A longitudinal study of lifestyle behaviours in emerging adulthood and risk for symptoms of depression, anxiety, and stress
A longitudinal study of lifestyle behaviours in emerging adulthood and risk for symptoms of depression, anxiety, and stress
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DOI：
10.1016/j.jad.2023.02.010
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发表时间：
2023-02-09
影响因子：
6.6
通讯作者：
Lotfalian, Mojtaba
中科院分区：
文献类型：
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作者：
Collins, Sam;Hoare, Erin;Lotfalian, Mojtaba
背景：很少有研究探讨生活方式行为如何聚集在一起，以促进心理健康的结果。目前的研究旨在确定20岁时新兴成人生活方式行为（饮食，体力活动，久坐时间，吸烟，酒精，大麻和其他药物使用）的潜在类别，以及它们与22岁和27岁时抑郁，焦虑和压力症状的关联。方法：参与者是616名参加Raine研究的新兴成年人。使用潜在类别分析确定基线时的生活方式类别。采用逻辑回归模型研究了潜在阶级成员与抑郁、焦虑和应激症状风险之间的纵向关联。结果如下：确定了三种生活方式类别：1类（更健康的模式，n = 399 [64.8%]），2类（主要为女性，高物质使用，低体力活动模式，n = 121 [19.6%]）和3类（主要为男性，高物质使用，不良饮食模式，n = 96 [15.6%]）。调整后，与1级相比，2级在22岁时患抑郁症，焦虑症和压力症状的风险较高，在27岁时患焦虑症和压力症状的风险较高。局限性：这项研究受到依赖自我报告数据、缺乏父母社会经济状况可用指标以及变量之间一些测量不一致的限制。未评估随时间推移对生活方式集群的依从性。结论：在新兴成年人中确定了潜在的生活方式行为类别，并在两个前瞻性时间点的类别中发现了心理健康结果的差异。未来对常见精神障碍的研究和预防策略应该针对新兴的成年人，并侧重于生活方式。
Background: Little research has examined how lifestyle behaviours cluster together to contribute to mental health outcomes. The current study aimed to identify latent classes of emerging adult lifestyle behaviours (diet, physical activity, sedentary time, smoking, alcohol, cannabis, and other drug use) at age 20 years and their associations with depression, anxiety, and stress symptoms at age 22 and 27 years. Methods: Participants were 616 emerging adults enrolled in the Raine Study. Lifestyle classes at baseline were identified using latent class analysis. Longitudinal associations between latent class membership and risk of depression, anxiety, and stress symptoms were examined using logistic regression models. Results: Three lifestyle classes were identified: Class 1 (healthier pattern, n = 399 [64.8 %]), Class 2 (predomi-nantly female, high substance-use, low physical activity pattern, n = 121 [19.6 %]), and Class 3 (predominantly male, high substance-use, poor diet pattern, n = 96 [15.6 %]). Following adjustment, Class 2 were at a higher risk of depression, anxiety, and stress symptoms at age 22 years, and a higher risk of anxiety and stress symptoms at age 27 years, compared to Class 1. Limitations: This study was limited by reliance on self-report data, lack of available indicators for parental so-cioeconomic status, and some measurement inconsistencies across variables. Adherence to lifestyle clusters over time was not assessed. Conclusions: Latent classes of lifestyle behaviours were identified among emerging adults, and differences in mental health outcomes were found among the classes at two prospective time points. Future research and prevention strategies for common mental disorders should target emerging adults and focus on lifestyle patterns.