Longitudinal association between processed food consumption and anxiety symptoms among college students in Yunnan Province
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.
NETL
NSTL
万方数据
