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Sultana M, Hasan T, Shohag MMH, Majumder N, Tithi NS, Alam MM. Food insecurity, dietary intake, and their impact on mental health among university students in Bangladesh. Prev Med Rep 2025; 54:103079. [PMID: 40322087 PMCID: PMC12047486 DOI: 10.1016/j.pmedr.2025.103079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2025] [Revised: 04/16/2025] [Accepted: 04/16/2025] [Indexed: 05/08/2025] Open
Abstract
Objective University students, a significant demographic within the adult population, may often face increased susceptibility to psychological distress and decreased resilience, probably due to the challenges of adjusting to a new life in university. Hence, this study aimed to explore how food insecurity and dietary intake are associated with psychological distress and resilience among university students in Bangladesh. Methods Information was collected from May to June 2024 among a sample of 450 students from Noakhali Science and Technology University, Noakhali district, Bangladesh, using a structured questionnaire assessing socio-demographic characteristics, food insecurity status, dietary intake, psychological distress, and resilience. Results Results revealed higher level of psychological distress and lower level of resilience among university students. Regression analysis (adjusted for socio-demographics) showed a significant positive association between food insecurity and psychological distress (b = 0.437, P = 0.005); however, food consumption score was negatively associated with psychological distress (b = -0.047, P = 0.012), indicating higher levels of distress among students experiencing higher food insecurity and lower dietary intake. On the other hand, resilience was observed to be negatively associated with food insecurity (b = -0.33, P = 0.003), suggesting that students facing higher food insecurity exhibited lower resilience levels. Conclusion The findings provided compelling evidence of the significant impact of food insecurity and dietary intake on mental health outcomes (psychological distress and resilience) among university students. Thus, addressing targeted interventions to improve university students' food insecurity and dietary intake to mitigate their psychological distress and resilience is of urgent need.
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Affiliation(s)
- Marjia Sultana
- Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali 3814, Bangladesh
| | - Towhid Hasan
- Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali 3814, Bangladesh
| | - Md. Mahmudul Hasan Shohag
- Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali 3814, Bangladesh
| | - Nibadita Majumder
- Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali 3814, Bangladesh
| | - Nishat Subah Tithi
- Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali 3814, Bangladesh
| | - Md. Mahbub Alam
- Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali 3814, Bangladesh
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Wannasri A, Cambia J, Juber NF, Lee CT, Tsai MC. Cross-lagged relationships among food insecurity, life satisfaction, and psychological distress in economically disadvantaged youth. PSYCHOL HEALTH MED 2025:1-16. [PMID: 40448932 DOI: 10.1080/13548506.2025.2512153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2024] [Accepted: 05/21/2025] [Indexed: 06/02/2025]
Abstract
This study aimed to investigate the longitudinal triadic relationships among food insecurity (FI), life satisfaction (LS), and psychological distress (PD) of adolescents with economic disadvantages. Data (N = 1,173, Mage = 13.2 years at T1) were derived from the Taiwan Database of Children and Youth in Poverty across three time points, namely, T1 (2013), T2 (2015), and T3 (2017). The study applied a random intercept cross-lagged path model to investigate between- and within-person associations among the three factors. Residual within-wave covariances pointed to intercorrelations among the three factors. We observed significant auto-regressive paths for the three factors at the within-person level, except for the one between FI at T2 and T3. Alternatively, reciprocal cross-lagged effects were observed between LS and PD, and FI predicted less PD. LS mediated the relationship between FI and PD, and likewise, PD mediated that between FI and LS. In conclusion, accounting for between- and within-person variances, the study highlighted the critical role of LS in psychological health among economically disadvantaged youth facing FI issues.
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Affiliation(s)
- Arnat Wannasri
- International Health Program, National Yang Ming Chiao Tung University, Taipei, Taiwan
- Nopparat Rajathanee Hospital, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand
| | - Jansen Cambia
- International Health Program, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Nirmin F Juber
- Public Health Research Center, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Chih-Ting Lee
- Department of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
- College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Meng-Che Tsai
- College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan
- Department of Medical Humanities and Social Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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Wu R, Huang Y, Shao L, Guang Z, Niu Q, Chen J, Zhou J, Ge L, Wang S. Negative parenting style and depressive symptoms among college students: a longitudinal moderated mediation model involving eating disorders, ethnicity and maladaptive cognitive emotion regulation strategies. BMC Psychol 2025; 13:371. [PMID: 40217311 PMCID: PMC11987352 DOI: 10.1186/s40359-025-02693-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2024] [Accepted: 04/03/2025] [Indexed: 04/14/2025] Open
Abstract
BACKGROUND Depression is a significant global health concern, particularly prevalent among college students, and can be exacerbated by negative parenting styles. This study investigates the impact of such parenting on depressive symptoms among college students and explores the mediating role of eating disorders (EDs) and the moderating roles of ethnicity and maladaptive Cognitive Emotion Regulation Strategies (CERS). METHODS The longitudinal study was conducted from June to December 2021 and involved 2,993 enrolled students at two Tibetan universities. Data were collected at three time points using validated instruments including the Patient Health Questionnaire-9 for measuring depressive symptoms, the Short Egna Minnen av Barndoms Uppfostran (s-EMBU) for measuring negative parenting styles, the Eating Attitude Test-26 for measuring EDs, and the Cognitive Emotion Regulation Questionnaire for measuring maladaptive CERS. Statistical analyses, including Pearson correlation and moderated mediation models, were conducted using SPSS software. RESULTS The average age of the participants in the study was 19.8 (SD = 1.3) years, with males accounting for 34.4%, Tibetans and other ethnic groups accounting for 56.8%, and urban students accounting for 29.0%. Negative parenting styles were associated with higher levels of EDs and depressive symptoms. A longitudinal moderated mediation model revealed that EDs significantly mediated the relationship between negative parenting styles and depressive symptoms. Additionally, the impact of EDs on depressive symptoms was moderated by maladaptive CERS, where higher levels of these strategies intensified the relationship, while lower levels mitigated it. Ethnicity had no moderating effect on direct and indirect paths. CONCLUSIONS The study indicates that negative parenting styles contribute to depressive symptoms among college students through EDs. Maladaptive CERS amplify the impact of EDs on depressive symptoms, suggesting the importance of addressing these strategies in preventive and therapeutic settings. This research underscores the need for interventions targeting family dynamics and emotional regulation to mitigate depressive symptoms in vulnerable populations.
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Affiliation(s)
- Ruipeng Wu
- Clinical Medical Research Center for Plateau Gastroenterological Disease of Xizang Autonomous Region, Xizang Minzu University, Xianyang, 712082, People's Republic of China.
- Key Laboratory of High-Altitude Hypoxia Environment and Life Health, School of Medicine, Xizang Minzu University, Xianyang, 712082, People's Republic of China.
- Key Laboratory of Environmental Medicine and Engineering of Ministry of Education, and Department of Nutrition and Food Hygiene, School of Public Health Southeast University, Nanjing, 210009, People's Republic of China.
| | - Yeen Huang
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, 518055, People's Republic of China
| | - Li Shao
- Clinical Medical Research Center for Plateau Gastroenterological Disease of Xizang Autonomous Region, Xizang Minzu University, Xianyang, 712082, People's Republic of China
| | - Zixuan Guang
- Clinical Medical Research Center for Plateau Gastroenterological Disease of Xizang Autonomous Region, Xizang Minzu University, Xianyang, 712082, People's Republic of China
- Key Laboratory of High-Altitude Hypoxia Environment and Life Health, School of Medicine, Xizang Minzu University, Xianyang, 712082, People's Republic of China
| | - Qiong Niu
- Clinical Medical Research Center for Plateau Gastroenterological Disease of Xizang Autonomous Region, Xizang Minzu University, Xianyang, 712082, People's Republic of China
- Key Laboratory of High-Altitude Hypoxia Environment and Life Health, School of Medicine, Xizang Minzu University, Xianyang, 712082, People's Republic of China
| | - Jingzhe Chen
- Clinical Medical Research Center for Plateau Gastroenterological Disease of Xizang Autonomous Region, Xizang Minzu University, Xianyang, 712082, People's Republic of China
- Key Laboratory of High-Altitude Hypoxia Environment and Life Health, School of Medicine, Xizang Minzu University, Xianyang, 712082, People's Republic of China
| | - Juan Zhou
- Internal Medicine Department, the Affiliated Hospital of Xizang Minzu University, Xianyang, 712082, People's Republic of China
| | - Liji Ge
- Pediatrics Department, the Affiliated Hospital of Xizang Minzu University, Xianyang, 712082, People's Republic of China
| | - Shaokang Wang
- Clinical Medical Research Center for Plateau Gastroenterological Disease of Xizang Autonomous Region, Xizang Minzu University, Xianyang, 712082, People's Republic of China.
- Key Laboratory of Environmental Medicine and Engineering of Ministry of Education, and Department of Nutrition and Food Hygiene, School of Public Health Southeast University, Nanjing, 210009, People's Republic of China.
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Phelan JM, Rosenkranz RR, Logan C, Haub MD, Mailey EL, Ezzati A, Rosenkranz SK. The association of overall dietary quality on stress, anxiety, depression, and academic performance in college students: a systematic review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:977-988. [PMID: 39514800 DOI: 10.1080/07448481.2024.2418521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 05/19/2024] [Accepted: 10/13/2024] [Indexed: 11/16/2024]
Abstract
Objective: The objective of this systematic review was to examine current evidence regarding the associations between dietary quality and mental well-being indicators (stress, anxiety, and/or depression) in college students, with a secondary aim of characterizing the relationship between overall dietary quality and academic performance. Methods: Searches were performed, and the PRISMA guidelines were followed for reporting the methods and results. Results: Twelve observational studies were included and reviewed showing high dietary quality was associated with: low stress (four studies), high stress (one study), and no significant association (two studies); low depression (three studies) and no significant association (two studies) and low anxiety (two studies), high anxiety (one study), and no significant associations (two studies). Results showed weak positive associations between overall dietary quality and academic performance. Conclusions: These results are consistent with other studies of dietary quality and non-clinical mental health outcomes; more researched is needed to determine potential associations.
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Affiliation(s)
- Jessica M Phelan
- Department of Food Nutrition Dietetics and Health, Kansas State University, Manhattan, Kansas, USA
- Department of Health and Human Performance, Fort Hays State University, Hays, Kansas, USA
| | - Richard R Rosenkranz
- Department of Food Nutrition Dietetics and Health, Kansas State University, Manhattan, Kansas, USA
- Department of Kinesiology & Nutrition Sciences, University of Nevada, Nevada, USA
| | - Cindy Logan
- Hale Library, Kansas State University, Manhattan, Kansas, USA
| | - Mark D Haub
- Department of Food Nutrition Dietetics and Health, Kansas State University, Manhattan, Kansas, USA
| | - Emily L Mailey
- Department of Kinesiology, Kansas State University, Manhattan, Kansas, USA
| | - Armin Ezzati
- Department of Food Nutrition Dietetics and Health, Kansas State University, Manhattan, Kansas, USA
- Department of Aging and Geriatric Research, Institute on Aging, University of Florida, Gainesville, USA
| | - Sara K Rosenkranz
- Department of Food Nutrition Dietetics and Health, Kansas State University, Manhattan, Kansas, USA
- Department of Kinesiology & Nutrition Sciences, University of Nevada, Nevada, USA
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Owsley N, Anderson J, Thomas S. Experiencing transformation: Emerging adults, food, and mood-A phenomenological analysis. Arch Psychiatr Nurs 2025; 54:1-11. [PMID: 39955137 DOI: 10.1016/j.apnu.2024.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2024] [Revised: 11/19/2024] [Accepted: 11/24/2024] [Indexed: 02/17/2025]
Abstract
Mental health concerns have become increasingly prevalent among young adults. A growing body of literature indicates that increasing plant intake shows benefits for mental health. An existential-phenomenological study was conducted with 11 emerging adults with symptoms of anxiety and/or depression who had adopted a whole-food, plant-based diet (WFPB) diet to understand their lived experiences. Adoption of a WFPB diet was about Experiencing Transformation: An "Internal Calling." The context of transformation was the experience of Going Against the Grain of Society. Six figural themes were identified: (a) Embracing Food as Medicine: "Healthy from the inside out," (b) Benefiting from a Holistic Approach: "Feeding your body is feeding your soul and is feeding your mind," (c) Adopting a Lifestyle Change and Its Evolution Over Time: "Getting older and realizing what you need," (d) Finding Time for "The Joy of Cooking," versus Time Constraints, (e) Fostering Community: The "Community-Building Power of Food," and (f) Following the Call: "I'm motivated by my moral compass." For nurses, primary care nurse practitioners, and psychiatric mental health nurse practitioners, a holistic approach, including an anti-inflammatory diet, could be key for managing symptoms of anxiety and depression among emerging adults.
