|本期目录/Table of Contents|

[1]张红梅,杨海波,陈卓,等.大学生饮食模式与焦虑症状的相关性分析[J].天津医科大学学报,2024,30(01):40-45.[doi:10.20135/j.issn.1006-8147.2024.01.0040]
　ZHANG Hongmei,YANG Haibo,CHEN Zhuo,et al.The relationship between dietary patterns and anxiety symptoms among university students[J].Journal of Tianjin Medical University,2024,30(01):40-45.[doi:10.20135/j.issn.1006-8147.2024.01.0040]
点击复制

大学生饮食模式与焦虑症状的相关性分析(PDF)
分享到：

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
30卷
期数:
2024年01期
页码:
40-45
栏目:
临床医学
出版日期:
2024-01-01

文章信息/Info

Title:
The relationship between dietary patterns and anxiety symptoms among university students
文章编号:
1006-8147(2024)01-0040-06
作者:
张红梅1; 杨海波2; 陈卓1; 祝颖1; 李炳钦1; 魏瑞华1
（1.天津医科大学眼科医院视光中心、眼视光学院、眼科研究所，国家眼耳鼻喉疾病临床医学研究中心天津市分中心，天津市视网膜功能与疾病重点实验室，天津 300384；2.天津师范大学心理学部，天津 300387）
Author(s):
ZHANG Hongmei1; YANG Haibo2; CHEN Zhuo1; ZHU Ying1; LI Bingqin1; WEI Ruihua1
（1.Optometry Center，Tianjin Medical University Eye Hospital，Eye Institute and School of Optometry，Tianjin Branch of National Clinical Research Center for Ocular Disease，Tianjin Key Laboratory of Retinal Functions and Diseases，Tianjin 300070，China；2.Department of Psychology，Tianjin Normal University，Tianjin 300387，China）
关键词:
饮食模式; 焦虑; 大学生; 精神卫生; 横断面研究
Keywords:
dietary patterns; anxiety; university students; mental health
分类号:
R778.1+1
DOI:
10.20135/j.issn.1006-8147.2024.01.0040
文献标志码:
A
摘要:
目的：探讨大学生饮食模式和焦虑症状的相关性。方法：采用横断面研究对天津医科大学本科生采取单纯随机抽样调查，共1 000名，进行饮食模式和心理健康问卷调查，收回问卷947份。使用半定量食物频率问卷调查大学生饮食行为，焦虑自评量表调查大学生的焦虑症状。主成分分析饮食模式，并进一步根据饮食模式因子得分的四分位数将参与者分为4组，因子得分Q75为Q4组，因子得分越高表示越符合此种饮食模式。Logistic回归模型分析饮食模式与焦虑症状的相关性。结果：共获取有效问卷750份，大学生焦虑症状检出率为11.87%（89/750）。是否能按时吃三餐与焦虑症状检出率间差异有统计学意义（P=0.002）；焦虑总得分、焦虑症状检出率、不同焦虑程度所占比例在规律饮食组和不规律饮食组的差异有统计学意义（t=-4.826，P<0.001；χ2=11.786，P=0.001； χ2=17.677，P<0.001）；饮食模式可分为快餐类饮食、健康类饮食、传统类饮食和零食类饮食4种。调整其他因素后，快餐类饮食Q4组较Q1组增加焦虑检出率3.825倍（OR=4.825，95%CI：2.166~10.748，P<0.05）；健康类饮食Q2组、Q3组较Q1组降低焦虑检出率52%和54.6%（OR=0.480，95%CI：0.231~0.999，P<0.05；OR=0.454，95%CI：0.216~0.955，P<0.05）。结论：大学生饮食模式和焦虑症状相关，健康类饮食促进大学生心理健康。
Abstract:
Objective： To investigate the relationship between the dietary patterns and anxiety symptoms among university students.Methods： This was a cross-sectional study that randomly sampled 1 000 undergraduate students from Tianjin Medical University. A questionnaire survey on dietary patterns and mental health was conducted，and 947 questionnaires were collected. A semi-quantitative food frequency questionnaire was used to investigate the dietary behavior of college students，and the self-rating anxiety scale was used to investigate their symptoms of anxiety. Principal component analysis was used to analyze dietary patterns. Participants were further categorized into four groups based on the quartiles of the dietary pattern factor scores，with factor scores Q75 being group Q4； higher factor scores indicated greater conformity to this dietary pattern. Logistic regression models were used to analyze the correlation between dietary patterns andanxiety symptoms. Results： A total of 750 valid questionnaires were collected，and the detection rate of anxiety symptoms among university students was 11.87%（89 students）. There was a statistically significant difference between whether or not they were able to eat three meals on time and the rate of anxiety symptom detection（P=0.002）. The difference between the total anxiety score，the rate of anxiety symptom detection，and the proportion of different anxiety levels was statistically significant in the regular diet group and the irregular diet group（t=-4.826，P<0.001； χ2=11.786，P=0.001； χ2=17.677，P<0.001）. Dietary patterns were classified into four categories： fast food，healthy food，traditional food，and snack food. After adjusting for other factors，the Q4 group of fast food consumption increased the detection rate of anxiety symptoms by 3.825 times compared to the Q1 group（OR=4.825，95%CI：2.166-10.748，P<0.05）；the Q2 and Q3 groups of healthy food consumption decreased the detection rate of anxiety symptoms by 52% and 54.6%，respectively，compared to the Q1 group（OR=0.480，95%CI：0.231-0.999，P<0.05；OR=0.454，95%CI：0.216-0.955，P<0.05）. Conclusion： There is a correlation between the dietary patterns of university students and symptoms of anxiety，and healthy food consumption promotes their mental health.

