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            <text>&lt;a href="https://doi.org/10.5888/pcd21.240187"&gt;https://doi.org/10.5888/pcd21.240187&lt;/a&gt;</text>
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            <text>Julia Dabravolska, Karen A Patte, Shelby Yamamoto, Scott T Leatherdale, Paul J Veugelers, Katerina Maximova</text>
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        <name>Volume</name>
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            <text>Vol. 21</text>
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            <text>Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion (Atlanta, Ga.)</text>
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            <text>Preventing Chronic Disease</text>
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        <name>Publication Date</name>
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            <text>2024</text>
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        <name>ISBN</name>
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          <elementText elementTextId="9799">
            <text>15451151</text>
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            <text>Canada</text>
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            <text>English</text>
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            <text>Introduction: The high prevalence of mental disorders among adolescents calls for community-based and population-level prevention strategies. Diet is an important intervention target for primary prevention of mental disorders among adolescents. We used data from a large longitudinal study of Canadian adolescents (aged 14-18 y) to examine prospective associations between diet and mental health outcomes.&#13;
&#13;
Methods: We estimated the effect of diet (ie, consumption of vegetables and fruit and sugar-sweetened beverages [SSBs]) at baseline on depressive symptoms, anxiety symptoms, and psychological well-being (measured by the Center for Epidemiologic Studies Depression Scale-Revised, Generalized Anxiety Disorder 7 scale, and Flourishing Scale, respectively) and at 1-year follow-up in a sample of 13,887 Canadian secondary school students who participated in the 2017-2018 and 2018-2019 cycles of the Cannabis, Obesity, Mental health, Physical activity, Alcohol, Smoking, and Sedentary (COMPASS) behavior study. We applied linear mixed-effects methods informed by a directed acyclic graph. Sensitivity analyses assessed the robustness of the effect estimates to unmeasured confounding variables.&#13;
&#13;
Results: Baseline SSB consumption was associated with greater severity of depressive (β = 0.04; 95% CI, 0.01-0.06) and anxiety (β = 0.02; 95% CI, 0-0.05) symptoms, particularly among male students, and poorer psychological well-being (β = -0.03; 95% CI, -0.05 to -0.01) at follow-up. Baseline vegetables and fruit consumption was positively associated with psychological well-being (β = 0.06; 95% CI, 0.03-0.10) but not other mental health outcomes at follow-up.&#13;
&#13;
Conclusion: Our results support the notion that diet should be part of comprehensive mental health prevention and promotion interventions to reduce the prevalence of mental health disorders among adolescents.</text>
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        <name>Cataloger</name>
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            <text>Haley Lesemann</text>
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      <name>Dublin Core</name>
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          <name>Title</name>
          <description>A name given to the resource</description>
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              <text>Association Between Diet and Mental Health Outcomes in a Sample of 13,887 Adolescents in Canada</text>
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              <text>Diet--Psychological aspects</text>
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    <tag tagId="63">
      <name>Child Nutrition</name>
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    <tag tagId="56">
      <name>Children</name>
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      <name>Depression</name>
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      <name>Mental Health</name>
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    <tag tagId="101">
      <name>Nutrition</name>
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