Association between dietary rhythm and depressive symptoms in adolescents

ZHANG Yadi; XIE Yang; WANG Jiaojiao; ZHANG Xinyu; WAN Yuhui; TAO Fangbiao

doi:10.16835/j.cnki.1000-9817.2024125

Volume 45 Issue 4

Apr. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(4): 483-487

ZHANG Yadi, XIE Yang, WANG Jiaojiao, ZHANG Xinyu, WAN Yuhui, TAO Fangbiao. Association between dietary rhythm and depressive symptoms in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 483-487. doi: 10.16835/j.cnki.1000-9817.2024125

Citation:

ZHANG Yadi, XIE Yang, WANG Jiaojiao, ZHANG Xinyu, WAN Yuhui, TAO Fangbiao. Association between dietary rhythm and depressive symptoms in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 483-487. doi: 10.16835/j.cnki.1000-9817.2024125

Citation:

PDF( 402 KB)

Association between dietary rhythm and depressive symptoms in adolescents

doi: 10.16835/j.cnki.1000-9817.2024125

1.
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei (230032), Anhui Province, China

Received Date: 2024-02-18
Rev Recd Date: 2024-03-20

Available Online: 2024-04-25

Publish Date: 2024-04-25

Abstract

Abstract

Objective To describe the prevalence and association of dietary rhythm and depressive symptoms among adolescents, so as to provide a basis for improving unhealthy behavioral habits, and to promote adolescent physical and mental health. Methods From October to December 2021, a total of 22 868 students were selected from one middle school and high school in urban and rural areas of eight cities, namely, Shenyang, Xuzhou, Shenzhen, Taiyuan, Nanchang, Zhengzhou, Chongqing, and Kunming cities, China, using a combination of purposive sampling and stratified cluster random sampling. A self-administered questionnaire was used to assess adolescents' dietary rhythm, and the Patient Health Questionnaire-9 (PHQ-9) was used to assess depressive symptoms. Binary Logistic regression model was employed to analyze the associations between adolescent dietary rhythm and depressive symptoms, while the associations between adolescent dietary rhythm and depressive symptoms across gender and physical activity levels were stratified by gender and physical activity levels. Results The detection rate of depressive symptoms in adolescents was 44.4%. The respective differences in the detection rates of depressive symptoms among adolescents of different genders, physical activity levels, and dietary rhythm disorders were statistically significant (χ²=157.51, 105.02, 3 282.50, P < 0.01). Taking the low disordered dietary rhythm group as the reference, binary Logistic regression analyses showed that after adjusting for confounding factors such as age, gender, family location, family economic situation, whether only-child, parental education level, and learning burden, physical activity levels, depressive symptoms were positively correlated with adolescents in the moderate disordered dietary rhythm group (OR=2.63, 95%CI=2.45-2.83) and the high disordered dietary rhythm group (OR=6.38, 95%CI=5.93-6.86). In addition, after stratifying by gender, dietary rhythm were positively correlated with depressive symptoms. The moderate disordered group (male: OR=2.62, 95%CI=2.37-2.89, female: OR=2.67, 95%CI=2.40-2.97) and the highly disordered group (male: OR=5.74, 95%CI=5.19-6.35, female: OR=7.11, 95%CI=6.40-7.89) were positively correlated with depressive symptoms. After stratification by physical activity levels, low, moderate and above physical activity levels among adolescents in the disordered dietary rhythm group (low physical activity: OR=2.91, 95%CI=2.58-3.29, moderate and above physical activity: OR=2.50, 95%CI=2.28-2.74), high disordered group (low physical activity: OR=6.51, 95%CI=5.94-7.13, moderate and higher physical activity: OR=6.18, 95%CI=5.47-6.97) were positively associated with depressive symptoms (P < 0.01). There was an interaction between dietary rhythm and physical activity levels in regard to the development of depressive symptoms in adolescents, taking the group with moderate and above physical activity levels and low disordered dietary rhythm as the reference, the detection rate of which was higher in adolescents with low levels of physical activity and those in the moderate or high disordered dietary rhythm group (OR=1.50, 3.90, 95%CI=1.39-1.61, 3.63-4.19, P < 0.01). Conclusions Dietary rhythm disorders were found to be positively associated with depressive symptoms in adolescents. Regular dietary behaviors and increased physical activity play an important positive role in promoting adolescent mental health.
- Food habits,
- Depression,
- Mental health,
- Regression analysis,
- Adolescent

FullText(HTML)

References(24)

