青少年抑郁症状与外卖快餐碳酸饮料消费相关性分析
|
摘要
目的研究外卖快餐和碳酸饮料共同消费与中国青少年抑郁症状的关联,为减少青少年抑郁的发生提供参考。方法采用横断面研究的方法,从中国4个省32所中学抽样调查14 500名中学生,使用儿童抑郁量表评估抑郁症状,使用自我报告的饮食频率调查表评估外卖快餐和碳酸饮料的消费情况。结果青少年抑郁症状检出率为27.26%(3 952/14 500)。最近1周低频次(1～2次)、中频次(3～4次)和高频次(5次及以上)的外卖快餐(aOR值分别为1.12,1.73,1.56,P值均<0.05)和碳酸饮料(aOR值分别为1.64,2.17,3.54,P值均<0.01)消费均与青少年抑郁症状呈正相关,且有剂量反应关系(P值均<0.01)。同时,外卖快餐和碳酸饮料具有正向相加的交互作用(aOR=2.46,P<0.01),交互作用的相对超额危险度为0.45(0.12～0.77),归因比为0.18(0.06～0.30),交互作用指数为1.44(1.10～1.89)。结论外卖快餐和碳酸饮料共同消费与中国青少年抑郁症状关联,二者具有协同作用。
Objective To explore the association between co-consumption of takeaway fast foods and sodas with depressive symptoms among Chinese adolescents, and to provide a reference for reducing the occurence of depression among adolescents. Methods A multi-center population-based survey was conducted in 32 schools in 4 provinces across China. A total of 14 500 adolescents completed eligible questionnaires. Depressive symptoms were assessed by using Children's Depression Inventory(CDI), while consumption of takeaway fast foods and sodas was collected using the semi-quantitative Food Frequency Questionnaire(FFQ). Results 27.26%(3 952/14 500) of adolescents were reported of depressive symptoms. The low-, middle-, and high-frequency consumption of takeaway fast foods(aOR=1.12, 1.73, 1.56, P<0.05) and sodas(aOR=1.64, 2.17, 3.54, P<0.01) were associated with depressive symptoms, and dose-response relationships were observed in all association(P<0.01). Meanwhile, positive additive interactions were observed in the association(aOR=2.46, P<0.01). The relative excess risk, attribution ratio and the interaction index of synergy was 0.45(0.12-0.77), 0.18(0.06-0.30) and 1.44(1.10-1.89), respectively. Conclusion Co-consumption of takeaway fast foods and sodas significantly associates with depressive symptoms by synergistic effect among Chinese adolescents.
Objective To explore the association between co-consumption of takeaway fast foods and sodas with depressive symptoms among Chinese adolescents, and to provide a reference for reducing the occurence of depression among adolescents. Methods A multi-center population-based survey was conducted in 32 schools in 4 provinces across China. A total of 14 500 adolescents completed eligible questionnaires. Depressive symptoms were assessed by using Children's Depression Inventory(CDI), while consumption of takeaway fast foods and sodas was collected using the semi-quantitative Food Frequency Questionnaire(FFQ). Results 27.26%(3 952/14 500) of adolescents were reported of depressive symptoms. The low-, middle-, and high-frequency consumption of takeaway fast foods(aOR=1.12, 1.73, 1.56, P<0.05) and sodas(aOR=1.64, 2.17, 3.54, P<0.01) were associated with depressive symptoms, and dose-response relationships were observed in all association(P<0.01). Meanwhile, positive additive interactions were observed in the association(aOR=2.46, P<0.01). The relative excess risk, attribution ratio and the interaction index of synergy was 0.45(0.12-0.77), 0.18(0.06-0.30) and 1.44(1.10-1.89), respectively. Conclusion Co-consumption of takeaway fast foods and sodas significantly associates with depressive symptoms by synergistic effect among Chinese adolescents.
引文
[1] ALLEHDAN S S,TAYYEM R F,BAWADI H A,et al.Fast foods perception among adolescents by gender and weight status[J].Nutr Health,2017,23(1):39-45.
[2] WANG Z,ZHAI F,ZHANG B,et al.Trends in Chinese snacking behaviors and patterns and the social-demographic role between 1991 and 2009[J].Asia Pac J Clin Nutr,2012,21(2):253-262.
[3] JACKSON D A E,COTTER B V,MERCHANT R C,et al.Behavioral and physiologic adverse effects in adolescent and young adult emergency department patients reporting use of energy drinks and caffeine[J].Clin Toxicol,2013,51(7):557-565.
[4] RIOS J L,BETANCOURT J,PAGAN I,et al.Caffeinated-beverage consumption and its association with socio-demographic characteristics and self-perceived academic stress in first and second year students at the University of Puerto Rico Medical Sciences Campus(UPR-MSC)[J].P R Health Sci J,2013,32(2):95-100.
[5] SHI Z,LIEN N,KUMAR B N,et al.Socio-demographic differences in food habits and preferences of school adolescents in Jiangsu Province,China[J].Eur J Clin Nutr,2005,59(12):1439-1448.