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Iezzi D, Cáceres-Rodríguez A, Chavis P, Manzoni OJ. Sex-specific disruptions in the developmental trajectory of anxiety due to prenatal cannabidiol exposure. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.12.02.626301. [PMID: 39677821 PMCID: PMC11642752 DOI: 10.1101/2024.12.02.626301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2024]
Abstract
Many pregnant women use cannabidiol (CBD) as a natural remedy to alleviate symptoms such as nausea, insomnia, anxiety, and chronic pain. As much as 20% of pregnancies in the USA and Canada may involve the use of CBD-only products. CBD crosses the placenta and may affect fetal development, potentially leading to neuropsychiatric conditions later in life. Given the limited understanding of the effects of CBD during pregnancy, we adopted a longitudinal approach to investigate the neurodevelopmental trajectory associated with prenatal CBD exposure. Pregnant mice were administered 3 mg/kg CBD from gestational days 5 to 18. At early adolescence, offspring displayed sex-specific behavioral changes. Females, but not males, exhibited a complex anxiety-like phenotype during the elevated plus maze task. This phenotype persisted into adulthood in the open field test and was accompanied by altered reward responsiveness. Throughout post-natal life, female offspring demonstrated heightened stretch-attend postures, a risk-assessment behavior reflecting approach-avoidance tendencies and anxiety. Finally, prenatal CBD exposure increased repetitive behaviors in adult animals of both sexes, as evidenced by the marble burying task. These results provide strong evidence of sex-specific disruptions in the developmental trajectories of anxiety associated with prenatal CBD exposure. They challenge the perception that CBD is universally safe and highlight vulnerabilities linked to gestational CBD exposure.
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Wang X, Wong ACW, Sheng Z, Wong SYS, Yang X. The relationship between dietary sugar consumption and anxiety disorders: A systematic review. NUTR BULL 2024; 49:429-443. [PMID: 39138127 DOI: 10.1111/nbu.12702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 07/15/2024] [Accepted: 07/24/2024] [Indexed: 08/15/2024]
Abstract
High-sugar intake is a risk factor for chronic diseases such as cardiovascular disease and type 2 diabetes, but less is known about its role in anxiety disorders. This systematic review aimed to systematically synthesise and assess the existing evidence regarding the association between dietary sugars intake and anxiety disorders. Following PRISMA guidelines, a systematic search of PubMed, MEDLINE, Embase, APA PsycArticles and APA PsycINFO was conducted up to 19th August 2022. Study quality was assessed by the Newcastle-Ottawa scale (NOS) and the Cochrane risk of bias tool. Eleven studies (10 cross-sectional and 1 randomised controlled trial [RCT]) were included. Seven cross-sectional studies had very good quality or good quality, and the quality of the RCT was at low risk of bias. These studies examined sugar-sweetened beverages (n = 7), sugar-sweetened foods (n = 4) and/or added sugar (n = 5). The findings suggest a possible positive relationship of added sugar consumption with anxiety disorders, with age as a potential moderator in such association. No conclusions can be drawn on the associations between sugar-sweetened beverages, sugar-sweetened foods consumption and anxiety disorders. Due to the included studies being mostly cross-sectional, the conclusions drawn from the existing evidence should be interpreted with caution. The longitudinal design is warranted to investigate any causal relationship and the potential mechanisms underlying these heterogeneous results. The potential difference in effect at different ages observed in this review should be further examined.
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Affiliation(s)
- Xin Wang
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Agassi Chun Wai Wong
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Ziyue Sheng
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, Maryland, USA
| | - Samuel Yeung-Shan Wong
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Xue Yang
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China
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Liu S, Meng Z, Wang S, Wang H, Fan D, Wu M, Jiang Z, Chen Q, Wang Q, Liu Z, Liu J, Xie Y. The role of anxiety in the association between nutrition literacy and health-related quality of life among college students. Sci Rep 2024; 14:24618. [PMID: 39427070 PMCID: PMC11490534 DOI: 10.1038/s41598-024-76361-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2024] [Accepted: 10/14/2024] [Indexed: 10/21/2024] Open
Abstract
The health-related quality of life (HRQOL) of college students is not promising and needs to be improved through effective interventions. This study aimed to investigate the associations of nutrition literacy (NL) with HRQOL and anxiety among college students, and to identify the role of anxiety in the relationship between NL and HRQOL. The cross-sectional survey was conducted via the "Wenjuanxing" platform from September to November 2023. The Food and Nutrition Literacy Questionnaire (FNLQ), the Generalized Anxiety Disorder (GAD-7) diagnostic tool and the SF-12 scale were used to assess NL, anxiety, and HRQOL, respectively. Logistic regression models, mediation analysis, additive and multiplicative interaction analyses were used. 2066 college students participated in the analysis. After adjusting for potential confounders, we found that college students with higher NL had higher HRQOL (OR = 2.52, 95% CI: 2.09-3.03, p < 0.001) and a lower risk of anxiety (OR = 0.53, 95% CI: 0.39-0.73, p < 0.001). Additionally, anxious college students had lower HRQOL (OR = 0.16, 95% CI: 0.11-0.24, p < 0.001). Furthermore, mediation analysis confirmed that anxiety was a partial mediator of the relationship between NL and HRQOL (β = 0.600, 95% CI: 0.406-0.779/0.430-0.818). Significant additive interactions were found between NL and Anxiety (RERI = 6.96, 95% CI: 2.74-11.17; AP = 0.51, 95% CI: 0.37-0.64; SI = 2.21, 95% CI: 1.58-3.07). Higher levels of NL are associated with better HRQOL and lower anxiety among college students. Additionally, anxiety partially mediated the relationship between NL and HRQOL. Furthermore, there is a synergy between NL and anxiety.
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Affiliation(s)
- Siwei Liu
- School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
- The First Clinical Institute, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Zeyu Meng
- School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
- The First Clinical Institute, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Shuxian Wang
- The First Clinical Institute, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Hehe Wang
- The First Clinical Institute, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Dan Fan
- The First Clinical Institute, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Mengqing Wu
- The First Clinical Institute, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | | | - Qing Chen
- School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Quanan Wang
- School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Zhe Liu
- The First Clinical Institute, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China
| | - Jun Liu
- School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China.
- Key Laboratory of Maternal & Child Health and Exposure Science of Guizhou Higher Education Institutes, School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China.
| | - Yan Xie
- School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China.
- Key Laboratory of Maternal & Child Health and Exposure Science of Guizhou Higher Education Institutes, School of Public Health, Zunyi Medical University, No.6 Xuefu Xilu, Zunyi, 563006, PR China.
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Xiong J, Wang L, Huang H, Xiong S, Zhang S, Fu Q, Tang R, Zhang Q. Association of sugar consumption with risk of depression and anxiety: a systematic review and meta-analysis. Front Nutr 2024; 11:1472612. [PMID: 39479195 PMCID: PMC11522855 DOI: 10.3389/fnut.2024.1472612] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2024] [Accepted: 09/17/2024] [Indexed: 11/02/2024] Open
Abstract
Background Sugar consumption has increased dramatically around the world, and at the same time, the prevalence of mental illnesses such as depression and anxiety continues to increase. While previous research has explored the impact of various dietary factors on mental health, the specific impact of dietary sugar consumption on the risk of depression and anxiety disorders remains elusive. This study aimed to comprehensively assess this relationship through a systematic review and meta-analysis. Methods PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Network (CNKI), and WangFang were systematically searched for studies of the association between total dietary sugar intake and risk of depression and/or anxiety. The articles that meet the criteria are screened and included in the systematic review, and the data are extracted after assessing their quality. Stata 18.0 software was used for the meta-analysis. Results Forty studies with 1,212,107 participants were included in the analysis. Results showed that sugar intake increased the risk of depression by 21% (OR = 1.21, 95% CI: 1.14, 1.27), while the overall association between sugar intake and anxiety risk was not statistically significant (OR = 1.11, 95% CI: 0.93, 1.28). Despite high heterogeneity (I 2 = 99.7%), the results were statistically significant (p < 0.000). Subgroup analyses showed that the association between sugar consumption and depression risk remains consistent across different study designs (cross-sectional, cohort, and case-control studies) and different sample sizes (<5,000, 5,000-10,000, >10,000). Women have a higher risk of depression than men (OR = 1.19, 95% CI: 1.04, 1.35). Among the different exposure measures, the Food Frequency Questionnaire (FFQ) showed the most significant effect (OR = 1.32, 95% CI: 1.08, 1.67, I 2 = 99.7%, p < 0.000). The measuring tool of subgroup analysis showed that there was a significant correlation between sugar intake and risk of depression, PHQ-9 (OR = 1.29, 95% CI: 1.17, 1.42, I2 = 86.5%, p < 0.000), and CES-D (OR = 1.28, 95% CI: 1.14, 1.44, I 2 = 71.3%, p < 0.000). High-quality cross-sectional and cohort studies showed a significant association between sugar intake and depression risk, with most results being robust. While the overall analysis of sugar intake and anxiety risk was not significant, some subgroups approached significance, particularly in studies with a sample size of <5,000 (OR = 1.14, 95% CI: 0.89, 1.46) and studies using the FFQ questionnaire (OR = 1.31, 95% CI: 0.90, 1.89). Conclusion Total dietary sugar consumption was significantly associated with increased risk of depression in the general population, whereas the association with risk of anxiety was not significant. Further high-quality studies are needed to verify these associations and ensure their reliability. This study highlights the impact of dietary sugar intake on mental health, identifies potentially high-risk groups through subgroup analysis, and provides new insights into the prevention of depression and anxiety. Systematic review registration CRD42024540548.
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Affiliation(s)
- JiaHui Xiong
- Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Lu Wang
- Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - HongLu Huang
- Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - San Xiong
- Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - ShiPeng Zhang
- Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - QinWei Fu
- Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Rui Tang
- Department of Psychiatry and Psychotherapy, TUM School of Medicine and Health, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - QinXiu Zhang
- Clinical Medical College, Chengdu University of Traditional Chinese Medicine, Chengdu, China
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Seifollahi A, Sardari L, Yarizadeh H, Mirzababaei A, Shiraseb F, Clark CC, Mirzaei K. Associations between adherence to the MIND diet and prevalence of psychological disorders, and sleep disorders severity among obese and overweight women: A cross-sectional study. Nutr Health 2024; 30:513-519. [PMID: 36131503 DOI: 10.1177/02601060221127461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND The effect of dietary patterns on sleep disorders and mental illness has previously been investigated. However, these studies have reported contradictory findings, and thus, the present study aimed to assess the association of the MIND diet on the sleep pattern and mental health in obese women. METHODS This is a cross-sectional study in which 282 women, aged 18-56 years with BMI ≥ 25 kg/m2.with no underlying diseases and malignancies, and participated. We used a semi-quantitative food frequency questionnaire (FFQ) to collect participant's dietary intake. The Pittsburgh Sleep Quality Index (PSQI) and Depression Anxiety Stress Scales (DASS) were used to measure the status of sleep disturbance and psychological disorders, including depression, anxiety, and stress respectively. RESULTS A decreasing trend for psychological stress was observed in the highest quartiles of MIND diet score vs. the lowest quartiles (OR = 0.6 CI: 0.23-1.5 vs. 1.16 CI: 0.55-2.47). No significant difference was observed between severity of depression (OR = 0.87 95%, CI: 0.7-1.09, P = 0.23), anxiety (OR = 1.02, 95% CI: 0.81-1.27, P = 0.86), stress (OR = 0.99 95%, CI: 0.79-1.23, P = 0.92), and MIND diet adherence in the crude and adjusted models. CONCLUSION The main finding from this study was that there is no significant association between adherence to the MIND diet and studied psychological disorders.
