Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Center for Nutrition, Healthy Lifestyle and Disease Prevention, School of Public Health, Loma Linda University, Loma Linda, CA, USA.
Eat Weight Disord. 2020 Feb;25(1):241-246. doi: 10.1007/s40519-018-0559-1. Epub 2018 Aug 28.
Few studies have assessed the relationship between meal skipping with subjective health complaints in children and adolescents. The aim of our study was to determine the association between meal skipping and subjective health complaints in this population.
A total of 14,400 students aged 7-18 years were selected using multistage stratified cluster sampling method from 30 provinces of Iran. Data were collected as a part of the fifth national school-based surveillance program (CASPIAN-V) in Iran. Information about students' lifestyle, health behaviours, health status and health complaints were gathered through a validated questionnaire.
The mean (standard deviation) age of participants was 12.3 (3.2) years old. Breakfast skipping was associated with increased odds of stomachache (OR 1.77, 95% CI 1.56, 2.00), backache (OR 1.68, 95% CI 1.46, 1.92), difficulty in getting to sleep (OR 1.66, 95% CI 1.48, 1.86), feeling nervous (OR 1.59, 95% CI 1.43, 1.76) and irritability (OR 1.29, 95% CI 1.02, 1.25). There were 27, 63, 58 and 107% increase in odds of headache, stomachache, backache and difficulty in getting to sleep by lunch skipping, respectively. While dinner skipping was related to 39, 59 and 52% increase in odds of headache, feeling low and difficulty in getting to sleep, respectively, it was associated with decreased odds of stomachache (OR 0.33, 95% CI 0.25, 0.44).
Our study suggests that meal skipping is associated with some somatic and psychological health complaints among children; therefore, regular meal consumption, at least three times a day, is highly recommended in this population.
V, cross-sectional descriptive study.
很少有研究评估儿童和青少年不吃正餐与主观健康抱怨之间的关系。本研究的目的是确定这一人群中不吃正餐与主观健康抱怨之间的关联。
采用多阶段分层聚类抽样方法，从伊朗 30 个省份中抽取了 14400 名 7-18 岁的学生。这些数据是作为伊朗第五次全国基于学校的监测计划（CASPIAN-V）的一部分收集的。通过一份经过验证的问卷收集了有关学生生活方式、健康行为、健康状况和健康抱怨的信息。
参与者的平均（标准差）年龄为 12.3（3.2）岁。不吃早餐与胃痛（OR 1.77，95%CI 1.56，2.00）、背痛（OR 1.68，95%CI 1.46，1.92）、入睡困难（OR 1.66，95%CI 1.48，1.86）、紧张（OR 1.59，95%CI 1.43，1.76）和易怒（OR 1.29，95%CI 1.02，1.25）的几率增加有关。不吃午餐分别导致头痛、胃痛、背痛和入睡困难的几率增加 27%、63%、58%和 107%。而不吃晚餐与头痛、情绪低落和入睡困难的几率增加 39%、59%和 52%有关，与胃痛的几率降低（OR 0.33，95%CI 0.25，0.44）有关。
我们的研究表明，不吃正餐与儿童的一些躯体和心理健康抱怨有关；因此，强烈建议该人群每天至少规律进食三次。
V，横断面描述性研究。
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