根据经验得出的马来西亚青少年饮食模式与生活满意度之间的前瞻性关联。

IF 3.9 2区 医学 Q2 NUTRITION & DIETETICS
Mugambikai Magendiran, Geeta Appannah, Nor Aishah Emi, Yit Siew Chin, Zalilah Mohd Shariff, Azriyanti Anuar Zaini, Nurainul Hana Shamsuddin, Subapriya Suppiah, Suraini Mohamad Saini, Subashini C Thambiah, Siew Mooi Ching
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引用次数: 0

摘要

背景:人们对青少年中根据经验得出的饮食模式(DP)与生活满意度之间的前瞻性关联知之甚少。这项PUTRA-Adol跟踪研究旨在评估青少年时期根据经验得出的饮食模式与生活满意度之间的前瞻性关联:共有 585 名和 262 名青少年分别参加了 2016 年的 PUTRA-Adol 基线研究和 2019-2020 年的 PUTRA-Adol 跟踪研究。这些青少年来自马来西亚半岛南部的三个州,即森美兰州、马六甲州和柔佛州。膳食评估采用经过验证的食物频率问卷(FFQ)进行估算,而多维学生生活满意度量表(MSLSS)则用于测量2016年基线和2019-2020年随访时的生活满意度。在基线横截面分析中,使用降低秩回归(RRR)确定了以高游离糖和高能量密度食物为特征的DP,并在其他地方进行了报告。在 PUTRA-Adol 跟踪研究中,类似的 RRR 分析被用来找到一个最能解释与较差生活满意度相关的反应变量变化的 DP,包括膳食能量密度 (DED)、纤维密度以及来自总脂肪和糖的能量百分比。使用广义估计方程模型(GEE)评估了2016年至2019-2020年期间坚持已确定的DP与总体生活满意度得分及其领域之间的前瞻性关系:结果:在2019-2020年的随访中,确定了一个DP,其特点是糖和纤维的能量摄入百分比高,DED和总脂肪的能量摄入百分比低。所确定的DP解释了响应变量总变化的11%,其特点是甜食、含糖饮料(SSB)和水果的摄入量高。女性青少年[67.6(8.9)]的生活满意度平均值(标清)高于男性青少年[67.5(10.8)] p 结论:在青春期,"高糖高纤维 "DP的得分增加与男性青少年在学校领域生活满意度得分的增加以及男性和女性在自我领域生活满意度得分的降低有前瞻性关联。针对减少膳食摄入量(尤其是糖的摄入量)的生活方式干预可提高青少年的生活满意度,并在不影响日后预防慢性疾病的膳食摄入量的情况下,促进未来更健康的生活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents.

Background: Little is known on the prospective associations between an empirically derived dietary pattern (DP) and life satisfaction among adolescents. This PUTRA-Adol follow-up study aimed to assess the prospective associations between the empirically derived DP and life satisfaction during adolescence.

Methods: A total of 585 and 262 adolescents participated in the baseline PUTRA-Adol study in 2016 and PUTRA-Adol follow-up study in 2019-2020, respectively. These adolescents were recruited from three southern states in peninsular Malaysia, namely Negeri Sembilan, Melaka and Johor. Dietary assessments were estimated using a validated food frequency questionnaire (FFQ) while a Multidimensional Students' Life Satisfaction Scale (MSLSS) was used to measure life satisfaction at baseline in 2016 as well as at follow-up in 2019-2020. A DP characterised by foods high in free sugar and energy dense was identified using reduced rank regression (RRR), cross-sectionally at baseline and was reported elsewhere. Similar RRR analysis was used to find a DP that best explained the variation in response variables linked to poorer life satisfaction, including dietary energy density (DED), fiber density, and percentage of energy from total fat and sugar at the PUTRA-Adol follow-up study. Prospective relationship between adherence to the identified DPs and overall life satisfaction scores as well as its domains between 2016 and 2019-2020 were evaluated using generalized estimating equation models (GEE).

Results: A DP characterized by high intakes of percentage energy from sugar, fibre and low in DED and percentage energy from total fat was identified at the 2019-2020 follow-up. The identified DP explained 11% of total variations in the response variables and was characterized by high intakes of sweets, sugar sweetened beverages (SSB) and fruits. Female adolescents [67.6(8.9)] had a mean (SD) of life satisfaction that was higher than male adolescents [67.5(10.8)] p < 0.05 in 2019-2020. Prospective analysis found a significant positive association between the identified DP and school domain, in male adolescents (β = 0.117; 95% CI 0.001, 0.234) and an inverse relationship between the DP z-score and self-domain in all adolescents (β = - 0.060; 95% CI - 0.115, - 0.005) from 2016 to 2019-2020.

Conclusions: An increasing score for the predominant 'High sugar and High fibre' DP was prospectively associated with increasing life satisfaction score for the school domain in male adolescents and decreasing score for self-domain in both male and females during adolescence. A lifestyle intervention targeting reduced dietary intakes, particularly sugar, may improve life satisfaction in adolescents and promote healthier future without compromising dietary intakes for chronic disease prevention later in life.

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来源期刊
Nutrition & Metabolism
Nutrition & Metabolism 医学-营养学
CiteScore
8.40
自引率
0.00%
发文量
78
审稿时长
4-8 weeks
期刊介绍: Nutrition & Metabolism publishes studies with a clear focus on nutrition and metabolism with applications ranging from nutrition needs, exercise physiology, clinical and population studies, as well as the underlying mechanisms in these aspects. The areas of interest for Nutrition & Metabolism encompass studies in molecular nutrition in the context of obesity, diabetes, lipedemias, metabolic syndrome and exercise physiology. Manuscripts related to molecular, cellular and human metabolism, nutrient sensing and nutrient–gene interactions are also in interest, as are submissions that have employed new and innovative strategies like metabolomics/lipidomics or other omic-based biomarkers to predict nutritional status and metabolic diseases. Key areas we wish to encourage submissions from include: -how diet and specific nutrients interact with genes, proteins or metabolites to influence metabolic phenotypes and disease outcomes; -the role of epigenetic factors and the microbiome in the pathogenesis of metabolic diseases and their influence on metabolic responses to diet and food components; -how diet and other environmental factors affect epigenetics and microbiota; the extent to which genetic and nongenetic factors modify personal metabolic responses to diet and food compositions and the mechanisms involved; -how specific biologic networks and nutrient sensing mechanisms attribute to metabolic variability.
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