Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province

JIANG Yinghong; SU Yunpeng; SU Yingzhen; TAO Jian; CHEN Weiwei; HU Dongyue; YANG Junyu; XU Honglü

doi:10.16835/j.cnki.1000-9817.2024051

Volume 45 Issue 2

Feb. 2024

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JIANG Yinghong, SU Yunpeng, SU Yingzhen, TAO Jian, CHEN Weiwei, HU Dongyue, YANG Junyu, XU Honglü. Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 178-182. doi: 10.16835/j.cnki.1000-9817.2024051

Citation:

JIANG Yinghong, SU Yunpeng, SU Yingzhen, TAO Jian, CHEN Weiwei, HU Dongyue, YANG Junyu, XU Honglü. Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 178-182. doi: 10.16835/j.cnki.1000-9817.2024051

Citation:

JIANG Yinghong, SU Yunpeng, SU Yingzhen, TAO Jian, CHEN Weiwei, HU Dongyue, YANG Junyu, XU Honglü. Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 178-182. doi: 10.16835/j.cnki.1000-9817.2024051

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Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province

doi: 10.16835/j.cnki.1000-9817.2024051

JIANG Yinghong^{1, 2},
SU Yunpeng³,
SU Yingzhen^{1, 2},
TAO Jian^{1, 2},
CHEN Weiwei¹,
HU Dongyue^{1, 2},
YANG Junyu^{1, 2},
XU Honglü^{1, 2
,
,}

1.
School of Medicine, Kunming University, Kunming (650214), Yunnan Province, China

Received Date: 2023-12-22
Rev Recd Date: 2024-01-31

Available Online: 2024-03-02

Publish Date: 2024-02-25

Abstract

Abstract

Objective To explore the association between processed food consumption and anxiety symptoms among college students in Yunnan Province, so as to provide a reference for the prevention and treatment of anxiety symptoms in this population. Methods A cluster random sample of 2 515 first-year students from two universities in Yunnan Province was selected to carry out a longitudinal investigation which included a baseline survey (November 2021, T1) and three follow-up visits (June 2022, T2; November 2022, T3; June 2023, T4). The food frequency questionnaire was administered to assess processed food consumption, and the Depression Anxiety Stress Scale-21 (DASS-21, Chinese version) was used to evaluate anxiety symptoms. A generalized estimation equation model was used to analyze the relationship between processed food consumption and anxiety symptoms. Results The detection rates of T1-T4 anxiety symptoms among college students in Yunnan Province were 29.70%, 36.70%, 37.69% and 38.73%, respectively, and the corresponding anxiety symptom scores were 4(0, 8), 4(0, 10), 4(0, 12), 2(0, 14). After controlling for demographic variables and confounding factors in the generalized estimation equation model, a statistically significant association was found between consumption of carbonated beverages (β=0.06, 95%CI=0.03-0.08), and other processed snacks (β=0.04, 95%CI=0.01-0.07) (P<0.05). The stratified analysis by gender showed that the consumption of carbonated beverages (β=0.08, 95%CI=0.05-0.12) and fast food (β=0.03, 95%CI=0.00-0.06) was significantly associated with anxiety symptoms in female college students (P<0.05). There was no significant association between processed food consumption and anxiety symptoms in male college students (P>0.05). Conclusions Processed food consumption by college students in Yunnan Province may increase the risk of anxiety symptoms, particularly among female students. There is a need to strengthen guidance in respect to processed food consumption, so as to prevent and treat anxiety symptoms.
- Food handling,
- Anxiety,
- Mental health,
- Regression analysis,
- Students

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References(25)