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Affiliation(s)
- Atefeh Seifollahi
- Department of Cellular, Molecular Nutrition School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Lilit Sardari
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Habib Yarizadeh
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Atieh Mirzababaei
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Farideh Shiraseb
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Cain Ct Clark
- Centre for Intelligent Healthcare, Coventry University, Coventry, UK
| | - Khadijeh Mirzaei
- Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
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González-Cantero JO, López-Torres LP, Alvarado-Avalos IR, López-Alcaraz F, Gasca-Suarez E, Cisneros-Hernández AA, Valadez A, Macías-Espinoza F, Dominguez-Rodriguez A. An internet-based self-help intervention for the reduction of consumption of ultra-processed products and increase of physical activity in Mexican university population: study protocol for a randomized controlled trial. Front Nutr 2024; 11:1325528. [PMID: 39221160 PMCID: PMC11363904 DOI: 10.3389/fnut.2024.1325528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Accepted: 06/19/2024] [Indexed: 09/04/2024] Open
Abstract
Introduction The consumption of ultra-processed products has been associated with the etiology of various diseases, mainly metabolic diseases. On the other hand, physical activity acts as a protective factor that helps prevent the appearance of this type of disease. In addition to the physical effects, both the consumption of ultra-processed products (UPPs) and sedentary behaviors have been associated with a significant impact on people's mental health. These problems occur significantly in university students. Online internet interventions are an alternative that has the advantage of reaching a broader sample size and adapting to various problems. Methods A randomized controlled clinical superiority trial with two independent groups will be developed with 176 participants. Participants in both groups will be evaluated in 5 steps: (1) pretest, (2) middle of the intervention, (3) post-test, (4) follow-up at 3 months, and (5) follow-up at 6 months. In the experimental group ("UNISALUD"), participants will receive an intervention composed of 11 sessions with interactive elements such as videos, audio, and infographics created through the user experience (UX) principles and based on the health action process approach (HAPA). The participants in the control group will be on the waiting list and will receive treatment 27 days after fulfilling the inclusion criteria. Thus, participants will not receive the treatment immediately. Discussion The study is expected to establish the feasibility of a self-help internet-based intervention created based on the user experience methodology and the health action process model, leading to a significant decrease and increase in the consumption of UPPs, ultra-healthy products, and physical activity, respectively. Conclusion Internet-based interventions are scarce in Latin America. Due to their potential, this study will provide data about consumption of UPPs, physical activity, and mental health of the Mexican population, which will influence the reduction of health-related complications through prevention strategies or measures.Clinical Trial Registration:ClinicalTrials.gov, NCT05834842.
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Affiliation(s)
- Joel Omar González-Cantero
- Departamento de Ciencias del Comportamiento, Centro Universitario de los Valles, Universidad de Guadalajara, Ameca, Mexico
| | - Leyna Priscila López-Torres
- Departamento de Ciencias Sociales, Maestría en Nutrición Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Mexico
| | - Itzel Refugio Alvarado-Avalos
- Maestría en Psicología de la Salud, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Mexico
| | | | - Estefania Gasca-Suarez
- Maestría en Nutrición Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Mexico
| | - Adrian Antonio Cisneros-Hernández
- Departamento de Proyectos de Comunicación, Centro Universitario de Arte, Arquitectura y Diseño, Universidad de Guadalajara, Guadalajara, Mexico
| | - Alexandra Valadez
- Departamento de Transformaciones Sociales, Centro Universitario de Tlajomulco, Universidad de Guadalajara, Tlajomulco, Mexico
| | - Fabiola Macías-Espinoza
- Departamento de Psicología Aplicada, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Mexico
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12
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Goldman BJ, Freiria CN, Landry MJ, Arikawa AY, Wright L. Research trends and gaps concerning food insecurity in college students in the United States: a scoping review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-40. [PMID: 38870038 DOI: 10.1080/07448481.2024.2351420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 04/19/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVE This scoping review explores the broad body of peer-reviewed research measuring food insecurity in post-secondary students in the U.S. to identify trends and gaps to inform future research. METHODS Three search engines (PubMed, Web of Science, and CINHAL Full Text) were systematically searched for articles reporting on food security status in U.S. college students. RESULTS One-hundred and sixty studies met inclusion criteria. Emerging high-risk student characteristics include gender non-conforming (GNC) and non-binary, financial independence in college, and pregnant and parenting students. Emerging correlates include lack of transportation, anxiety, and eating disorders. CONCLUSIONS Prevalence data can be used by colleges to advocate for services and programs. Additional multi-institutional cohort, longitudinal and qualitative studies are needed to identify timely interventions and effective solutions. A new "rights-based" approach to food security solutions that includes nutrition and food literacy for all students is needed.
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Affiliation(s)
- Barbara J Goldman
- Department of Health Science, Palm Beach State College, Palm Beach Gardens, FL, USA
| | | | - Matthew J Landry
- Department of Population Health and Disease Prevention, University of California, Irvine, CA, USA
| | - Andrea Y Arikawa
- Department of Nutrition and Dietetics, University of North Florida, Jacksonville, FL, USA
| | - Lauri Wright
- Nutrition Programs, College of Public Health, University of South Florida, Tampa, FL, USA
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13
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Basso M, Zorzan I, Johnstone N, Barberis M, Cohen Kadosh K. Diet quality and anxiety: a critical overview with focus on the gut microbiome. Front Nutr 2024; 11:1346483. [PMID: 38812941 PMCID: PMC11133642 DOI: 10.3389/fnut.2024.1346483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 04/05/2024] [Indexed: 05/31/2024] Open
Abstract
Anxiety disorders disproportionally affect females and are frequently comorbid with eating disorders. With the emerging field of nutritional psychiatry, focus has been put on the impact of diet quality in anxiety pathophysiology and gut microbiome underlying mechanisms. While the relationship between diet and anxiety is bidirectional, improving dietary habits could better facilitate the actions of pharmacological and psychological therapies, or prevent their use. A better understanding of how gut bacteria mediate and moderate such relationship could further contribute to develop personalized programs and inform probiotics and prebiotics manufacturing. To date, studies that look simultaneously at diet, the gut microbiome, and anxiety are missing as only pairwise relationships among them have been investigated. Therefore, this study aims at summarizing and integrating the existing knowledge on the dietary effects on anxiety with focus on gut microbiome. Findings on the effects of diet on anxiety are critically summarized and reinterpreted in relation to findings on (i) the effects of diet on the gut microbiome composition, and (ii) the associations between the abundance of certain gut bacteria and anxiety. This novel interpretation suggests a theoretical model where the relationship between diet and anxiety is mediated and/or modulated by the gut microbiome through multiple mechanisms. In parallel, this study critically evaluates methodologies employed in the nutritional field to investigate the effects of diet on anxiety highlighting a lack of systematic operationalization and assessment strategies. Therefore, it ultimately proposes a novel evidence-based approach that can enhance studies validity, reliability, systematicity, and translation to clinical and community settings.
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Affiliation(s)
- Melissa Basso
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom
| | - Irene Zorzan
- Molecular Systems Biology, School of Biosciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom
- Centre for Mathematical and Computational Biology, CMCB, University of Surrey, Guildford, United Kingdom
| | - Nicola Johnstone
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom
| | - Matteo Barberis
- Molecular Systems Biology, School of Biosciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom
- Centre for Mathematical and Computational Biology, CMCB, University of Surrey, Guildford, United Kingdom
- Synthetic Systems Biology and Nuclear Organization, Swammerdam Institute for Life Sciences, University of Amsterdam, Amsterdam, Netherlands
| | - Kathrin Cohen Kadosh
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom
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14
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Kiltie JT, Satchell LP, Childs MJ, Daniels M, Gould CS, Sparrowe K, Hudson CA, Husted M. The relationship between change in routine and student mental wellbeing during a nationwide lockdown. THE JOURNAL OF GENERAL PSYCHOLOGY 2024; 151:155-172. [PMID: 37571969 DOI: 10.1080/00221309.2023.2241949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 07/20/2023] [Indexed: 08/13/2023]
Abstract
OBJECTIVE During March 2020, the UK entered a national lockdown, causing a sudden change in undergraduate students' routines. This study uses this event to investigate the impact routine change had on students' mental wellbeing; in particular looking at depression, anxiety, sleep disturbance, and eating behaviors. METHOD Participants reported their daily routine timings (waking, breakfast, lunch, evening meal and bedtime) and activities (e.g. exercise amount, time with friends, time studying, etc) on a typical Monday, Wednesday and Saturday during term time and lockdown. Additionally they completed the PROMIS measures of anxiety, depression, and sleep disturbance, and the Eating Pathology Symptom Inventory. RESULTS Lockdown saw small but significant shifts in routine timing (on average 1.5 h) However, there was no clear overall pattern of relationships between mental wellbeing and routine structure or magnitude of routine change. There was some evidence of changes in amount of exercise relating to reported anxiety. DISCUSSION These findings are consistent with the current literature reporting lockdown effects on behavior. Routine timings shifted, but this change was small and largely did not affect the mental wellbeing reported by undergraduate students. The change in amount of exercise posed by lockdown did appear to be an important factor in wellbeing, and more research should focus on the wellbeing implications of closing places for exercise.
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15
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Marmolejo C, Banta JE, Siapco G, Baba Djara M. Examining the association of student mental health and food security with college GPA. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:819-825. [PMID: 35417289 DOI: 10.1080/07448481.2022.2058327] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 01/18/2022] [Accepted: 03/13/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Low food security and poor mental health are a persistent concern for college students. OBJECTIVE Examine how food security and mental health are associated with college student's grade point average (GPA). METHODS American College Health Association (ACHA)-National College Health Assessment III survey data Spring 2020 of students from 75 US universities (n = 48,103) were utilized to examine relationships among mental health, food security and academic performance (GPA). RESULTS The majority of the population self-reported high food security (58.3%) and moderate psychological distress (50.8%). Very low food security (B = -.523, OR = .59, p < .001) and moderate psychological distress (B = -0.19, OR = .83, p < .001) were inversely associated with high GPA. Reduced food security was associated with worse mental health measures. CONCLUSIONS Food security and mental health are negatively associated with GPA. To improve student success, universities must enhance services that address food insecurity and mental health.
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Affiliation(s)
- Connie Marmolejo
- School of Public Health, Loma Linda University, Loma Linda, California, USA
| | - Jim E Banta
- School of Public Health, Loma Linda University, Loma Linda, California, USA
| | - Gina Siapco
- School of Public Health, Loma Linda University, Loma Linda, California, USA
| | - Monita Baba Djara
- School of Public Health, Loma Linda University, Loma Linda, California, USA
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16
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Xie X, Li Y, Zhang Y, Lin X, Huang M, Fu H, Ma Y, Chen R, Wang X, Tang J. Associations of diet quality and daily free sugar intake with depressive and anxiety symptoms among Chinese adolescents. J Affect Disord 2024; 350:550-558. [PMID: 38220116 DOI: 10.1016/j.jad.2024.01.101] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 11/19/2023] [Accepted: 01/09/2024] [Indexed: 01/16/2024]
Abstract
BACKGROUND Assessing diet quality has been challenging, and the associations of diet quality and daily free sugar intake with depressive and/or anxiety symptoms have shown inconsistency. METHODS A total of 1749 students aged 12-16 years were recruited using stratified random cluster sampling across three cities in China. The overall Global Dietary Recommendations (GDR) score, a novel indicator of diet quality, was constructed using the low-burden Diet Quality Questionnaire. Free sugar intake, including from beverages and foods, was measured using the Food Frequency Questionnaire. Daily free sugar intake was divided into low, medium, and high categories based on the latest version of the dietary guidelines for Chinese residents. Binomial and multinominal logistic regression analyses were used to examine the associations of the overall GDR score and daily free sugar intake categories or different sources of free sugar intake with depressive and/or anxiety symptoms. RESULTS The overall GDR score was negatively associated with depressive symptoms (adjusted odds ratio[aOR] = 0.92, 95%CI: 0.87-0.98) and anxiety symptoms (0.95, 0.90-0.99), particularly with comorbid depression and anxiety (0.90, 0.84-0.97). Conversely, daily free sugar intake was positively associated with symptoms of depression and/or anxiety, the multiple aOR for symptoms depression or anxiety were significantly increased with higher daily free sugar intake (all Ptrend < 0.05). Both free sugar from beverages and from foods were positively associated with depressive and/or anxiety symptoms. These associations were consistent between males and females. LIMITATIONS Cross-sectional design and self-reported symptoms. CONCLUSIONS Diet quality was negatively associated with symptoms of depression or anxiety, especially with comorbid symptoms among adolescents. Daily free sugar intake, regardless of its sources, was positively associated with symptoms of depression and/or anxiety.
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Affiliation(s)
- Xinyi Xie
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China
| | - Yanqi Li
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China
| | - Yi Zhang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China
| | - Xiaoyi Lin
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China
| | - Mengxin Huang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China
| | - Huihang Fu
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China
| | - Ying Ma
- Department of Children's Health Care, Guangzhou Women and Children's Medical Center, 510620 Guangzhou, China
| | - Runsen Chen
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Xiaoyan Wang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China
| | - Jie Tang
- Department of Preventive Medicine, School of Public Health, Guangzhou Medical University, 511436 Guangzhou, China.
