抑郁症状和情绪性进食行为对青少年膳食模式的影响  

Effects of depressive symptoms and emotional eating behaviors on dietary patterns among adolescents

作　　者：侯方丽[1] 陆青云[1] 许韶君[1] 丁秀秀[1] 张兆成 陶芳标[1] 

机构地区：[1]安徽人口健康与优生省级实验室/安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥230032 [2]徐州市中小学生保健所

出　　处：《中国学校卫生》2015年第9期1289-1293,共5页Chinese Journal of School Health

基　　金：国家自然科学基金项目(81172690)

摘　　要：目的分析抑郁症状和情绪性进食行为对青少年膳食模式的影响,为指导青少年采取科学合理的膳食模式提供参考。方法整群抽取江苏省徐州市10所中学5 473名初一和高一的在校学生为研究对象,采用儿童抑郁症状自评量表、荷兰进食行为问卷和膳食频率量表等对青少年进行问卷调查。结果青少年膳食模式共归纳成3种,分别为＂传统食物型＂＂零食型＂和＂高能量型＂。在控制性别、年龄、年级、体质量指数、独生子女、父亲文化程度、母亲文化程度和自评家庭经济条件变量后,有抑郁症状的青少年情绪性进食行为发生风险比无抑郁症状的青少年增大2.20倍（95%CI=1.88~2.58）;有抑郁症状的青少年＂传统食物型＂食物摄入降低（OR=0.593）,＂零食型＂和＂高能量型＂食物摄入增加（OR值分别为1.306,1.697）;有情绪性进食行为的青少年＂传统食物型＂食物摄入降低（OR=0.796）,＂零食型＂和＂高能量型＂食物摄入均增加（OR值分别为1.687,1.463）。结论抑郁症状和情绪性进食行为与青少年膳食模式密切相关。应重视青少年情绪症状,通过改善青少年不良的情绪症状,选择正确的膳食模式。Objective To explore possible effects of depressive symptoms and emotional eating behaviors on dietary patterns. Methods A total of 5 473 students in Xuzhou,Jiangsu Province were sampled to participate in this survey based on a clustering sampling approach. Demographic information,depressive symptoms, emotional eating behaviors and dietary patterns of adolescents was collected. Results Three major dietary patterns were identified in the study based on factor analysis ： ＂traditional＇, ＂snack＂ and ＂high-energy＇.After adjustment for gender, age, grade, BMI, only-child, parental education level and self-assessed family econom- ic status,adolescents who had depressive symptoms showed increased odds of emotional eating behaviors （ OR= 2.20）. Conclusion Depressive symptoms and emotional eating behaviors are closely related to dietary patterns.We should take a comprehensive intervention focusing on emotional symptoms to reduce unhealthy dietary pattern.

关 键 词：抑郁 行为 膳食 青少年 

分 类 号：R155.1[医药卫生—营养与食品卫生学] R395.6[医药卫生—公共卫生与预防医学]