参考文献/References:

[1] 王一帆. 当代大学生饮食心理行为现状研究[J]. 肉类研究，2021， 35（2）：67.
[2] 张晨阳，杨钰隆，李枭晗，等. 中国大学生焦虑症状检出率的Meta分析[J]. 心理月刊，2022，17（12）：1-4，97.
[3] 张雯. 调整饮食结构，促进心理健康[J]. 食品研究与开发，2020， 41（16）：241.
[4] 王琼. 大学生饮食与心理健康关系分析[J]. 食品研究与开发，2020， 41（4）：12-13.
[5] RAM?譫N-ARBU?譩S E，MART?魱NEZ ABAD?魱A B，GRANADA L?譫PEZ J M，et al. Eating behavior and relationships with stress，anxiety，depression and insomnia in university students[J]. Nutr Hosp，2019， 36（6）：1339-1345.
[6] JACKA F N，O′NEIL A，OPIE R，et al. A randomised controlled trial of dietary improvement for adults with major depression（the‘SMILES’ trial）[J]. BMC Med，2017，15（1）：23.
[7] LIU Z，QIAO D，XU Y，et al. The efficacy of computerized cognitive behavioral therapy for depressive and anxiety symptoms in patients with COVID-19：randomized controlled trial[J]. J Med Internet Res，2021，23（5）：e26883.
[8] 黄礼妍，谢任翔，倪春晓，等. 中国成年人群食物频率问卷信效度Meta分析[J]. 营养学报，2022，44（3）：293-300.
[9] BAUMAN A，AINSWORTH B E，SALLIS J F，et al. The descriptive epidemiology of sitting. A 20-country comparison using the International Physical Activity Questionnaire（IPAQ）[J]. Am J Prev Med，2011，41（2）：228-235.
[10] WANG C，ZHAO H. The impact of COVID-19 on anxiety in Chinese university students[J]. Front Psychol，2020，11：1168.
[11] WANG Z H，YANG H L，YANG Y Q，et al. Prevalence of anxiety and depression symptom，and the demands for psychological knowledge and interventions in college students during COVID-19 epidemic：a large cross-sectional study[J]. J Affect Disord，2020，275：188-193.
[12] 傅小兰，张侃，陈雪峰，等. 心理健康蓝皮书：中国国民心理健康发展报告（2019-2020）[M]. 北京：社会科学文献出版社，2021：203-228.
[13] 牟星月，陶舒曼，谢阳，等. 大学生饮食模式与抑郁症状的关联[J]. 中国学校卫生，2022，43（10）：1520-1524.
[14] WENG T T，HAO J H，QIAN Q W，et al. Is there any relationship between dietary patterns and depression and anxiety in Chinese adolescents?[J]. Public Health Nutr，2012，15（4）：673-682.
[15] XU H，SUN Y，WAN Y，et al. Eating pattern and psychological symptoms：a cross-sectional study based on a national large sample of Chinese adolescents[J]. J Affect Disord，2019，244：155-163.
[16] HODGE A，ALMEIDA O P，ENGLISH D R，et al. Patterns of dietary intake and psychological distress in older Australians：benefits not just from a Mediterranean diet[J]. Int Psychogeriatr，2013，25（3）：456-466.
[17] JACKA F N，PASCO J A，MYKLETUN A，et al. Association of Western and traditional diets with depression and anxiety in women[J]. Am J Psychiatry，2010，167（3）：305-311.
[18] OLVEIRA C，OLVEIRA G，ESPILDORA F，et al. Mediterranean diet is associated on symptoms of depression and anxiety in patients with bronchiectasis[J]. Gen Hosp Psychiatry，2014，36（3）：277-283.
[19] JACKA F N，MYKLETUN A，BERK M，et al. The association between habitual diet quality and the common mental disorders in community-dwelling adults：the Hordaland Health study[J]. Psycho-som Med，2011，73（6）：483-490.
[20] SARRIS J，LOGAN A C，AKBARALY T N，et al. Nutritional medi-cine as mainstream in psychiatry[J]. Lancet Psychiatry，2015，2（3）：271-274.
[21] MURAKAMI K，SASAKI S. Dietary intake and depressive symptoms：a systematic review of observational studies[J]. Mol Nutr Food Res，2010，54（4）：471-488.
[22] KAMPHUIS M H，GEERLINGS M I，GROBBEE D E，et al. Dietary intake of B（6-9-12） vitamins，serum homocysteine levels and their association with depressive symptoms：the Zutphen Elderly Study[J]. Eur J Clin Nutr，2008，62（8）：939-945.
[23] FORSYTH A K，WILLIAMS P G，DEANE F P. Nutrition status of primary care patients with depression and anxiety[J]. Aust J Prim Health，2012，18（2）：172-176.
[24] YANNAKOULIA M，PANAGIOTAKOS D B，PITSAVOS C，et al. Eating habits in relations to anxiety symptoms among apparently healthy adults. A pattern analysis from the ATTICA Study[J]. Appetite，2008，51（3）：519-525.
[25] LANE M M，GAMAGE E，TRAVICA N，et al. Ultra-processed food consumption and mental health：a systematic review and meta-analysis of observational studies[J]. Nutrients，2022，14（13）：2568.

