全球饮食质量得分越高，少女群体中抑郁和生活质量较差的比例越低。

Higher global diet quality score is related to lower prevalence of depression and poor quality of life among adolescent girls.

机构信息

Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

BMC Psychiatry. 2023 Nov 28;23(1):886. doi: 10.1186/s12888-023-05313-7.

DOI:10.1186/s12888-023-05313-7

PMID:38017405

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10683251/

Abstract

BACKGROUND

Adolescence is a key time for the development of depression symptoms and the diet quality may be associated with mental health conditions. The present study examined the association between depression and quality of life (QoL) and the global diet quality score (GDQS) as a simple and standardized metric diet quality in Iranian adolescents.

METHODS

This cross-sectional study was conducted on 733 adolescent girls recruited using a random cluster sampling method. A 147-item food frequency questionnaire (FFQ) was used for dietary intake assessment. The GDQS is gained by summing points of all the 25 food groups, ranged from 0 to 49. Depression symptoms were assessed using a Persian version of the Beck Depression Inventory (BDI). For assessment of health-related QoL, the Short Form 12 Survey-version 2 (SF-12v2) questionnaire was employed. Multivariable logistic regression examined the association of depression and QoL with GDQS in crude and adjusted models.

RESULTS

Adolescent girls in the highest tertile of GDQS score compared with the lowest tertile had a 41% lower odds of depressive symptoms (OR: 0.59; 95% CI: 0.39-0.90, P = 0.01). The participants in the third tertile of GDQS score had lower odds of poor QoL compared with the first tertile (OR: 0.56; 95% CI: 0.37-0.85, P < 0.01). These associations remained significant (both P = 0.01) after adjustment for age, energy intake, body mass index (BMI), physical activity, and menstruation (depressive symptoms: OR: 0.59; 95% CI: 0.38-0.92; QoL: OR: 0.59; 95% CI: 0.38-0.91, P = 0.01).

CONCLUSION

We found that adolescent girls with a higher score of the GDQS had lower odds of depression and poor QoL Prospective and interventional investigations are needed to reach a clear vision.

摘要

背景

青春期是抑郁症状发展的关键时期，饮食质量可能与心理健康状况有关。本研究旨在探讨伊朗青少年抑郁症状与生活质量（QoL）的关系，以及全球饮食质量评分（GDQS）作为一种简单标准化的饮食质量衡量标准。

方法

本横断面研究采用随机聚类抽样方法，对 733 名少女进行了调查。采用 147 项食物频率问卷（FFQ）评估膳食摄入量。GDQS 通过对 25 种食物组的所有分数求和获得，范围为 0 至 49。抑郁症状采用贝克抑郁量表（BDI）的波斯语版本进行评估。采用简短形式 12 项健康调查量表（SF-12v2）问卷评估健康相关 QoL。多变量逻辑回归分析在未调整和调整模型中评估了 GDQS 与抑郁和 QoL 的关系。

结果

与最低 tertile 相比，GDQS 评分最高 tertile 的青少年女孩抑郁症状的几率降低了 41%（OR：0.59；95%CI：0.39-0.90，P=0.01）。与第一 tertile 相比，GDQS 评分处于第三 tertile 的参与者出现较差 QoL 的几率较低（OR：0.56；95%CI：0.37-0.85，P<0.01）。在调整年龄、能量摄入、体重指数（BMI）、体力活动和月经状况后（抑郁症状：OR：0.59；95%CI：0.38-0.92；QoL：OR：0.59；95%CI：0.38-0.91，P=0.01），这些关联仍然具有统计学意义。