Abstract

Studies have shown that the prevalence of mental health problems is high among left-behind children (LBC). Modifiable eating habits may play an important role in promoting mental health among these adolescents. This study aimed to investigate the situation of dietary habits and their association with mental health problems in a sample of Chinese LBC. We conducted this cross-sectional study in an economically disadvantaged area of China in May 2020. Information on socio-demographic factors, eating habits (the frequency of eating carbohydrates, fruits, vegetables, protein, and breakfast), and mental health problems (insomnia, depression, and anxiety) were collected among local adolescents. Among 8939 adolescents were recruited, a total of 3314 LBC (1455 males and 1859 females, aged 12–17 years) were identified and included in the current study. Associations between dietary habits and mental health were analyzed by generalized linear models. Results indicated that the dietary pattern was unhealthy among LBC and even worse in females. Compared to routinely eating breakfast and fruits, lower frequencies of eating breakfast and fruits were identified as two significant factors with higher risks of mental health problems. Moreover, the association was more pronounced in females. Therefore, improving diet quality, particularly the frequency of eating breakfast and fruit intake may be an effective approach in the mental health promotion for LBC, especially for females.

Highlights

  • Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations

  • Using a sample of Chinese leftbehind children (LBC), the current study aimed to investigate the situation of eating habits and their association with mental health problems, including the severity of depression, anxiety, and insomnia

  • The results mainly indicated that eating habits in Chinese LBC were not optimal, with a low proportion of routinely adopting healthy eating habits in this study

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Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. A meta-analysis concluded that skipping breakfast was positively associated with odds of depression [10] These studies point to the favorable roles of optimal eating habits on mental health in young people. Exploring the relationship between dietary habits and mental health would be of great significance to promote the mental health of LBC, as one’s eating habits are modifiable and daily behaviors. In this regard, if researchers can determine the association between eating habits and mental health, improving diet quality would be a promising way for improving LBC’s mental health. This study aimed to explore the association between eating habits and mental health problems (e.g., depression, anxiety, insomnia) among Chinese LBC. Given the existing evidence of an association between diet habits and youth mental health, we expected to observe a significant association between eating habits and mental health problems in LBC

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