Evidence map›Paper›PMID 36171556›Full record

ArticleBMC medicine2022

A healthy lifestyle is positively associated with mental health and well-being and core markers in ageing.

Pauline Hautekiet, Nelly D Saenen, Dries S Martens, Margot Debay, Johan Van der Heyden, Tim S Nawrot, Eva M De Clercq

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

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  20. Targeting Aging Skin with GABALAGENAntioxidants (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Pauline HautekietSciensano, Risk and Health Impact Assessment, Juliette Wytsmanstraat 14, 1050, Brussels, Belgium. pauline.hautekiet@sciensano.be.ORCID 0000-0003-3805-3004
Nelly D SaenenSciensano, Risk and Health Impact Assessment, Juliette Wytsmanstraat 14, 1050, Brussels, Belgium.
Dries S MartensCentre for Environmental Sciences, Hasselt University, 3500, Hasselt, Belgium.
Margot DebayCentre for Environmental Sciences, Hasselt University, 3500, Hasselt, Belgium.
Johan Van der HeydenSciensano, Epidemiology and Public Health, Juliette Wytsmanstraat 14, 1050, Brussels, Belgium.
Tim S NawrotCentre for Environmental Sciences, Hasselt University, 3500, Hasselt, Belgium.
Eva M De ClercqSciensano, Risk and Health Impact Assessment, Juliette Wytsmanstraat 14, 1050, Brussels, Belgium.
Hasselt University · BESciensano (Belgium) · BEImpact Assessment · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies often evaluate mental health and well-being in association with individual health behaviours although evaluating multiple health behaviours that co-occur in real life may reveal important insights into the overall association. Also, the underlying pathways of how lifestyle might affect our health are still under debate. Here, we studied the mediation of different health behaviours or lifestyle factors on mental health and its effect on core markers of ageing: telomere length (TL) and mitochondrial DNA content (mtDNAc).

methodsIn this study, 6054 adults from the 2018 Belgian Health Interview Survey (BHIS) were included. Mental health and well-being outcomes included psychological and severe psychological distress, vitality, life satisfaction, self-perceived health, depressive and generalised anxiety disorder and suicidal ideation. A lifestyle score integrating diet, physical activity, smoking status, alcohol consumption and BMI was created and validated. On a subset of 739 participants, leucocyte TL and mtDNAc were assessed using qPCR. Generalised linear mixed models were used while adjusting for a priori chosen covariates.

resultsThe average age (SD) of the study population was 49.9 (17.5) years, and 48.8% were men. A one-point increment in the lifestyle score was associated with lower odds (ranging from 0.56 to 0.74) for all studied mental health outcomes and with a 1.74% (95% CI: 0.11, 3.40%) longer TL and 4.07% (95% CI: 2.01, 6.17%) higher mtDNAc. Psychological distress and suicidal ideation were associated with a lower mtDNAc of - 4.62% (95% CI: - 8.85, - 0.20%) and - 7.83% (95% CI: - 14.77, - 0.34%), respectively. No associations were found between mental health and TL.

conclusionsIn this large-scale study, we showed the positive association between a healthy lifestyle and both biological ageing and different dimensions of mental health and well-being. We also indicated that living a healthy lifestyle contributes to more favourable biological ageing.

Indexed as

Life StyleMental HealthAdultAgedAgingBiomarkersDNA, MitochondrialFemaleHealthy LifestyleHumansMaleMiddle AgedBiomarkersDNA, MitochondrialBiological ageingLifestyleMental healthMitochondrial DNA contentTelomere length

Identifiers

PMID36171556
PMCPMC9520873
OpenAlexW4297520960

What OpenQuestion holds

Textmetadata
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Registered trials

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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.