
China: 4,000 participants
A study in China involving almost 4,000 adults aged 65 or older looked at links between depression symptoms and a range of nutrients, including fiber.
They found that a higher fiber intake was linked to better depression scores.
In 2021, scientists published a review looking at dietary fiber and symptoms of depression. They reviewed nine studies.
Overall, they concluded that individuals with depression consumed less fiber and, conversely, individuals consuming higher levels of fiber had lower odds of experiencing depression.
Similarly, a review of 18 studies examined links between fiber, anxiety, and depression. Although they didn’t identify a relationship between fiber and anxiety, they did find links to depression.
The authors concluded that “Total dietary fiber intake was associated with a 10% lower odds of depression [...] in adults and a 57% lower odds [...] in adolescents.”
Also, each 5-gram increase in daily fiber intake was associated with a 5% reduction in depression risk.
Much of the research into fiber and mental health so far has been “observational.” This means that the researchers looked at what participants were eating and their mental health during a defined period of time. But some scientists have used a different method.
A longer look
A large study on post-menopausal women took a different approach. This was a “prospective” study, which means they followed participants over several years.
The scientists used data from 14,129 participants in the Iowa Women’s Health Study.
They collected information about the participants’ diets and mental health at the start. Then, over the next 18 years, participants completed five more questionnaires that included questions about their mental health.
Overall, the researchers concluded that individuals eating more fiber reported better mental health scores than those eating the least fiber.
They also found that the source of fiber mattered: Wholegrain sources of fiber were associated with better mental health, whereas refined fiber was not.
At this point, we should remind ourselves that correlation does not equal causation.
As an example, most people who are in traffic accidents are wearing a seatbelt. But that doesn’t mean that wearing a seatbelt causes traffic accidents.
We also have to remember that fiber is consumed in foods — often plants. And each food item has a wide range of other compounds that might also be doing good work for our mental health.
Fruit and vegetables are good sources of fiber, for instance. They might also contain other beneficial compounds, such as polyphenols, vitamins, and minerals. In combination, these compounds could benefit mental health, too, or at least play a part.
How might fiber benefit mental health?
Scientists have a few theories about why dietary fiber might influence mental health. None are set in stone, and researchers need to do much more work, but these are all possibilities.
For instance, the authors of the 2021 review outline a few theories:
Fiber fuels the bacteria in your gut. And some of these gut bugs produce neurotransmitters — compounds that send messages throughout your nervous system.
For instance, some gut bacteria produce serotonin, which plays a part in depression. In fact, 95% of your serotonin is produced in your gut.
The most common antidepressants — selective serotonin reuptake inhibitors, or SSRIs — target this neurotransmitter and help increase its levels in the brain.
Increased fiber intake may nourish your gut microbiome, which then influences the serotonin system, potentially reducing symptoms of depression.
There might be a role for inflammation, too. Inflammation is your body’s response to injury or infection. It’s healthy and can be lifesaving. However, if it continues for long periods, it can damage your body.
Depression and other mental health conditions — along with many other diseases — are associated with inflammation.
When you eat certain types of fiber, it nourishes your gut bugs. As they ferment the fiber, they produce short-chain fatty acids (SCFAs). Some research suggests that these compounds reduce inflammation, which could, in theory, help reduce depressive symptoms.
More on SCFAs
Some scientists are investigating how SCFAs could influence the brain. For instance, they theorize that butyrate — a common SCFA — might change how genes are “turned on” in the brain.
This, they argue, might help protect against neurological diseases, like Parkinson’s disease, and promote regeneration of brain cells.
For now, this is mainly theoretical in humans, but it’s a fascinating (and incredibly complex) topic.
The glycemic index estimates how large our blood sugar response will be after we eat a particular food.
For instance, the carbs in white bread are quickly digested and can cause a spike in blood sugar. Conversely, wholegrain bread is broken down more slowly, so it produces a more moderate rise in blood sugar.
