ArticlePloS one2016
Combined Healthy Lifestyle Is Inversely Associated with Psychological Disorders among Adults.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- The Efficacy of Workplace Interventions on Improving the Dietary, Physical Activity and Sleep Behaviours of School and Childcare Staff: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- The Relationship Between Combined Lifestyle Behaviors and Mental Illness in Emerging Adults: A Narrative Review.Nutrients · 2026Review
- Egg consumption in relation to psychological disorders, inflammation, and oxidative stress among adults: results from a cross-sectional study in Iran.Nutrition journal · 2026Article
- Population differences in wearable device wear time: Rescuing data to address biases and advance health equity.medRxiv : the preprint server for health sciences · 2026Article
- Relationship between healthy lifestyle score and infertility in Iranian men: a population-based case-control study.Reproductive biology and endocrinology : RB&E · 2025Article
- The Relationship Between a Sustainable Healthy Lifestyle and Depression, Stress, and Anxiety: A Structural Model on the Mediating Role of Physical Literacy.Healthcare (Basel, Switzerland) · 2025Article
- Multimorbidity and its association with mental health in an adult population of Peru.Revista peruana de medicina experimental y salud publica · 2025Article
- The association between lifestyle risk score and mental health in Iranian overweight and obese women: a cross-sectional study.Frontiers in nutrition · 2025Article
- Relationship of the Prime Diet Quality Score (PDQS) and Healthy Eating Index (HEI-2015) with depression and anxiety: a cross-sectional study.BMC public health · 2024Article
- Psychological distress, health-promoting lifestyle and sociodemographic factors in Honduran university students: a structural equation model.Health promotion international · 2024Observational
- Article
- Protocol for an observational cohort study on psychological, addictive, lifestyle behavior and highly prevalent affective disorders in primary health care adults.Frontiers in psychiatry · 2023Article
- Associations of lifestyle with mental health and well-being in Chinese adults: a nationwide study.Frontiers in nutrition · 2023Article
- A healthy lifestyle is positively associated with mental health and well-being and core markers in ageing.BMC medicine · 2022Article
- Unhealthy Lifestyle Behaviours and Psychological Distress: A Longitudinal Study of Australian Adults Aged 45 Years and Older.International journal of environmental research and public health · 2022Article
- Contributions and Challenges in Health Lifestyles Research.Journal of health and social behavior · 2021Article
- Emotional Labor and Depressive Symptoms Among Healthcare Workers: The Role of Sleep.Workplace health & safety · 2021Article
- Metabolomic profiles discriminating anxiety from depression.Acta psychiatrica Scandinavica · 2021Article
- Development, validation and utilisation of dish-based dietary assessment tools: a scoping review.Public health nutrition · 2021Article
- Red and White Meat Intake in Relation to Mental Disorders in Iranian Adults.Frontiers in nutrition · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsJoint association of lifestyle-related factors and mental health has been less studied in earlier studies, especially in Middle Eastern countries. This study aimed to examine how combinations of several lifestyle-related factors related to depression and anxiety in a large group of middle-age Iranian population.
methodsIn a cross-sectional study on 3363 Iranian adults, a healthy lifestyle score was constructed by the use of data from dietary intakes, physical activity, smoking status, psychological distress and obesity. A dish-based 106-item semi-quantitative validated food frequency questionnaire (FFQ), General Practice Physical Activity Questionnaire (GPPAQ), General Health Questionnaire (GHQ) and other pre-tested questionnaires were used to assess the components of healthy lifestyle score. The Hospital Anxiety and Depression Scale (HADS) was applied to screen for anxiety and depression.
resultsAfter adjustment for potential confounders, we found that individuals with the highest score of healthy lifestyle were 95% less likely to be anxious (OR: 0.05; 95% CI: 0.01-0.27) and 96% less likely to be depressed (OR: 0.04; 95% CI: 0.01-0.15), compared with those with the lowest score. In addition, non-smokers had lower odds of anxiety (OR: 0.64; 95% CI: 0.47-0.88) and depression (OR: 0.62; 95% CI: 0.48-0.81) compared with smokers. Individuals with low levels of psychological distress had expectedly lower odds of anxiety (OR: 0.13; 95% CI: 0.10-0.16) and depression (OR: 0.10; 95% CI: 0.08-0.12) than those with high levels. Individuals with a healthy diet had 29% lower odds of depression (OR: 0.71; 95% CI: 0.59-0.87) than those with a non-healthy diet.
conclusionWe found evidence indicating that healthy lifestyle score was associated with lower odds of anxiety and depression in this group of Iranian adults. Healthy diet, psychological distress, and smoking status were independent predictors of mental disorders.
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