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The highest total dietary fiber intake was also inversely related to a lower risk of depression in women (OR 0.63; 95% CI 0.45, 0.88) but not in men. Among overweight or obese participants, higher intake of dietary fiber was related to a decreased risk of high psychological distress (OR 0.52; 95% CI 0.34, 0.79). A high level of dietary fiber intake was related to a lower risk of anxiety in normal-weight individuals (OR 0.50; 95% CI 0.31, 0.8. Conclusion Significant inverse associations between total dietary fiber intake with anxiety a