Depressive symptoms and adolescent eating and health behaviors: a multifaceted view in a population-based sample
Depressive symptoms and adolescent eating and health behaviors: a multifaceted view in a population-based sample
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DOI：
10.1016/j.ypmed.2003.12.028
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发表时间：
2004-06-01
影响因子：
5.1
通讯作者：
Story, M
中科院分区：
文献类型：
--
作者：
Fulkerson, JA;Sherwood, NE;Story, M
背景先前的研究表明，抑郁症与物质使用和饮食失调行为之间存在显着联系。然而，迄今为止还没有研究在非临床的、以人群为基础的样本中描述青少年抑郁症状与营养摄入或体力活动之间的关联。课堂调查由4 734名不同种族的初中和高中学生完成。根据他们的抑郁症状评分，男性和女性被归类为低，中度，或高度抑郁症状状态。采用线性模型对抑郁症状组的饮食和健康行为变量进行检验。抑郁症状与损害健康的态度呈正相关，如对健康饮食和体重问题的感知障碍，以及损害健康的行为，如不健康的体重控制行为和物质使用，包括咖啡因。抑郁症状与健康促进行为呈负相关，如吃早餐，午餐和晚餐。然而，大多数抑郁症状和膳食微量营养素之间的关联没有统计学意义。促进健康的中度到剧烈的体力活动与男性的抑郁症状呈负相关。报告抑郁症状的青少年有其他损害健康的态度和行为的风险，也不太可能从事促进健康的行为。抑郁症状可能是青少年健康行为表达的一个潜在特征。(C)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Background. Previous research has shown significant associations between depression and substance use and eating disordered behaviors. However, no research to date has described associations between depressive symptoms and nutritional intake or physical activity among adolescents in a nonclinical, population-based sample.Methods. Classroom surveys were completed by 4,734 ethnically diverse, middle- and high school students. Based on their depressive symptom scores, males and females were categorized with low-, moderate-, or high-depressive symptom status. Linear models were used to examine eating and health behavior variables by depressive symptom groups.Results. Depressive symptoms were positively associated with health-compromising attitudes such as perceived barriers to healthy eating and weight concerns, and health-compromising behaviors such as unhealthy weight-control behaviors and substance use, including caffeine. Depressive symptoms were negatively associated with health-promoting behaviors such as eating breakfast, lunch, and dinner. However, most associations between depressive symptoms and dietary micronutrients were not statistically significant. Health-promoting moderate-to-vigorous physical activity was negatively associated with depressive symptoms among males.Conclusions. Adolescents who report depressive symptoms are at risk for other health-compromising attitudes and behaviors and are also less likely to engage in health-promoting behaviors. Depressive symptoms may be an underlying trait in the expression of health behaviors among adolescents. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.