a School of Public Health , Loma Linda University , Loma Linda , CA , USA.
b Child Nutrition Services, Redlands Unified School District , Redlands , CA , USA.
Int J Food Sci Nutr. 2019 Sep;70(6):759-770. doi: 10.1080/09637486.2019.1570085. Epub 2019 Feb 16.
California Health Interview Survey (2005-2015) data were used to examine the association between dietary intake frequencies and mental health - Kessler-6 scores categorised as no/low (NLPD), moderate (MPD) or serious psychological distress (SPD). The 245,891 surveys represented 27.7 million adults annually, with 13.2% having MPD and 3.7% SPD. Survey-adjusted regression adjusting for gender, age, race, education, poverty, marital status, BMI, geography and year found MPD and SPD associated with lower consumption of fruits (adjusted odds ratio 0.79 and 0.65, respectively), vegetables (AOR 0.81 and 0.68), and increased consumption of French fries (AOR 1.24, 1.30), fast food (AOR 1.32, 1.27), soda (AOR 1.23, 1.26) and variance-adjusted daily teaspoons of sugar (coefficients 3.05, 4.21), all -values less than 0.001. In this large population-based sample, moderate and SPD were independently associated with unhealthy diet. Targeted public health interventions could focus on young adults and those with less than 12 years of education.
加利福尼亚健康访谈调查（2005-2015 年）的数据被用来研究饮食频率与心理健康——凯斯勒-6 评分（分为无/低（NLPD）、中度（MPD）或严重心理困扰（SPD））之间的关系。这项调查共代表了 2770 万成年人，其中 13.2%有 MPD，3.7%有 SPD。经过性别、年龄、种族、教育、贫困、婚姻状况、BMI、地理位置和年份调整的调查调整回归发现，MPD 和 SPD 与水果（调整后的优势比分别为 0.79 和 0.65）、蔬菜（AOR 分别为 0.81 和 0.68）的低摄入量有关，与炸薯条（AOR 分别为 1.24 和 1.30）、快餐（AOR 分别为 1.32 和 1.27）、苏打水（AOR 分别为 1.23 和 1.26）和经方差调整的每日糖摄入量（系数分别为 3.05 和 4.21）的增加有关，所有 -值均小于 0.001。在这个大型基于人群的样本中，中度和 SPD 与不健康饮食独立相关。有针对性的公共卫生干预措施可以针对年轻人和受教育程度低于 12 年的人。
