ArticleAmerican journal of preventive medicine2016
Prospective Changes in Healthy Lifestyle Among Midlife Women: When Psychological Symptoms Get in the Way.
Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed, 27 citations in OpenAlex.
- Associations between lifestyle and well-being in early and late pregnancy in women with overweight or obesity: Secondary analyses of the PEARS RCT.British journal of health psychology · 2025Trial
- Measuring Psychological Well-Being and Behaviors Using Smartphone-Based Digital Phenotyping: An Intensive Longitudinal Observational mHealth Pilot Study Embedded in a Prospective Cohort of Women.JMIR mHealth and uHealth · 2025Observational
- Are the ways women cope with stressors related to their health behaviors over time?Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- The AHAWOMEN project: study protocol of a multi-design research for exploring HAPA predictors of exercise in postmenopausal women.BMC psychology · 2023Article
- Association of psychological distress, smoking and genetic risk with the incidence of lung cancer: a large prospective population-based cohort study.Frontiers in oncology · 2023Article
- Perceived racial discrimination and healthy behavior among African Americans.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Article
- The Relationship Between Quarantine Length and Negative Affect During the COVID-19 Epidemic Among the General Population in China: The Roles of Negative Cognition and Protective Factors.Frontiers in psychology · 2021Article
- Psychosocial Functioning, BMI, and Nutritional Behaviors in Women at Cardiovascular Risk.Frontiers in psychology · 2020Article
- Prospective associations of happiness and optimism with lifestyle over up to two decades.Preventive medicine · 2019Article
- Placing prostate cancer disparities within a psychosocial context: challenges and opportunities for future research.Cancer causes & control : CCC · 2019Review
- Psychological symptoms and subsequent healthy lifestyle after a colorectal cancer diagnosis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018Article
- Depression as a risk factor for the development of rheumatoid arthritis: a population-based cohort study.RMD open · 2018Article
- An intervention strategy for improving residential environment and positive mental health among public housing tenants: rationale, design and methods of Flash on my neighborhood!BMC public health · 2017Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionAnxiety and depression are linked to increased risk of cardiometabolic disease and mortality, and unhealthy behaviors may be the key mechanisms underlying these associations. Although higher levels of psychological symptoms are associated with individual unhealthy behaviors (e.g., physical activity, smoking), their roles in overall lifestyle remain understudied.
methodsMidlife women (n=55,395) from the cohort Nurses' Health Study reported anxiety and depression symptoms in 1988 and 1992, respectively. Health behaviors (i.e., physical inactivity, BMI, diet, and alcohol and tobacco consumption) were measured in self-administered questionnaires in 1988 or 1992, and every 4 years until the last assessment available (2010; follow-up, 18-22 years). Data were analyzed in 2014-2015. Women were categorized according to initial level of psychological symptoms (e.g., lower versus higher anxiety symptoms).
resultsDespite slight improvements in healthy lifestyle over time among women with higher versus lower anxiety (βinteraction=0.002, 95% CI=0.001, 0.003), those experiencing more severe symptoms had a consistently less healthy lifestyle over time (p<0.0001). Each SD increase in anxiety symptoms was related to a decrease in healthy lifestyle score throughout follow-up (βpooled=-0.09, 95% CI=-0.09, -0.08). Women with higher versus lower anxiety symptoms also had decreased odds of having a healthy lifestyle in 2010 (AOR=0.78, 95% CI=0.75, 0.81), particularly among women with an initially unhealthy lifestyle (pinteraction≤0.0001). Comparable patterns were observed with depression symptoms.
conclusionsAmong midlife women, anxiety and depression symptoms were associated with unhealthier lifestyle throughout follow-up and reduced odds of having a healthy lifestyle 20 years later. Treating psychological symptoms may promote healthier lifestyles.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.