Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents

Background: Little is known on the prospective associations between an empirically derived dietary pattern (DP) and life satisfaction among adolescents. This PUTRA-Adol follow-up study aimed to assess the prospective associations between the empirically derived DP and life satisfaction during adoles...

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Main Authors: Magendiran, Mugambikai, Appannah, Geeta, Emi, Nor Aishah, Chin, Yit Siew, Mohd Shariff, Zalilah, Anuar Zaini, Azriyanti, Shamsuddin, Nurainul Hana, Suppiah, Subapriya, Saini, Suraini Mohamad, Thambiah, Subashini C., Ching, Siew Mooi
Format: Article
Language:English
Published: BioMed Central Ltd 2024
Online Access:http://psasir.upm.edu.my/id/eprint/114321/
http://psasir.upm.edu.my/id/eprint/114321/1/114321.pdf
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author Magendiran, Mugambikai
Appannah, Geeta
Emi, Nor Aishah
Chin, Yit Siew
Mohd Shariff, Zalilah
Anuar Zaini, Azriyanti
Shamsuddin, Nurainul Hana
Suppiah, Subapriya
Saini, Suraini Mohamad
Thambiah, Subashini C.
Ching, Siew Mooi
author_facet Magendiran, Mugambikai
Appannah, Geeta
Emi, Nor Aishah
Chin, Yit Siew
Mohd Shariff, Zalilah
Anuar Zaini, Azriyanti
Shamsuddin, Nurainul Hana
Suppiah, Subapriya
Saini, Suraini Mohamad
Thambiah, Subashini C.
Ching, Siew Mooi
author_sort Magendiran, Mugambikai
building UPM Institutional Repository
collection Online Access
description Background: Little is known on the prospective associations between an empirically derived dietary pattern (DP) and life satisfaction among adolescents. This PUTRA-Adol follow-up study aimed to assess the prospective associations between the empirically derived DP and life satisfaction during adolescence. Methods: A total of 585 and 262 adolescents participated in the baseline PUTRA-Adol study in 2016 and PUTRA-Adol follow-up study in 2019–2020, respectively. These adolescents were recruited from three southern states in peninsular Malaysia, namely Negeri Sembilan, Melaka and Johor. Dietary assessments were estimated using a validated food frequency questionnaire (FFQ) while a Multidimensional Students’ Life Satisfaction Scale (MSLSS) was used to measure life satisfaction at baseline in 2016 as well as at follow-up in 2019–2020. A DP characterised by foods high in free sugar and energy dense was identified using reduced rank regression (RRR), cross-sectionally at baseline and was reported elsewhere. Similar RRR analysis was used to find a DP that best explained the variation in response variables linked to poorer life satisfaction, including dietary energy density (DED), fiber density, and percentage of energy from total fat and sugar at the PUTRA-Adol follow-up study. Prospective relationship between adherence to the identified DPs and overall life satisfaction scores as well as its domains between 2016 and 2019–2020 were evaluated using generalized estimating equation models (GEE). Results: A DP characterized by high intakes of percentage energy from sugar, fibre and low in DED and percentage energy from total fat was identified at the 2019–2020 follow-up. The identified DP explained 11% of total variations in the response variables and was characterized by high intakes of sweets, sugar sweetened beverages (SSB) and fruits. Female adolescents [67.6(8.9)] had a mean (SD) of life satisfaction that was higher than male adolescents [67.5(10.8)] p < 0.05 in 2019–2020. Prospective analysis found a significant positive association between the identified DP and school domain, in male adolescents (β = 0.117; 95% CI 0.001, 0.234) and an inverse relationship between the DP z-score and self-domain in all adolescents (β = − 0.060; 95% CI − 0.115, − 0.005) from 2016 to 2019–2020. Conclusions: An increasing score for the predominant ‘High sugar and High fibre’ DP was prospectively associated with increasing life satisfaction score for the school domain in male adolescents and decreasing score for self-domain in both male and females during adolescence. A lifestyle intervention targeting reduced dietary intakes, particularly sugar, may improve life satisfaction in adolescents and promote healthier future without compromising dietary intakes for chronic disease prevention later in life.