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17
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Parsons K, Yerxa K, Therrien M, Byrd-Bredbenner C, McNamara J. The influence of diet quality on health-related quality of life in undergraduates. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-7. [PMID: 38442366 DOI: 10.1080/07448481.2024.2319206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 02/08/2024] [Indexed: 03/07/2024]
Abstract
Objective: Explore the relationship between fruit and vegetable (FV) intake and health-related quality of life (HRQOL) in undergraduates. Participants: Undergraduates (N = 655). Methods: Using the Centers for Disease Control's Healthy Days Core Module and National Cancer Institute's (NCI) FV screener, differences in HRQOL between students who had consumed above the sample's average FV intake and their counterparts were evaluated. Multiple regression analyses assessed behaviors that predicted HRQOL. Results: Differences existed between HRQOL of students who consumed above average FV (M = 2.2 1.3) and peers, F(9,602) = 509, p < 0.001, Wilk's Δ = 0.116, partial n2 = 0.884. Predictors explained 30.0% of the variance in days per month feeling healthy (r2 = 0.29, F(4, 549) = 58.6, p < 0.001): perceived stress (β = 0.46, p < 0.001), body mass index (BMI) (β = 0.11, p < 0.01), FV intake (β = 0.16, p < 0.001), and sleep duration (β = 0.08, p < 0.05). Conclusions: FV intake and modifiable behaviors influenced HRQOL, suggesting that multifaceted interventions could improve HRQOL in this population.
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Affiliation(s)
- Kayla Parsons
- School of Food and Agriculture, University of Maine, Orono, ME, USA
| | - Kathryn Yerxa
- School of Food and Agriculture, University of Maine, Orono, ME, USA
| | - Mona Therrien
- School of Food and Agriculture, University of Maine, Orono, ME, USA
| | - Carol Byrd-Bredbenner
- Department of Nutritional Sciences, School of Environmental & Biological Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
| | - Jade McNamara
- School of Food and Agriculture, University of Maine, Orono, ME, USA
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18
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Chodur G, Singh S, Riordan EE, Kalaydjian S, Martinez SM. Campus Food Pantry Use May Improve Daily Frequency of Fruit and Vegetable Intake Among California University Students Experiencing Food Insecurity. J Acad Nutr Diet 2024; 124:225-232.e1. [PMID: 37742827 DOI: 10.1016/j.jand.2023.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 08/29/2023] [Accepted: 09/19/2023] [Indexed: 09/26/2023]
Abstract
BACKGROUND University students are at increased risk for both food insecurity and suboptimal fruit and vegetable (F/V) intake. Campus food pantries (CFP) have been a common intervention in response to student food insecurity, but there have been few evaluations of the effectiveness of this strategy on improving students' dietary intake. OBJECTIVE To examine differences in the frequency of F/V intake by food security status, and whether the number of monthly CFP visits was associated with frequency of F/V intake among university students who were CFP clients. DESIGN Cross-sectional PARTICIPANTS: The study population included 1,188 university students across the 10-campus University of California system who had accessed their CFP or Basic Needs Center. MAIN MEASURES United States Department of Agriculture (USDA) 6-item short food security module, monthly CFP visits, and self-reported frequency of F/V intake (daily). STATISTICAL ANALYSES PERFORMED T-tests were performed to compare differences in mean daily frequency of F/V intake by food security status. Generalized linear models were used to examine associations between monthly CFP visits and mean daily frequency of F/V intake. Using a post hoc Wald test, an interaction term (monthly CFP visits × food security status) was included to the models to determine whether food security status modified associations. RESULTS Students experiencing food insecurity consumed total F/V 0.48 fewer times per day compared with students who were food secure (2.64 ± 2.11 vs 3.12 ± 2.01; P < .001). Among students experiencing food insecurity, each monthly CFP visit was associated with higher daily frequencies of intake for total F/V (β = 0.06), whole fruit (β = 0.03), 100% fruit juice (β = 0.01), and leafy greens (β = 0.01); however, no associations were found among the food-secure group. CONCLUSIONS Findings suggest that CFPs may be supporting students in need of nutritional assistance increase their daily frequency of F/V intake. Future studies are needed to validate these findings to inform investment in campus food pantries and support university students in need of nutritional assistance.
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Affiliation(s)
- Gwen Chodur
- Department of Nutritional Biology, University of California, Davis, Davis, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, San Francisco, CA; Center for Educational Partnerships, University of California, Irvine, Irvine, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA
| | - Sonali Singh
- Department of Nutritional Biology, University of California, Davis, Davis, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, San Francisco, CA; Center for Educational Partnerships, University of California, Irvine, Irvine, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA
| | - Erin E Riordan
- Department of Nutritional Biology, University of California, Davis, Davis, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, San Francisco, CA; Center for Educational Partnerships, University of California, Irvine, Irvine, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA
| | - Sevan Kalaydjian
- Department of Nutritional Biology, University of California, Davis, Davis, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, San Francisco, CA; Center for Educational Partnerships, University of California, Irvine, Irvine, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA
| | - Suzanna M Martinez
- Department of Nutritional Biology, University of California, Davis, Davis, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, San Francisco, CA; Center for Educational Partnerships, University of California, Irvine, Irvine, CA; Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA.
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Radtke MD, Steinberg FM, Scherr RE. Methods for Assessing Health Outcomes Associated with Food Insecurity in the United States College Student Population: A Narrative Review. Adv Nutr 2024; 15:100131. [PMID: 37865221 PMCID: PMC10831897 DOI: 10.1016/j.advnut.2023.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 10/03/2023] [Accepted: 10/12/2023] [Indexed: 10/23/2023] Open
Abstract
In the United States, college students experience disproportionate food insecurity (FI) rates compared to the national prevalence. The experience of acute and chronic FI has been associated with negative physical and mental health outcomes in this population. This narrative review aims to summarize the current methodologies for assessing health outcomes associated with the experience of FI in college students in the United States. To date, assessing the health outcomes of FI has predominately consisted of subjective assessments, such as self-reported measures of dietary intake, perceived health status, stress, depression, anxiety, and sleep behaviors. This review, along with the emergence of FI as an international public health concern, establishes the need for novel, innovative, and objective biomarkers to evaluate the short- and long-term impacts of FI on physical and mental health outcomes in college students. The inclusion of objective biomarkers will further elucidate the relationship between FI and a multitude of health outcomes to better inform strategies for reducing the pervasiveness of FI in the United States college student population.
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Affiliation(s)
- Marcela D Radtke
- Propel Postdoctoral Fellow, Department of Epidemiology and Population Health, Stanford School of Medicine, Stanford University, Palo Alto, CA, USA 94305
| | | | - Rachel E Scherr
- Family, Interiors, Nutrition & Apparel Department, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA, USA, 94132; Scherr Nutrition Science Consulting, San Francisco, CA, 94115.
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20
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Dial LA, DeNardo FA, Fevrier B, Morgan AL, Du C, Tucker RM, Hsiao PY, Ludy MJ. Comparing mental health and well-being of US undergraduate and graduate students during the early stages of the COVID-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2775-2785. [PMID: 34788587 DOI: 10.1080/07448481.2021.1996372] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 08/31/2021] [Accepted: 10/17/2021] [Indexed: 06/13/2023]
Abstract
Objective: This study explored how COVID-related mental health and well-being varied between undergraduate and graduate students. Relationships with physical health behaviors were also examined. Participants: Undergraduate (n = 897) and graduate (n = 314) students were recruited from three US universities between mid-April and late-May 2020. Methods: Participants in this cross-sectional survey self-reported perceived stress, financial stress, resilience, repetitive negative thinking, mood, anxiety, diet, sleep, and physical activity using validated instruments. Results: Undergraduate students reported more perceived stress, more repetitive negative thinking, less positive mood, and less support from professors than graduate students. Perceived stress, repetitive negative thinking, negative mood, and anxiety increased among all students (p < .05 for all). Correlations between mental health outcomes and physical health behaviors were weak to moderate (r = .08 to .49). Conclusions: College students, particularly undergraduates, perceived negative mental health impacts during COVID. Creative approaches for meeting student needs are necessary.
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Affiliation(s)
- Lauren A Dial
- Department of Psychology, Bowling Green State University, Bowling Green, Ohio, USA
- Department of Psychology, California State University, Fresno, California, USA
| | - Faith A DeNardo
- Division of Health and Wellness, Bowling Green State University, Bowling Green, Ohio, USA
| | - Bradley Fevrier
- Department of Public and Allied Health, Bowling Green State University, Bowling Green, Ohio, USA
| | - Amy L Morgan
- School of Human Movement, Sport, and Leisure Studies, Bowling Green State University, Bowling Green, Ohio, USA
| | - Chen Du
- Department of Food Science and Human Nutrition, Michigan State University, East Lansing, Michigan, USA
| | - Robin M Tucker
- Department of Food Science and Human Nutrition, Michigan State University, East Lansing, Michigan, USA
| | - Pao Ying Hsiao
- Department of Food and Nutrition, Indiana University of Pennsylvania, Indiana, Pennsylvania, USA
| | - Mary-Jon Ludy
- Department of Public and Allied Health, Bowling Green State University, Bowling Green, Ohio, USA
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Darabi Z, Vasmehjani AA, Salehi-Abargouei A, Mirzaei M, Hosseinzadeh M. Dietary phytochemical index and psychological disorders in a large sample of Iranian adults: a population-based study. JOURNAL OF HEALTH, POPULATION, AND NUTRITION 2023; 42:126. [PMID: 37950329 PMCID: PMC10638696 DOI: 10.1186/s41043-023-00456-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 09/26/2023] [Indexed: 11/12/2023]
Abstract
BACKGROUND Intake of plant foods and phytochemicals can decrease the odds of mental health. AIM The aim of study is to investigate the association between Dietary Phytochemical Index (DPI) with symptoms of depression, anxiety and stress in a large sample of Iranian adults. METHODS In this cross-sectional study, a total of 7385 adults aged 20-50 years old were provided from the recruitment phase of Yazd Health Study, a population-based cohort research on Iranian adults. Food intakes were assessed via a validated and reliable food frequency questionnaire. Symptoms of depression, anxiety and stress were assessed using a validated Depression, Anxiety and Stress Scales questionnaire with 21-items. DPI was calculated by the percent of daily energy intake taken from phytochemical-rich foods. RESULTS After adjustment for potential confounders, normal weight subjects in the highest tertile of DPI had lower odds of depression (OR 0.65; 95% CI 0.44-0.97) and anxiety symptoms (OR 0.65; 95% CI 0.45-0.93) compared with those in the lowest tertile. However, the apparent association was not found between depression, anxiety and stress in overweight and obese subjects. CONCLUSION We found a significant association between DPI and mental health in normal weight adults. Prospective studies are required to approve these conclusions.
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Affiliation(s)
- Zahra Darabi
- Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadughi University of Medical Sciences, Yazd, Islamic Republic of Iran
| | - Aazam Ahmadi Vasmehjani
- Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadughi University of Medical Sciences, Yazd, Islamic Republic of Iran
| | - Amin Salehi-Abargouei
- Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadughi University of Medical Sciences, Yazd, Islamic Republic of Iran
| | - Masoud Mirzaei
- Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Islamic Republic of Iran
| | - Mahdieh Hosseinzadeh
- Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadughi University of Medical Sciences, Yazd, Islamic Republic of Iran.
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Wang J, Xie Y, Xu H, Wan Y, Tao F. Moderating effects of smoking and drinking on the relationship between biological rhythm and psychological health and gender differences among adolescents. BMC Psychiatry 2023; 23:731. [PMID: 37817125 PMCID: PMC10566120 DOI: 10.1186/s12888-023-05253-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 10/04/2023] [Indexed: 10/12/2023] Open
Abstract
OBJECTIVES To determine whether smoking and drinking moderate the correlation between biological rhythm and mental health and the role of gender differences in these moderating effects. METHODS Adolescents from three cities, all twelve middle schools (N = 7,986), named Shenzhen, Nanchang and Shenyang in China, were asked to complete a standardized questionnaire including the details of biological rhythm, psychological health, and the status of smoking and drinking. The PROCESS program was used to analyze whether smoking and drinking moderated the relationship between biological rhythm and psychological health. RESULTS The analyses revealed poorer psychological health and greater likelihood of smoking and drinking in participants with higher scores for biological rhythm disorder (P < 0.001). Specifically, smoking and drinking accelerated the relationship between biological rhythm and psychological health in the total sample (B = 0.05, P < 0.05; B = 0.06, P < 0.001) and only the subgroup of girls (B = 0.09, P < 0.05; B = 0.12, P < 0.001), respectively. CONCLUSIONS As the findings suggest, attention should be given to smoking, drinking and gender-specific approaches employed to alleviate the psychological disorders of adolescents with biological rhythm disorders.
