Volume 45 Issue 2
Feb.  2024
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LI Jiangli, YANG Chaoyuan, ZHANG Ming, FU Yun, YANG Wanjuan, YANG Jizong, WANG Jixue, HU Mengdie, LU Qiuan, XU Honglü. Association of sugar-sweetened beverage consumption with insomnia and depressive symptoms among first-grade middle school students from Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 173-177. doi: 10.16835/j.cnki.1000-9817.2024050
Citation: LI Jiangli, YANG Chaoyuan, ZHANG Ming, FU Yun, YANG Wanjuan, YANG Jizong, WANG Jixue, HU Mengdie, LU Qiuan, XU Honglü. Association of sugar-sweetened beverage consumption with insomnia and depressive symptoms among first-grade middle school students from Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 173-177. doi: 10.16835/j.cnki.1000-9817.2024050

Association of sugar-sweetened beverage consumption with insomnia and depressive symptoms among first-grade middle school students from Yunnan Province

doi: 10.16835/j.cnki.1000-9817.2024050
  • Received Date: 2023-12-22
  • Rev Recd Date: 2024-01-17
  • Available Online: 2024-03-02
  • Publish Date: 2024-02-25
  •   Objective  To investigate the association of sugar-sweetened beverage (SSB) consumption with insomnia and depressive symptoms among first-grade middle school students from Yunnan Province, so as to provide evidence to guide interventions for the treatment of these symptoms in this population.  Methods  From October to December 2022, 8 500 first-grade middle school students from 11 counties in Yunnan Province were selected by cluster random sampling. Depressive symptoms, SSB consumption, and insomnia symptoms among students were evaluated by the Child Depression Scale (CDI), dietary frequency questionnaire, and Insomnia Severity Index (ISI). A Logistic regression model was employed to analyze the relationship between SSB consumption, insomnia, depressive symptoms, and their interaction effects among students.  Results  The detection rate of depressive symptoms was 28.3%, and having insomnia symptoms (OR=6.07, 95%CI=5.46-6.75), consuming carbonated beverages (OR=1.20, 95%CI=1.08-1.34), tea (OR=1.13, 95%CI=1.02-1.25), energy drinks (OR=1.36, 95%CI=1.23-1.50), and other beverages (OR=1.32, 95%CI=1.19-1.45) were positively correlated with depressive symptoms among first-grade middle school students (P<0.05). Carbonated beverages (additive effect: OR=2.96, 95%CI=2.72-3.22, multiplicative effect: OR=4.75, 95%CI=4.25-5.32), fruit drinks (additive effect: OR=2.61, 95%CI=2.40-2.82; multiplicative effect: OR=4.43, 95%CI=3.94-4.97), tea (additive effect: OR=2.70, 95%CI=2.47-2.89; multiplicative effect: OR=4.34, 95%CI=3.86-4.89), energy drinks (additive effect: OR=2.82, 95%CI=2.61-3.05; multiplicative effect: OR=4.48, 95%CI=3.92-5.12), sweetened milk (additive effect: OR=2.73, 95%CI=2.06-2.96; multiplicative effect: OR=4.61, 95%CI=4.12-5.17) and other beverages (additive effect: OR=2.73, 95%CI=2.53-2.95; multiplicative effect: OR=4.56, 95%CI=4.00-5.20) had both additive and multiplicative effects with insomnia, and increased the risk of depressive symptoms in first-grade middle school students (P<0.01).  Conclusions  The interaction between the consumption of SSB and insomnia symptoms may increase the risk of depressive symptoms among first-grade middle school students in Yunnan Province. It is necessary to advocate middle school students to reduce SSB intake, in order to decrease the occurrence of depressive symptoms among this population.
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  • [1]
    CROCKETT M A, MARTÍNEZ V, JIMÉNEZ-MOLINA Á. Subthreshold depression in adolescence: gender differences in prevalence, clinical features, and associated factors[J]. J Affect Disord, 2020, 272: 269-276. doi: 10.1016/j.jad.2020.03.111
    [2]
    MULLARKEY M C, MARCHETTI I, BEEVERS C G. Using network analysis to identify central symptoms of adolescent depression[J]. J Clin Child Adolesc, 2019, 48(4): 656-668. doi: 10.1080/15374416.2018.1437735
    [3]
    ZHANG R, PENG X, SONG X, et al. The prevalence and risk of developing major depression among individuals with subthreshold depression in the general population[J]. Psychol Med, 2023, 53(8): 3611-3620. doi: 10.1017/S0033291722000241
    [4]
    张紫微, 余春艳, 袁萍, 等. 儿童期不良经历与青春早期抑郁的关联性[J]. 中国学校卫生, 2019, 40(6): 874-877. doi: 10.16835/j.cnki.1000-9817.2019.06.023

    ZHANG Z W, YU C Y, YUAN P, et al. Relationship between adverse childhood experience and depression in early adolescence[J]. Chin J Sch Health, 2019, 40(6): 874-877. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.06.023
    [5]
    徐伏莲, 黄奕祥. 青少年抑郁症状研究进展[J]. 中国学校卫生, 2013, 34(2): 244-256. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201302053.htm

    XU F L, HUANG Y X. Research progress of depressive symptoms in adolescents[J]. Chin J Sch Health, 2013, 34(2): 244-256. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201302053.htm
    [6]
    MARVER J E, MCGLINCHEY E A. Sex differences in insomnia and risk for psychopathology in adolescence[J]. Curr Opin Psychol, 2020, 34: 63-67. doi: 10.1016/j.copsyc.2019.09.004
    [7]
    DE ZAMBOTTI M, GOLDSTONE A, COLRAIN I M, et al. Insomnia disorder in adolescence: diagnosis, impact, and treatment[J]. Sleep Med Rev, 2018, 39: 12-24. doi: 10.1016/j.smrv.2017.06.009
    [8]
    燕声. 高脂高糖饮食影响睡眠[N]. 保健时报, 2023-06-15(15).