[6] ZOTA A R,PHILLIPS C A,MITRO S D.Recent fast food consumption and bisphenol a and phthalates exposures among the US Population in NHANES,2003-2010[J].Environ Health Perspect,2016,124(10):1521-1528.
[7] SAKAI H,MURAKAMI K,KOBAYASHI S,et al.Food-based diet quality score in relation to depressive symptoms in young and middle-aged Japanese women[J].Br J Nutr,2017,117(12):1674-1681.
[8] BOWMAN S A,VINYARD B T.Fast food consumption of US adults:impact on energy and nutrient intakes and overweight status[J].J Am Coll Nutr,2004,23(2):163-168.
[9] SAMM A,VARNIK A,TOODING L,et al.Children’s Depression Inventory in Estonia.Single items and factor structure by age and gender[J].Eur Child Adoles Psychiatry,2008,17(3):162-170.
[10] DAVANZO P,KERWIN L,NIKORE V,et al.Spanish translation and reliability testing of the Child Depression Inventory[J].Child Psychiatry Hum Dev,2004,35(1):75-92.
[11] WENG T T,HAO J H,QIAN Q W,et al.Is there any relationship between dietary patterns and depression and anxiety in Chinese adolescents?[J].Public Health Nutr,2012,15(4):673-682.
[12] ANDERSSON T,ALFREDSSON L,KLLBERG H,et al.Calculating measures of biological interaction[J].Eur J Epidemiol,2005,20(7):575-579.
[13] AVENEVOLI S,SWENDSEN J,HE J P,et al.Major depression in the national comorbidity survey-adolescent supplement:prevalence,correlates,and treatment[J].J Am Acad Child Adolesc Psychiatry,2015,54(1):37-44.
[14] TRAN A,TRAN L,GEGHRE N,et al.Health assessment of French university students and risk factors associated with mental health disorders[J].PLoS One,2017,12(11):e188187.
[15] NAIR S,GANJIWALE J,KHAROD N,et al.Epidemiological survey of mental health in adolescent school children of Gujarat,India[J].BMJ Paediatr Open,2017,1(1):e139.
[16] SUN Y,TAO F,HAO J,et al.The mediating effects of stress and coping on depression among adolescents in China[J].J Child Adoles Psychiatr Nurs,2010,23(3):173-180.
[17] WATE J T,SNOWDON W,MILLAR L,et al.Adolescent dietary patterns in Fiji and their relationships with standardized body mass index[J].Int J Behav Nutr Phys Act,2013,10:45-49.DOI:10.1186/1479-5868-10-45.
[18] HANSON N I,NEUMARK-SZTAINER D,EISENBERG M E,et al.Associations between parental report of the home food environment and adolescent intakes of fruits,vegetables and dairy foods[J].Public Health Nutr,2005,8(1):77-85.
[19] HONG S A,PELTZER K.Dietary behaviour,psychological well-being and mental distress among adolescents in Korea[J].Child Adol Psych Men,2017,11(1):56-60.
[20] OVERBY N,H?IGAARD R.Diet and behavioral problems at school in Norwegian adolescents[J].Food Nutr Res,2012,56:17231.
[21] PAERATAKUL S,FERDINAND D P,CHAMPAGNE C M,et al.Fast-food consumption among US adults and children:dietary and nutrient intake profile[J].J Am Diet Assoc,2003,103(10):1332-1338.
[22] SONG Y,JOUNG H,ENGELHARDT K,et al.Traditional v.modified dietary patterns and their influence on adolescents’nutritional profile[J].Br J Nutr,2005,93(6):943-949.
[23] PARK S,LEE Y,LEE J H.Association between energy drink intake,sleep,stress,and suicidality in Korean adolescents:energy drink use in isolation or in combination with junk food consumption[J].Br J Nutr,2016,15(1):87-93.
[24] JACKA F N,PASCO J A,MYKLETUN A,et al.Association of Western and traditional diets with depression and anxiety in women[J].Am J Psychiatry,2010,167(3):305-311.
[25] JIN M J,YOON C H,KO H J,et al.The relationship of caffeine intake with depression,anxiety,stress,and sleep in Korean adolescents[J].Korean J Fam Med,2016,37(2):111-116.
[26] KULKARNI A A,SWINBURN B A,UTTER J.Associations between diet quality and mental health in socially disadvantaged New Zealand adolescents[J].Eur J Clin Nutr,2015,69(1):79-83.
[2] WANG Z,ZHAI F,ZHANG B,et al.Trends in Chinese snacking behaviors and patterns and the social-demographic role between 1991 and 2009[J].Asia Pac J Clin Nutr,2012,21(2):253-262.
[3] JACKSON D A E,COTTER B V,MERCHANT R C,et al.Behavioral and physiologic adverse effects in adolescent and young adult emergency department patients reporting use of energy drinks and caffeine[J].Clin Toxicol,2013,51(7):557-565.