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Affiliation(s)
- Jiaojiao Wang
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
| | - Yang Xie
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
- Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, Anhui, China
- Moe Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Hefei, Anhui, China
- NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei, Anhui, China
| | - Huiqiong Xu
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
- Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, Anhui, China
- Moe Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Hefei, Anhui, China
- NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei, Anhui, China
| | - Yuhui Wan
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China
- Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, Anhui, China
- Moe Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Hefei, Anhui, China
- NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei, Anhui, China
| | - Fangbiao Tao
- Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
- Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, Anhui, China.
- Moe Key Laboratory of Population Health Across Life Cycle, Anhui Medical University, Hefei, Anhui, China.
- NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Hefei, Anhui, China.
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Keller M, Von Kahle B, Gordon B, van Woerden I. Prevalence and Demographic Profiles of Food Insecure College Students at Main and Satellite Campuses in Northwestern USA. Nutr Health 2023; 29:541-548. [PMID: 35345927 DOI: 10.1177/02601060221082388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: Recent studies demonstrated that food insecurity rates among college students surpass that of the general population. Both academic and health implications have been associated with food insecurity. Aim: This study compared the prevalence of food insecurity among students at three satellite campuses with those at the main campus of a 4-year, public university. Methods: In this cross-sectional design study, data were collected for four weeks using an anonymous, online questionnaire (10 demographic questions plus the USDA's Adult Food Security Survey 10-item module). A sample of 983 students was recruited from the 9064 undergraduate and graduate students attending a state university. Chi-square tests were used to assess demographic differences between food insecure students on the main and satellite campuses. Logistic regression was performed to evaluate the odds of food insecurity by campus (satellite vs. main), after controlling for demographics. Statistical significance was assessed at P < 0.05. Results: Bivariate results indicated the rate of food insecurity was significantly higher on the main campus (45%) than on the satellite campuses (34%, P = 0.007). However, after controlling for demographics there was no difference in the odds of food insecurity by campus (P = 0.239). Conclusion: The study findings are novel as no other studies compared the prevalence of food insecurity among students attending satellite campuses compared with those at the main campus. After controlling for demographics, type of campus (satellite vs. main) was not a significant factor in the odds of food insecurity.
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Affiliation(s)
| | | | - Barbara Gordon
- Nutrition and Dietetics, Idaho State University, Meridian, ID, USA
| | - Irene van Woerden
- Community and Public Health, Idaho State University, Pocatello, ID, USA
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24
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Loofbourrow BM, Scherr RE. Food Insecurity in Higher Education: A Contemporary Review of Impacts and Explorations of Solutions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20105884. [PMID: 37239614 DOI: 10.3390/ijerph20105884] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 05/10/2023] [Accepted: 05/15/2023] [Indexed: 05/28/2023]
Abstract
Food insecurity is a global phenomenon which impacts a variety of social, economic, and life-stage groups. One such group affected by food insecurity is college students, who tend to experience food insecurity at a prevalence which exceeds the average of their local communities. The impacts of food insecurity in this population are multifaceted and have implications for their college experience and beyond. Food insecurity has been observed to have negative effects on college student academic performance, physical health, and mental health. This review explores the impacts of and solutions for food insecurity in this population globally, with particular emphasis on the United States, and specifically California.
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Affiliation(s)
| | - Rachel E Scherr
- Family, Interiors, Nutrition and Apparel, San Francisco State University, San Francisco, CA 94132, USA
- Scherr Nutrition Science Consulting, San Francisco, CA 94115, USA
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Saha S, Okafor H, Biediger-Friedman L, Behnke A. Association between diet and symptoms of anxiety and depression in college students: A systematic review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1270-1280. [PMID: 34087087 DOI: 10.1080/07448481.2021.1926267] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 03/17/2021] [Accepted: 05/02/2021] [Indexed: 05/31/2023]
Abstract
Objective: To gather research evidence on the association between diet and depression and anxiety among college students. Methods: Systematic searches were performed in CINAHL, PsycINFO, PubMed, and ScienceDirect databases to identify potentially relevant articles published between January 2000 and September 2020. Data were extracted from 21 selected studies. Results: Most of the cross-sectional studies found a positive association between diet and depression and anxiety; however, a few studies found inconsistent results. Moreover, several interventional studies demonstrated that a healthy diet (including consumption of fruit and vegetables) improved depression in the intervention group. Conclusions: The methodological limitations of cross-sectional studies to explain causality and the limited number of prospective interventional studies point to a pressing need to conduct more prospective, longitudinal, and randomized controlled trials to generalize the causal associations between diet and depression and anxiety. Further research is needed to investigate the biological mechanisms of nutrients' actions on anxiety and depression.
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Affiliation(s)
- Sanjoy Saha
- School of Family and Consumer Sciences, Texas State University, San Marcos, Texas, USA
| | - Hilary Okafor
- School of Family and Consumer Sciences, Texas State University, San Marcos, Texas, USA
| | | | - Andrew Behnke
- School of Family and Consumer Sciences, Texas State University, San Marcos, Texas, USA
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26
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Miller B, Branscum P. Evaluating the Association Between Artificial Sweetener Intake and Indicators of Stress and Anxiety. COMMUNITY HEALTH EQUITY RESEARCH & POLICY 2023; 43:339-342. [PMID: 34080916 DOI: 10.1177/0272684x211022150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of this study was to evaluate the association between non-nutritive sweetener (NNS) consumption and stress and anxiety, among a sample of college students. Two-hundred and twenty-seven students from a large mid-western university participated in this cross-sectional study. Students completed an online survey that evaluated NNS using a validated food frequency questionnaire. Stress and anxiety were evaluated using previously validated instruments. Most students reported very low/low/average concern for stress (63.9%), and had low/moderate anxiety (82.3%). Participants experiencing high and very high levels of stress had significantly higher NNS consumption compared to those with a very low and low risk, and concern for stress (p < .046; d = 0.28). There was no difference however for NNS intake and anxiety. Reduction of artificial sweetener intake may be associated with stress levels among college students. However, more research is needed to examine any causal relationship between artificial sweetener intake and stress.
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Affiliation(s)
- Benjamin Miller
- Department of Kinesiology and Health, Miami University, Oxford, Ohio, United States
| | - Paul Branscum
- Department of Kinesiology and Health, Miami University, Oxford, Ohio, United States
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27
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Li L, Xia J, Huang Z, Liu W, Cui Z, Zhang Y, Zhang S, Zou Y, Liu W, Qi Z. Sugar-sweetened beverage consumption retarded weight gain but not induced depression and anxiety-like behaviors in mice. Life Sci 2023; 317:121469. [PMID: 36736765 DOI: 10.1016/j.lfs.2023.121469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 01/22/2023] [Accepted: 01/29/2023] [Indexed: 02/04/2023]
Abstract
AIMS To assess the effects of sugar-sweetened beverage (SSB) consumption and exercise on behaviors. METHODS Twenty-four male mice were divided into four groups: the water + sedentary (WS), the SSB + sedentary (CS), the water + exercise (WE), and the SSB + exercise (CE). After three-month of interventions, forced swim test (FST), open field test (OFT), and morris water maze (MWM) were conducted. Then, mRNA levels of MAO-A, COMT, and 5-HT1A and protein levels of synapsin, STAT3, A2AR, CRTC1, CREB, and BDNF were measured. RESULTS Under a similar baseline body weight condition, SSB consumption reduced the weight gain from the 3rd week (p < 0.05, or p < 0.01). Exercise decreased the escape latency in the CE group when compared to the CS group on day5 (p < 0.01) and increased the time in the target quadrant in the WE group than the WS group on day4 (p < 0.05) and 5 (p < 0.01) during MWM. No significant differences were found during the FST and OFT. COMT mRNA level was increased after SSB consumption (p < 0.05), but no differences were found in the MAO-A and 5-HT1A mRNA levels and the concerned biomarkers, all of which were previously reported to be associated with depression and anxiety-like behaviors. CONCLUSION SSB consumption reduced weight gain but not result in depression and anxiety-like behaviors in mice. Therefore, the behavioral effects of exercise were not significant. This is not consistent with the results of previous epidemiological surveys of humans.
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Affiliation(s)
- Lingxia Li
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Jie Xia
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Zhuochun Huang
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Wenbin Liu
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Zhiming Cui
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Ye Zhang
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Sen Zhang
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Yong Zou
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China
| | - Weina Liu
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China.
| | - Zhengtang Qi
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China; College of Physical Education and Health, East China Normal University, Shanghai 200241, China.
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28
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Wattick RA, Olfert MD, Claydon E, Hagedorn-Hatfield RL, Barr ML, Brode C. Early life influences on the development of food addiction in college attending young adults. Eat Weight Disord 2023; 28:14. [PMID: 36807705 PMCID: PMC9940052 DOI: 10.1007/s40519-023-01546-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 01/25/2023] [Indexed: 02/23/2023] Open
Abstract
PURPOSE There is little investigation into the causes of food addiction. The aim of this study was to determine the impact of early life influences on the development of food addiction in college-attending young adults aged 18-29. METHODS This study utilized a sequential explanatory mixed-methods research design. College-attending young adults were invited to complete an online survey measuring Adverse Childhood Experiences (ACEs), food addiction, depression, anxiety, stress, and demographic information. Correlations between food addiction and the other variables were analyzed and significant variables were placed into a nominal logistic regression model to predict the development of food addiction. Participants who met the criteria for food addiction were invited to participate in interviews to examine their childhood eating environment and when their symptoms emerged. Interviews were transcribed and thematically analyzed. Quantitative analysis was conducted using JMP Pro Version 16.0 and qualitative analysis was conducted using NVIVO Software Version 12.0. RESULTS Survey respondents (n = 1645) had an overall 21.9% prevalence of food addiction. Significant correlations were observed between food addiction and ACEs, depression, anxiety, stress, and sex (p < .01 for all). Depression was the only significant predictor of the development of food addiction (OR = 3.33 95% CI 2.19, 5.05). The most common eating environment described by interview participants (n = 36) was an emphasis on diet culture, ideal body image, and restrictive environments. Symptoms frequently emerged after transitioning into college and having the ability to make their own food choices. CONCLUSION These results show the impact of early life eating environments and young adulthood mental health on the development of food addiction. These findings contribute to the understanding of underlying causes of food addiction. LEVEL OF EVIDENCE Level V, Opinions of authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.
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Affiliation(s)
- Rachel A. Wattick
- Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, G25 4100 Agricultural Sciences Building, 1194 Evansdale Dr., P.O. Box 6108, Morgantown, WV 26505-6108 USA
| | - Melissa D. Olfert
- Division of Animal and Nutritional Sciences, Davis College of Agriculture, Natural Resources, and Design, West Virginia University, G25 4100 Agricultural Sciences Building, 1194 Evansdale Dr., P.O. Box 6108, Morgantown, WV 26505-6108 USA
| | - Elizabeth Claydon
- Department of Social and Behavioral Sciences, School of Public Health, West Virginia University, 64 Medical Center Dr., Morgantown, WV 26505-9190 USA
| | - Rebecca L. Hagedorn-Hatfield
- Department of Nutrition, Health and Human Performance, School of Education Health and Human Sciences, Meredith College, 3800 Hillsborough Street, Raleigh, NC 27607-5298 USA
| | - Makenzie L. Barr
- Department of Dietetics and Human Nutrition, University of Kentucky, 212 Funkhouser Building, Lexington, KY 40514 USA
| | - Cassie Brode
- Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, WV USA
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Juliana N, Teng NIMF, Hairudin KF, Wan Abdul Fatah WA, Das S. Chrononutrition behavior during the COVID-19 pandemic and its relationship with body weight among college students. Front Nutr 2023; 10:1079069. [PMID: 36819675 PMCID: PMC9936822 DOI: 10.3389/fnut.2023.1079069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 01/13/2023] [Indexed: 02/05/2023] Open
Abstract
Introduction Students in colleges are exposed to unhealthy lifestyles and poor dietary choices. They are at risk of being overweight, skipping meals, and developing eating disorders. However, there is a paucity of information on their chrononutrition behavior, which is very important, especially concerning the timing of food consumption across the day. Therefore, the present study aimed to investigate chrononutrition behavior and its potential association with body weight status among college students in Malaysia. Methods This cross-sectional study was conducted on 409 college students aged above 18 in Malaysia. The chrononutrition behavior was assessed using the validated Chrononutrition Profile Questionnaire (CP-Q). The questionnaire was distributed using an online platform. Participants self-reported their body weight and height, and the Body Mass Index (BMI) was computed. Data were analyzed using the SPSS software. Results A total of 409 participants were recruited, with a mean age of 21.5 ± 2.2 years. The prevalence of underweight, normal, and overweight was 24.7, 49.4, and 25.9%, respectively. The chrononutrition behavior revealed that participants ate breakfast about four times/week (mean 4.27 ± 2.43 days), and only 135 (33.0%) consumed breakfast daily. The largest meal consumed was during lunch (75.8%), and the mean of snacking after the last meal was 3.23 ± 2.01 days. The prevalence of night eating was low, and most participants (70.9) did not wake up at night to eat. The frequency, however, was significantly higher in the underweight group compared to the normal weight group (p < 0.05). We observed a significant association between BMI and eating window, evening latency, evening eating, and night eating. It was found that the underweight had a poor eating window (p < 0.01), poor evening latency (p < 0.01), poor evening eating (p < 0.01), and poor night eating (p < 0.05) compared to those with normal and overweight BMI groups. In contrast to predictions, poor chrononutrition behavior was more likely to predict being underweight compared to normal (p < 0.05). Conclusion Underweight young adults are more likely to have poor chrononutrition behavior. The results of the present study suggest that future nutrition education should also focus on the chrononutrition behavior of college students.
