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Background: We analyzed the relationship between meal frequency and nutrition with mental health status, and provide basic data on health promotion for breakfast and dinner skippers compared to non-skippers. Methods: This is a cross-sectional study of 2,114 women aged 20-39 years who participated in the KNHANES in 2010-2012. We compared differences such as marital status, weight change, obesity, and underweightness, smoking, high-risk alcohol consumption, exercise, suicide ideation, stress perception, depression, blood pressure, lipid profile, 25-Hydroxyvitamin-D, and ferritin levels among meal-skipping groups by cross tabulation analysis and general linear model analysis. Results: The proportion of respondent undergoing weight loss efforts was over 50%, and of those roughly 75% were using a specific diet (e.g., fasting, skipping meals, single food diet). The breakfast and dinner skippers tended to be young, unmarried, and, had higher stress perception and suicide ideation than the non-skipping meal group. There were significantly higher incidents of obesity (body mass index ≥ 25 kg/m 2 , P = 0.004), weight loss efforts, smoking, high-risk alcohol consumption, suicide ideation, and irregular menstruation in dinner skippers. In addition, there were significantly higher levels of under-weightness (P = 0.004) and frequent eating out (over 5-6/week, P = 0.005) in breakfast skippers. Conclusion: There were more physical and mental problems in dinner skippers in regards to high-risk alcohol consumption, suicide ideation, stress perception, and irregular menstruation. In the future, long-term studies are needed to reveal the correlation of meal frequency and nutrition with mental health status in patients who skip meals.

the korean journal of obesity

The Correlation of Meal Frequency and Nutrition with Mental Health Status in Women Aged 20-39 Years: The 5th Korea National Health and Nutrition Examination Survey, 2010-2012