Independent and combined associations between multiple lifestyle behaviours and academic grades of inner urban and peri-urban high school students: a cross-sectional study in Chongqing, China

Cai, Zhengjie; Xian, Jinli; Araújo, Camila Silveira de; Zhang, Ziwei; Zhou, Hong-yu; Peng, Huan; Sharma, Manoj; Zhao, Yong

doi:10.1136/bmjopen-2021-049508

Cited by 2 publications

(1 citation statement)

References 49 publications

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“…Dietary behaviors were assessed based on the recommended Chinese Dietary Guidelines 2022 ( Chinese Nutrition Society, 2022 ) or previous studies ( Cai et al, 2021 ; Sun Q. et al, 2022 ; Sun X. et al, 2022 ). As recommended by the Chinese Dietary Guideline 2022, all participants were requested to report their dietary behaviors, which included their intake of water, eggs, milk and milk products, vegetables, fruit, red meat, soy and soy products, and seafood.…”

Section: Methodsmentioning

confidence: 99%

The association between interactive health literacy and dietary behaviors among Chinese college students: a large-scale cross-sectional study

Ma,

Ren,

Chen

et al. 2024

Front. Psychol.

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BackgroundThe association between health literacy and healthy dietary behaviors has been explored in the European population. However, there is currently no evidence available specifically pertaining to Chinese college students particularly for interactive health literacy.AimsThe objective of this study was to investigate the association between interactive health literacy (IHL) and dietary behaviors in Chinese college students.MethodsThis study included 11,856 Chinese college students (mean age = 18.8 years, SD = 1.2 years). We defined nine healthy dietary behaviors as consumption of water, egg, milk and milk products, vegetables, fruit, red meat, soy and soy products, seafood, and sugar-sweetened beverages. For each food group, participants who met the criterion for being a regular consumer of the item were assigned a score of 1, and otherwise were assigned a score of 0. Thus, the dietary behaviors score ranged from 0 to 9, with higher scores indicating healthier dietary behaviors. We used the revised 28-item Chinese Adolescent Interactive Health Literacy Questionnaire (CAIHLQ) to evaluate IHL; a higher score on this scale indicates a greater health literacy. Multivariate logistic regression was used to analyze the association between IHL level and frequency of different numbers of dietary behaviors.ResultsAfter adjusting for sex, age, annual family income, place of residence, father’s education level, and mother’s education level, there was a clear and significant positive association between IHL and the likelihood of exhibiting diverse dietary behaviors. The adjusted odds ratio (95% CI) of exhibiting given nine dietary behaviors with reference to tertile 1 according to categories of IHL was as follows: 1.055 (0.694, 1.603) for tertile 2 and 1.849 (1.269, 2.696) for tertile 3 (p for trend = 0.001). Similarly, there are significant positive associations between IHL and the likelihood of exhibiting 2–8 dietary behaviors, except for exhibiting any one dietary behavior. We further found that, in addition to the health awareness factor, there were significant positive associations between physical activity and nutrition factors, and healthier dietary behaviors. Further, there was a significant negative association between interpersonal relationships and dietary behavior.ConclusionThe findings indicate a positive relationship between IHL and dietary behavior, such that the higher the level of IHL among college students, the healthier the dietary behavior they tend to adopt in their daily lives. These findings suggest the importance of developing stages of change-based educational interventions, which could help individuals with limited IHL to not only acquire necessary health-related knowledge but also to strengthen their motivation to engage in healthy dietary behaviors. Future studies should employ longitudinal prospective designs or randomized controlled trials to establish a causal association between IHL and healthy dietary behaviors.

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Section: Methodsmentioning

confidence: 99%

The association between interactive health literacy and dietary behaviors among Chinese college students: a large-scale cross-sectional study

Ma,

Ren,

Chen

et al. 2024

Front. Psychol.

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The Association between Sugar-Sweetened Beverages and High-Energy Diets and Academic Performance in Junior School Students

et al. 2022

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This study aimed to understand the consumption frequency of sugar-sweetened beverages (SSBs) and high-energy diets in junior school students in China and to explore the relationship between SSBs and high-energy diets and academic performance. Information about 9251 junior school students was retrieved from the China Education Panel Survey (CEPS) database. The Mann–Whitney U test and the Kruskal–Wallis test were used to compare differences in academic performance based on the variables of interest. Generalized linear mixed models were used to analyze the association between the consumption frequency of SSBs and high-energy diet and student academic performance, fixed and random effects were included to control for confounding factors. The proportions of the “often” consumption group of SSBs and high-energy diets were 21.5% and 14.6%, respectively. For SSBs, the total score of the “often” consume group was 4.902 (95%CI: −7.660~−2.144, p < 0.001) points lower than that of the “seldom” consume group. Scores of Chinese math, and English were 0.864 (95%CI: −1.551~−0.177, p = 0.014), 2.164 (95%CI: −3.498~−0.831, p = 0.001), and 1.836 (95%CI: −2.961~−0.710, p = 0.001) points lower, respectively. For high-energy diets, the scores of total Chinese and English in the “sometimes” consume group were 2.519 (95%CI: 0.452~4.585, p = 0.017), 1.025 (95%CI: 0.510~1.540, p < 0.001) and 1.010 (95%CI: 0.167~1.853, p = 0.019) points higher than that of the “seldom” consume group, respectively. Our findings suggested that consumption of SSBs was often negatively associated with academic performance in junior school students, while medium consumption of high-energy diets had a positive correlation. The positive association between high-energy diets and academic performance may be related to the food items included in the high-energy diets consumed by Chinese students. Schools and families should pay more effort to reduce the consumption of SSBs, and for high-energy diets, the focus should be on food selection and avoiding excessive intake. Longitudinal studies are needed to further test these findings among adolescents.

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Independent and combined associations between multiple lifestyle behaviours and academic grades of inner urban and peri-urban high school students: a cross-sectional study in Chongqing, China

Cited by 2 publications

References 49 publications

The association between interactive health literacy and dietary behaviors among Chinese college students: a large-scale cross-sectional study

The association between interactive health literacy and dietary behaviors among Chinese college students: a large-scale cross-sectional study

The Association between Sugar-Sweetened Beverages and High-Energy Diets and Academic Performance in Junior School Students

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