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Affiliation(s)
- Norsham Juliana
- Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Malaysia
| | - Nur Islami Mohd Fahmi Teng
- Faculty of Health Sciences, Universiti Teknologi MARA, Shah Alam, Malaysia,*Correspondence: Nur Islami Mohd Fahmi Teng,
| | | | | | - Srijit Das
- Department of Human and Clinical Anatomy, Faculty of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
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Solomou S, Logue J, Reilly S, Perez-Algorta G. A systematic review of the association of diet quality with the mental health of university students: implications in health education practice. HEALTH EDUCATION RESEARCH 2023; 38:28-68. [PMID: 36441584 PMCID: PMC9853940 DOI: 10.1093/her/cyac035] [Citation(s) in RCA: 30] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 10/13/2022] [Accepted: 10/31/2022] [Indexed: 06/16/2023]
Abstract
University students are at risk of experiencing mental health problems during the transition from home to university. This transition can also adversely affect their diet quality. This review aims to examine bidirectional associations from observational studies regarding the influence of diet quality on the mental health of university students, and vice versa. The databases PubMed, CINAHL, EMBASE, PsycINFO, The Cochrane Library and Web of Science were searched using relevant search terms. The searches were last updated on 15 July 2022. Majority of studies (36 out of 45) found that good diet quality of students was associated with better mental health in terms of depression, anxiety, stress and overall general mental well-being. Moreover, majority of studies (19 out of 23) found that stress and anxiety of students were associated with poorer diet quality. The effect sizes observed were generally small-moderate. Healthy diets of students have been associated with better mental health in terms of depression, anxiety, stress or other mental health issues. Stress experienced by university students has been associated with unhealthy diets. There are implications for health education research, as interventions to improve diet quality at the university level could reduce mental health issues; additionally, interventions to support students under stress may lead to healthier dietary habits when living on campuses. Randomized controlled trials and intervention studies are needed to further investigate these implications.
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Affiliation(s)
| | - Jennifer Logue
- Faculty of Health and Medicine, Lancaster University, Bailrigg, Lancaster LA1 4YW, UK
| | - Siobhan Reilly
- Faculty of Health and Medicine, Lancaster University, Bailrigg, Lancaster LA1 4YW, UK
- Faculty of Health Studies, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, UK
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Church JS, Bannish JAM, Adrian LA, Rojas Martinez K, Henshaw A, Schwartzer JJ. Serum short chain fatty acids mediate hippocampal BDNF and correlate with decreasing neuroinflammation following high pectin fiber diet in mice. Front Neurosci 2023; 17:1134080. [PMID: 37123365 PMCID: PMC10130583 DOI: 10.3389/fnins.2023.1134080] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 03/13/2023] [Indexed: 05/02/2023] Open
Abstract
Introduction Dietary components, such as prebiotic fiber, are known to impact brain chemistry via the gut-brain axis. In particular, short chain fatty acids (SCFAs) generated from excessive soluble fiber consumption are thought to impact neuroimmune signaling and brain function through increased production of neurotropic factors. Given reports that high dietary fiber intake is associated with increased mental health and improved quality of life scores, we set out to identify whether changes in SCFA levels as a result of a high soluble fiber diet mediate hippocampal neuroinflammation and brain derived neurotrophic factor (BDNF) in mice. Methods Adult male and female C57BL/6 mice were fed a 1-month high pectin fiber or cellulose-based control diet. Following 1 month of excessive pectin consumption, serum SCFAs were measured using gas chromatography-mass spectrometry (GC-MS) and hippocampal cytokines and BDNF were assessed via multiplex magnetic bead immunoassay. Results Pectin-based fiber diet increased circulating acetic acid in both sexes, with no effect on propionic or butyric acid. In the hippocampus, a high fiber diet decreased TNFa, IL-1ß, IL-6, and IFNγ and increased BDNF levels. Furthermore, increased SCFA levels were inversely correlated with neuroinflammation in the hippocampus, with acetic acid revealed as a strong mediator of increased BDNF production. Conclusion Collectively, these findings highlight the beneficial effects of fiber-induced molecular changes in a brain region known to influence mood- and cognition-related behaviors. Dietary composition should be considered when developing mental health management plans for men and women with an emphasis on increasing soluble fiber intake.
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Associations of overall and specific carbohydrate intake with anxiety status evolution in the prospective NutriNet-Santé population-based cohort. Sci Rep 2022; 12:21647. [PMID: 36517506 PMCID: PMC9750050 DOI: 10.1038/s41598-022-25337-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 11/29/2022] [Indexed: 12/15/2022] Open
Abstract
We investigated the association between carbohydrate intake and anxiety evolution within the general-population NutriNet-Santé cohort (N = 15,602; 73.8% female; mean age = 53.8y; mean follow-up = 5.4y). Carbohydrate intake was estimated at baseline from ≥ 2 24-h dietary records. Trait anxiety (STAI-T) was measured once at baseline (2013-2016) and once at follow-up (2020), resulting in 4 groups: "None" = absence of high anxiety (STAI-T > 40 points) at any time point; "Transient" = high anxiety only at baseline; "Onset at follow-up" = high anxiety only at follow-up; "Persistent" = high anxiety at baseline and follow-up. Polytomous logistic regression models revealed that sweetened beverage intake was associated with higher odds of "Transient" anxiety (ORQ4vsQ1 = 1.11; 95% CI 1.02-1.21). Intake of complex carbohydrates (ORQ4vsQ1 = 1.12; 1.01-1.25) was associated with higher odds of anxiety "Onset at follow-up." The % energy from carbohydrates (ORQ4vsQ1 = 1.11; 1.03-1.19), intakes of total carbohydrates (ORQ4vsQ1 = 1.10; 1.03-1.18) and complex carbohydrates (ORQ4vsQ1 = 1.09; 1.02-1.17) were associated with higher odds of "Persistent" anxiety, whereas 100% fruit juice intake showed lower odds of "Persistent" anxiety (ORQ4vsQ1 = 0.87; 0.81-0.94). This prospective study found significant associations between dietary carbohydrate intake and anxiety status evolution among French adults. The findings could help inform dietary interventions aimed at anxiety prevention and management.
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Barr ML, McNamara J. Community-Based Participatory Research: Partnering with College Students to Develop a Tailored, Wellness-Focused Intervention for University Campuses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16331. [PMID: 36498404 PMCID: PMC9735608 DOI: 10.3390/ijerph192316331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 11/28/2022] [Accepted: 12/01/2022] [Indexed: 06/17/2023]
Abstract
College students face unique challenges with leading healthful lifestyles. Using a community-based participatory research approach, college student research partners at two land-grant universities collected data and developed a tailored intervention to improve the well-being of college students. To inform the design of the program, college students were trained to conduct a needs assessment that included a campus-wide survey on the health behaviors of college students, environmental audits of health policies and food pantries on campus, and stakeholder interviews with campus health professionals. Outcomes of the needs assessment data highlighted university students ranked their health as "good" but nutrition health as "fair/poor." Low or very low food security was self-reported by 36.9% of participants and had an overall diet quality score of 47.6 ± 10.1 out of 100. Health professional interview data indicated campuses provide healthful resources to students, but students are not aware those resources exist. Utilizing the needs assessment data previously mentioned, the nominal group technique was then used for student research partners to collaboratively determine the best intervention approaches and develop a wellness program. Student partners identified (1) education, (2) sharing of campus resources, and (3) incentives as important areas of intervention. Using the data collected, the student research partners developed a program titled, The College Cooking Connection, to address health-related quality of life in college students. Using a community-based participatory research approach to program planning, educators and researchers have a greater likelihood of addressing the current needs of the population they are targeting and developing a successful intervention to meet those health concerns. This study aims to partner with young adult university students to understand the college environment and allow the target community to be involved with the development of intervention programs for their campus.
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Affiliation(s)
- Makenzie L. Barr
- Department of Dietetics and Human Nutrition, College of Agriculture, Food and Environment, University of Kentucky, Lexington, KY 40506, USA
| | - Jade McNamara
- Department of Food Science and Nutrition, University of Maine, Orono, ME 04473, USA
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Dong C, Chen H, Yang Y, Li Y, Sun Y, Sun H. Patterns of Risky Health Behaviors and Associations With Chronic Diseases Among Young Adult Nursing Students: A Latent Class Analysis. J Nurs Res 2022; 30:e243. [PMID: 36201603 DOI: 10.1097/jnr.0000000000000521] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Little is known about how health behaviors cluster to form meaningful patterns that influence health outcomes in young adult nursing students. PURPOSE The purpose of this study was to identify the unique health behavior patterns among young adult nursing students in China and examine the associations between health behaviors and chronic diseases. METHODS Using an electronic app, the achievements of an exercise target, sedentary behavior, smoking and drinking, and dietary patterns were assessed in 1,480 nursing student participants aged 18-24 years from two medical universities in Eastern China. RESULTS A four-class model was developed using latent class analysis that included the "failure to achieve exercise target, alcohol-drinking, and insufficient fruit and vegetable group" (Group 1, n = 187, 12.6%), the "alcohol-drinking and sedentary behavior group" (Group 2, n = 290, 19.6%), the "sedentary behavior only group" (Group 3, n = 721, 48.7%), and the "failure to achieve exercise target only group" (Group 4, n = 282, 19.1%). Logistic regressions indicated that nursing students in Group 2 (odds ratio [ OR ] = 0.42), Group 3 ( OR = 0.51), and Group 4 ( OR = 0.30) were less likely to have chronic diseases than those in Group 1 after adjusting for sociodemographic variables. CONCLUSIONS The health behaviors were clustered in different patterns among young adult nursing students. Tailoring interventions to specific groups is suggested to improve health outcomes.
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Affiliation(s)
| | | | - Yeqin Yang
- PhD, RN, Associated Professor, School of Nursing, Wenzhou Medical University, PRC
| | - Yi Li
- PhD, Professor, Health Science Center, Peking University, PRC
| | - Yumei Sun
- MSN, RN, Associated Professor, School of Nursing, Peking University, PRC
| | - Hongyu Sun
- PhD, RN, Professor, School of Nursing, Peking University, PRC
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Kose J, Duquenne P, Srour B, Debras C, Léger D, Péneau S, Galan P, Hercberg S, Touvier M, Andreeva VA. Synthèse narrative sur le lien entre les apports en glucides et la santé mentale : focus sur l’anxiété et l’insomnie chez les adultes. CAHIERS DE NUTRITION ET DE DIÉTÉTIQUE 2022. [DOI: 10.1016/j.cnd.2022.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Kundu S, Rejwana N, Al Banna MH, Kawuki J, Ghosh S, Alshahrani NZ, Dukhi N, Kundu S, Dey R, Hagan JE, Nsiah-Asamoah CNA, Malini SS. Linking Depressive and Anxiety Symptoms with Diet Quality of University Students: A Cross-Sectional Study during the COVID-19 Pandemic in India. Healthcare (Basel) 2022; 10:1848. [PMID: 36292298 PMCID: PMC9602108 DOI: 10.3390/healthcare10101848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 09/11/2022] [Accepted: 09/20/2022] [Indexed: 12/03/2022] Open
Abstract
This study examines the association of depressive and anxiety symptoms with diet quality among university students while controlling for different demographic and other health and lifestyle factors. This cross-sectional study was carried out between April 2021 and June 2021 among a total of 440 (unweighted) university students. Diet quality was assessed using a 10-item mini-dietary assessment index tool. The depressive and anxiety symptoms of participants were measured using the validated Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) scale, respectively. Multivariable logistic regression and mediation analyses were performed. In this study, 61.1% (95% CI: 56.6% to 65.7%) of university students' diet quality was good during the COVID-19 pandemic. Being a post-graduate student, an urban resident, having no depressive (AOR = 2.15, 95% CI: 1.20 to 3.84) and anxiety symptoms (AOR = 1.96, 95% CI: 1.07 to 3.59), no changes or improvement in appetite, and no changes in sleep duration were significantly associated with good diet quality among our study participants. Depressive and anxiety symptoms during COVID-19 had a significant effect on the diet quality of university students. Future public health policies need to be focused on improving the mental health and well-being of students particularly during pandemic situations to enhance their diet quality.
