聯合國世界衛生組織(World health organization, WHO)將憂鬱症,癌症與愛滋病為二十一世紀的三大病症。這三大疾病危害人類的身心健康。均衡與足夠的營養素可以維持生命健康與完好(well-being),憂鬱情緒會造成飲食障礙。而飲食行為異常的病因亦需考慮多層面如社會文化、心理及生物學等許多交錯影響的因子。董氏基金會調查指出台北市青少年中15.3%的人每天都會感到憂鬱(董氏基金會,2004)。研究目的是在了解探討,台灣地區青少年憂鬱情緒的發生與飲食型態、營養狀況、體位及課業表現間的相關性。本研究於2007年間,在四個地區各選擇學區的一所國中7-8年級學生為研究對象,研究共有二階段,第一階段共628人,進行自填問卷收集影響憂鬱情緒相關因子;第二階段共64人,進一步分析血液及飲食攝取量對憂鬱情緒影響。結果有602份有效問卷,分析得飲食中魚類、海鮮、蔬菜與憂鬱情緒4分位分組間卡方值分析結果有呈現顯著負相關。第二部分有效受試者飲食資料中(N=56),在憂鬱情緒積分得分最高組別脂肪攝取佔熱量的百分比、膽固醇及纖維攝取量顯著低於憂鬱情緒積分得分最低組別,而課業成績表現與憂鬱情緒分組間有顯著性差異。課業表現是直接影響青少年憂鬱情緒的影響因子之一,但是不均衡的飲食型態,如:飲食中魚類、海鮮、蔬菜攝取偏好,對憂鬱情緒有顯著負相關存在,及建議攝取範圍內較低脂肪及膽固醇攝取情況也會影響憂鬱情緒發生。
According to the World Health Organization (WHO) proposed that, depression, AIDS, cancer are the 21th century disease which harm human healthy. Adequate and balanced nutrients maintain a healthy and wellbeing life, and depressive mood influence eating behavior. Dietary behavior is a complicated and interacted process of physiological, psychological and environmental factors. Unbalanced diet can influence psychology, nervous status and brain function. 15.3% of Taipei adolescent have experienced of depression everyday(Tung’s foundation, 2004). The aim of this study is to find out whether dietary behavior is a factor of living behavior and academic performance in adolescents through a 4-areas study in 2007, will be recruited from junior high school students from 7-8 grade. There were 2 phases in this study. Phase 1, total 628 subjects were completed self-report questionnaire where were analyzed depressive mood related factors. Phase 2, 64 subjects were recruited to analysis subjects’ diet and blood sample, determined dietary intake , blood nutrition status and depressive mood relationships. Result the achieved samples (n=602), showed that the top depressive mood scores quartile were negatively related to seafood, fish, vegetable in first screen questionnaire by Chi-square analysis. 56 completed subjects showed that, dietary fat and cholesterol intake were significantly lower in most depressive mood scores group compared to lowest group in phase 2. Conclusions: School performance was a possible factor that influenced adolescent depressive mood. Inadequate eating behaviors such as: fish, seafood, vegetable were mild influenced depressive mood negatively. There was lower dietary fat and cholesterol intake that were in recommended dietary allowance were influenced depressive mood significantly.