Daily intake of soft drinks is associated with symptoms of anxiety and depression in Chinese adolescents

Zhang, Xingyu; Huang, Xiaoyan; Xiao, Yi; Jing, Danrong; Huang, Yuzhou; Chen, Liping; Luo, Dan; Chen, Xiang; Shen, Min

doi:10.1017/s1368980019001009

Cited by 41 publications

(45 citation statements)

References 40 publications

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“…The total score ranges from zero to six, and a score greater than three indicates anxiety. The GAD-2 has been validated and used in China [ 38 , 39 ]. The Cronbach’s alpha was 0.800 in this study.…”

Section: Methodsmentioning

confidence: 99%

Gender differences of depression and anxiety among social media users during the COVID-19 outbreak in China:a cross-sectional study

et al. 2020

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Background Studies have shown that the outbreak of infectious diseases would result in mental health problems. Females are in greater risk for psychological problems than males. The present study investigated gender differences of depression and anxiety and explored associated factors during the COVID-19 epidemic among Chinese social media users. Methods We recruited 3088 participants through social media cross China. Participants completed sociodemographic and the COVID-19 epidemic related questions, the 2-item Patient Health Questionnaire (PHQ-2), and the 2-item Generalized Anxiety Disorder Scale (GAD-2), the Chinese version of the 10-item Connor-Davidson Resilience Scale. We applied Chi-square test and ANOVA for data description and linear regression analysis for exploring factors associated with depression and anxiety. Results Of 3063 participants eligible for analysis, the total prevalence of depression and anxiety was 14.14 and 13.25%. Females were experiencing more severe stress and anxiety symptoms, while males showed better resilience to stress. The severity of depression symptoms would decrease with the increase of age resilience, and it would increase if being unemployed, feeling less adapted, being more stressed. The severity of anxiety symptoms would decrease with higher education and better resilience, and it would increase if being female, spending over 60 min on COVID-19 related information, less adapted, and being more stressed. Conclusion The findings show the increased prevalence of depression and anxiety in Chinese population during the COVID-19 epidemic, and females are experiencing more severe anxiety symptoms than males. As social media is the current main resource of information related to COVID-19, interventions should be implemented to help users to limit the time they spend on social media and to get key information related to the epidemic from authoritative and authentic resource to avoid infodemic and prevent mental health problems.

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Section: Methodsmentioning

confidence: 99%

Gender differences of depression and anxiety among social media users during the COVID-19 outbreak in China:a cross-sectional study

et al. 2020

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“…Data collected from 2017 to 2018 were used for analysis. In 2017, the pilot study was conducted in a university in Changsha, China (16,17). In 2018, the main study was conducted in five universities in different regions of China (18).…”

Section: Methodsmentioning

confidence: 99%

Association of Sedentary Behavior With Anxiety, Depression, and Suicide Ideation in College Students

Jiang

Cao

et al. 2020

Front. Psychiatry

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Objectives: To investigate the association of sedentary behavior with anxiety, depression, and suicide ideation in multi-centered college students in China.Methods: This was a cross-sectional study of the first-year college student population. The students underwent a questionnaire survey inquiring about sedentary behavior (hours per day) and physical activity (minutes per week) during the past year. Anxiety, depression, and sleep quality were measured by the Generalized Anxiety Disorder Scale (GAD-2), the Patient Health Questionnaire (PHQ-2), and the Pittsburgh Sleep Quality Index (PSQI), respectively. Mixed models were used to estimate the associations, and adjusted odds ratios (AORs) were presented as the effect size. Mediation effect analysis was conducted to test the mediation effect of PSQI.Results: A total of 28,298 participants (response rate: 82%) completed the survey and were included in the final analyses. Crude and adjusted estimates consistently showed that both sedentary behavior and physical activity were significantly associated with mental illnesses. Sedentary behavior was positively associated with anxiety, depression, and suicidal behavior in a dose-response manner (AOR: 0.54–0.24; ≥7 h/day as reference), independent from the effect of physical activity (AOR: 0.78–0.41; no physical activity as reference). The association of sedentary behavior with mental health was partly mediated by sleep quality (25–71%).Conclusions: There is an independent dose-response association of sedentary behavior with mental well-being among college students in China, and this association may be partially attributable to impaired sleep quality. Attention should be drawn and actions should be taken by college educators and mental health providers.

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“…Prospective analyses regarding the associations of sugar intake from sweet food/beverages and recurrent mood disorders showed that sugar intake from sweet food/beverages was positively associated with recurrent depression after 5 years (highest vs. lowest tertile odds ratio: 1.81; 95% CI: 1.23, 2.66) [91]. In the youngsters, a survey conducted among 8226 Chinese students consuming soft drinks ≥7 times/week had significantly higher (mean difference; 95% CI) depression scores compared with those barely consuming soft drinks (two-item Generalized Anxiety Disorder: 0.15; 0.07, 0.23 (mean difference; 95 % CI); two-item Patient Health Questionnaire: 0.27; 0.19, 0.35) [92]. A meta-analysis of 10 observational studies summarized that the consumption of sugar-sweetened beverages might be associated with an increased risk of depression, while the threshold was the equivalent of about 2 cups/day of cola, above which the depression risk might be increased obviously [93].…”

Section: Diets and Depressionmentioning

confidence: 99%

Linking What We Eat to Our Mood: A Review of Diet, Dietary Antioxidants, and Depression

et al. 2019

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Studies have shown that diet and nutrition play significant roles in the prevention of depression and its clinical treatment. The present review aims to provide a clear understanding of the associations between diet patterns, specific foods, nutrients such as antioxidants, and depression. As a result, balanced dietary patterns such as the Mediterranean diet and certain foods such as fish, fresh vegetables, and fruits have been associated with a lower risk of depression or depressive symptoms, while high-fat Western diets and sugar-sweetened beverages have been associated with higher risk of depression or depressive symptoms. Dietary antioxidants such as green tea polyphenols or isoflavonoid intake have been negatively associated with depression or depressive symptoms. It is concluded that diet patterns, specific foods, and antioxidants play important roles in the prevention and clinical treatment of depression.

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Daily intake of soft drinks is associated with symptoms of anxiety and depression in Chinese adolescents

Cited by 41 publications

References 40 publications

Gender differences of depression and anxiety among social media users during the COVID-19 outbreak in China:a cross-sectional study

Gender differences of depression and anxiety among social media users during the COVID-19 outbreak in China:a cross-sectional study

Association of Sedentary Behavior With Anxiety, Depression, and Suicide Ideation in College Students

Linking What We Eat to Our Mood: A Review of Diet, Dietary Antioxidants, and Depression

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