Evidence map›Paper›PMID 42890165›Full record

ArticleFrontiers in psychology2026

The association of sugar-sweetened beverage intake and conicity index with mental health symptoms among Chinese adolescents.

Linlin Li, Yuqiang Li, Huijun Yan, Hui Wang, Guangtao Zhao, Min Zhang

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Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Linlin LiSchool of Physical Education, Huanghuai University, Zhumadian, China.
Yuqiang LiCollege of Physical Education and Health, East China Normal University, Shanghai, China.
Huijun YanCollege of Physical Education and Health Management, College of Physical Education, Henan Finance University, Zhengzhou, China.
Hui WangCollege of Sports Science, Hefei Normal University, Hefei, Anhui, China.
Guangtao ZhaoCollege of Physical Education and Health Management, College of Physical Education, Henan Finance University, Zhengzhou, China.
Min ZhangSchool of Physical Education, Chizhou University, Chizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mental health issues among adolescents are becoming increasingly prominent, and sugar-sweetened beverage (SSB) intake and the conicity index (CI) may be associated with these issues. However, current research provides limited evidence on the combined effects of these two factors. This study aims to investigate the association between SSB intake and CI and mental health symptoms among Chinese adolescents. Methods: Using a cross-sectional design, this study assessed 42,382 middle school students (21,156 males and 21,226 females) nationwide in China in 2024. A questionnaire was used to collect data on the frequency of SSB consumption, mental health symptoms (emotional problems, behavioral problems, and social adjustment difficulties), and covariates. CI was calculated using waist circumference, height, and weight. Logistic regression and joint effects analysis were employed, with stepwise adjustment for age, mode of commuting, breakfast frequency, and moderate-to-vigorous physical activity. Results: Among 42,382 adolescents, the prevalence of mental health symptoms was 20.9% (males 21.4% vs. females 20.5%). SSB intake ≥5 times/week (OR = 1.66) and the highest CI quartile (OR = 1.17) were independently associated with mental health symptoms. The combined effect was strongest for high SSB with highest CI (OR = 2.12), with a stronger combined association among individuals with both exposures, particularly in females (OR = 3.41). Conclusion: SSB intake and CI were both independently associated with for mental health symptoms among Chinese adolescents, and there is a synergistic effect between the two. Findings suggest that lower SSB intake and lower central adiposity are associated with adolescents' mental health; gender differences suggest the need to develop targeted intervention strategies.

Indexed as

adolescentsChineseconicity indexmental health symptomssugar-sweetened beverage intake

Identifiers

PMID42890165
PMCPMC13672479

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