Division of Preventive Medicine and Health Services Research, Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County, 350, Taiwan, Republic of China.
School of Public Health, National Defense Medical Center, No.161, Sec. 6, Minchuan East Road, Taipei, 114, Taiwan, Republic of China.
Nutr J. 2018 Feb 22;17(1):29. doi: 10.1186/s12937-018-0333-2.
Child school performance during puberty may be at increased risk through emotional disturbance. It is hypothesized that this may be mitigated by dietary quality.
In a nationally representative sample (Nutrition and Health Survey in Taiwan, NAHSIT), 1371 Taiwanese aged 11-16 years, overall competence at school, (OCS) and emotional status have been assessed by teachers with the SAED (Scale for Assessing Emotional Disturbance). Parents provided family socio-demographics and students completed a behavioral and dietary questionnaire (Youth Healthy Eating Index - Taiwan, YHEI-TW). Associations between emotional disturbance (ED), OCS and dietary quality (YHEI-TW) were assessed in multiple linear regression models with adjustments for covariates including parental characteristics, personal behaviors, body fatness and puberty.
Boys or girls with ED had a less favorable OCS (p < 0.001), minimally dependent on YHEI-TW. On multivariable analysis there was a more positive association between OCS and YHEI-TW among boys (β = 0.05, p < 0.01) and girls (β = 0.07, p < 0.001). Poor dietary quality was associated with ED, especially in girls (β = - 0.06, p < 0.001). Additionally, parental characteristics, body fatness, and personal behaviors are associated with OCS. Puberty is associated with ED and may be indirectly linked to OCS.
Unsatisfactory food intake is associated with the link between emotional disturbance and impaired school performance, as assessed by OCS, especially among girls. For both genders, socio-economic and behavioral factors including parenteral income, reading, screen viewing and smoking are modulators of this association. Puberty was a modifying factor in girls. Dietary quality is a relevant factor for health (ED) as well as education (OCS) during early adolescence.
青春期儿童的学业表现可能因情绪困扰而面临更高的风险。研究假设，通过改善饮食质量可以减轻这种风险。
在一个具有全国代表性的样本（台湾营养与健康调查，NAHSIT）中，对 1371 名 11-16 岁的台湾青少年，通过教师用 SAED（情绪障碍评估量表）评估他们的学业整体能力（OCS）和情绪状态。家长提供家庭社会人口统计学资料，学生则完成行为和饮食问卷（台湾健康饮食指数-YHEI-TW）。在调整了包括父母特征、个人行为、体脂和青春期等混杂因素后，采用多元线性回归模型评估情绪障碍（ED）、OCS 和饮食质量（YHEI-TW）之间的关系。
患有 ED 的男孩或女孩的 OCS 较差（p<0.001），且与 YHEI-TW 呈低度相关。在多变量分析中，男孩（β=0.05，p<0.01）和女孩（β=0.07，p<0.001）的 OCS 与 YHEI-TW 之间呈正相关。不良的饮食质量与 ED 相关，尤其是在女孩中（β=−0.06，p<0.001）。此外，父母特征、体脂和个人行为与 OCS 相关。青春期与 ED 相关，可能与 OCS 间接相关。
不良的饮食摄入与情绪障碍和 OCS 受损之间存在关联，尤其是在女孩中。对于两性来说，包括父母收入、阅读、屏幕观看和吸烟在内的社会经济和行为因素都是这种关联的调节因素。青春期是女孩中这种关联的一个调节因素。饮食质量是青少年健康（ED）和教育（OCS）的一个相关因素。
