不同膳食碳水化合物与女性青少年抑郁、焦虑和压力风险之间的关联
Association Between Different Dietary Carbohydrate and Risk of Depression, Anxiety, and Stress Among Female Adolescents.
作者信息
Naghshi Niayesh, Tehrani Asal N, Rabiei Samira, Behrouz Vahideh, Yari Zahra
机构信息
Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
Int J Prev Med. 2024 Dec 23;15:71. doi: 10.4103/ijpvm.ijpvm_291_23. eCollection 2024.
PURPOSE
Mental disorders account for a large part of the burden of disease in young population. The present study aimed to investigate the relationship between carbohydrate intakes and the risk of depression, anxiety, and stress among female adolescents.
METHODS
In this cross-sectional study, 263 female adolescents aged 15-18 years participated. Depression, anxiety, and stress scores were determined by DASS-21 (Depression Anxiety Stress Score-21 items) questionnaire, and dietary intakes were assessed using a validated 168-item food frequency questionnaire. Crude and multivariable-adjusted odds ratios (OR) and 95% confidence intervals (CIs) were estimated through logistic regression analysis.
RESULTS
Adolescents with depression consumed more glucose and sucrose and less lactose compared to adolescents without depression. After adjustment for all confounders, higher intakes of glucose and sucrose were significantly associated with increased risk of depression (OR = 1.3, = 0.035 and OR = 1.41, = 0.034), anxiety (OR = 1.3, = 0.019 and OR = 1.81, = 0.027), and stress (OR = 1.41, = 0.046 and OR = 1.8, = 0.044). In addition, increasing lactose intake was significantly associated with reducing the risk of depression (OR = 0.96, = 0.013) and stress (OR = 0.96, = 0.015).
CONCLUSIONS
This study found significant associations between dietary carbohydrate intake and mental disorders among female adolescent.
目的
精神障碍在年轻人群的疾病负担中占很大一部分。本研究旨在调查碳水化合物摄入量与女性青少年抑郁、焦虑和压力风险之间的关系。
方法
在这项横断面研究中，263名年龄在15至18岁的女性青少年参与其中。抑郁、焦虑和压力得分通过DASS - 21（抑郁焦虑压力评分 - 21项）问卷确定，饮食摄入量使用经过验证的168项食物频率问卷进行评估。通过逻辑回归分析估计粗比值比（OR）和多变量调整后的比值比以及95%置信区间（CIs）。
结果
与无抑郁的青少年相比，患有抑郁症的青少年摄入更多的葡萄糖和蔗糖，而乳糖摄入量更少。在对所有混杂因素进行调整后，较高的葡萄糖和蔗糖摄入量与抑郁风险增加显著相关（OR = 1.3，P = 0.035和OR = 1.41，P = 0.034）、焦虑（OR = 1.3，P = 0.019和OR = 1.81，P = 0.027）和压力（OR = 1.41，P = 0.046和OR = 1.8，P = 0.044）。此外，增加乳糖摄入量与降低抑郁风险（OR = 0.96，P = 0.013）和压力风险（OR = 0.96，P = 0.015）显著相关。
结论
本研究发现女性青少年饮食中碳水化合物摄入量与精神障碍之间存在显著关联。
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