References

[1]	SHOREY S, NG E D, WONG C. Global prevalence of depression and elevated depressive symptoms among adolescents: a systematic review and Meta-analysis[J]. Br J Clin Psychol, 2022, 61(2): 287-305. doi: 10.1111/bjc.12333
[2]	LI Y, LV M R, WEI Y J, et al. Dietary patterns and depression risk: a Meta-analysis[J]. Psychiatry Res, 2017, 253(4): 373-382.
[3]	ADAFER R, MESSAADI W, MEDDAHI M, et al. Food timing, circadian rhythm and chrononutrition: a systematic review of time-restricted eating's effects on human health[J]. Nutrients, 2020, 12(12): 3770. doi: 10.3390/nu12123770
[4]	TUCKER J M, SIEGEL R, MURRAY P J, et al. Acceptability of time-limited eating in pediatric weight management[J]. Front Endocrinol (Lausanne), 2022, 13(4): 811489.
[5]	GUPTA N J, KUMMAR V, PANDA S. A camera-phone based study reveals erratic eating pattern and disrupted daily eating-fasting cycle among adults in India[J]. PLoS One, 2017, 12(3): e172852.
[6]	KANT A K, GRAUBARD B I. 40-year trends in meal and snack eating behaviors of American adults[J]. J Acad Nutr Diet, 2015, 115(1): 50-63. doi: 10.1016/j.jand.2014.06.354
[7]	任思恩. 中国汉族儿童青少年生活习惯与体能的关系研究[D]. 上海: 华东师范大学, 2019. REN S E. Study on the relationship between living habits and physical fitness in Chinese Han children and adolescents[D]. Shanghai: East China Normal University, 2019. (in Chinese)
[8]	任正. 赣州市初中学生抑郁现状及其影响因素研究[D]. 长春: 吉林大学, 2020. REN Z. Study on the prevalence and influencing factors of depressive symptoms among junior high school students in Ganzhou City[D]. Changchun: Jilin University, 2020. (in Chinese)
[9]	KANDOLA A, ASHDOWN-FRABKS G, HEBDRIKSE J, et al. Physical activity and depression: towards understanding the antidepressant mechanisms of physical activity[J]. Neurosci Biobehav Rev, 2019, 107(9): 525-539. http://www.xueshufan.com/publication/2978644324
[10]	谢阳. 《青少年生物节律紊乱评定问卷》的编制及应用研究[D]. 合肥: 安徽医科大学, 2021. XIE Y. Development and preliminary application of Self-rating Questionnaire of Biological Rhythm Disorders for Adolescents[D]. Hefei: Anhui Medical University, 2021. (in Chinese)
[11]	LOWE B, KROENK K, HERZON W, et al. Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9)[J]. J Affect Disord, 2004, 81(1): 61-66. doi: 10.1016/S0165-0327(03)00198-8
[12]	梁德清. 高校学生应激水平及其与体育锻炼的关系[J]. 中国心理卫生杂志, 1994, 8(1): 5-6. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS401.001.htm LIANG D Q. Stress levels and their relationship with physical activity among university students[J]. Chin Ment Health J, 1994, 8(1): 5-6. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS401.001.htm
[13]	CHEN J, LI X, ZHANG J, et al. The Beijing twin study (BeTwiSt): a longitudinal study of child and adolescent development[J]. Twin Res Hum Genet, 2013, 16(1): 91-97. doi: 10.1017/thg.2012.115
[14]	BEVAN J R, THAPAR A, STONE Z, et al. Psychoeducational interventions in adolescent depression: a systematic review[J]. Patient Educ Couns, 2018, 101(5): 804-816. doi: 10.1016/j.pec.2017.10.015
[15]	申晋波, 干敏雷, 尹小俭, 等. 青少年营养状况与抑郁症状的相关性[J]. 中国学校卫生, 2023, 44(5): 649-653. doi: 10.16835/j.cnki.1000-9817.2023.05.003 SHEN J B, GAN M L, YIN X J, et al. Correlation between nutritional status and depressive symptoms in middle school students[J]. Chin J Sch Health, 2023, 44(5): 649-653. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.05.003
[16]	胥寒梅, 张航, 陶圆美, 等. 儿童青少年抑郁症的重要社会心理因素[J]. 精神医学杂志, 2021, 34(6): 499-502. https://www.cnki.com.cn/Article/CJFDTOTAL-SDJB202106004.htm XU H M, ZHANG H, TAO Y M. et al. Social psychological factors in children and adolescents with depression[J]. J Psychiatry, 2021, 34(6): 499-502. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SDJB202106004.htm
[17]	GONG W J, FONG D Y, WANG M P, et al. Skipping breakfast and eating breakfast away from home were prospectively associated with emotional and behavioral problems in 115 217 Chinese adolescents[J]. J Epidemiol, 2022, 32(12): 551-558. doi: 10.2188/jea.JE20210081
[18]	梅松丽, 高婷婷, 李娇朦, 等. 长春市某高校大学生早餐习惯及与BMI、负性情绪的关系调查[J]. 医学与社会, 2017, 30(2): 60-63. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH201702018.htm MEI S L, GAO T T, LI J M, et al. Investigation on breakfast habit and its relationship with BMI and negative mood among students of a university in Changchun City[J]. Med Soc, 2017, 30(2): 60-63. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH201702018.htm
[19]	SAMPASA-KANYINGA H, ROUMEMITOS P, FARROW C V, et al. Breakfast skipping is associated with cyberbullying and school bullying ictimization. a school-based cross-sectional study[J]. Appetite, 2014, 79(4): 76-82.
[20]	FERRER-CASCAELS R, SANCHEZ-SANSEGANDO M, RUZI-ROBLEDILLO N, et al. Eat or skip breakfast? The important role of breakfast quality for health-related quality of life, stress and depression in Spanish adolescents[J]. Int J Environ Res Public Health, 2018, 15(8): 1781. doi: 10.3390/ijerph15081781
[21]	RAO W W, ZONG Q Q, ZHANG J W, et al. Obesity increases the risk of depression in children and adolescents: results from a systematic review and Meta-analysis[J]. J Affect Disord, 2020, 267(1): 78-85.
[22]	MILANESCHI Y, SIMMONS W K, VAN ROSSUM E, et al. Depression and obesity: evidence of shared biological mechanisms[J]. Mol Psychiatry, 2019, 24(1): 18-33. doi: 10.1038/s41380-018-0017-5
[23]	EKINCI G N, SANLIER N. The relationship between nutrition and depression in the life process: a mini-review[J]. Exp Gerontol, 2023, 172(12): 112072.
[24]	LIANG J, HUANG S, JIANG N, et al. Association between joint physical activity and dietary quality and lower risk of depression symptoms in US adults: cross-sectional NHANES study[J]. JMIR Public Health Surveill, 2023, 9(5): e45776.