Dabravolskaj Julia, Marozoff Shelby, Maximova Katerina, Campbell Sandra, Veugelers Paul J
School of Public Health, University of Alberta, Edmonton, AB, Canada.
MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Public Health Rev. 2022 Sep 20;43:1604686. doi: 10.3389/phrs.2022.1604686. eCollection 2022.
Recent evidence suggests that adequate fruit and vegetables intake (FVI) might be associated with lower risk of common mental disorders (CMDs) in adults, but studies in youth are also beginning to emerge and are synthesized in this systematic review. Online databases were searched from inception to 30 October 2020 to locate cross-sectional, cohort, and case-control studies focusing on the FVI and CMDs in youth (i.e., 10-18 years old). The risk of bias of studies was assessed using Joanna Briggs Institute Critical Appraisal Tool and the Newcastle-Ottawa quality assessment scale. Among 3,944 records identified, 12 studies (8 cross-sectional, 1 case-control, and 3 prospective cohort studies) were included in the final synthesis. None of the prospective cohort studies identified a statistically significant association between FVI and CMDs in youth, although inconsistent associations were reported in cross-sectional and case-control studies. The lack of associations between FVI and CMDs in youth, along with consistent associations in adults, might be explained by the accumulation of risk theoretical model and methodological challenges.
近期证据表明，成年人摄入足够的水果和蔬菜（FVI）可能与患常见精神障碍（CMD）的风险较低有关，但针对青少年的相关研究也开始出现，并在本系统综述中进行了综合分析。检索了从数据库建立至2020年10月30日的在线数据库，以查找关注青少年（即10至18岁）FVI与CMD的横断面研究、队列研究和病例对照研究。使用乔安娜·布里格斯研究所批判性评价工具和纽卡斯尔-渥太华质量评估量表对研究的偏倚风险进行评估。在识别出的3944条记录中，最终综合分析纳入了12项研究（8项横断面研究、1项病例对照研究和3项前瞻性队列研究）。尽管横断面研究和病例对照研究报告了不一致的关联，但前瞻性队列研究均未发现青少年FVI与CMD之间存在统计学上的显著关联。青少年FVI与CMD之间缺乏关联，以及成年人中存在的一致关联，可能由风险累积理论模型和方法学挑战来解释。
