Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.
Universidad de Santiago de Chile, Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Santiago, Chile.
Rev Paul Pediatr. 2024 Oct 28;43:e2024080. doi: 10.1590/1984-0462/2025/43/2024080. eCollection 2024.
OBJECTIVE: To evaluate the association between modifiable lifestyle behaviors and mental health indicators in Brazilian adolescents. METHODS: This cross-sectional study used data from the 2019 National Survey of School Health including 152,860 students. The lifestyle behaviors and mental health indicators were obtained from a self-reported questionnaire. Logistic regression analyses were used to examine the association between lifestyle behaviors and mental health indicators. RESULTS: Infrequent healthy eating (OR 1.22; 95%CI 1.14-1.31), being inactive (OR 1.82; 95%CI 1.65-2.01), smoking (OR 1.24; 95%CI 1.10-1.40), and irregular school attendance (OR 1.31; 95%CI 1.22-1.40) were associated with not having close friends. Additionally, not having close friends was also associated with unhealthy eating (OR 0.86; 95%CI 0.81-0.92) and alcohol consumption (OR 0.81; 95%CI 0.75-0.87). Infrequent healthy eating (OR 1.29; 95%CI 1.24-1.33), frequent unhealthy eating (OR 1.39; 95%CI 1.35-1.43), being inactive (OR 1.12; 95%CI 1.07-1.18), excessive screen time and sitting (OR 1.10; 95%CI 1.07-1.14 and OR 1.68; 95%CI 1.63-1.73, respectively), smoking (OR 1.26; 95%CI 1.19-1.34), alcohol (OR 1.33; 95%CI 1.28-1.37), drugs (OR 1.13; 95%CI 1.05-1.22), and irregular school attendance (OR 1.53; 95%CI 1.48-1.59) were associated with worse self-rated mental health. CONCLUSIONS: Various lifestyle behaviors are associated with different indicators of mental health.
目的:评估巴西青少年可改变的生活方式行为与心理健康指标之间的关系。
方法:本横断面研究使用了 2019 年全国学校卫生调查的数据,包括 152860 名学生。生活方式行为和心理健康指标来自于自我报告问卷。使用逻辑回归分析来检查生活方式行为与心理健康指标之间的关系。
结果:不规律的健康饮食(OR 1.22;95%CI 1.14-1.31)、不活跃(OR 1.82;95%CI 1.65-2.01)、吸烟(OR 1.24;95%CI 1.10-1.40)和不规则的上学出勤率(OR 1.31;95%CI 1.22-1.40)与没有亲密朋友有关。此外,没有亲密朋友也与不健康的饮食(OR 0.86;95%CI 0.81-0.92)和饮酒(OR 0.81;95%CI 0.75-0.87)有关。不规律的健康饮食(OR 1.29;95%CI 1.24-1.33)、频繁的不健康饮食(OR 1.39;95%CI 1.35-1.43)、不活跃(OR 1.12;95%CI 1.07-1.18)、过度的屏幕时间和久坐(OR 1.10;95%CI 1.07-1.14 和 OR 1.68;95%CI 1.63-1.73)、吸烟(OR 1.26;95%CI 1.19-1.34)、饮酒(OR 1.33;95%CI 1.28-1.37)、吸毒(OR 1.13;95%CI 1.05-1.22)和不规则的上学出勤率(OR 1.53;95%CI 1.48-1.59)与自我报告的心理健康状况较差有关。
结论:各种生活方式行为与不同的心理健康指标有关。
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