Is Meal Frequency Associated with Mental Distress and Violent Behaviors in Children and Adolescents? the CASPIAN IV Study

Authors

  • Gelayol Ardalan Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  • Hamid Asayesh Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran
  • Hossein Ansari Health Promotion Research Center, Zahedan University of Medical Sciences
  • Morteza Mansourian Department of Health Education and Promotion, School of health, Iran University of Medical Sciences, Tehran, Iran
  • Mostafa Qorbani Department of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
  • Ramin Heshmat Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  • Rasool Mohammadi Department of Epidemiology and Biostatistics, Shahid Beheshti University of Medical Science, Tehran, Iran
  • Roya Kelishadi Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  • Saeid Safiri Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran
  • Zeinab Ahadi Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Abstract:

Background: This study aimed to assess the relationship between meal frequency with mental distress and violent behavior among a nationally representative sample of Iranian children and adolescents. Materials and Methods: The participants of this national study were 14,880 Iranian students with 6 to 18 years of age. They were selected from urban and rural regions of Iran by multi-stage cluster sampling method. The data were obtained about demographic information, mental distress, violent behaviors and meal frequency by the questionnaire of the World Health Organization-Global School-based Student Health Survey (WHO-GSHS). Results: The response rate was 90.6%. The participants who were categorized as the group eating 3 meals per week significantly experienced less mental distress than those who were categorized as consuming 2 meals and one/no meal per week (P-value < 0.05). The min rate of violent behaviors was observed among participants who were classified as consuming 3 meals group and the max rate in one/no meal group. Participants who were categorized as consuming one/ no meal and 2 meals per week had higher risk of mental distress and violent behaviors compared with those whom consumed 3 meals per week. Conclusions: Meal skipping was significantly associated with mental problems and violent behaviors among Iranian children and adolescents and this association was independent of known confounders.

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Journal title

volume 4  issue 2

pages  1413- 1421

publication date 2016-02-01

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