Research output: Contribution to journal › Article › peer-review
Peiyuan Huang, Majella O'Keeffe, Christelle Elia, Alexis Karamanos, Louise M. Goff, Maria Maynard, J. Kennedy Cruickshank, Seeromanie Harding
Original language | English |
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Article number | 19 |
Journal | The international journal of behavioral nutrition and physical activity |
Volume | 16 |
Issue number | 1 |
DOIs | |
Accepted/In press | 29 Jan 2019 |
Published | 8 Feb 2019 |
Additional links |
Fruit and vegetable consumption_HUANG_Accepted29January2019_GREEN AAM
Fruit_and_vegetable_consumption_HUANG_Accepted29January2019_GREEN_SM.pdf, 592 KB, application/pdf
Uploaded date:01 Feb 2019
Version:Accepted author manuscript
Licence:CC BY
Background: Evidence 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. Methods: A 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. Results: Low 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. Conclusions: Low 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.
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