Interaction effects of co-consumption of fast food and sugar-sweetened beverages on psychological symptoms: Evidence from a nationwide survey among Chinese adolescents

Xu, Hang; Wu, Xiaoyan; Wan, Yuhui; Zhang, Shichen; Yang, Rong; Wang, Wei; Zeng, Hanjun; Geng, Menglong; Dou, Lianjie; Zhang, Guobao; Xu, Huiqiong; Tao, Fangbiao

doi:10.1016/j.jad.2020.07.030

Cited by 15 publications

(13 citation statements)

References 47 publications

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“…Score points based on the duration of each symptom (1 point: none or last <1 week; 2 points: last ≥ 1 weeks; 3 points: last ≥ 2 weeks; 4 points: last ≥ 1 month; 5 points: last ≥ 2 months; 6 points: last ≥ 3 months). PSH state was determined if more than 7 items scored ≥4 points ( 38 ). MSQA has good reliability and validity ( 39 ), and Cronbach α coefficient is 0.96.…”

Section: Methodsmentioning

confidence: 99%

Childhood Trauma and Non-suicidal Self-Injury Among Chinese Adolescents: The Mediating Role of Psychological Sub-health

Huang

Yuan

et al. 2022

Front. Psychiatry

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The factors associated with non-suicidal self-injury (NSSI) of adolescents have been widely researched. However, the underlying mechanism of the relationship between childhood trauma and NSSI is limited. This study aimed to explore the risk factors for NSSI among Chinese adolescents. Our hypothesis was that psychological sub-health (PSH) played a mediating role between childhood trauma and NSSI. The Childhood Trauma Questionnaire, the Multidimensional Sub-health Questionnaire of Adolescent, and the self-report NSSI were used to measure childhood trauma, PSH, and NSSI. Structural equation model (SEM) was performed to verify our hypothesis. The results showed that 33.9% of the participants in our survey had engaged in NSSI in the past year. Adolescents who were left-behind children or in primary schools were more likely to engage in NSSI. Additionally, 56.2% of the participants had moderate to severe childhood trauma, and 26.1% of the participants had PSH. Furthermore, childhood trauma and PSH would increase the risk of NSSI by 2 times (B = 0.79, p < 0.01) and 5 times (B = 1.64, p < 0.01), respectively. SEM was established (p = 0.512) and the goodness-of-fit indices were examined (CMIN/DF = 0.892; GFI = 0.997; AGFI = 0.992; NFI = 0.991; RFI = 0.980; IFI = 1.00; TLI = 1.00; CFI = 1.00; RMSEA < 0.001). The SEM indicated that childhood trauma positively predicted NSSI both directly and indirectly through PSH. PSH has been confirmed to have partial mediating effects between childhood trauma and NSSI. The assessment of PSH may be an operable and effective method to screen and predict NSSI. Meanwhile, the intervention of childhood trauma and PSH may effectively prevent and reduce the occurrence of NSSI among adolescents.

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Section: Methodsmentioning

confidence: 99%

Childhood Trauma and Non-suicidal Self-Injury Among Chinese Adolescents: The Mediating Role of Psychological Sub-health

Huang

Yuan

et al. 2022

Front. Psychiatry

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“…Previous studies also reported that frequent SSB and fast-food consumption were associated with increased stress, depressive symptoms, and suicidality in adolescents (12,(32)(33)(34). In a previous study of Korean adolescents (32), consumption of SSBs and fast foods more than 3-4 times per week was associated with increased stress.…”

Section: Discussionmentioning

confidence: 81%

“…Regarding physical health, frequent SSB and fast-food consumption was significantly associated with developing obesity and metabolic syndromes, such as type 2 diabetes and dyslipidemia (9)(10)(11). In addition, SSB and fast-food consumption were associated with adolescents' poor mental health, including stress, depression, and suicidality (12)(13)(14)(15). Adolescence is a developmental period with more mental health problems than in other developmental periods.…”

Section: Introductionmentioning

confidence: 99%

“…Adolescence is a developmental period with more mental health problems than in other developmental periods. Thus, dietary behaviors that are potentially associated with mental health are important in preventing mental health problems in adolescents (12,16). Moreover, Korean high school students may have poor mental health with decreased resilience against stressors due to increased academic competition and a social climate that demands higher academic performance (17).…”

Section: Introductionmentioning

confidence: 99%

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Consumption of sugar-sweetened beverages and fast foods deteriorates adolescents' mental health

Suk

2022

Front. Nutr.

