云南省大学生加工食品消费与焦虑症状关联的纵向研究
Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province
姜英虹 1苏云鹏 2苏莹珍 1陶剑 1陈伟伟 3胡东月 1杨俊宇 1徐洪吕1
作者信息
- 1. 昆明学院医学院,云南 650214;昆明学院社区护理研究团队
- 2. 大理大学护理学院
- 3. 昆明学院医学院,云南 650214
- 折叠
摘要
目的 探讨云南省大学生加工食品消费与焦虑症状的关联,为预防和缓解大学生焦虑症状提供参考.方法 采用整群随机抽样方法选取云南2所大学2 515名大一年级学生为研究对象进行纵向调查研究,包括基线调查(2021年11月,T1)及3次随访(2022年6月,T2;2022年11月,T3;2023年6月,T4).使用食物频率调查表评估大学生加工食品消费状况,采用中文版抑郁-焦虑-压力量表-21(DASS-21)评估大学生的情绪症状.应用广义估计方程模型分析加工食品消费状况与焦虑症状的关联.结果 云南大学生T1～T4的4次焦虑症状检出率分别为29.70％,36.70％,37.69％和38.73％,4次焦虑症状评分分别为4(0,8),4(0,10),4(0,12)和2(0,14).在广义估计方程模型控制人口学变量和混杂因素后,碳酸饮料消费(β=0.06,95％CI=0.03～0.08)、其他加工零食消费(β=0.04,95％CI=0.01～0.07)与焦虑症状的关联均有统计学意义(P值均＜0.05).按性别分层分析显示,大学女生碳酸饮料消费(β=0.08,95％CI=0.05～0.12)、速食食品消费(β=0.03,95％CI=0.00～0.06)与焦虑症状的关联均有统计学意义(P值均＜0.05),大学男生加工食品消费与焦虑症状的关联无统计学意义(P值均＞0.05).结论 云南大学生加工食品消费可能增加焦虑症状风险,且女生更为明显.应加强对大学生加工食品消费的正向指导,以预防或缓解焦虑症状.
Abstract
Objective To explore the association between processed food consumption and anxiety symptoms among college students in Yunnan Province,so as to provide a reference for the prevention and treatment of anxiety symptoms in this population.Methods A cluster random sample of 2 515 first-year students from two universities in Yunnan Province was selected to carry out a longitudinal investigation which included a baseline survey(November 2021,Tl)and three follow-up visits(June 2022,T2;No-vember 2022,T3;June 2023,T4).The food frequency questionnaire was administered to assess processed food consumption,and the Depression Anxiety Stress Scale-21(DASS-21,Chinese version)was used to evaluate anxiety symptoms.A generalized estima-tion equation model was used to analyze the relationship between processed food consumption and anxiety symptoms.Results The detection rates of T1-T4 anxiety symptoms among college students in Yunnan Province were 29.70％,36.70％,37.69％and 38.73％,respectively,and the corresponding anxiety symptom scores were 4(0,8),4(0,10),4(0,12),2(0,14).After control-ling for demographic variables and confounding factors in the generalized estimation equation model,a statistically significant associ-ation was found between consumption of carbonated beverages(β=0.06,95％CI=0.03-0.08),and other processed snacks(β=0.04,95％CI=0.01-0.07)(P＜0.05).The stratified analysis by gender showed that the consumption of carbonated beverages(β=0.08,95％CI=0.05-0.12)and fast food(β=0.03,95％CI=0.00-0.06)was significantly associated with anxiety symptoms in fe-male college students(P＜0.05).There was no significant association between processed food consumption and anxiety symptoms in male college students(P＞0.05).Conclusions Processed food consumption by college students in Yunnan Province may increase the risk of anxiety symptoms,particularly among female students.There is a need to strengthen guidance in respect to processed food consumption,so as to prevent and treat anxiety symptoms.
关键词
食品处理和加工/焦虑/精神卫生/回归分析/学生Key words
Food handling/Anxiety/Mental health/Regression analysis/Students引用本文复制引用
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)
云南省地方本科高校基础研究联合专项资金项目(202101BA070001-117)
昆明学院引进人才科研项目(YJL2103)
出版年
2024
NETL
NSTL
万方数据