Davison Karen M, Araujo Almeida Vanessa, Gondara Lovedeep
Health Science, Kwantlen Polytechnic University, Richmond, BC, Canada.
College of Tropical Agriculture & Human Resources, University of Hawai'i at Mānoa, Honolulu, HI, United States.
Front Nutr. 2022 Aug 8;9:833354. doi: 10.3389/fnut.2022.833354. eCollection 2022.
Food energy under-reporting is differentially distributed among populations. Currently, little is known about how mental health state may affect energy-adjusted nutrient intakes among food energy under-reporters.
Stratified analysis of energy-adjusted nutrient intake by mental health (poor vs. good) and age/sex was conducted using data from Canadian Community Health Survey (CCHS) respondents (14-70 years; = 8,233) who were deemed as under-reporters based on Goldberg's cutoffs.
Most were experiencing good mental health (95.2%). Among those reporting poor mental health, significantly lower energy-adjusted nutrient intakes tended to be found for fiber, protein, vitamins A, B, B, B, B, B, C, and D, and calcium, potassium, and zinc (probability measures () < 0.05). For women (51-70 years), all micronutrient intakes, except iron, were significantly lower among those reporting poor mental health ( < 0.05). For men (31-50 years), B vitamin and most mineral intakes, except sodium, were significantly lower among those reporting poor mental health ( < 0.05). Among women (31-50 years) who reported poor mental health, higher energy-adjusted intakes were reported for vitamin B and phosphorus ( < 0.05).
Among food energy under-reporters, poor mental health tends to lower the report of specific energy-adjusted nutrient intakes that include ones critical for mental health. Future research is needed to discern if these differences may be attributed to deviations in the accurate reports of food intakes, measurement errors, or mental health states.
食物能量低报在人群中的分布存在差异。目前,对于心理健康状况如何影响食物能量低报者经能量调整后的营养素摄入量知之甚少。
利用加拿大社区健康调查(CCHS)中14至70岁(n = 8233)被戈德堡临界值判定为低报者的受访者数据,按心理健康状况(差与好)和年龄/性别对经能量调整的营养素摄入量进行分层分析。
大多数人心理健康状况良好(95.2%)。在心理健康状况差的人群中,纤维、蛋白质、维生素A、B、B、B、B、B、C和D以及钙、钾和锌的经能量调整的营养素摄入量往往显著较低(概率度量(p)<0.05)。对于51至70岁的女性,心理健康状况差的人群中,除铁外的所有微量营养素摄入量均显著较低(p<0.05)。对于31至50岁的男性,心理健康状况差的人群中,B族维生素和除钠外的大多数矿物质摄入量均显著较低(p<0.05)。在心理健康状况差的31至50岁女性中,维生素B和磷的经能量调整摄入量较高(p<0.05)。
在食物能量低报者中,心理健康状况差往往会降低特定经能量调整的营养素摄入量的报告,这些营养素包括对心理健康至关重要的营养素。未来需要开展研究,以确定这些差异是否可归因于食物摄入量准确报告中的偏差、测量误差或心理健康状况。