The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States
Background: The evidence is limited for the dose–response association between breakfast skipping and suicidality. The underlying pathway from breakfast skipping to suicidality has also rarely been explored in previous studies. Methods: The data of Youth Risk Behavior Surveys (YRBSs) of the United St...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-02-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/14/5/956 |
| _version_ | 1797474238474485760 |
|---|---|
| author | Bao-Peng Liu Hui-Juan Fang Cun-Xian Jia |
| author_facet | Bao-Peng Liu Hui-Juan Fang Cun-Xian Jia |
| author_sort | Bao-Peng Liu |
| collection | DOAJ |
| description | Background: The evidence is limited for the dose–response association between breakfast skipping and suicidality. The underlying pathway from breakfast skipping to suicidality has also rarely been explored in previous studies. Methods: The data of Youth Risk Behavior Surveys (YRBSs) of the United States from 2011 to 2019 were used with a sample size of 74,074. The male: female ratio was nearly 1:1. Binary logistic regression models with complex sampling design were adopted to show the effect of breakfast skipping on weight status, depressive symptoms, and suicidality. Serial mediation was used to explore the association between breakfast skipping and suicidality by overweight/obesity and depressive symptoms. Findings: The weighted prevalence rates (95% confidence interval) of suicidal ideation, suicide plan, suicide attempt, and medically serious suicide attempt for skipping breakfast totally (0 times/week) were 25.6% (24.4–26.8%), 21.7% (20.5–22.9%), 14.2% (13.0–15.3%), and 5.3% (4.6–5.9%). Breakfast skipping was significantly associated with increased risk of suicidal ideation, suicide plan, suicide attempt, and medically serious suicide attempt. There was statistical significance for the linear dose–response association between breakfast skipping and overweight/obesity, depressive symptoms, and suicidality regardless of sex and age. A serial mediation with effect sizes between 39.68% and 51.30% for the association between breakfast skipping and suicidality by overweight/obesity and depressive symptoms was found in this study. Conclusions: This study emphasizes the hazards of breakfast skipping, which could increase the risk of suicidality among adolescents. Overweight/obesity and depressive symptoms as the mediating factors for the association between breakfast skipping and suicidality should also be with more attention. |
| first_indexed | 2024-03-09T20:27:18Z |
| format | Article |
| id | doaj.art-7dcce99da6f94cac9741242af2f58f4b |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T20:27:18Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-7dcce99da6f94cac9741242af2f58f4b2023-11-23T23:32:22ZengMDPI AGNutrients2072-66432022-02-0114595610.3390/nu14050956The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United StatesBao-Peng Liu0Hui-Juan Fang1Cun-Xian Jia2Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, ChinaDepartment of Pediatrics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, ChinaDepartment of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, ChinaBackground: The evidence is limited for the dose–response association between breakfast skipping and suicidality. The underlying pathway from breakfast skipping to suicidality has also rarely been explored in previous studies. Methods: The data of Youth Risk Behavior Surveys (YRBSs) of the United States from 2011 to 2019 were used with a sample size of 74,074. The male: female ratio was nearly 1:1. Binary logistic regression models with complex sampling design were adopted to show the effect of breakfast skipping on weight status, depressive symptoms, and suicidality. Serial mediation was used to explore the association between breakfast skipping and suicidality by overweight/obesity and depressive symptoms. Findings: The weighted prevalence rates (95% confidence interval) of suicidal ideation, suicide plan, suicide attempt, and medically serious suicide attempt for skipping breakfast totally (0 times/week) were 25.6% (24.4–26.8%), 21.7% (20.5–22.9%), 14.2% (13.0–15.3%), and 5.3% (4.6–5.9%). Breakfast skipping was significantly associated with increased risk of suicidal ideation, suicide plan, suicide attempt, and medically serious suicide attempt. There was statistical significance for the linear dose–response association between breakfast skipping and overweight/obesity, depressive symptoms, and suicidality regardless of sex and age. A serial mediation with effect sizes between 39.68% and 51.30% for the association between breakfast skipping and suicidality by overweight/obesity and depressive symptoms was found in this study. Conclusions: This study emphasizes the hazards of breakfast skipping, which could increase the risk of suicidality among adolescents. Overweight/obesity and depressive symptoms as the mediating factors for the association between breakfast skipping and suicidality should also be with more attention.https://www.mdpi.com/2072-6643/14/5/956breakfast skippingweight statusdepressive symptomssuicidality |
| spellingShingle | Bao-Peng Liu Hui-Juan Fang Cun-Xian Jia The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States Nutrients breakfast skipping weight status depressive symptoms suicidality |
| title | The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States |
| title_full | The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States |
| title_fullStr | The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States |
| title_full_unstemmed | The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States |
| title_short | The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States |
| title_sort | serial mediation of the association between breakfast skipping and suicidality by weight status and depressive symptoms findings from the national youth risk behavior surveys of the united states |
| topic | breakfast skipping weight status depressive symptoms suicidality |
| url | https://www.mdpi.com/2072-6643/14/5/956 |
| work_keys_str_mv | AT baopengliu theserialmediationoftheassociationbetweenbreakfastskippingandsuicidalitybyweightstatusanddepressivesymptomsfindingsfromthenationalyouthriskbehaviorsurveysoftheunitedstates AT huijuanfang theserialmediationoftheassociationbetweenbreakfastskippingandsuicidalitybyweightstatusanddepressivesymptomsfindingsfromthenationalyouthriskbehaviorsurveysoftheunitedstates AT cunxianjia theserialmediationoftheassociationbetweenbreakfastskippingandsuicidalitybyweightstatusanddepressivesymptomsfindingsfromthenationalyouthriskbehaviorsurveysoftheunitedstates AT baopengliu serialmediationoftheassociationbetweenbreakfastskippingandsuicidalitybyweightstatusanddepressivesymptomsfindingsfromthenationalyouthriskbehaviorsurveysoftheunitedstates AT huijuanfang serialmediationoftheassociationbetweenbreakfastskippingandsuicidalitybyweightstatusanddepressivesymptomsfindingsfromthenationalyouthriskbehaviorsurveysoftheunitedstates AT cunxianjia serialmediationoftheassociationbetweenbreakfastskippingandsuicidalitybyweightstatusanddepressivesymptomsfindingsfromthenationalyouthriskbehaviorsurveysoftheunitedstates |