European adolescents' level of perceived stress is inversely related to their diet quality: the Healthy Lifestyle in Europe by Nutrition in Adolescence study

被引:34
作者
De Vriendt, Tineke [1 ,2 ]
Clays, Els [1 ]
Huybrechts, Inge [1 ]
De Bourdeaudhuij, Ilse [3 ]
Moreno, Luis A. [4 ]
Patterson, Emma [5 ]
Molnar, Denes [6 ]
Mesana, Maria I. [4 ]
Beghin, Laurent [7 ,8 ]
Widhalm, Kurt [9 ]
Manios, Yannis [10 ]
De Henauw, Stefaan [1 ,11 ]
机构
[1] Univ Ghent, Fac Med & Hlth Sci, Dept Publ Hlth, B-9000 Ghent, Belgium
[2] Res Fdn Flanders, B-1000 Brussels, Belgium
[3] Univ Ghent, Fac Med & Hlth Sci, Dept Movement & Sports Sci, B-9000 Ghent, Belgium
[4] Univ Zaragoza, Sch Hlth Sci EUCS, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain
[5] Karolinska Inst, Dept Biosci & Nutr, Unit Prevent Nutr, SE-14157 Huddinge, Sweden
[6] Univ Pecs, Fac Med, Dept Pediat, H-7623 Pecs, Hungary
[7] Univ Lille 2, Fac Med, IFR114, Inserm U955, F-59037 Lille, France
[8] CHRU Lille, CIC CH&U Inserm Lille 9301, F-59037 Lille, France
[9] Med Univ Vienna, Dept Pediat & Adolescent Med, A-1090 Vienna, Austria
[10] Harokopio Univ, Dept Nutr & Dietet, Athens 17671, Greece
[11] Univ Coll Ghent, Dept Hlth Sci, B-9000 Ghent, Belgium
基金
比利时弗兰德研究基金会;
关键词
Perceived stress; Adolescence; Diet quality index; Dietary restraint; PHYSICAL-ACTIVITY; MENTAL-HEALTH; FOOD PREFERENCES; DEPRESSED MOOD; HELENA; QUESTIONNAIRE; VALIDITY; OBESITY; HABITS; ISSUES;
D O I
10.1017/S0007114511005708
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
As stress is hypothesised to influence dietary behaviour, the relationship between perceived stress and diet quality in European adolescents was investigated. Within the Healthy Lifestyle in Europe by Nutrition in Adolescence study, adolescents (n 704, aged 12-17 years) from schools in five European cities (Ghent, Stockholm, Zaragoza, Athens and Vienna) completed a 2 d 24 h dietary recall assessment and an Adolescent Stress Questionnaire. Measurements and information were taken on height, weight, pubertal stage, parental education level, the level of moderate-to-vigorous physical activity (MVPA) and sleep duration. The Diet Quality Index for Adolescents (DQI-A) was calculated from the dietary data, which comprised three components reflecting dietary diversity, quality and equilibrium. Hierarchical linear models were performed to investigate the relationship between the adolescents' level of perceived stress and the DQI-A and its components, adjusting for relevant covariates (age, BMI z-score, pubertal stage and parental education). These models were additionally adjusted for MVPA or sleep duration. In both boys and girls, perceived stress was a significant independent negative predictor for their overall DQI-A. This inverse relationship was observed for all dietary components, except for dietary diversity in boys, and it was unaltered when additionally adjusted for MVPA or sleep duration. The observed inverse relationship between stress and diet quality within these European adolescents supports the hypothesis that stress influences dietary behaviour, thus emphasising the need for preventive stress-coping strategies for adolescents.
引用
收藏
页码:371 / 380
页数:10
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