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spelling upm-1143212025-01-14T04:47:03Z http://psasir.upm.edu.my/id/eprint/114321/ Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents Magendiran, Mugambikai Appannah, Geeta Emi, Nor Aishah Chin, Yit Siew Mohd Shariff, Zalilah Anuar Zaini, Azriyanti Shamsuddin, Nurainul Hana Suppiah, Subapriya Saini, Suraini Mohamad Thambiah, Subashini C. Ching, Siew Mooi Background: Little is known on the prospective associations between an empirically derived dietary pattern (DP) and life satisfaction among adolescents. This PUTRA-Adol follow-up study aimed to assess the prospective associations between the empirically derived DP and life satisfaction during adolescence. Methods: A total of 585 and 262 adolescents participated in the baseline PUTRA-Adol study in 2016 and PUTRA-Adol follow-up study in 2019–2020, respectively. These adolescents were recruited from three southern states in peninsular Malaysia, namely Negeri Sembilan, Melaka and Johor. Dietary assessments were estimated using a validated food frequency questionnaire (FFQ) while a Multidimensional Students’ Life Satisfaction Scale (MSLSS) was used to measure life satisfaction at baseline in 2016 as well as at follow-up in 2019–2020. A DP characterised by foods high in free sugar and energy dense was identified using reduced rank regression (RRR), cross-sectionally at baseline and was reported elsewhere. Similar RRR analysis was used to find a DP that best explained the variation in response variables linked to poorer life satisfaction, including dietary energy density (DED), fiber density, and percentage of energy from total fat and sugar at the PUTRA-Adol follow-up study. Prospective relationship between adherence to the identified DPs and overall life satisfaction scores as well as its domains between 2016 and 2019–2020 were evaluated using generalized estimating equation models (GEE). Results: A DP characterized by high intakes of percentage energy from sugar, fibre and low in DED and percentage energy from total fat was identified at the 2019–2020 follow-up. The identified DP explained 11% of total variations in the response variables and was characterized by high intakes of sweets, sugar sweetened beverages (SSB) and fruits. Female adolescents [67.6(8.9)] had a mean (SD) of life satisfaction that was higher than male adolescents [67.5(10.8)] p < 0.05 in 2019–2020. Prospective analysis found a significant positive association between the identified DP and school domain, in male adolescents (β = 0.117; 95% CI 0.001, 0.234) and an inverse relationship between the DP z-score and self-domain in all adolescents (β = − 0.060; 95% CI − 0.115, − 0.005) from 2016 to 2019–2020. Conclusions: An increasing score for the predominant ‘High sugar and High fibre’ DP was prospectively associated with increasing life satisfaction score for the school domain in male adolescents and decreasing score for self-domain in both male and females during adolescence. A lifestyle intervention targeting reduced dietary intakes, particularly sugar, may improve life satisfaction in adolescents and promote healthier future without compromising dietary intakes for chronic disease prevention later in life. BioMed Central Ltd 2024-09-04 Article PeerReviewed text en cc_by_nc_nd_4 http://psasir.upm.edu.my/id/eprint/114321/1/114321.pdf Magendiran, Mugambikai and Appannah, Geeta and Emi, Nor Aishah and Chin, Yit Siew and Mohd Shariff, Zalilah and Anuar Zaini, Azriyanti and Shamsuddin, Nurainul Hana and Suppiah, Subapriya and Saini, Suraini Mohamad and Thambiah, Subashini C. and Ching, Siew Mooi (2024) Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents. Nutrition and Metabolism, 21 (1). art. no. 71. pp. 1-11. ISSN 1743-7075; eISSN: 1743-7075 https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/s12986-024-00832-w 10.1186/s12986-024-00832-w
spellingShingle Magendiran, Mugambikai
Appannah, Geeta
Emi, Nor Aishah
Chin, Yit Siew
Mohd Shariff, Zalilah
Anuar Zaini, Azriyanti
Shamsuddin, Nurainul Hana
Suppiah, Subapriya
Saini, Suraini Mohamad
Thambiah, Subashini C.
Ching, Siew Mooi
Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents
title Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents
title_full Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents
title_fullStr Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents
title_full_unstemmed Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents
title_short Prospective associations between an empirically derived dietary pattern and life satisfaction in Malaysian adolescents
title_sort prospective associations between an empirically derived dietary pattern and life satisfaction in malaysian adolescents
url http://psasir.upm.edu.my/id/eprint/114321/
http://psasir.upm.edu.my/id/eprint/114321/
http://psasir.upm.edu.my/id/eprint/114321/
http://psasir.upm.edu.my/id/eprint/114321/1/114321.pdf