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Affiliation(s)
- Satyajit Kundu
- School of Public Health, Southeast University, Nanjing 210009, China
- Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali 8602, Bangladesh
| | - Najneen Rejwana
- Department of Studies in Genetics and Genomics, University of Mysore, Mysuru 570005, India
| | - Md. Hasan Al Banna
- Department of Food Microbiology, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali 8602, Bangladesh
| | - Joseph Kawuki
- Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Susmita Ghosh
- Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Noakhali 3814, Bangladesh
- Department of Nutrition Science, Purdue University, West Lafayett, IN 47907, USA
| | - Najim Z. Alshahrani
- Department of Family and Community Medicine, Faculty of Medicine, University of Jeddah, Jeddah 21589, Saudi Arabia
| | - Natisha Dukhi
- Human Sciences Research Council, 116-118 Buitengracht Street, Cape Town 8001, South Africa
| | - Subarna Kundu
- Statistics Discipline, Khulna University, Khulna 9208, Bangladesh
| | - Rakhi Dey
- Department of Statistics, Government Brajalal College, National University of Bangladesh, Gazipur 1704, Bangladesh
| | - John Elvis Hagan
- Department of Health, Physical Education & Recreation, College of Education Studies, University of Cape Coast, PMB TF0494, Cape Coast P.O. Box 5007, Ghana
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 10 01 31, 33501 Bielefeld, Germany
| | | | - Suttur S. Malini
- Department of Studies in Genetics and Genomics, University of Mysore, Mysuru 570005, India
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Copeland WE, Bai Y, Adams Z, Lerner M, King JA, Rettew J, Hudziak J. Daily wellness behaviors in college students across a school year. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:1731-1737. [PMID: 33151841 DOI: 10.1080/07448481.2020.1819291] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 08/21/2020] [Accepted: 08/28/2020] [Indexed: 06/11/2023]
Abstract
Objective: To establish the prevalence of mood and wellness behaviors in college students across a school year. Methods: 1,554 college students (69.4% female; average age 18.8 years) were followed with daily surveys on wellness behaviors for the school year. 1,207 participants completed at least 50% of daily surveys on mood, exercise, sleep, nutrition, mindfulness practice and singing/playing musical instrument. Results: Over 88.7% of college students reported at least one wellness behavior each day with 17.7% reporting 4 or more. Each of the wellness behaviors, however, displayed distinct prevalence patterns, varied significantly across the school year, and often across a given school week. Almost every individual wellness behavior was associated with a positive mood, and the cumulative number of daily wellness behaviors was a strongly associated with mood state. Conclusions: Daily wellness behaviors are collectively common, vary significantly within individuals, and are strongly associated with positive mood, both individual and cumulatively.
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Affiliation(s)
- William E Copeland
- Vermont Center for Children, Youth, and Families, Division of Child Psychiatry Department, University of Vermont, Burlington, Vermont, USA
| | - Yang Bai
- Department of Rehabilitation and Movement Science, University of Utah,Salt Lake City, Utah, USA
| | - Zoe Adams
- Gideon Health, Burlington, Vermont, USA
| | - Matthew Lerner
- Vermont Center for Children, Youth, and Families, Division of Child Psychiatry Department, University of Vermont, Burlington, Vermont, USA
| | - Jessica A King
- Vermont Department of Corrections, Waterbury, Vermont, USA
| | - Jeff Rettew
- Vermont Center for Children, Youth, and Families, Division of Child Psychiatry Department, University of Vermont, Burlington, Vermont, USA
| | - Jim Hudziak
- Vermont Center for Children, Youth, and Families, Division of Child Psychiatry Department, University of Vermont, Burlington, Vermont, USA
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Brandhorst S, Hodbod J, Kaplowitz MD. A Broadened Understanding of University Student Food Security: Undergraduate and Graduate Student Food Utilization and Access at a Big Ten University. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2022. [DOI: 10.1080/19320248.2022.2101411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- Sidney Brandhorst
- Department of Community Sustainability, Michigan State University, East Lansing, Michigan, USA
| | - Jennifer Hodbod
- Department of Community Sustainability, Michigan State University, East Lansing, Michigan, USA
| | - Michael D. Kaplowitz
- Department of Community Sustainability, Michigan State University, East Lansing, Michigan, USA
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Reeder N, Tolar-Peterson T, Bailey RH, Cheng WH, Evans MW. Food Insecurity and Depression among US Adults: NHANES 2005-2016. Nutrients 2022; 14:nu14153081. [PMID: 35956257 PMCID: PMC9370686 DOI: 10.3390/nu14153081] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 07/25/2022] [Indexed: 02/04/2023] Open
Abstract
A growing body of evidence suggests that food insecurity is associated with adverse mental health outcomes such as depression and anxiety. In this study, the relationship between food insecurity and depression was examined using data from the 2005−2016 National Health and Nutrition Examination Survey (NHANES). Food insecurity was assessed with the 18-item United States Food Security Survey Module with zero affirmative responses indicating high food security, 1 or 2 affirmative responses indicating marginal food security, and ≥3 affirmative responses indicating food insecurity. Depression was assessed with the Patient Health Questionnaire-9 with scores ≥10 indicating depression. Data were analyzed from 28,448 adult participants aged 20 or older. Food insecurity was present in 19.2% of the sample population (n = 5452). Food security status was significantly associated with gender, race, education level, marital status, smoking status, and BMI (Rao-Scott chi-square, p < 0.05). Fully food secure and very low food security adults experienced depression at a rate of 5.1% and 25.8%, respectively (Rao-Scott chi-square, p < 0.0001). Participants with very low food security had a significantly greater odds of depression than food secure adults, OR = 3.50 (95% CI: 2.98, 4.12). These findings suggest that food insecurity is a significant risk factors for depression in US adults over 20 years of age. To address this issue in our citizenry, police initiatives and public health interventions addressing both food access and mental health should be prioritized.
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Affiliation(s)
- Nicole Reeder
- Department of Food Science, Nutrition, and Health Promotion, Mississippi State University, Starkville, MS 39762, USA; (N.R.); (W.-H.C.)
| | - Terezie Tolar-Peterson
- Department of Food Science, Nutrition, and Health Promotion, Mississippi State University, Starkville, MS 39762, USA; (N.R.); (W.-H.C.)
- Correspondence: ; Tel.: +1-662-325-5902
| | - R. Hartford Bailey
- Pathobiology and Population Medicine, College of Veterinary Medicine, Mississippi State University, Starkville, MS 39762, USA;
| | - Wen-Hsing Cheng
- Department of Food Science, Nutrition, and Health Promotion, Mississippi State University, Starkville, MS 39762, USA; (N.R.); (W.-H.C.)
| | - Marion W. Evans
- School of Health Professions, The University of Southern Mississippi, Hattiesburg, MS 39406, USA;
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Kent K, Murray S, Visentin D, Mawer T, McGowan CJ, Williams AD, Hardcastle S, Bridgman H. High occurrence of food insecurity in young people attending a youth mental health service in regional Australia. Nutr Diet 2022; 79:364-373. [PMID: 35796179 PMCID: PMC9541261 DOI: 10.1111/1747-0080.12755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 05/06/2022] [Accepted: 05/28/2022] [Indexed: 11/29/2022]
Abstract
Aim Despite the relationship between food insecurity and poor mental health, food insecurity in young people attending mental health services in Australia remains understudied. This study aimed to determine the occurrence and predictors of food insecurity, and the relationship with dietary factors in young people attending a mental health service. Methods A cross‐sectional online survey was conducted in a sample of young people (15–25 years) who attended a mental health service in Launceston, Australia. The survey utilised a single‐item food insecurity screening tool and eight demographic, health and service use questions. Five questions determined self‐reported intake of fruit, vegetables, breakfast, water, sugar‐sweetened beverages and takeaway foods. Binary logistic regression determined predictors of food insecurity. Cross‐tabulations determined differences in dietary intake according to food security. Results Of survey respondents (n = 48; 68% female), 40% (n = 19) were food insecure. Respondents living out of home or in unstable accommodation were at significantly higher risk of food insecurity (odds ratio [OR]: 4.43; SE: 0.696; 95% CI: 1.13–17.34; p = 0.032) compared to those living with their parents. Those receiving government financial assistance (OR: 5.00; SE: 0.676; 95% CI: 1.33–18.81; p = 0.017) were also at significantly higher risk of food insecurity. Regardless of food security status, self‐reported intake of fruits, vegetables and breakfast were low, and respondents regularly consumed takeaway foods and sugar‐sweetened beverages. Conclusions There was a high occurrence of food insecurity and poor dietary intake in young people attending a youth mental health service demonstrating that initiatives to support access to healthy food in this group should be a priority, with potential benefits for mental health outcomes.
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Affiliation(s)
- Katherine Kent
- School of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia.,College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
| | - Sandra Murray
- College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
| | - Denis Visentin
- College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
| | - Tamieka Mawer
- College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
| | - Courtney J McGowan
- College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
| | - Andrew D Williams
- College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
| | - Sibella Hardcastle
- College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
| | - Heather Bridgman
- College of Health and Medicine, University of Tasmania, Launceston, Tasmania, Australia
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Wen LY, Shi LX, Zhu LJ, Zhou MJ, Hua L, Jin YL, Chang WW. Associations between Chinese college students’ anxiety and depression: A chain mediation analysis. PLoS One 2022; 17:e0268773. [PMID: 35653383 PMCID: PMC9162318 DOI: 10.1371/journal.pone.0268773] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 05/07/2022] [Indexed: 11/19/2022] Open
Abstract
Objective Anxiety and depression are great public health concerns among college students. The purpose of this study was to explore whether sleep quality and quality of life (QoL) play mediating roles in anxiety and depression among Chinese college students. Method A total of 2757 college students (mean age = 19.07; SD = 1.14) completed the questionnaires, including a brief demographic survey. The 2-item General Anxiety Disorder (GAD-2) and the 2-item Patient Health Questionnaire (PHQ-2) were used to assess the symptoms of anxiety and depression, respectively. And the Pittsburgh Sleep Quality Index (PSQI) and the Short-Form 36 Health Survey (SF-36) were used to evaluate college students’ sleep quality and QoL, respectively. Mediation analyses were conducted by using PROCESS macro in the SPSS software. Result Anxiety had both direct and indirect effects on depression. Sleep quality and QoL were not only independent mediators in the relationship between anxiety and depression but also chain mediators. Conclusion The results of the current study highlight the crucial role of early intervention for depression with a focus on college students with anxiety, more especially, on those with poorer sleep quality and lower QoL.
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Affiliation(s)
- Li-ying Wen
- Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical College, Wuhu, China
| | - Liu-xia Shi
- Department of Oral Medicine, School of Stomatology, Wannan Medical College, Wuhu, China
| | - Li-jun Zhu
- Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical College, Wuhu, China
| | - Meng-jie Zhou
- Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical College, Wuhu, China
| | - Long Hua
- Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical College, Wuhu, China
| | - Yue-long Jin
- Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical College, Wuhu, China
- * E-mail: (YLJ); (WWC)
| | - Wei-wei Chang
- Department of Epidemiology and Health Statistics, School of Public Health, Wannan Medical College, Wuhu, China
- * E-mail: (YLJ); (WWC)
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Abbey EL, Brown M, Karpinski C. Prevalence of Food Insecurity in the General College Population and Student-Athletes: a Review of the Literature. Curr Nutr Rep 2022; 11:185-205. [PMID: 35218475 PMCID: PMC8881554 DOI: 10.1007/s13668-022-00394-4] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/15/2022] [Indexed: 10/26/2022]
Abstract
PURPOSE OF REVIEW The purpose of this review is to examine the prevalence of food insecurity (FI) among the general college student population with a focus on student-athletes and the impact of the COVID-19 pandemic on FI in these groups. RECENT FINDINGS FI is estimated to be more prevalent in college students than in the general population, although ranges vary widely. Less is known about FI among college student-athletes. Data on changes in FI prevalence pre-pandemic and during is mixed. Colleges and universities should invest in interventions to address FI on their campuses, and further research on FI among student-athletes and the impact of the COVID-19 pandemic on FI is needed.