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IntroductionSugar-sweetened beverage (SSB) and fast-food consumption is significantly associated with adolescents' poor mental health. Furthermore, sugar-sweetened beverage and fast-food consumption might form clustered diet patterns with significant positive associations in adolescent high school students. Thus, the combined consumption of SSBs and fast foods may have more negative effects on mental health with synergetic effects than the sum of their independent consumption.MethodsThis study aimed to identify the effects of combining the consumption of sugar-sweetened beverages and fast foods on mental health, including stress, depressive symptoms, and suicidal ideation among Korean high school students. Secondary data from 24,006 high school students were analyzed from the 17th Korea Youth Risk Behavior Web-based Survey, 2021. For statistical analysis, complex sampling analysis using the SPSS Statistics 26.0 software was applied for descriptive statistics and logistic regression analysis.ResultsIn Korean adolescents, combining more than medium consumption of sugar-sweetened beverages and fast foods was associated with more stress, depressive symptoms, and suicidal ideation than their independent consumption. In addition, combining high consumption of sugar-sweetened beverages and low to high consumption of fast foods might have dose-dependent negative effects on stress, depressive symptoms, and suicidal ideation in Korean adolescents.DiscussionBased on the results of this study, healthcare providers in schools and communities might develop various interventions including school/community-based feeding programs and policies targeting the restriction of SSB and fast-food consumption to improve adolescents' mental health.

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“…A study showed that skipping breakfast was associated with increased cortisol (34), which in turn increased the risk of mental health problems such as anxiety and depression (35). A survey of four provinces in China pointed out that the increased consumption of fast food and sugary drinks had a great impact on teenagers' psychological symptoms (36). The possible explanation was that takeout, fast food and roadside stalls were related to pro-inflammatory diet.…”

Section: Discussionmentioning

confidence: 99%

Association between patterns of eating habits and mental health problems in Chinese adolescents: A latent class analysis

Sun

Yao

et al. 2022

Front. Nutr.

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ObjectiveWe aimed to investigate the association between different eating habit patterns and mental health problems among Chinese middle and high school students, and further to estimate the interaction effect of different grouping variables on eating habits.MethodsOne thousand three hundred and forty-eight adolescents from Jilin Province in China were involved in this cross-sectional study. Mental health and eating habits were assessed using General Health Questionnaire and questions on Nutrition Knowledge, Attitude and Practice, respectively. Latent class analysis (LCA) was performed to identify eating habit patterns. Binary logistic regression and generalized linear models were used to explore the association between eating habit patterns, energy-adjusted nutrient intakes and mental health problems. Interaction analysis was performed to analyze the association between eating habits and mental health in different groups.ResultsBased on the LCA results, a 3-class parallel model was identified: 648 adolescents (48.1%) were classified in class-1 “Healthy Eating Behavior/Eating at Home,” 452 adolescents (33.5%) in class-2 “Healthy Eating Behavior/Eating at School” and 248 adolescents (18.4%) in class-3 “Unhealthy Eating Behavior/Random Place.” Compared with class-1, participants in class-2 and class-3 were at higher risk of mental health problems, especially for class-3 (p < 0.05). The energy and nutrient intakes by different latent classes showed that adolescents who ate unhealthy had lower daily intake of energy, protein, carbohydrate, fiber, Vitamins and minerals (p < 0.05). The interaction between age, sleep duration and different eating habits was statistically significant (p for interaction < 0.1).Conclusion“Unhealthy eating behavior/random place pattern” was positively correlated with mental health problems of adolescents. The adolescents with health diet were accompanied by fewer mental health problems, especially for that eating at home. And there were interactions between eating habits and age, sleep duration on the mental health problems.

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Interaction effects of co-consumption of fast food and sugar-sweetened beverages on psychological symptoms: Evidence from a nationwide survey among Chinese adolescents

Cited by 15 publications

References 47 publications

Childhood Trauma and Non-suicidal Self-Injury Among Chinese Adolescents: The Mediating Role of Psychological Sub-health

Childhood Trauma and Non-suicidal Self-Injury Among Chinese Adolescents: The Mediating Role of Psychological Sub-health

Consumption of sugar-sweetened beverages and fast foods deteriorates adolescents' mental health

Association between patterns of eating habits and mental health problems in Chinese adolescents: A latent class analysis

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