The relationship between dietary sugar consumption and anxiety disorders: A systematic review.

IF 2.7 4区 医学 Q3 NUTRITION & DIETETICS
Xin Wang, Agassi Chun Wai Wong, Ziyue Sheng, Samuel Yeung-Shan Wong, Xue Yang
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Abstract

High-sugar intake is a risk factor for chronic diseases such as cardiovascular disease and type 2 diabetes, but less is known about its role in anxiety disorders. This systematic review aimed to systematically synthesise and assess the existing evidence regarding the association between dietary sugars intake and anxiety disorders. Following PRISMA guidelines, a systematic search of PubMed, MEDLINE, Embase, APA PsycArticles and APA PsycINFO was conducted up to 19th August 2022. Study quality was assessed by the Newcastle-Ottawa scale (NOS) and the Cochrane risk of bias tool. Eleven studies (10 cross-sectional and 1 randomised controlled trial [RCT]) were included. Seven cross-sectional studies had very good quality or good quality, and the quality of the RCT was at low risk of bias. These studies examined sugar-sweetened beverages (n = 7), sugar-sweetened foods (n = 4) and/or added sugar (n = 5). The findings suggest a possible positive relationship of added sugar consumption with anxiety disorders, with age as a potential moderator in such association. No conclusions can be drawn on the associations between sugar-sweetened beverages, sugar-sweetened foods consumption and anxiety disorders. Due to the included studies being mostly cross-sectional, the conclusions drawn from the existing evidence should be interpreted with caution. The longitudinal design is warranted to investigate any causal relationship and the potential mechanisms underlying these heterogeneous results. The potential difference in effect at different ages observed in this review should be further examined.

膳食糖摄入量与焦虑症之间的关系:系统综述。
高糖摄入量是心血管疾病和 2 型糖尿病等慢性疾病的一个风险因素,但人们对其在焦虑症中的作用却知之甚少。本系统综述旨在系统地综合和评估有关膳食糖摄入量与焦虑症之间关系的现有证据。根据 PRISMA 指南,我们对 PubMed、MEDLINE、Embase、APA PsycArticles 和 APA PsycINFO 进行了系统检索,检索时间截至 2022 年 8 月 19 日。研究质量采用纽卡斯尔-渥太华量表(NOS)和科克伦偏倚风险工具进行评估。共纳入 11 项研究(10 项横断面研究和 1 项随机对照试验 [RCT])。其中 7 项横断面研究的质量非常好或很好,随机对照试验的质量偏倚风险较低。这些研究调查了含糖饮料(7 项)、含糖食品(4 项)和/或添加糖(5 项)。研究结果表明,添加糖的摄入量与焦虑症可能存在正相关关系,而年龄可能是这种关系的调节因素。关于含糖饮料、含糖食品的摄入量与焦虑症之间的关系,目前尚无法得出结论。由于纳入的研究多为横断面研究,因此应谨慎解释从现有证据中得出的结论。有必要采用纵向设计来研究这些不同结果之间的因果关系和潜在机制。本综述中观察到的不同年龄段的潜在效果差异应进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nutrition Bulletin
Nutrition Bulletin NUTRITION & DIETETICS-
CiteScore
4.50
自引率
12.10%
发文量
58
期刊介绍: The Nutrition Bulletin provides accessible reviews at the cutting edge of research. Read by researchers and nutritionists working in universities and research institutes; public health nutritionists, dieticians and other health professionals; nutritionists, technologists and others in the food industry; those engaged in higher education including students; and journalists with an interest in nutrition.
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