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Affiliation(s)
- Elizabeth L. Abbey
- Department of Health Sciences, Whitworth University, 300 W. Hawthorne Rd., Spokane, WA 99251 USA
| | - Melissa Brown
- Department of Nutrition and Public Health, University of Saint Joseph, 1678 Asylum Ave., West Hartford, CT 06117 USA
| | - Christine Karpinski
- Department of Nutrition, West Chester University, 855 S. New St., West Chester, PA 19383 USA
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Psychosocial Factors as Mediator to Food Security Status and Academic Performance among University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095535. [PMID: 35564930 PMCID: PMC9100470 DOI: 10.3390/ijerph19095535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 04/23/2022] [Accepted: 04/27/2022] [Indexed: 11/17/2022]
Abstract
The interrelation between food security, academic performance, and psychosocial factors remains unclear. This study aims to identify psychosocial factors as mediators of food security status and academic performance among university students at one of Malaysia’s public universities. Respondents included 663 bachelor’s degree students from seven randomly selected programmes at the university. Data on demographic and socioeconomic characteristics, food security status (US Adult Food Security Survey Module, FSSM), psychosocial factors (DASS-21), and academic performance were collected using an online survey. The SPSS PROCESS macro was used to perform mediation analysis. The result (β = −0.0182, p < 0.001) indicates that food insecurity is associated with poor academic performance. As well as that, an increase in anxiety (β = −0.0027, p < 0.05) and depression (β = −0.0025, p < 0.05) was significant associated with a decrease in academic performance. Furthermore, anxiety and depression serve as significant mediators in the relationship between food security and academic performance. Alleviating food insecurity is not only a way to improve academic performance; it can also improve academic performance by reducing anxiety and depression.
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Olfert MD, Wattick RA, Saurborn EG, Hagedorn RL. Impact of COVID-19 on college student diet quality and physical activity. Nutr Health 2022; 28:721-731. [PMID: 35300536 PMCID: PMC8935134 DOI: 10.1177/02601060221086772] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Background: The COVID-19 pandemic can cause in increase in stress experienced by college students and consequently, potentially adversely affect their health behaviours. Aims: The aim of this study was to investigate how COVID-19 impacted college-attending young adults diet quality and physical activity. Methods: Students attending an Appalachian university in spring 2020 participated in this cross-sectional study. Participants were surveyed on their eating habits, diet quality, and physical activity before and since COVID-19. Frequencies of responses were analyzed and Bowker's test was used to determine differences in responses before and since COVID-19. Alpha was set at 0.05. Results: Almost one third (32.6%) of students reported eating somewhat more since COVID-19 and 67.9% of these students stated it was due to boredom. Students showed a significant increase in frequency of eating and in consumption of almost every food group. The number of students engaging in low physical activity increased from 27.8% to 51.9% and the number of students engaging in high physical activity decreased from 59.5% to 34.0% (p < .0001) and many switched to the use of at-home workouts. Conclusion: Results indicate the effects of campus closure on college student's lifestyles and the risk of developing health problems due to the COVID-19 pandemic, potentially inhibiting their academic progress and well-being.
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Affiliation(s)
- Melissa D Olfert
- Davis College of Agriculture, Natural Resources, and Design, Division of Animal and Nutritional Sciences, 5631West Virginia University, Morgantown, WV, USA
| | - Rachel A Wattick
- Davis College of Agriculture, Natural Resources, and Design, Division of Animal and Nutritional Sciences, 5631West Virginia University, Morgantown, WV, USA
| | - Emily G Saurborn
- Davis College of Agriculture, Natural Resources, and Design, Division of Animal and Nutritional Sciences, 5631West Virginia University, Morgantown, WV, USA
| | - Rebecca L Hagedorn
- Davis College of Agriculture, Natural Resources, and Design, Division of Animal and Nutritional Sciences, 5631West Virginia University, Morgantown, WV, USA
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Zickgraf HF, Hazzard VM, O'Connor SM. Food insecurity is associated with eating disorders independent of depression and anxiety: Findings from the 2020-2021 Healthy Minds Study. Int J Eat Disord 2022; 55:354-361. [PMID: 35006611 DOI: 10.1002/eat.23668] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 12/17/2021] [Accepted: 12/18/2021] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To examine the association between food insecurity and eating disorder (ED) risk independent of co-occurring anxiety/depression. METHOD Data were provided by 121,627 undergraduate/graduate students who participated in the 2020-2021 Healthy Minds Study (HMS). Participants responded to questionnaire measures of food insecurity and risk for EDs, depression, and anxiety. Established cut-offs were used to identify students with food insecurity and probable psychopathology. Separate modified Poisson regressions adjusted for age, gender, race/ethnicity, and socioeconomic background examined the association between food insecurity and each form of psychopathology. The association between food insecurity and probable ED was then examined in a regression further adjusted for probable depression and anxiety. RESULTS Food insecurity was significantly associated with all three forms of psychopathology when examined separately (prevalence ratios ranged from 1.41 to 1.54, all p's < .001). When accounting for probable depression/anxiety, food insecurity was significantly associated with 1.19 times greater prevalence of a probable ED (p < .001). DISCUSSION The association between food insecurity and EDs was replicated in a large, national sample of university students. To our knowledge, this is the first study to examine the independence of this relationship after adjusting for depression/anxiety. This finding supports the hypothesis that specific mechanisms, rather than general psychological distress, likely underlie the food insecurity-ED relationship.
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Affiliation(s)
- Hana F Zickgraf
- Department of Psychology, University of South Alabama, Mobile, Alabama, USA
| | - Vivienne M Hazzard
- Department of Psychiatry & Behavioral Sciences, Medical School, Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Shannon M O'Connor
- Department of Psychology, Montclair State University, Montclair, New Jersey, USA
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Hagedorn-Hatfield RL, Hood LB, Hege A. A Decade of College Student Hunger: What We Know and Where We Need to Go. Front Public Health 2022; 10:837724. [PMID: 35284399 PMCID: PMC8913502 DOI: 10.3389/fpubh.2022.837724] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 01/25/2022] [Indexed: 11/13/2022] Open
Abstract
The first article on college food insecurity, published in 2009, sparked conversation on the dark secret many students face while seeking a college degree; they do not have secure access to food. Over 10 years later, numerous investigators around the globe have reported on the heightened prevalence of college food insecurity, the correlates that increase risk, and the detrimental outcomes associated with not having a secure source of food. In this manuscript, we describe the decade of research devoted to college food insecurity and provide direction for research, programs, and policies moving forward. Replicable and valid data collection methods must be utilized, campus-based program evaluation implemented and disseminated, and evidence-based policies supported to achieve realistic goals of warding off hunger and food insecurity on college campuses as well as improve the lives of individuals after post-secondary education. Collectively, stakeholders on college campuses as well as off-campus advocates can be the catalyst to creating a nutritionally secure environment and it is imperative that food insecurity be prevented on college campuses to ensure college students are able to achieve degree attainment.
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Affiliation(s)
- Rebecca L. Hagedorn-Hatfield
- Department of Nutrition, Health, and Human Performance, Meredith College, Raleigh, NC, United States
- *Correspondence: Rebecca L. Hagedorn-Hatfield
| | - Lanae B. Hood
- Department of Nutrition, Health, and Human Performance, Meredith College, Raleigh, NC, United States
| | - Adam Hege
- Department of Health and Exercise Science, Appalachian State University, Boone, NC, United States
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Relationships between Dairy and Calcium Intake and Mental Health Measures of Higher Education Students in the United States: Outcomes from Moderation Analyses. Nutrients 2022; 14:nu14040775. [PMID: 35215428 PMCID: PMC8877188 DOI: 10.3390/nu14040775] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 02/02/2022] [Accepted: 02/11/2022] [Indexed: 12/11/2022] Open
Abstract
Background: The prevalence of mental health concerns among university students in the United States (U.S.) continues to increase, while current treatments, including medication and counseling, present shortcomings. Higher dairy and calcium intakes are associated with protective effects on mental health; however, previous studies have focused on investigating singular relationships between dairy and calcium intakes and mental health measures. A more complex exploration of these relationships is warranted to better examine whether increasing dairy and calcium intakes could serve as an intervention to improve mental health. The present study sought to further characterize the relationships between dairy and calcium intake, perceived stress, and a variety of mental health measures using linear regression and moderation analyses. Methods: The present cross-sectional study involved students studying at three large U.S. universities, and data collection occurred from April to May 2020 when students were learning remotely due to the COVID-19 pandemic. An online survey comprising validated tools was distributed among students to assess dairy and calcium intake, perceived stress, anxiety, negative and positive moods, rumination, and resilience, sleep quality and duration, dietary risk, and physical activity. Results: A total of 1233 students completed the study. Higher dairy and calcium intake was coincident with lower perceived stress and higher positive mood scores, while higher calcium intake was also coincident with lower anxiety, rumination, and higher resilience scores. Additionally, as calcium intake increased, the relationship between perceived stress and anxiety and the relationship between perceived stress and negative mood weakened. Dairy intake did not have this effect. Conclusions: Based on the results, and considering that calcium is a shortfall nutrient, universities should consider initiating programs and public health campaigns to promote dairy and calcium intake among this population.
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Coakley KE, Cargas S, Walsh-Dilley M, Mechler H. Basic Needs Insecurities Are Associated with Anxiety, Depression, and Poor Health Among University Students in the State of New Mexico. J Community Health 2022; 47:454-463. [PMID: 35124789 PMCID: PMC8818275 DOI: 10.1007/s10900-022-01073-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2022] [Indexed: 12/29/2022]
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Song Z, Dong F, Liu Y, Liu G, Li B, Pang X, An K, Li D, Chen S, Xing W, Xu X. The Association of High-Frequency Nut Intake With a Low Risk of Psychological Problems in Female Methamphetamine Users. Front Psychiatry 2022; 13:878859. [PMID: 36046161 PMCID: PMC9421136 DOI: 10.3389/fpsyt.2022.878859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 06/06/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Recent years have witnessed a gradual increase in the number of female methamphetamine users. Meanwhile, female methamphetamine users are more likely to have psychological problems than male methamphetamine users. The association between diet and psychological problems have been found among non-methamphetamine user. The present study aims to investigate the relationship between dietary intake frequency and psychological problems in female methamphetamine users. MATERIALS AND METHODS A total of 109 female methamphetamine users, collected from a Compulsory Isolated Drug Rehabilitation Centre in northern China, participated in the study. All participants completed the Symptom Checklist 90 (SCL-90) questionnaire to assess psychological status. The relation of dietary intake frequency with the SCL-90 score was tested in partial correlation analysis. Multivariable regression models were used to calculate odds ratios to evaluate the association of dietary intake frequency with psychological problems. RESULTS Of the current female methamphetamine population, 33 participants were diagnosed with psychological problems using SCL-90. In the terms of dietary intake frequency, the frequency of nut intake in the psychiatric symptom group was significantly lower than that in the asymptomatic group. However, there was no difference in the frequency of other food intakes between the two groups. The frequency of nut intake was negatively correlated with the total score of SCL-90 and 8 different symptom clusters of psychopathologies on SCL-90. Logistic regression analysis indicated that the increased frequency of nut intake was associated with a lower risk of psychological problems. CONCLUSION In the female methamphetamine population, increasing the frequency of nut intake may reduce the risk of psychological problems for female methamphetamine users.
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Affiliation(s)
- Zihong Song
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Fang Dong
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Yizhi Liu
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Guanhua Liu
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Baohua Li
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Xiuyu Pang
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Kang An
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Dong Li
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Shanshan Chen
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Weijia Xing
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China
| | - Xizhu Xu
- School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, China.,The Second Affiliated Hospital of Shandong First Medical University, Tai'an, China
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Noruzi Z, Shiraseb F, Mirzababaei A, Mirzaei K. Association of the dietary phytochemical index with circadian rhythm and mental health in overweight and obese women: A cross-sectional study. Clin Nutr ESPEN 2022; 48:393-400. [DOI: 10.1016/j.clnesp.2022.01.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 12/19/2021] [Accepted: 01/09/2022] [Indexed: 12/12/2022]
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