[4] RIOS J L,BETANCOURT J,PAGAN I,et al.Caffeinated-beverage consumption and its association with socio-demographic characteristics and self-perceived academic stress in first and second year students at the University of Puerto Rico Medical Sciences Campus(UPR-MSC)[J].P R Health Sci J,2013,32(2):95-100.
[5] SHI Z,LIEN N,KUMAR B N,et al.Socio-demographic differences in food habits and preferences of school adolescents in Jiangsu Province,China[J].Eur J Clin Nutr,2005,59(12):1439-1448.
[6] ZOTA A R,PHILLIPS C A,MITRO S D.Recent fast food consumption and bisphenol a and phthalates exposures among the US Population in NHANES,2003-2010[J].Environ Health Perspect,2016,124(10):1521-1528.
[7] SAKAI H,MURAKAMI K,KOBAYASHI S,et al.Food-based diet quality score in relation to depressive symptoms in young and middle-aged Japanese women[J].Br J Nutr,2017,117(12):1674-1681.
[8] BOWMAN S A,VINYARD B T.Fast food consumption of US adults:impact on energy and nutrient intakes and overweight status[J].J Am Coll Nutr,2004,23(2):163-168.
[9] SAMM A,VARNIK A,TOODING L,et al.Children’s Depression Inventory in Estonia.Single items and factor structure by age and gender[J].Eur Child Adoles Psychiatry,2008,17(3):162-170.
[10] DAVANZO P,KERWIN L,NIKORE V,et al.Spanish translation and reliability testing of the Child Depression Inventory[J].Child Psychiatry Hum Dev,2004,35(1):75-92.
[11] WENG T T,HAO J H,QIAN Q W,et al.Is there any relationship between dietary patterns and depression and anxiety in Chinese adolescents?[J].Public Health Nutr,2012,15(4):673-682.
[12] ANDERSSON T,ALFREDSSON L,KLLBERG H,et al.Calculating measures of biological interaction[J].Eur J Epidemiol,2005,20(7):575-579.
[13] AVENEVOLI S,SWENDSEN J,HE J P,et al.Major depression in the national comorbidity survey-adolescent supplement:prevalence,correlates,and treatment[J].J Am Acad Child Adolesc Psychiatry,2015,54(1):37-44.
[14] TRAN A,TRAN L,GEGHRE N,et al.Health assessment of French university students and risk factors associated with mental health disorders[J].PLoS One,2017,12(11):e188187.
[15] NAIR S,GANJIWALE J,KHAROD N,et al.Epidemiological survey of mental health in adolescent school children of Gujarat,India[J].BMJ Paediatr Open,2017,1(1):e139.
[16] SUN Y,TAO F,HAO J,et al.The mediating effects of stress and coping on depression among adolescents in China[J].J Child Adoles Psychiatr Nurs,2010,23(3):173-180.
[17] WATE J T,SNOWDON W,MILLAR L,et al.Adolescent dietary patterns in Fiji and their relationships with standardized body mass index[J].Int J Behav Nutr Phys Act,2013,10:45-49.DOI:10.1186/1479-5868-10-45.
[18] HANSON N I,NEUMARK-SZTAINER D,EISENBERG M E,et al.Associations between parental report of the home food environment and adolescent intakes of fruits,vegetables and dairy foods[J].Public Health Nutr,2005,8(1):77-85.
[19] HONG S A,PELTZER K.Dietary behaviour,psychological well-being and mental distress among adolescents in Korea[J].Child Adol Psych Men,2017,11(1):56-60.
[20] OVERBY N,H?IGAARD R.Diet and behavioral problems at school in Norwegian adolescents[J].Food Nutr Res,2012,56:17231.
[21] PAERATAKUL S,FERDINAND D P,CHAMPAGNE C M,et al.Fast-food consumption among US adults and children:dietary and nutrient intake profile[J].J Am Diet Assoc,2003,103(10):1332-1338.
[22] SONG Y,JOUNG H,ENGELHARDT K,et al.Traditional v.modified dietary patterns and their influence on adolescents’nutritional profile[J].Br J Nutr,2005,93(6):943-949.
[23] PARK S,LEE Y,LEE J H.Association between energy drink intake,sleep,stress,and suicidality in Korean adolescents:energy drink use in isolation or in combination with junk food consumption[J].Br J Nutr,2016,15(1):87-93.
[24] JACKA F N,PASCO J A,MYKLETUN A,et al.Association of Western and traditional diets with depression and anxiety in women[J].Am J Psychiatry,2010,167(3):305-311.
[25] JIN M J,YOON C H,KO H J,et al.The relationship of caffeine intake with depression,anxiety,stress,and sleep in Korean adolescents[J].Korean J Fam Med,2016,37(2):111-116.
[26] KULKARNI A A,SWINBURN B A,UTTER J.Associations between diet quality and mental health in socially disadvantaged New Zealand adolescents[J].Eur J Clin Nutr,2015,69(1):79-83.