Anxiety level and breakfast type in schoolchildren during the COVID-19 state of alarm in Spain
Keywords:
health, nutrition, anxiety, childhood.Abstract
Introduction: Breakfast arouses considerable scientific interest as a potential lifestyle parameter.
Objective: Analyze the relationship between anxiety levels and breakfast type in schoolchildren.
Methods: A cross-sectional study was conducted of 116 schoolchildren from the Isle of Fuerteventura. Anxiety was evaluated with the Spence Children Anxiety Scale (SCAS) questionnaire. Items about breakfast were taken from the KIDMED Test of Adherence to the Mediterranean Diet. Statistical processing was based on one way ANOVA and the multivariate logistic regression test.
Results: Intake of a cereal is associated to a lesser probability of developing agoraphobia and panic attacks (OR = 1.14, p < 0.01), social phobia (OR = 0.71, p < 0.05), obsessive-compulsive disorder (OR = 1.22, p < 0.05) and overall anxiety index (OR = 1.05, p < 0.05). On the other hand, not having pastry for breakfast habitually was associated to a lesser probability of developing obsessive-compulsive disorder (OR = 1.13; p < 0.05).
Conclusions: Optimum breakfast quality, such as eating healthy cereals and not eating industrial pastries, is associated to lower levels of anxiety in schoolchildren during the state of alarm decreed in Spain due to the COVID-19 pandemic.
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References
1. Organización Mundial de la salud. Informe mundial sobre las drogas 2018; resumen, conclusiones y consecuencias en materia de políticas. Oficina de las Naciones Unidas contra la Droga y el Delito. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/adolescent-mental-health
2. Navarro-Pardo E, Moral JC, Galán AS, Beitia MD. Desarrollo infantil y adolescente: Trastornos mentales más frecuentes en función de la edad y el género. Psicothema. 2012; 24(3), 377–383.
3. Fernández-Sogorb A, Gómez-Núñez MI, Vicent M, Aparicio-Flores MP, Aparisi-Sierra D, Saura CJ. Ansiedad escolar infantojuvenil: una revisión de autoinformes. Rev INFAD. 2017; 3(1), 43-50.
4. Andrés ML, Canet Juric L, Castañeiras CE, Richaud de Minzi MC. Relaciones de la regulación emocional y la personalidad con la ansiedad y depresión en niños. Av Psicol Latinoam. 2016; 34(1), 99-115.
5. Michelle M, Bohan Brown, Digging into breakfast: serving up a better understanding of the effects on health of the “most important meal of the day”, Am J Clin Nutr. 2019; 110(1), 4–5.
6. O’neil A, Quirk SE, Housden S, Brennan SL, Williams LJ, Pasco JA, Jacka FN. Relationship between diet and mental health in children and adolescents: a systematic review. Am J Public Health. 2014; 104(10), e31-e42.
7. Khalid S, Williams CM, Reynolds SA. Is there an association between diet and depression in children and adolescents? A systematic review. Brit J Nutr. 2018; 116(12), 2097-2108.
8. Opie R, O’Neil A, Itsiopoulos C, Jacka F. The impact of whole-of-diet interventions on depression and anxiety: A systematic review of randomised controlled trials. Public Health Nutr. 2015; 18(11), 2074-2093.
9. Aucoin M, Bhardwaj S. Generalized Anxiety Disorder and Hypoglycemia Symptoms Improved with Diet Modification. Case Rep Psychiatry. 2016; 71(6); 54-25.
10. García-Falconi R, Acuña VR, Sanchez JE, Barjau HG,
Noygues CB. Ansiedad, depresión, hábitos alimentarios y actividad en niños con sobrepeso y obesidad. Horizonte San. 2016; 15(2), 91-97.
11. Carrillo López PJ, Cantó E, Guillamón A. Relación del
desayuno con la calidad de la dieta en escolares de educación secundaria obligatoria de un centro escolar de Murcia. Rev Esp Nutr Comunitaria. 2019; 25(1), 1.
12. Sievert K, Hussain SM, Page MJ, Wang Y, Hughes HJ, Malek M. Effect of breakfast on weight and energy intake: systematic review and meta-analysis of randomised controlled trials. Bmj. 2019, 364, l42.
13. Rosa Guillamón A, Carrillo López PJ, García Cantó E. Relación del desayuno con el nivel de actividad física y variables antropométricas en escolares de primaria. Rev Pediatr Aten Primaria. 2019; 21(83), e91-e100.
14. Ahadi Z, Kelishadi R, Qorbani M, Zahedi H, Aram M, Motlagh ME, Heshmat R. Association of breakfast intake with psychiatric distress and violent behaviors in Iranian children and adolescents: The CASPIAN- IV study. Indian J Pediatrics. 2016; 83(9), 922–929.
