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.
To evaluate the association between modifiable lifestyle behaviors and mental health indicators in Brazilian adolescents.
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.
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.
Various lifestyle behaviors are associated with different indicators of mental health.
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。
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。
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。
各种生活方式行为与不同的心理健康指标有关。