References

[1]	CABANAS-SANCHEZ V, ESTEBAN-CORNEJO I, PARRA-SOTO S, et al. Muscle strength and incidence of depression and anxiety: findings from the UK Biobank prospective cohort study[J]. J Cachexia Sarcopenia Muscle, 2022, 13(4): 1983-1994. doi: 10.1002/jcsm.12963
[2]	BAI S, CHANG Q, YAO D, et al. Anxiety in residents in China: prevalence and risk factors in a multicenter study[J]. Acad Med, 2021, 96(5): 718-727. doi: 10.1097/ACM.0000000000003913
[3]	翟爽. 大学生血浆炎症细胞因子水平与心理健康关联的随访研究[D]. 合肥: 安徽医科大学, 2023. ZHAI S. A follow-up study on the associations of plasma inflammatory cytokines with mental health among college students[D]. Hefei: Anhui Medical University, 2023. (in Chinese)
[4]	ZENG Y, WANG G, XIE C, et al. Prevalence and correlates of depression, anxiety and symptoms of stress in vocational college nursing students from Sichuan, China: a cross-sectional study[J]. Psychol Health Med, 2019, 24(7): 798-811. doi: 10.1080/13548506.2019.1574358
[5]	李霄霄, 敖娅, 黄贵帆, 等. 云南大一学生吃夜宵和不吃早餐状况及其与焦虑症状的关联[J]. 中国学校卫生, 2023, 44(2): 274-277, 281. doi: 10.16835/j.cnki.1000-9817.2023.02.026 LI X X, AO Y, HUANG G F, et al. Association between eating at night and skipping breakfast with anxiety symptoms among freshman in colleges in Yunnan Province[J]. Chin J Sch Health, 2023, 44(2): 274-277, 281. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.02.026
[6]	MARTÍNEZ STEELE, EURIDÍC E, et al. Dietary share of ultra-processed foods and metabolic syndrome in the US adult population[J]. Prev Med, 2019, 125: 40-48. doi: 10.1016/j.ypmed.2019.05.004
[7]	MONTEIRO C A, CANNON G, MOUBARAC J C, et al. The UN decade of nutrition, the NOVA food classification and the trouble with ultra-processing[J]. Public Health Nutr, 2018, 21(1): 5-17. doi: 10.1017/S1368980017000234
[8]	MONTEIRO C A. Nutrition and health. The issue is not food, nor nutrients, so much as processing[J]. Public Health Nutr, 2009, 12(5): 729-731. doi: 10.1017/S1368980009005291
[9]	SARDA J J, NICHOLAS M K, PIMENTA C A, et al. Psychometric properties of the DASS-Depression Scale among a Brazilian population with chronic pain[J]. Psychosom Res, 2008, 64(1): 25-31. doi: 10.1016/j.jpsychores.2007.05.015
[10]	WANG K, SHI H S, GENG F L, et al. Supplemental material for cross-cultural validation of the Depression Anxiety Stress Scale-21 in China[J]. Psychol Assess, 2016, 28(5): e88-e100. doi: 10.1037/pas0000207
[11]	FERNÁNDEZ-RODRÍGUEZ C, SOTO-LÓPEZ T, CUESTA M. Needs and demands for psychological care in university students[J]. Psicothema, 2019, 31(4): 414-421.
[12]	ALEXANDRE F C, MARIA A L, MARIA M L E, et al. The relationship between ultra-processed food consumption and internalising symptoms among adolescents from São Paulo City, Southeast Brazil[J]. Public Health Nutr, 2021, 25(9): 2498-2506.
[13]	MENGTONG S, QIDA H, GUOXIAN L, et al. Association of Ultra-processed food consumption with incident depression and anxiety: a population-based cohort study[J]. Food Funct, 2023, 14(16): 7631-7641. doi: 10.1039/D3FO01120H
[14]	顾文馨, 谭银亮, 陆唯怡, 等. 上海市青少年饮食行为现状以及抑郁焦虑情绪的影响[J]. 中国学校卫生, 2022, 43(6): 864-868. doi: 10.16835/j.cnki.1000-9817.2022.06.016 GU W X, TAN Y L, LU W Y, et al. Prevalence and influence of depression and anxiety on dietary behaviors among adolescents in Shanghai[J]. Chin J Sch Health, 2022, 43(6): 864-868. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.06.016
[15]	MESAS A E, GONZLEZ A D, DE ANDRADE S M, et al. Increased consumption of ultra-processed food is associated with poor mental health in a nationally representative sample of adolescent students in Brazil[J]. Nutrients, 2022, 14(24): 5207. doi: 10.3390/nu14245207
[16]	ARSHAD H, HEAD J, JACKA F N, et al. Association between ultra-processed foods and recurrence of depressive symptoms: the Whitehall Ⅱ cohort study[J]. Nutr Neurosci, 2024, 27(1): 42-54. doi: 10.1080/1028415X.2022.2157927
[17]	ANEESH M, CHAGANTY A. Sleep quality and processed food consumption among female college students[J]. DY Patil J Health Sci, 2021, 9(1): 17-21.
[18]	EDWIN T S, DIFELICEANTONIO A G, ALBUS K, et al. Habitual daily intake of a sweet and fatty snack modulates reward processing in humans[J]. Cell Metab, 2023, 35(4): 571-584. doi: 10.1016/j.cmet.2023.02.015
[19]	VISH N L, BRAUN J, KING M, et al. Obesity in adolescents: understanding the combined role of food security and emotional and behavioral disorders[J]. J Adolesc Health, 2022, 71(4): 502-507. doi: 10.1016/j.jadohealth.2022.05.004
[20]	MAZLOOMI S N, TALEBI S, MEHRABANI S, et al. The association of ultra-processed food consumption with adult mental health disorders: a systematic review and dose-response Meta-analysis of 260 385 participants[J]. Nutr Neurosci, 2023, 26(10): 913-931. doi: 10.1080/1028415X.2022.2110188
[21]	CHAI W, MORIMOTO Y, COONEY R V, et al. Dietary red and processed meat intake and markers of adiposity and inflammation: the multiethnic cohort study[J]. J Am Coll Nutr, 2017, 36(5): 378-385. doi: 10.1080/07315724.2017.1318317
[22]	PHILLIPS C M, SHIVAPPA N, HEBERT J R, et al. Dietary inflammatory index and mental health: a cross-sectional analysis of the relationship with depressive symptoms, anxiety and well-being in adults[J]. Clin Nutr, 2017, 37(5): 1485-1491.
[23]	GODOS J, BONACCIO M, AL-QAHTANI W H, et al. Ultra-processed food consumption and depressive symptoms in a mediterranean cohort[J]. Nutrients, 2023, 15(3): 504. doi: 10.3390/nu15030504
[24]	WIERSIELIS K R, SAMUELS B A, ROEPKE T A. Perinatal exposure to bisphenol A at the intersection of stress, anxiety, and depression[J]. Neurotoxicol Teratol, 2020, 79: 106884. doi: 10.1016/j.ntt.2020.106884
[25]	MUTZ J, HOPPEN T H, FABBRI C, et al. Anxiety disorders and age-related changes in physiology[J]. Br J Psychiatry, 2022, 221(3): 528-537. doi: 10.1192/bjp.2021.189