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. 2024 Jun 12;24:438. doi: 10.1186/s12888-024-05889-8

Table 1.

Characteristics of the included studies

Number Author/ (year) Study characteristics Psychological outcomes Dietary exposures QA
Design Provenance Sample size Age
(range or mean)
Male Gender
n (%)
psychological condition Assessment tool Type of junk food Assessment tool
(Practical definition)
1 Adjibade, 2019 Cohort France 26,730 47.26 ± 14.17 6350 (23.75) Depression

CES-D (0–60)

validated cut-offs (CES-D score ≥ 

17 for men and ≥ 23 for women)

Ultra-processed food

Manufactured food products containing numerous ingredients as well as additives such as hydrogenated oils, non-sugar sweeteners, modified starch, flavoring agents,

emulsifiers, humectants, colors, and other additives used for cosmetic purpose measured based on web-based dietary record platform validated for

self-administration

7

Beverages,

fatty/sweet products,

snacks, and

sauces/ added fats

Percentage of dietary intake based on a web-based dietary record platform validated for self-administration
2 Almajwal, 2016 cross-sectional Saudi Arabia 395 NR 0 (0.0) Stress The perceived stress scale

Eating styles including,

Restrained,

Emotional, and

External

The Dutch Eating Behavior Questionnaire self-reported questionnaire. 6
Eating fast food

frequency of eating fast

food per week

3 Camiller, 2014 Cohort France 30,240 46.2 ± 13.9 7378 (24.40) Depressive symptoms Validated French version of the Center for Epidemiologic Studies Depression Scale (CES-D) Sugar-sweetened soft drinks French version of the revised 21-item Three-Factor Eating Questionnaire 7
4 Canuto, 2021 cross-sectional Brazil 539 33.6 ± 8.6 0 (0.0) Perceived stress score 10-item Perceived Stress Scale (PSS-10) Snack and fast-food Validated qualitative food frequency questionnaire comprising 53 food items 8
5 Chaplin, 2011 Cross sectional United Kingdom 870 45 75 (8.62)

Stress in life in general, work stress, cognitive failure outside work,

minor injury outside work, and

minor injury at work

Researcher-made validated questionnaire Unhealthy snack A factor analysis of snacking behavior, consisted of the sum of frequency of snacking of chocolate, crisps and biscuits, measured using a Likert scale 6
6 Coletro, 2022 Cross-sectional Brazil 1693 NR 827 (48.9) Anxiety symptoms The Generalized Anxiety Disorder 7-item (GAD-7) consumption of ultra-processed foods

Assessed using a qualitative food frequency questionnaire (FFQ), validated in Brazilian population

referring to consumption in the last 3 months

7
Depression symptoms Patient Health Questionnaire-9 (PHQ-9)
7 Crawford, 2011 Cross sectional United States 626 45–54 0 (0.0) Depression The Center for Epidemiological Studies-Depression (CES-D) scale (scoring 16 or higher out of 20 items) Fast food

Frequency of fast-food

intake was measured by self-report

7
8 Gómez-Donoso, 2019 Cohort Spain 14,907 36.7 ± 11.7 0 (0.0) Depression Clinical diagnosis or antidepressant medication use Ultra-processed food Frequency of intake of carbonated drinks, processed meat, biscuits (cookies), candy (confectionery), ‘instant’ packaged soups and noodles, sweet or savory packaged snacks, and sugared milk and fruit drinks 7
9 Le Port, 2012 cohort France 12,404

M:45.0 ± 2.9

F: 42.2 ± 4.2

9272 (74.75) Depression The 20 items scale of The Center for Epidemiological Studies-Depression (CES-D)

Western diet, fat-sweet, snacking, and

dessert

35-item qualitative Food Frequency Questionnaire (FFQ) for twenty food groups 8
10 Lim, 2020 longitudinal study United States 912 28.7 ± 0.3 0 (0.0) Chronic stress 10-item Perceived Stress Scale (PSS-10) Excess fat and soda intake Frequency of intake of instant noodle, frozen, canned or microwave foods, potato chips, corn chips and tortilla chips, McDonald’s, KFC, Pizza Hut/Bi Sheng Ke 7
11 Liu, 2007 Cross sectional China 2541 20.4 1470 (57.85) Stress 10-item Perceived Stress Scale (PSS-10) Ready to eat food or snack Not validated food frequency questionnaire regarding the previous month 6
Depression score The 20 items scale of The Center for Epidemiological Studies-Depression (CES-D)
12 Nitturi, 2021 Cross sectional United States 107 49.3 ± 11.6 22 (20.56) Anxiety sensitivity The Anxiety Sensitivity Index (ASI) Unhealthy Supersized fast food Researcher-made validated questionnaire 7
13 Rienks, 2013 Longitudinal and cross-sectional data driven from a prospective study Australia 8369 for cross-sectional and 6060 for longitudinal analysis 50–55 0 (0.0) Depression The 10-items scale of Centre for Epidemiologic Studies Depression (scores ranges from 0–30, participants with a score of 10 or higher were considered depressed Meat and processed meat and high fat and sugar pattern validated food frequency questionnaire asking regarding 74 foods and six alcoholic beverages over the last 12 months 8
14 Sangsefidi, 2020

Cross-sectional

(Data from The recruitment phase of a cohort)

Iran 9965 20–69 4921 (49.7)

Depression,

Anxiety, and

Stress

The Iranian validated version of depression, anxiety, and

stress scale questionnaire 21 (DASS 21), a well-known

short version of self-report

Sweetened drinks, Fast foods, Canned foods, Fried foods, and Snacks

Not validated Food Frequency Questionnaire (FFQ), asking about the last year

(results were divided into three groups of never, once, or more than once per week)

7
15 Sousa, 2013 Cross sectional Brazil 46,785 20–59 22,410 (47.9) Depression Patient Health Questionnaire-9 (PHQ-9)

Sugar sweetened beverage,

Sweets, and

Snacks

Not validated Food Frequency Questionnaire (FFQ), asking about the last week

(High consumption was considered when a participant reported 5 times or more intake per week)

7
16 Xia, 2017 Case control China 2702

Control:45.84

Case: 46.08

1450 (53.66) depression Chinese version of Zung Self-Rating Depression Scale (SDS)

Sugared beverages,

Salted foods

Not validated food frequency questionnaire (FFQ), consisted of 81 items, including 7 frequency categories ranging from “almost never eat” to “twice or more per day” 7
17 Zenk, 2014 Prospective cohort United States 100 44.3 ± 10.5 0 (0.0)

Stressful events,

within-person stressful social interaction, and

between-person stressful social interaction

Researcher-made not validated questionnaire Snack food intake Not validated web-based momentary surveys via study provided smartphones 6

F, Females; M, Males; NR, Not Reported