Evidence map›Paper›PMID 42738969›Full record

ReviewNutrients2026

The Relationship Between Combined Lifestyle Behaviors and Mental Illness in Emerging Adults: A Narrative Review.

Noelle Armstrong, Amanda Ciorciari, Kathleen Woolf

Abstract readReview
In one paragraph

Review in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Noelle ArmstrongDepartment of Nutrition and Food Studies, Steinhardt School of Culture Education and Human Development, New York University, New York, NY 10003, USA.ORCID 0009-0008-9570-5551
Amanda CiorciariDepartment of Nutrition and Food Studies, Steinhardt School of Culture Education and Human Development, New York University, New York, NY 10003, USA.
Kathleen WoolfDepartment of Nutrition and Food Studies, Steinhardt School of Culture Education and Human Development, New York University, New York, NY 10003, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging adults (18-25 years) experience the highest prevalence of mental illness, including anxiety and depression, affecting more than 11 million individuals in the United States. Traditional treatment approaches, such as psychotherapy and pharmacotherapy, may not fully address the complex and interrelated risk factors unique to emerging adults. Targeting lifestyle behaviors, including diet, sleep, physical activity, and substance use, has emerged as a promising adjunctive strategy for the prevention and treatment of mental illness. Growing evidence suggests that these behaviors frequently co-occur and may exert synergistic effects on mental health outcomes. This review synthesizes findings from observational studies and randomized controlled trials examining the relationship between combined lifestyle behaviors and mental illness in emerging adults. A total of 17 studies met inclusion criteria, including 14 observational studies and three intervention trials. Observational findings consistently indicated that lifestyle patterns characterized by a greater number of unhealthy behaviors were associated with higher levels of depression, anxiety, and psychological distress. In contrast, the three intervention studies did not demonstrate significant improvements in mental health outcomes following lifestyle interventions. Overall, the findings suggest a synergistic effect of multiple lifestyle behaviors associated with mental illness in emerging adults. However, substantial heterogeneity in how studies defined and categorized "healthy" versus "unhealthy" behaviors limited cross-study comparisons. This review highlights the need for standardized measurement approaches and more rigorous intervention trials to elucidate the potential synergistic effects of combined lifestyle modifications on mental health outcomes in this population.

Indexed as

Health BehaviorLife StyleMental DisordersAdolescentAdultAnxietyDepressionDietExerciseHumansMental HealthRandomized Controlled Trials as TopicYoung Adultanxietydepressionlifestyle behaviorsmental illnessnutritionphysical activitysleep

Identifiers

PMID42738969
PMCPMC13567683

What OpenQuestion holds

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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.