Clustering of Lifestyle Habits and Association with Depressive Symptoms and Suicidal Behaviors in Adolescents: A Systematic Review and Meta-Analysis

IF 8.1 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

Adolescent Research Review Pub Date : 2024-11-09 DOI:10.1007/s40894-024-00253-z

Yohannes Tekalegn Efa, Shalima Lathief, David Roder, Zumin Shi, Ming Li

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Abstract

Unhealthy lifestyle choices have long been linked with various health problems. Existing literature indicates that modifiable lifestyle factors such as physical activity, sedentary behavior, dietary habits, and alcohol and tobacco consumption, are associated with depressive symptoms and suicidal behaviors. However, comprehensive reviews examining how these behaviors cluster and collectively contribute to depressive symptoms and suicidal behaviors are lacking. This systematic review and meta-analysis aimed to investigate the impact of the clustering of these modifiable lifestyle factors on depressive symptoms and suicidal behaviors such as suicidal ideation, plans, and attempts in adolescents aged between 10 to 19 years. A comprehensive search of seven databases namely, Medline, Scopus, Embase, Emcare, Web of Science, PsycINFO, and CINAHL was conducted using an extensive list of search terms. A total of sixteen eligible studies, comprising data from 433,207 adolescents, were included. A random effect meta-analysis revealed a significant association between unhealthy clusters of lifestyle behaviors and increased odds of depressive symptoms and suicidal ideation. A dose–response association was also observed between the number of lifestyle factors and both depressive symptoms and suicidal ideation. However, no significant association was found between unhealthy clusters and suicidal plans or attempts. This review suggests that adolescents engaging in multiple unhealthy lifestyle behaviors have synergistically higher odds of experiencing depressive symptoms and suicidal ideation.

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青少年生活习惯的聚类及其与抑郁症状和自杀行为的关联：一项系统回顾和荟萃分析

长期以来，人们一直认为不健康的生活方式与各种健康问题有关。现有文献表明，可改变的生活方式因素，如体力活动、久坐行为、饮食习惯和烟酒消费，与抑郁症状和自杀行为有关。然而，缺乏对这些行为如何聚集和共同导致抑郁症状和自杀行为的全面审查。本系统回顾和荟萃分析旨在调查这些可改变的生活方式因素聚类对10 - 19岁青少年抑郁症状和自杀行为（如自杀意念、计划和尝试）的影响。对Medline、Scopus、Embase、Emcare、Web of Science、PsycINFO和CINAHL等7个数据库进行了全面的检索，并使用了广泛的搜索词列表。共纳入了16项符合条件的研究，包括来自433,207名青少年的数据。一项随机效应荟萃分析显示，不健康的生活方式行为与抑郁症状和自杀意念的几率增加之间存在显著关联。生活方式因素的数量与抑郁症状和自杀意念之间也存在剂量-反应关系。然而，在不健康群集和自杀计划或企图之间没有发现显著的关联。这篇综述表明，从事多种不健康生活方式行为的青少年经历抑郁症状和自杀意念的几率更高。

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来源期刊

Adolescent Research Review PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

10.40

自引率

0.00%

发文量

期刊介绍： Adolescent Research Review publishes articles that review important contributions to the understanding of adolescence. The Review draws from the many subdisciplines of developmental science, psychological science, education, criminology, public health, medicine, social work, and other allied disciplines that address the subject of youth and adolescence. The editors are especially interested in articles that bridge gaps between disciplines or that focus on topics that transcend traditional disciplinary boundaries. Reviews must be cutting edge and comprehensive in the way they advance science, practice or policy relating to adolescents.