摘要
目的 探讨含糖饮料(SSB)消费及失眠症状与云南省初一年级学生抑郁症状的关联,为制定改善中学生抑郁症状的措施提供依据.方法 2022年10-12月,采取整群随机抽样方法抽取云南省11个县8 500名初一年级学生进行问卷调查.利用儿童抑郁量表(CDI)、膳食频率问卷、失眠严重程度指数量表(ISI)分别评估学生的抑郁症状、SSB消费情况和失眠症状.采用Logistic回归模型分析SSB消费、失眠及二者的交互效应与学生抑郁症状的关联.结果 初一年级学生抑郁症状检出率为28.3％.存在失眠症状(OR=6.07,95％CI=5.46～6.75),有碳酸饮料(OR=1.20,95％CI=1.08～1.34)、茶饮料(OR=1.13,95％CI=1.02～1.25)、功能饮料(OR=1.36,95％CI=1.23～1.50)及其他饮料(OR=1.32,95％CI=1.19～1.45)的消费与初一年级学生抑郁症状均呈正相关(P值均＜0.05).碳酸饮料(相加效应:OR=2.96,95％CI=2.72～3.22;相乘效应:OR=4.75,95％CI=4.25～5.32)、果汁饮料(相加效应:OR=2.61,95％CI=2.40～2.82;相乘效应:OR=4.43,95％CI=3.94～4.97)、茶饮料(相加效应:OR=2.70,95％CI=2.47～2.89;相乘效应:OR=4.34,95％CI=3.86～4.89)、功能饮料(相加效应:OR=2.82,95％CI=2.61～3.05;相乘效应:OR=4.48,95％CI=3.92～5.12)、乳饮料(相加效应:OR=2.73,95％CI=2.06～2.96;相乘效应:OR=4.61,95％CI=4.12～5.17)、其他饮料(相加效应:OR=2.73,95％CI=2.53～2.95;相乘效应:OR=4.56,95％CI=4.00～5.20)和初一年级学生失眠症状均有相加和相乘效应,均增加了初一年级学生抑郁症状的风险(P值均＜0.01).结论 SSB消费与失眠症状交互效应可能会增加云南省初一年级学生抑郁症状的风险.应倡导中学生减少SSB的摄入,以减少抑郁症状的发生.
Abstract
Objective To investigate the association of sugar-sweetened beverage(SSB)consumption with insomnia and depres-sive symptoms among first-grade middle school students from Yunnan Province,so as to provide evidence to guide interventions for the treatment of these symptoms in this population.Methods From October to December 2022,8 500 first-grade middle school students from 11 counties in Yunnan Province were selected by cluster random sampling.Depressive symptoms,SSB consumption,and insomnia symptoms among students were evaluated by the Child Depression Scale(CDI),dietary frequency questionnaire,and Insomnia Severity Index(ISI).A Logistic regression model was employed to analyze the relationship between SSB consumption,in-somnia,depressive symptoms,and their interaction effects among students.Results The detection rate of depressive symptoms was 28.3％,and having insomnia symptoms(OR=6.07,95％CI=5.46-6.75),consuming carbonated beverages(OR=1.20,95％CI=1.08-1.34),tea(OR=1.13,95％CI=1.02-1.25),energy drinks(OR=1.36,95％CI=1.23-1.50),and other beverages(OR=1.32,95％CI=1.19-1.45)were positively correlated with depressive symptoms among first-grade middle school students(P＜0.05).Carbonated beverages(additive effect:OR=2.96,95％CI-2.72-3.22,multiplicative effect:OR=4.75,95％CI=4.25-5.32),fruit drinks(additive effect:OR=2.61,95％CI=2.40-2.82;multiplicative effect:OR=4.43,95％CI=3.94-4.97),tea(additive effect:OR=2.70,95％CI=2.47-2.89;multiplicative effect:OR=4.34,95％CI=3.86-4.89),energy drinks(additive effect:OR=2.82,95％CI=2.61-3.05;multiplicative effect:OR=4.48,95％CI=3.92-5.12),sweetened milk(additive effect:OR=2.73,95％CI=2.06-2.96;multiplicative effect:OR=4.61,95％CI=4.12-5.17)and other beverages(additive effect:OR=2.73,95％CI=2.53-2.95;multiplicative effect:OR=4.56,95％CI=4.00-5.20)had both additive and multiplicative effects with insomnia,and increased the risk of depressive symptoms in first-grade middle school students(P＜0.01).Conclusions The inter-action between the consumption of SSB and insomnia symptoms may increase the risk of depressive symptoms among first-grade mid-dle school students in Yunnan Province.It is necessary to advocate middle school students to reduce SSB intake,in order to de-crease the occurrence of depressive symptoms among this population.
基金项目
国家自然科学基金项目(82160622)
云南省兴滇英才支持计划青年人才专项(XDYC-QNRC-2022-0289)
NETL
NSTL
万方数据