15. López-Sobaler AM, Cuadrado-Soto E, Peral-Suárez Á, Aparicio A, Ortega RM. Importancia del desayuno en la mejora nutricional y sanitaria de la población. Nutr Hosp. 2018;35:3-6
16. MacInerney EK, Swatzyna RJ, Roark AJ, Gonzalez BC, Kozlowski GP. Breakfast choices influence brainwave activity: Single case study of a 12-year-old female. NeuroRegulation. 2017; 4(1), 56–62.
17. Lundqvist M, Vogel NE, Levin LÅ. Effects of eating breakfast on children and adolescents: A systematic review of potentially relevant outcomes in economic evaluations. Food Nutr Res. 2019;63:10.3
18. Al Turki M, Al Shloi S, Al Harbi A, Al Agil A, Othman F. Effect of breakfast consumption on the cognitive and academic performances in schoolchildren: A cross sectional study in Riyadh, Saudi Arabia. Int Res J Med Med Sci. 2019; 7(3): 75-83.
19. Ferrer-Cascales R, Sánchez-SanSegundo M, Ruiz-Robledillo N, Albaladejo-Blázquez N, Laguna-Pérez A, Zaragoza-Martí A. Eat or Skip Breakfast? The Important Role of Breakfast Quality for Health-Related Quality of Life, Stress and Depression in Spanish Adolescents. Int J Environ Res Public Health. 2018; 15(8):1781.
20. Kaitlyn M. Eck, Colleen L. Delaney, Rashel L. Clark, Miriam P. Leary, Karla Pagan Shelnutt, Melissa D. Olfert, Carol Byrd-Bredbenner. The “Motor of the Day”: Parent and School-Age Children’s Cognitions, Barriers, and Supports for Breakfast. I J Env Res Public Health. 2019; 16:18.
21. González-Garrido AA, Brofman-Epelbaum JJ, Gómez-Velázquez FR, Balart-Sánchez SA, Ramos-Loyo J. Skipping Breakfast Affects the Early Steps of Cognitive Processing. J Psych. 2018; 33,109-118
22. Mohiuddin AK. Skipping Breakfast Everyday Keeps Well-being Away. J Food Sci Nutri Res. 2018; 018-030.
23. O''Neil CE, Nicklas TA. Breakfast Consumption versus Breakfast Skipping: The Effect on Nutrient Intake, Weight, and Cognition. Nestle Nutr Inst Workshop Ser. 2019; 91:153-167.
24. Brindal E, Baird D, Danthiir V, Wilson C, Bowen J, Slater A, Noakes M. Ingesting breakfast meals of different glycaemic load does not alter cognition and satiety in children. Eur J Clin Nutr. 2012; 66(10), 1166–1171.
25. Richards G, Smith AP. Breakfast and Energy Drink Consumption in Secondary School Children: Breakfast Omission, in Isolation or in Combination with Frequent Energy Drink Use, is Associated with Stress, Anxiety, and Depression Cross-Sectionally, but not at 6-Month Follow-Up. Front Psychol. 2016; 7:106.
26. Orgilés M, Méndez X, Spence SH, Huedo-Medina TB, Espada JP. Spanish validation of the Spence Children’s Anxiety Scale. Child Psychiatry Hum Dev. 2012; 43(2), 271-281.
27. Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, Aranceta, Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004; 7(7), 931-935.
28. Lindseth G, Helland B, Caspers J. The effects of dietary tryptophan on affective disorders. Arch Psychiat Nurs. 2015; 29(2), 102-107.
29. Bravo R, Matito S, Cubero J. Tryptophan-enriched cereal intake improves nocturnal sleep, melatonin, serotonin, and total antioxidant capacity levels and mood in elderly humans. Age. 2013; 35: 12–85.
30. Musumeci G, Castrogiovanni P, Castorina S, Imbesi R, Szychlinska MA, Scuderi S, Giunta S. Changes in serotonin (5-HT) and brain-derived neurotrophic factor (BDFN) expression in frontal cortex and hippocampus of aged rat treated with high tryptophan diet. Brain Res Bull. 2015; 119, 12-18.
31. Lawton CL, Walton J, Hoyland A, Howarth E, Allan P, Chesters D, Dye L. Short Term (14 Days) Consumption of Insoluble Wheat Bran Fibre-Containing Breakfast Cereals Improves Subjective Digestive Feelings, General Wellbeing and Bowel Function in a Dose Dependent Manner. Nutrients. 2013; 5, 1436-1455.
32. Codella R, Benedini S, Paini S, Caumo A, Adamo M, Terruzzi I, Luzi L. Effect of sugar versus mixed breakfast on metabolic and neurofunctional responses in healthy individuals. J Diabetes Res. 2017.
33. Nava JP, Morales BJ, Morales GJ, Jiménez MS, Ruiz IZ. Depresión y factores asociados en niños y adolescentes de 7 a 14 años de edad. Aten Fam. 2020; 27(1), 38-42.
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