    YAN S. High-fat and high-sugar diet affects sleep[N]. Health Times, 2023-06-15(15). (in Chinese)
    [9]
    徐洪吕, 万宇辉, 张诗晨, 等. 青少年抑郁症状与外卖快餐碳酸饮料消费相关性分析[J]. 中国学校卫生, 2019, 40(4): 538-541. doi: 10.16835/j.cnki.1000-9817.2019.04.017

    XU H L, WAN Y H, ZHANG S C, et al. Interaction effects of co-consumption of takeaway fast foods and sodas on depressive symptom in Chinese adolescents[J]. Chin J Sch Health, 2019, 40(4): 538-541. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.04.017
    [10]
    柳之啸, 李京, 王玉, 等. 中文版儿童抑郁量表的结构验证及测量等值[J]. 中国临床心理学杂志, 2019, 27(6): 1172-1176. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201906020.htm

    LIU Z X, LI J, WANG Y, et al. Structural verification and measurement invariance of Chinese version of Children's Depression Inventory[J]. Chin J Clin Psychol, 2019, 27(6): 1172-1176. (in Chinese). https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201906020.htm
    [11]
    MORIN C M, BELLEVILLE G, BÉLANGER L, et al. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response[J]. Sleep, 2011, 34(5): 601-608. doi: 10.1093/sleep/34.5.601
    [12]
    刘福荣, 宋晓琴, 尚小平, 等. 中学生抑郁症状检出率的Meta分析[J]. 中国心理卫生杂志, 2020, 34(2): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm

    LIU F R, SONG X Q, SHANG X P, et al. A Meta-analysis of detection rate of depression symptoms among middle school students[J]. Chin J Ment Health, 2020, 34(2): 123-128. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202002009.htm
    [13]
    朱慧全, 李巧, 王丽卿, 等. 海口市中小学生抑郁症状及其影响因素分析[J]. 中国学校卫生, 2016, 37(9): 1345-1347. doi: 10.16835/j.cnki.1000-9817.2016.09.020

    ZHU H Q, LI Q, WANG L Q, et al. Prevalence of depressive symptoms and its influeneing factors among primary and high school students in Haikou City[J]. Chin J Sch Health, 2016, 37(9): 1345-1347. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.09.020
    [14]
    LUGATA S, ELINISA M, DOSHI B, et al. Symptoms and predictorsof depression among university students in the Kilimanjaro regionof Tanzania: a cross-sectional study[J]. J Ment Health, 2021, 30(2): 255-262. doi: 10.1080/09638237.2020.1793129
    [15]
    陈婷, 范奕, 张子华, 等. 江西省中学生校园受欺凌行为与抑郁的相关性[J]. 中国学校卫生, 2020, 41(4): 600-603. doi: 10.16835/j.cnki.1000-9817.2020.04.032

    CHEN T, FAN Y, ZHANG Z H, et al. The correlation between bullying behavior and depression of middle school students in Jiangxi Province[J]. Chin J Sch Health, 2020, 41(4): 600-603. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.04.032
    [16]
    马胜旗, 慈海彤, 吕军城. 山东省青少年抑郁现状及影响因素分析[J]. 现代预防医学, 2020, 47(5): 839-843. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202005018.htm

    MA S Q, CI H T, LYU J C. Depression condition and its influencing factors of adolescent, Shangdong[J]. Mod Prev Med, 2020, 47(5): 839-843. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202005018.htm
    [17]
    MAINIERI G, MONTINI A, NICOTERA A, et al. The genetics of sleep disorders in children: a narrative review[J]. Brain Sci, 2021, 11(10): 1259. doi: 10.3390/brainsci11101259
    [18]
    杨媛, 胡明, 葛红敏, 等. 伴有失眠症状的抑郁症患者神经肽Y和P物质水平的变化研究[J]. 国际精神病学杂志, 2016, 43(5): 781-783. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201605004.htm

    YANG Y, HU M, GE H M, et al. Serum level of neuropeptide Y and P among depressive patients and accompied by insomnia[J]. J Int Psychiatry, 2016, 43(5): 781-783. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ201605004.htm
    [19]
    HU D, CHENG L, JIANG W. Sugar-sweeted beverages consumption and the risk of depression: a Meta-analysis of observational studies[J]. J Affect Disord, 2019, 245: 348-355. doi: 10.1016/j.jad.2018.11.015
    [20]
    LAI J S, OLDMEADOW C, HURE A J, et al. Inflammation mediates the association between fatty acid intake and depression in older men and women[J]. Nutr Res, 2016, 36(3): 234-245. doi: 10.1016/j.nutres.2015.11.017
    [21]
    DEAN J, KESHAVAN M. The neurobiology of depression: an integrated view[J]. Asian J Psychiatry, 2017, 27: 101-111. doi: 10.1016/j.ajp.2017.01.025
    [22]
    KLEPPANG A L, VETTORE M V, HARTZ I, et al. Patterns of unhealthy behaviours during adolescence and subsequent anxiety and depression in adulthood: a prospective register linkage study of the HUNT survey and health registries[J]. Int J Behav Nutr Phys Act, 2023, 20(1): 6. doi: 10.1186/s12966-023-01408-2
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