Evidence map›Paper›PMID 30736801›Full record

ArticleThe international journal of behavioral nutrition and physical activity2019

Fruit and vegetable consumption and mental health across adolescence: evidence from a diverse urban British cohort study.

Peiyuan Huang, Majella O'Keeffe, Christelle Elia, Alexis Karamanos, Louise M Goff, Maria Maynard, J Kennedy Cruickshank, Seeromanie Harding

Abstract read
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Peiyuan HuangDepartment of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK.
Majella O'KeeffeDepartment of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK.
Christelle EliaDepartment of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK.
Alexis KaramanosDepartment Epidemiology and Health, ESRC International Centre for Lifecourse Studies in Society and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Louise M GoffDepartment of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK.
Maria MaynardSchool of Clinical & Applied Sciences, Leeds Beckett University, CL 1014 Calverley Building, City Campus, Leeds, LS1 3HE, UK.
J Kennedy CruickshankDepartment of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK.
Seeromanie HardingDepartment of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK. seeromanie.harding@kcl.ac.uk.ORCID 0000-0003-1964-6656

Funding

Medical Research Council 10.13039/N4 501100000265Medical Research Council MC_EX_G0701943Medical Research Council MC_U130015185Medical Research Council MC_UU_12017/1Medical Research Council MC_UU_12017/13Medical Research Council MR/N015959/1Medical Research Council MR/R022739/1Medical Research Council MR/S009035/1
6 · The paper itself

Abstract

backgroundEvidence on the relationship between fruit and vegetable consumption (FV) and mental health in adolescence is sparse and inconsistent. Social determinants of FV include ethnicity, family environments and economic disadvantage. We investigated the relationship between FV and mental health in the British multi-ethnic Determinants of Adolescents (now young Adult) Social well-being and Health (DASH) longitudinal study.

methodsA longitudinal study of 4683 adolescents living in London at age 11-13 years and followed up at 14-16 years. FV was measured using validated questions on the number of portions consumed daily. Mental health was measured by the Strengths and Difficulties Questionnaire as mean Total Difficulties Score (TDS) and by classification as a 'probable clinical case' (TDS > 17). Social measures included ethnicity, parenting and socioeconomic circumstances. Multilevel modelling was used to investigate the association between FV and mental health throughout adolescence.

resultsLow FV was common among adolescents, with approximately 60-70% of adolescents reporting < 5 portions/day and 20-30% reporting < 1 portion/day. In late adolescence, most ethnic minority groups reported lower FV than their White peers. In fully adjusted models, < 1 portion/day remained a significant correlate with mean TDS (Coef: 0.55, 0.29-0.81, P < 0.001) and TDS > 17 (Odds Ratio: 1.43, 1.11-1.85, P = 0.007). Gender- or ethnic-specific effects were not observed. Low parental care partly attenuated the association between FV and mental health.

conclusionsLow FV is a longitudinal correlate of poor mental health across adolescence. A focus on FV in parenting interventions could yield interrelated benefits across developmental outcomes given its importance to both physical and socioemotional health.

Indexed as

AdolescentAdolescent BehaviorDietFeeding BehaviorFruitMental HealthParentsVegetablesChildCohort StudiesDiet SurveysEthnicityFemaleHumansLongitudinal StudiesMaleAdolescentDietFamily contextFruit and vegetablesMental health

Identifiers

PMID30736801
PMCPMC6368762

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.