The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States

Liu, Bao-Peng; Fang, Huijuan; Jia, Cun-Xian

doi:10.3390/nu14050956

Cited by 9 publications

(5 citation statements)

References 40 publications

(72 reference statements)

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“…Previous study has shown that depression and weight gain are mediated to affect suicide risk such as suicidal ideation and suicide plan. 15 However, in our study, not only emotional factors but also non-emotional factors such as grades and socioeconomic status were considered. In particular, we have confirmed that there was a significant difference in suicide attempts according to socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

“… 14 Skipping breakfast in adolescents is known to increase the risk of suicidal thoughts and suicide plans. 15 , 16 It is possible that these processes were mediated by depressive symptoms. 15 A meta-analysis of the relationship between breakfast and depression found that skipping breakfast was associated with a higher risk of depression and anxiety (OR = 1.39; 95% CI = 1.34–1.44, OR = 1.51; 95% CI = 1.25–1.77); however, it had nothing to do with stress.…”

Section: Introductionmentioning

confidence: 99%

“… 15 , 16 It is possible that these processes were mediated by depressive symptoms. 15 A meta-analysis of the relationship between breakfast and depression found that skipping breakfast was associated with a higher risk of depression and anxiety (OR = 1.39; 95% CI = 1.34–1.44, OR = 1.51; 95% CI = 1.25–1.77); however, it had nothing to do with stress. 17 Skipping breakfast was positively associated with increased depression, anxiety, stress, smartphone abuse, and psychological distress.…”

Section: Introductionmentioning

confidence: 99%

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Association Between Breakfast Consumption and Suicidal Attempts in Adolescents

Park¹,

Lee²

2022

PRBM

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Purpose It has been previously reported that skipping breakfast is positively associated with increased depression, anxiety, stress, and psychological distress. This study examined the effects of breakfast consumption on suicide attempts among adolescents. Patients and Methods The Korean Youth Risk Behavior Web-based Survey (KYRBWS) is an anonymous self-report survey conducted with middle- and high-school students to understand the health behavior of Korean adolescents. Variables related to suicide risk such as suicide attempts, breakfast frequency, depression, anxiety, and violence were analyzed using multivariate logistic regression analysis. The class selected as the sample class was surveyed for all students and the number of youths selected as the sample in 2020 was 57,925 students from 800 schools (400 middle schools and 400 high schools) in 17 cities and provinces nationwide. Among them, the dataset for this study was 54,948 completed adolescent health behavior surveys. Results Adolescents who attempted suicide often skipped breakfast and had high stress levels. In the regression analysis, those who ate breakfast less than once a week had a stronger association with suicide attempts than the group of six or seven times a week (OR = 2.186; 95% CI = 1.873–2.552). In the group of feeling sadness or hopeless for more than two weeks in the past year, those who ate breakfast zero or once a week (OR = 1.269; 95% CI = 1.044–1.542), or two or three times (OR = 1.300; 95% CI = 1.043–1.619), showed a stronger correlation with suicide attempts than the group of six or seven times a week. Conclusion Breakfast can affect adolescents’ emotions. Helping adolescents regularly eat breakfasts might be a suicide prevention strategy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association Between Breakfast Consumption and Suicidal Attempts in Adolescents

Park¹,

Lee²

2022

PRBM

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“…As a result, it was shown that only in the first group was there a deterioration of the psychoemotional state [28], indicating that eating at night is a risk factor for depression. Breakfast skipping is associated with depression [29] and decreased academic performance [30] in adolescents.…”

Section: Introductionmentioning

confidence: 99%

Association of Chrononutrition Indices with Anthropometric Parameters, Academic Performance, and Psychoemotional State of Adolescents: A Cross-Sectional Study

Borisenkov,

Tserne,

Popov

et al. 2023

Nutrients

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Adolescents are an at-risk group for circadian misalignment. The contribution of sleep–wake rhythm instability to the psychoemotional, cognitive, and weight disorders of adolescents has been studied in sufficient detail. At the same time, there is insufficient information about the association between chrononutrition indices and the well-being of adolescents. The aim of this study is to investigate the relationship between chrononutrition indices and academic achievement, psychoemotional state, and anthropometric indicators in adolescents. The study involved 12,759 students in grades 6–11 of secondary schools, aged 14.2 ± 1.7 years old; 57.2% of whom were girls. Participants provided personal data, frequency and time of meals during the day and at night, on weekdays and weekends, and completed the Zung Self-Rating Depression Scale and the Yale Food Addiction Scale. There is a U-shaped association between eating mid-phase (EPFc), eating jetlag (EJL), and eating window (EW) with GPA, ZSDSI, and FA. At the same time, the frequency of night eating (NE) is linearly associated with the studied parameters. NE is the strongest predictor of ZSDSI (β = 0.24), FA (β = 0.04), and GPA (β = −0.22). EPFc, EJL, and EW practically do not differ in the strength of their association with the studied indicators. ZSDSI is most closely associated with the chrononutrition indices. There is a weak negative association between BMI and EW (β = −0.03) and NE (β = −0.04). Thus, circadian eating disorders are more often observed in adolescents with poor academic performance, high levels of depression, and food addiction.

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“…A further meta-analysis including 399,550 individuals found a significant association between skipping breakfast and depression (pooled odd ratio (OR): 1.39, 95% CI: 1.34-1.44), stress (pooled OR: 1.23, 95% CI: 1.04-1.43), and psychological distress (pooled OR: 1.55, 95% CI: 1.47-1.62) [4]. In this Special Issue, Liu et al highlighted the increased risk of suicide in adolescents enrolled in the Youth Risk Behavior Surveys (YRBSs), where being overweight/obese seems mediate the association between skipping breakfast and suicidality [5].…”

mentioning

confidence: 99%