So, if someone has a high glycemic index diet, they will have more pronounced blood sugar spikes.
Some research suggests that a lower glycemic index diet might reduce the risk of depression.
Adding high-fiber foods like vegetables to a meal reduces its glycemic index score because it slows digestion. Therefore, sugar is released into the blood more gradually.
If glycemic index scores are linked to depression, fiber might reduce the risk.
Continuing on the same theme: Large blood sugar spikes after eating promote inflammation.
As mentioned above, consuming fiber reduces these blood sugar spikes, so it may reduce the risk of inflammation and, therefore, depression symptoms.
Although these theories are all underpinned by science, the exact reasons why fiber might improve mental health are still unknown. It could involve all or none of the above.
A fiber boost
The links between dietary fiber and mental health are getting clearer. And the connections between a healthy diet and mental health are already well established.
Whether the fiber in plant-based foods is the most important factor for mental health or not, eating these foods is a guaranteed way to make you feel better in the long run. So, stock up.
A prospective analysis of dietary fiber intake and mental health quality of life in the Iowa Women’s Health Study. Maturitas. (2020). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916712/
A randomised controlled trial of dietary improvement for adults with major depression (the ‘SMILES’ trial). BMC Medicine. (2017). https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-017-0791-y?mod=article_inline
Association between dietary glycemic index and glycemic load with depression: a systematic review. European Journal of Nutrition. (2018). https://link.springer.com/article/10.1007/s00394-018-1710-5
Association of dietary fiber and depression symptom: A systematic review and meta-analysis of observational studies. Complementary Therapies in Medicine. (2021). https://www.sciencedirect.com/science/article/pii/S0965229920318884
Association of Western and traditional diets with depression and anxiety in women. The American Journal of Psychiatry. (2010). https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2009.09060881
Benefits of short-chain fatty acids and their receptors in inflammation and carcinogenesis. Pharmacology & Therapeutics. (2016). https://www.sciencedirect.com/science/article/abs/pii/S0163725816300493
Butyrate, neuroepigenetics, and the gut microbiome: Can a high fiber diet improve brain health? Neuroscience Letters. (2016). https://www.sciencedirect.com/science/article/pii/S0304394016300775
Dietary fiber intake and depressive symptoms in Japanese employees: The Furukawa Nutrition and Health Study. Nutrition. (2016). https://www.sciencedirect.com/science/article/abs/pii/S0899900715005237
Dietary fiber intake, depression, and anxiety: a systematic review and meta-analysis of epidemiologic studies. Nutritional Neuroscience. (2022). https://www.tandfonline.com/doi/abs/10.1080/1028415X.2021.2020403
How to get more fibre into your diet. (2022). https://www.nhs.uk/live-well/eat-well/digestive-health/how-to-get-more-fibre-into-your-diet/
Nutrient intake and psychological health in an elderly Chinese population. Geriatric Psychiatry. (2006). https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.1603
Nutritional psychiatry: the present state of the evidence. Proceedings of the Nutrition Society. (2017). https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/nutritional-psychiatry-the-present-state-of-the-evidence/88924C819D21E3139FBC48D4D9DF0C08
Postprandial hyperglycemia/hyperlipidemia (postprandial dysmetabolism) is a cardiovascular risk factor. The American Journal of Cardiology. (2007). https://www.sciencedirect.com/science/article/abs/pii/S000291490701096X
Serotonin, tryptophan metabolism and the brain-gut-microbiome axis. Behavioral Brain Research. (2015). https://www.sciencedirect.com/science/article/abs/pii/S0166432814004768
Should I be eating more fiber? (2019). https://www.health.harvard.edu/blog/should-i-be-eating-more-fiber-2019022115927
So depression is an inflammatory disease, but where does the inflammation come from? BMC Medicine. (2013). https://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-200
Sources of dietary fiber are differently associated with prevalence of depression. Nutrients. (2020). https://www.mdpi.com/2072-6643/12/9/2813/htm