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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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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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;