Association between lifestyle behaviors and depression in 90.846 Brazilian adults: A cluster analysis

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-01-29 DOI:10.1016/j.mhpa.2025.100672

Sarah Vitoria Bristot Carnevalli , Renato Claudino , Leticia Schmitz Nacur de Almeida , Tuane Sarmento , Jhonatan Wélington Pereira Gaia , Thiago Sousa Matias

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引用次数: 0

Abstract

Background and aims

A lifestyle that includes high screen time, unhealthy eating behaviors, physical inactivity, and tobacco use has been associated with an increased risk of developing depressive disorders. However, lifestyles often encompass a combination of both positive and negative behaviors. This study aimed to investigate the association between clusters of lifestyle behaviors and depression in Brazilians.

Methods

A secondary analysis was conducted using the data from the Brazilian National Health Survey. Brazilians aged ≥15 years participated in this study. Lifestyle evaluations included eating behavior, physical activity, screen time, tobacco use, and alcohol consumption. Clinical diagnoses of depression were self-reported. Two-step cluster analysis was used to identify the lifestyle profiles. We used a multivariate logistic regression model to examine the association between the lifestyle cluster profiles and depression.

Results

A total of 90,846 Brazilians were analyzed, revealing three lifestyle clusters. The “At Risk” cluster, characterized by the least healthy behaviors represented 12.5% of the sample and had a depression prevalence of 10.9%. The results demonstrated that participants in the “active with alcohol consumption” cluster had approximately 35% (OR^adjusted = 0.65; 95%CI = 0.57, 0.74) and the “healthier” cluster had 27% (OR^adjusted = 0.73; 95%CI = 0.65, 0.85) lower odds of reporting depression than those in the at-risk cluster.

Conclusion

Participants in clusters that combine multiple detrimental health behaviors showed an association with depression. Synergies between lifestyle behaviors may be key to understanding mental health issues.

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90.846名巴西成年人生活方式行为与抑郁症的关系：聚类分析

背景和目的一种生活方式，包括长时间看屏幕、不健康的饮食行为、缺乏运动和吸烟，与患抑郁症的风险增加有关。然而，生活方式往往包括积极和消极行为的结合。本研究旨在调查巴西人生活方式行为群与抑郁症之间的关系。方法采用巴西国家健康调查资料进行二次分析。年龄≥15岁的巴西人参与了本研究。生活方式评估包括饮食行为、身体活动、屏幕时间、吸烟和饮酒。抑郁症的临床诊断是自我报告的。采用两步聚类分析确定生活方式。我们使用多变量逻辑回归模型来检验生活方式群集概况与抑郁症之间的关系。结果共分析了90846名巴西人，揭示了三个生活方式集群。以最不健康行为为特征的“有风险”群集占样本的12.5%，抑郁症患病率为10.9%。结果表明，“运动时饮酒”的参与者约占35% (or调整= 0.65；95%CI = 0.57, 0.74)，“更健康”组占27% (or调整= 0.73；95%CI = 0.65, 0.85)报告抑郁的几率低于高危人群。结论综合多种有害健康行为的群体与抑郁症存在关联。生活方式行为之间的协同作用可能是理解心理健康问题的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;