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Mediating effect of physical sub-health in the association of sugar-sweetened beverages consumption with depressive symptoms in Chinese college students: A structural equation model

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机构: [1]Kunming Univ, Sch Med, Puxin Rd 2, Kunming 650214, Yunnan, Peoples R China [2]Kunming Univ, Community Nursing Res Team, Kunming 650214, Yunnan, Peoples R China [3]Kunming Univ, Campus Hosp, Kunming 650214, Yunnan, Peoples R China [4]First Peoples Hosp Kunming, Dept Pharm, Kunming 650100, Yunnan, Peoples R China [5]Yanan Hosp Kunming City, Dept Infect Control, Kunming 650051, Peoples R China
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关键词: Adolescents Sugar-sweetened beverages Depressive symptoms Physical sub-health Mediating effect

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Background: Although previous findings with small samples indicated that sugar-sweetened beverages (SSB) consumption was associated with depressive symptoms in adolescents, the mediating effect of physical subhealth in the association is unknown. Methods: A survey was conducted among freshmen from 11 provinces in China. A food frequency questionnaire was used to collect dietary behavior, and patient health questionnaire-9 items was used to assess depressive symptoms. A generalized linear model was used to analyze the association between SSB consumption, physical sub-health and depressive symptoms. The structural equation model was used to analyze the mediating effect of physical sub-health. Results: Of the 31,856 participants, 36.5 % had positive depressive symptoms. After adjusting for variables, carbonate beverages (8 = 0.11; 95%CI: 0.07-0.15; P = 0.000) and milk tea (8 = 0.07; 95%CI: 0.01-0.13; P = 0.021) consumption was associated with depressive symptoms in boys. Carbonate beverages (8 = 0.09; 95%CI: 0.05-0.13; P = 0.000), tea beverages (8 = 0.09; 95%CI: 0.04-0.13; P = 0.000), and milk tea (8 = 0.08; 95%CI: 0.04-0.11; P = 0.000) consumption was associated with depressive symptoms in girls. The mediating effect of physical sub-health accounted for 81.3 % of the total effect in the mediating model of SSB associated with depressive symptoms. Limitations: Retrospective survey has certain information bias. Association observed in the cross-sectional study is uncertain. Conclusions: The present study suggests that the consumption of SSB associated with depressive symptoms in Chinese college students, and physical sub-health plays a complete mediating role in the association.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 精神病学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 精神病学
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出版当年[2022]版:
Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Kunming Univ, Sch Med, Puxin Rd 2, Kunming 650214, Yunnan, Peoples R China [2]Kunming Univ, Community Nursing Res Team, Kunming 650214, Yunnan, Peoples R China
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通讯机构: [1]Kunming Univ, Sch Med, Puxin Rd 2, Kunming 650214, Yunnan, Peoples R China [2]Kunming Univ, Community Nursing Res Team, Kunming 650214, Yunnan, Peoples R China
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