School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, China.
Shanxi Provincial People's Hospital (Fifth Hospital of Shanxi Medical University), Taiyuan, Shanxi, 030012, China.
Eur J Pediatr. 2023 Dec;182(12):5385-5397. doi: 10.1007/s00431-023-05180-0. Epub 2023 Sep 23.
The emerging field of nutritional psychiatry offers proof that diet quality can be changed to reduce one's risk of developing mental illness. What you eat has a big impact on teenage mental health, and the quality and frequency of breakfast, as well as the different food groups, can affect adolescent mental health. In this study, regression models were employed to analyze four indicators (self-rated health, body satisfaction, life satisfaction, and eight symptoms) of mental health problems as well as demographic factors (gender, age, body mass index, affluence class, physical activity), with forest plots displaying the regression connections. This study, a descriptive cross-sectional survey of 3480 adolescents aged 11 to 15 years, chosen data from the 2018 Greek Health Behaviour in School-aged Children (HBSC) International Study for secondary analysis. The data revealed that high levels of four indicators of mental health (self-rated health, body satisfaction, life satisfaction, and eight symptoms) were significantly related to breakfast quality, total dietary patterns. Students reporting poor total food quality, for example, were more predictive of self-assessment when unhealthy (2.286 95% CI 1.851-2.824), and the largest connections with eating a "bad" breakfast were discovered when the eight symptoms of mental status were the worst (- 0.869 95% CI: - 1.300, - 0.439); physical activity may enhance the positive relationship of diet quality on mental health, while obesity weakens this positive relationship; and age patterns varied by gender, with girls and older individuals showing a higher risk of diet quality and mental health. Conclusions: The findings revealed that each of the four indices of general mental health was correlated with teenage breakfast and overall diet quality. Physical activity and weight were shown to be moderating factors, and obesity had the biggest impact on psychological risk. Gender, age, and family economic inequality were potential explanations for the rise in psychological symptoms. Researchers are urged to focus more on nutritional psychiatry research and look into psychological perception disparities in the future. What is Known: • There is a potential correlation between adolescent dietary patterns or quality and mental health. • Factors such as age, gender, socio-economic status, body weight and physical activity all have an impact on diet and mental health outcomes. What is New: • There have been no studies of the ability to simultaneously predict breakfast quality and overall diet quality for broadly defined mental health complaints [positive (life satisfaction), neutral (body satisfaction, self-rated health) and negative (eight symptoms: depressed mood, irritability, nervousness, difficulty sleeping, dizziness, headache, stomachache and backache)]. • Differences in overall diet quality trends between demographic subgroups remain unclear.
营养精神病学这一新兴领域证明，饮食质量可以改变，从而降低人们患上精神疾病的风险。你吃的东西对青少年的心理健康有很大影响，早餐的质量和频率，以及不同的食物组，都会影响青少年的心理健康。在这项研究中，我们采用回归模型分析了心理健康问题的四个指标（自我评估健康、身体满意度、生活满意度和八个症状）以及人口统计学因素（性别、年龄、体重指数、富裕程度、身体活动），森林图显示了回归关系。这项研究是对 3480 名 11 至 15 岁青少年的描述性横断面调查，选择了 2018 年希腊青少年健康行为国际研究（HBSC）的数据进行二次分析。数据显示，四个心理健康指标（自我评估健康、身体满意度、生活满意度和八个症状）的高水平与早餐质量、总体饮食模式显著相关。例如，报告总体食物质量差的学生，当他们的健康状况不佳时，更有可能进行自我评估（2.286 95%置信区间 1.851-2.824），而与心理健康状况最差的八个症状相关最大的是吃“差”早餐（-0.869 95%置信区间：-1.300，-0.439）；身体活动可能会增强饮食质量对心理健康的积极影响，而肥胖则会削弱这种积极关系；年龄模式因性别而异，女孩和年龄较大的人患饮食质量和心理健康风险的风险更高。结论：研究结果表明，一般心理健康的四个指标都与青少年早餐和整体饮食质量有关。研究还表明，身体活动和体重是调节因素，肥胖对心理风险的影响最大。性别、年龄和家庭经济不平等是心理症状增加的潜在解释。研究人员被敦促更多地关注营养精神病学研究，并在未来研究心理感知差异。已知内容：• 青少年饮食模式或质量与心理健康之间存在潜在关联。• 年龄、性别、社会经济地位、体重和身体活动等因素都会对饮食和心理健康结果产生影响。新内容：• 目前尚无研究能够同时预测广义心理健康问题（积极的（生活满意度）、中性的（身体满意度、自我评估健康）和消极的（八个症状：情绪低落、易怒、紧张、睡眠困难、头晕、头痛、胃痛和背痛））的早餐质量和整体饮食质量。• 不同人口统计学亚组的总体饮食质量趋势差异尚不清楚。
