Association of plain water intake with self-reported depression and suicidality among Korean adolescents

OBJECTIVES Adolescent depression and suicidality are serious health problems worldwide. Lower plain water intake has been proposed as a risk factor for depression in adults. This study investigated the association of daily plain water intake with self-reported depression and suicidality among Korean...

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Main Authors: Jung Woo Lee, Yookyung Kim
Format: Article
Language:English
Published: Korean Society of Epidemiology 2024-01-01
Series:Epidemiology and Health
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Online Access:http://www.e-epih.org/upload/pdf/epih-46-e2024019.pdf
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author Jung Woo Lee
Yookyung Kim
author_facet Jung Woo Lee
Yookyung Kim
author_sort Jung Woo Lee
collection DOAJ
description OBJECTIVES Adolescent depression and suicidality are serious health problems worldwide. Lower plain water intake has been proposed as a risk factor for depression in adults. This study investigated the association of daily plain water intake with self-reported depression and suicidality among Korean adolescents. METHODS We used nationwide data from 112,250 students aged 12-18 years who participated in the Korean Youth Risk Behavior Web-based Surveys in 2019 and 2020. Daily plain water intake was categorized as <1 glass, 1-2 glasses, and ≥3 glasses. The adjusted odds ratios (aORs) with 95% confidence intervals (CIs) for self-reported depression and suicidality were calculated using multiple regression analyses. RESULTS The weighted prevalence rates of self-reported depression, suicidal ideation, suicide planning, and suicide attempts were 26.7%, 12.0%, 3.8%, and 2.5%, respectively. Of the participants, 3.9%, 18.5%, and 77.7% were categorized into the <1 glass/day, 1-2 glass/day, and ≥3 glass/day groups, respectively. Compared to the reference group (≥3 glass/day), the lowest level of water intake (<1 glass/day) was associated with higher odds of self-reported depression (aOR, 1.30; 95% CI, 1.20 to 1.39), suicidal ideation (aOR, 1.39; 95% CI, 1.27 to 1.55), suicide planning (aOR, 1.46; 95% CI, 1.25 to 1.69), and suicide attempts (aOR, 1.38; 95% CI, 1.15 to 1.67). Moderately lower water intake (1-2 glass/day) showed slightly increased odds of self-reported depression (aOR, 1.05; 95% CI, 1.01 to 1.10) and suicidal ideation (aOR, 1.08; 95% CI, 1.03 to 1.14). CONCLUSIONS Lower plain water intake was significantly associated with a higher risk of self-reported depression and suicidality among Korean adolescents. Since this cross-sectional study is unable to establish a causal relationship, it underscores the need for additional longitudinal research.
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spelling doaj-art-132981ac3e3d49bea7f1236bdcb036d02025-08-20T02:13:26ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932024-01-014610.4178/epih.e20240191485Association of plain water intake with self-reported depression and suicidality among Korean adolescentsJung Woo Lee0Yookyung Kim1 BK21 Four Research & Education Center for Sustainable Living System, Korea University, Seoul, Korea Department of Home Economics Education, Korea University College of Education, Seoul, KoreaOBJECTIVES Adolescent depression and suicidality are serious health problems worldwide. Lower plain water intake has been proposed as a risk factor for depression in adults. This study investigated the association of daily plain water intake with self-reported depression and suicidality among Korean adolescents. METHODS We used nationwide data from 112,250 students aged 12-18 years who participated in the Korean Youth Risk Behavior Web-based Surveys in 2019 and 2020. Daily plain water intake was categorized as <1 glass, 1-2 glasses, and ≥3 glasses. The adjusted odds ratios (aORs) with 95% confidence intervals (CIs) for self-reported depression and suicidality were calculated using multiple regression analyses. RESULTS The weighted prevalence rates of self-reported depression, suicidal ideation, suicide planning, and suicide attempts were 26.7%, 12.0%, 3.8%, and 2.5%, respectively. Of the participants, 3.9%, 18.5%, and 77.7% were categorized into the <1 glass/day, 1-2 glass/day, and ≥3 glass/day groups, respectively. Compared to the reference group (≥3 glass/day), the lowest level of water intake (<1 glass/day) was associated with higher odds of self-reported depression (aOR, 1.30; 95% CI, 1.20 to 1.39), suicidal ideation (aOR, 1.39; 95% CI, 1.27 to 1.55), suicide planning (aOR, 1.46; 95% CI, 1.25 to 1.69), and suicide attempts (aOR, 1.38; 95% CI, 1.15 to 1.67). Moderately lower water intake (1-2 glass/day) showed slightly increased odds of self-reported depression (aOR, 1.05; 95% CI, 1.01 to 1.10) and suicidal ideation (aOR, 1.08; 95% CI, 1.03 to 1.14). CONCLUSIONS Lower plain water intake was significantly associated with a higher risk of self-reported depression and suicidality among Korean adolescents. Since this cross-sectional study is unable to establish a causal relationship, it underscores the need for additional longitudinal research.http://www.e-epih.org/upload/pdf/epih-46-e2024019.pdfadolescentdepressionmental healthdrinking watersuicide
spellingShingle Jung Woo Lee
Yookyung Kim
Association of plain water intake with self-reported depression and suicidality among Korean adolescents
Epidemiology and Health
adolescent
depression
mental health
drinking water
suicide
title Association of plain water intake with self-reported depression and suicidality among Korean adolescents
title_full Association of plain water intake with self-reported depression and suicidality among Korean adolescents
title_fullStr Association of plain water intake with self-reported depression and suicidality among Korean adolescents
title_full_unstemmed Association of plain water intake with self-reported depression and suicidality among Korean adolescents
title_short Association of plain water intake with self-reported depression and suicidality among Korean adolescents
title_sort association of plain water intake with self reported depression and suicidality among korean adolescents
topic adolescent
depression
mental health
drinking water
suicide
url http://www.e-epih.org/upload/pdf/epih-46-e2024019.pdf
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