Ejtahed Hanieh-Sadat, Mardi Parham, Hejrani Bahram, Mahdavi Fatemeh Sadat, Ghoreshi Behnaz, Gohari Kimia, Heidari-Beni Motahar, Qorbani Mostafa
Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
BMC Psychiatry. 2024 Jun 12;24(1):438. doi: 10.1186/s12888-024-05889-8.
Anxiety and depression can seriously undermine mental health and quality of life globally. The consumption of junk foods, including ultra-processed foods, fast foods, unhealthy snacks, and sugar-sweetened beverages, has been linked to mental health. The aim of this study is to use the published literature to evaluate how junk food consumption may be associated with mental health disorders in adults.
A systematic search was conducted up to July 2023 across international databases including PubMed/Medline, ISI Web of Science, Scopus, Cochrane, Google Scholar, and EMBASE. Data extraction and quality assessment were performed by two independent reviewers. Heterogeneity across studies was assessed using the I statistic and chi-square-based Q-test. A random/fixed effect meta-analysis was conducted to pool odds ratios (ORs) and hazard ratios (HRs).
Of the 1745 retrieved articles, 17 studies with 159,885 participants were suitable for inclusion in the systematic review and meta-analysis (seven longitudinal, nine cross-sectional and one case-control studies). Quantitative synthesis based on cross-sectional studies showed that junk food consumption increases the odds of having stress and depression (OR = 1.15, 95% CI: 1.06 to 1.23). Moreover, pooling results of cohort studies showed that junk food consumption is associated with a 16% increment in the odds of developing mental health problems (OR = 1.16, 95% CI: 1.07 to 1.24).
Meta-analysis revealed that consumption of junk foods was associated with an increased hazard of developing depression. Increased consumption of junk food has heightened the odds of depression and psychological stress being experienced in adult populations.
焦虑和抑郁会严重损害全球范围内的心理健康和生活质量。垃圾食品的消费,包括超加工食品、快餐、不健康零食和含糖饮料,已与心理健康相关联。本研究的目的是利用已发表的文献来评估垃圾食品消费与成年人心理健康障碍之间的关联。
截至2023年7月,在包括PubMed/Medline、ISI科学网、Scopus、Cochrane、谷歌学术和EMBASE在内的国际数据库中进行了系统检索。由两名独立 reviewers 进行数据提取和质量评估。使用I统计量和基于卡方的Q检验评估研究间的异质性。进行随机/固定效应荟萃分析以汇总优势比(OR)和风险比(HR)。
在检索到的1745篇文章中,17项研究(涉及159,885名参与者)适合纳入系统评价和荟萃分析(7项纵向研究、9项横断面研究和1项病例对照研究)。基于横断面研究的定量综合分析表明,食用垃圾食品会增加出现压力和抑郁的几率(OR = 1.15,95% CI:1.06至1.23)。此外,队列研究的汇总结果表明,食用垃圾食品与出现心理健康问题的几率增加16%相关(OR = 1.16,95% CI:1.07至1.24)。
荟萃分析显示,食用垃圾食品与患抑郁症的风险增加有关。垃圾食品消费量的增加提高了成年人群体中出现抑郁和心理压力的几率。