相似文献/References:

[1]陆 军,董浩然,郑旭媛.焦虑环境增加大鼠内侧前额叶皮层LFPs功能连接[J].天津医科大学学报,2018,24(04):277.
　LU Jun,DONG Hao-ran,ZHENG Xu-yuan.Anxiogenic environment enhances rat’s LFPs functional connection in the mPFC[J].Journal of Tianjin Medical University,2018,24(01):277.
[2]刘燕霞,刘相丽.情绪障碍对ACS患者NLR水平和GRACE评分危险分层的影响[J].天津医科大学学报,2019,25(03):267.
　LIU Yan-xia,LIU Xiang-li.Effects of mood disorders on NLR and risk stratification of GRACE scores in ACS patients[J].Journal of Tianjin Medical University,2019,25(01):267.
[3]黄宇菲,肖丹娜$.伴牙周炎正畸患者的心理学特征：人格对焦虑的调节 作用[J].天津医科大学学报,2022,28(03):314.
　HUANG Yu-fei,XIAO Dan-na.Psychological characteristic of periodontal disease on orthodontic patients:the moderating effect of personality on the anxiety[J].Journal of Tianjin Medical University,2022,28(01):314.
[4]何静春 综述,李立宇 审校.长期服药的慢性肺疾病患者心理障碍研究[J].天津医科大学学报,2023,29(03):341.
[5]李亚云,张 萌,刘惠军.同辈比较效应问卷的编制及其对抑郁、焦虑的预测研究[J].天津医科大学学报,2024,30(02):170.[doi:10.20135/j.issn.1006-8147.2024.02.0170]
　LI Yayun,ZHANG Meng,LIU Huijun.The development of peer comparative effects questionnaire and its predictive study on depression and anxiety[J].Journal of Tianjin Medical University,2024,30(01):170.[doi:10.20135/j.issn.1006-8147.2024.02.0170]

备注/Memo

备注/Memo:
基金项目 教育部“春晖计划”合作科研项目（HZKY20220587）； 国家留学基金委（202006945002） ；天津市卫生健康科技项目（TJWJ2022MS014）；天津市教委科研计划专项任务项目（心理健康教育）（2022ZDGX20）
作者简介 张红梅（1982-），女，讲师，博士，研究方向：近视防控；通信作者：魏瑞华，E-mail：weirhua2009@126.com。
更新日期/Last Update: 2024-01-01