Department of Food, Nutrition & Dietetics, Sir Vithaldas Thackersey College of Home Science (Autonomous), SNDT Women University, Mumbai, India.
Department of Nutrition, Byrdine F Lewis College of Nursing & Health Professionals, Georgia State University, Atlanta, Georgia, USA.
Matern Child Nutr. 2020 Dec;16 Suppl 3(Suppl 3):e12998. doi: 10.1111/mcn.12998.
Adolescents with depression engage in unhealthy eating habits and irregular sleep patterns and are often at an increased risk for weight-related problems. Improvement in these lifestyle behaviours may help to prevent depression, but knowledge about the associations between depression, sleep, eating habits and body weight among adolescents in India is limited. This cross-sectional study investigated the prevalence of depression and its association with sleep patterns, eating habits and body weight status among a convenience sample of 527 adolescents, ages 10-17 years in Mumbai, India. Participants completed a survey on sleep patterns such as sleep duration, daytime sleepiness and sleep problems and eating habits such as frequency of breakfast consumption, eating family meals and eating out. Depression was assessed using the Patient Health Questionnaire modified for Adolescents (PHQ-A). Anthropometric measurements were also taken. Within this sample, 25% had moderate to severe depression (PHQ-A ≥ 10) and 46% reported sleeping less than 6 h > thrice a week. Adolescents with moderate to severe depression had significantly higher body mass index than those with minimal depression (26.2 ± 6.6 vs. 20.2 ± 4.8 kg/m ). The odds of having clinically significant depression (PHQ-A ≥ 10) was 4.5 times higher in adolescents who had family meals ≤ once a week, 1.6 times higher among those who were sleeping <6 h and 2.3 times higher among participants having trouble falling to sleep more than thrice a week. The findings indicated that a significant proportion of adolescents had depression symptoms; improving sleep and eating habits may present potential targets for interventions.
青少年抑郁症患者存在不健康的饮食习惯和不规律的睡眠模式，往往面临更大的与体重相关的问题。改善这些生活方式行为可能有助于预防抑郁症，但印度青少年中抑郁症、睡眠、饮食习惯和体重状况之间的关联的相关知识有限。本横断面研究调查了在印度孟买的一个便利样本中，527 名年龄在 10-17 岁的青少年中，抑郁症的流行情况及其与睡眠模式、饮食习惯和体重状况的关系。参与者完成了一份关于睡眠模式（如睡眠时间、白天嗜睡和睡眠问题）和饮食习惯（如早餐消费频率、与家人一起用餐和外出就餐）的调查。使用青少年患者健康问卷（PHQ-A）评估抑郁情况。还进行了人体测量学测量。在这个样本中，25%的人有中度至重度抑郁症（PHQ-A≥10），46%的人报告每周至少有三次睡眠不足 6 小时。有中度至重度抑郁症的青少年的身体质量指数明显高于有轻度抑郁症的青少年（26.2±6.6 vs. 20.2±4.8kg/m ）。每周与家人一起用餐次数≤1 次的青少年患临床显著抑郁症（PHQ-A≥10）的几率高出 4.5 倍，睡眠时间<6 小时的青少年的几率高出 1.6 倍，每周有 3 次以上入睡困难的参与者的几率高出 2.3 倍。研究结果表明，相当一部分青少年有抑郁症状；改善睡眠和饮食习惯可能是干预的潜在目标。
