Kim Tae-Hee, Choi Ji-young, Lee Hae-Hyeog, Park Yongsoon
Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.
Department of Food and Nutrition, Hanyang University College of Human Ecology, Seoul, Republic of Korea.
J Pediatr Adolesc Gynecol. 2015 Dec;28(6):533-7. doi: 10.1016/j.jpag.2015.04.005. Epub 2015 Apr 20.
Dietary patterns are important for the physical and psychological development of adolescent girls. The purpose of the present study was to evaluate the relationship between dietary patterns and depression in this population.
DESIGN, SETTING, AND POPULATION: We conducted a case-control study in a tertiary university hospital of 849 girls aged 12 to 18 years.
The study was conducted from April 2011 to December 2012. Participants were identified as having depression if they had scores greater than 16 on the Korean version of the Beck Depression Inventory. Data were obtained using validated Korean-language questionnaires.
The subjects' usual dietary patterns during the past 12 months were assessed using the Food Frequency Questionnaire published by the Korean Health and Nutrition Examination Survey.
Among the 849 enrolled volunteers, 116 were identified as having depressive symptoms. The mean age of the participants was 15.0 ± 1.5 years. The prevalence of girls diagnosed with depression was 13.6%. Multivariate adjusted regression analysis demonstrated that the risk of depression was significantly positively associated with the consumption of instant and processed foods and negatively associated with the intake of green vegetables and 1 to 3 servings/day of fruits, after adjusting for energy intake and menstrual regularity. Additionally, depression was negatively associated with intake of fiber, β-carotene, vitamin B6, vitamin E, vitamin C, potassium, zinc, folate, iron, and copper after adjusting for confounding variables.
Consumption of fast foods including ramen noodles, hamburger, pizza, fried food, and other processed foods was associated with increased risk of depression in adolescent girls. Thus, caution is required regarding dietary choices in this population.
饮食模式对青春期女孩的身体和心理发育至关重要。本研究的目的是评估该人群中饮食模式与抑郁症之间的关系。
设计、地点和人群：我们在一所三级大学医院对849名12至18岁的女孩进行了病例对照研究。
研究于2011年4月至2012年12月进行。如果参与者在韩国版贝克抑郁量表上的得分大于16，则被确定为患有抑郁症。数据通过经验证有效的韩语问卷获得。
使用韩国健康与营养检查调查发布的食物频率问卷评估受试者在过去12个月中的日常饮食模式。
在849名登记的志愿者中，116人被确定有抑郁症状。参与者的平均年龄为15.0±1.5岁。被诊断患有抑郁症的女孩患病率为13.6%。多变量调整回归分析表明，在调整能量摄入和月经规律后，抑郁症风险与即食食品和加工食品的消费显著正相关，与绿色蔬菜的摄入量以及每天1至3份水果的摄入量负相关。此外，在调整混杂变量后，抑郁症与纤维、β-胡萝卜素、维生素B6、维生素E、维生素C、钾、锌、叶酸、铁和铜的摄入量负相关。
食用包括拉面、汉堡、披萨、油炸食品和其他加工食品在内的快餐与青春期女孩患抑郁症的风险增加有关。因此，该人群在饮食选择上需要谨慎。
