Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study

BackgroundThe increasing prevalence of psychological symptoms in adolescents has become an important problem faced by all countries in the world. The increased sugar-sweetened beverages (SSB) consumption and the decreased muscle strength had a serious negative impact on adolescent health. However, p...

Full description

Saved in:
Bibliographic Details
Main Authors: Yanni Zhang, Jianping Xiong, Rong Sun, Guangxin Chai, Li Xiong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1511256/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841527905164722176
author Yanni Zhang
Jianping Xiong
Rong Sun
Guangxin Chai
Li Xiong
author_facet Yanni Zhang
Jianping Xiong
Rong Sun
Guangxin Chai
Li Xiong
author_sort Yanni Zhang
collection DOAJ
description BackgroundThe increasing prevalence of psychological symptoms in adolescents has become an important problem faced by all countries in the world. The increased sugar-sweetened beverages (SSB) consumption and the decreased muscle strength had a serious negative impact on adolescent health. However, previous studies have mainly focused on adolescents in developed countries and fewer studies have been conducted in developing countries, especially in rural areas of western China. This study aims to explore the association of sugar-sweetened beverages consumption, and relative grip strength with psychological symptoms among rural adolescents in western China.MethodsIn this study, 11,018 adolescents aged 13–18 years from rural areas of Xinjiang and Tibet in western China were recruited using stratified randomized whole-cluster sampling in 2023. The participants were assessed for sugar-sweetened beverages consumption, relative grip strength, and psychological symptoms. Non-parametric tests, t-tests, logistic regression analyses, and ordered logistic regression analyses of generalized linear models were used to analyze the associations of sugar-sweetened beverage consumption and relative grip strength with psychological symptoms in adolescents.ResultsThe proportions of adolescents with sugar-sweetened beverages consumption of <1 times/week, 2–4 times/week, and >4 times/week in rural areas of western China were 34.6, 52.7, and 12.7%, respectively. The prevalence of adolescents’ emotional problems, behavioral problems, social adjustment difficulties, and psychological symptoms were 28.7, 27.0, 20.2, and 22.1%, respectively. The mean and standard deviation of grip strength among adolescents was assessed as (32.52 ± 10.13) kg and the relative grip strength was (0.60 ± 0.16) in rural areas of western China. Taking participants with sugar-sweetened beverages consumption <1 times/week group and relative grip strength at the fourth quartile as the reference, participants with SSB consumption >4 times/week and relative grip strength at the first quartile had the highest risk (OR = 2.77, 95% CI: 2.09–3.67, p < 0.001) of psychological symptoms.ConclusionElevated sugar-sweetened beverages consumption and decreased relative grip strength were associated with an increased prevalence of psychological symptoms. Prospective cohort studies are needed in the future to explore the causal relationships among SSB consumption, muscle strength, and psychological symptoms.
format Article
id doaj-art-799c270c07b1438297688360cf02b8a0
institution Kabale University
issn 2296-861X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Nutrition
spelling doaj-art-799c270c07b1438297688360cf02b8a02025-01-15T05:10:53ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011210.3389/fnut.2025.15112561511256Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional studyYanni Zhang0Jianping Xiong1Rong Sun2Guangxin Chai3Li Xiong4Department of Physical Education, Yangtze University College of Arts and Sciences, Jingzhou, ChinaSchool of Physical Education, Jiangxi University of Finance and Economics, Nanchang, ChinaSchool of Physical Education and Health, Jiangxi Science and Technology Normal University, Nanchang, ChinaSchool of Physical Education and Health, Jiangxi Science and Technology Normal University, Nanchang, ChinaSchool of Physical Education and Health, Nanchang Institute of Science & Technology, Nanchang, ChinaBackgroundThe increasing prevalence of psychological symptoms in adolescents has become an important problem faced by all countries in the world. The increased sugar-sweetened beverages (SSB) consumption and the decreased muscle strength had a serious negative impact on adolescent health. However, previous studies have mainly focused on adolescents in developed countries and fewer studies have been conducted in developing countries, especially in rural areas of western China. This study aims to explore the association of sugar-sweetened beverages consumption, and relative grip strength with psychological symptoms among rural adolescents in western China.MethodsIn this study, 11,018 adolescents aged 13–18 years from rural areas of Xinjiang and Tibet in western China were recruited using stratified randomized whole-cluster sampling in 2023. The participants were assessed for sugar-sweetened beverages consumption, relative grip strength, and psychological symptoms. Non-parametric tests, t-tests, logistic regression analyses, and ordered logistic regression analyses of generalized linear models were used to analyze the associations of sugar-sweetened beverage consumption and relative grip strength with psychological symptoms in adolescents.ResultsThe proportions of adolescents with sugar-sweetened beverages consumption of <1 times/week, 2–4 times/week, and >4 times/week in rural areas of western China were 34.6, 52.7, and 12.7%, respectively. The prevalence of adolescents’ emotional problems, behavioral problems, social adjustment difficulties, and psychological symptoms were 28.7, 27.0, 20.2, and 22.1%, respectively. The mean and standard deviation of grip strength among adolescents was assessed as (32.52 ± 10.13) kg and the relative grip strength was (0.60 ± 0.16) in rural areas of western China. Taking participants with sugar-sweetened beverages consumption <1 times/week group and relative grip strength at the fourth quartile as the reference, participants with SSB consumption >4 times/week and relative grip strength at the first quartile had the highest risk (OR = 2.77, 95% CI: 2.09–3.67, p < 0.001) of psychological symptoms.ConclusionElevated sugar-sweetened beverages consumption and decreased relative grip strength were associated with an increased prevalence of psychological symptoms. Prospective cohort studies are needed in the future to explore the causal relationships among SSB consumption, muscle strength, and psychological symptoms.https://www.frontiersin.org/articles/10.3389/fnut.2025.1511256/fulladolescentsgrip strengthpsychological symptomssugar-sweetened beverageswestern China
spellingShingle Yanni Zhang
Jianping Xiong
Rong Sun
Guangxin Chai
Li Xiong
Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study
Frontiers in Nutrition
adolescents
grip strength
psychological symptoms
sugar-sweetened beverages
western China
title Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study
title_full Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study
title_fullStr Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study
title_full_unstemmed Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study
title_short Sugar-sweetened beverages, relative grip strength, and psychological symptoms among rural adolescents in western China: a cross-sectional study
title_sort sugar sweetened beverages relative grip strength and psychological symptoms among rural adolescents in western china a cross sectional study
topic adolescents
grip strength
psychological symptoms
sugar-sweetened beverages
western China
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1511256/full
work_keys_str_mv AT yannizhang sugarsweetenedbeveragesrelativegripstrengthandpsychologicalsymptomsamongruraladolescentsinwesternchinaacrosssectionalstudy
AT jianpingxiong sugarsweetenedbeveragesrelativegripstrengthandpsychologicalsymptomsamongruraladolescentsinwesternchinaacrosssectionalstudy
AT rongsun sugarsweetenedbeveragesrelativegripstrengthandpsychologicalsymptomsamongruraladolescentsinwesternchinaacrosssectionalstudy
AT guangxinchai sugarsweetenedbeveragesrelativegripstrengthandpsychologicalsymptomsamongruraladolescentsinwesternchinaacrosssectionalstudy
AT lixiong sugarsweetenedbeveragesrelativegripstrengthandpsychologicalsymptomsamongruraladolescentsinwesternchinaacrosssectionalstudy