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Cross-sectional and prospective associations of lifestyle risk behaviors clustering with elevated depressive symptoms among middle-aged and older adults

dc.contributor.authorWerneck, André O.
dc.contributor.authorPeralta, Miguel
dc.contributor.authorTesler, Riki
dc.contributor.authorMarques, Adilson
dc.date.accessioned2021-12-16T15:10:50Z
dc.date.available2021-12-16T15:10:50Z
dc.date.issued2022
dc.description© 2021 Elsevier B.V. All rights reserved.pt_PT
dc.description.abstractObjectives: To investigate the cross-sectional and prospective associations of lifestyle risk behaviors clustering with elevated depressive symptoms and to explore synergic prospective associations of different combinations of lifestyle risk behaviors with subsequent depressive symptoms. Study design: Prospective cohort study. Data on 31,190 middle-aged and older adults from waves 4 (2011) and 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE) were used. Main outcome measures: Elevated depressive symptoms were estimated using the EURO-D 12-item scale. Lifestyle risk behaviors composing the cluster included physical inactivity, inadequate consumption of fruit and/or vegetables, binge drinking, and tobacco smoking. Gender, age group, education, place of residence, country, number of chronic diseases and body mass index were considered as confounders. Results: With the exception of binge drinking, all lifestyle risk behaviors were associated with higher odds of elevated depressive symptoms in cross-sectional and prospective analyses. The clustering of unhealthy lifestyle behaviors was cross-sectionally associated with elevated depressive symptoms and the clustering of two [odds ratio [OR]: 1.39; 95%CI: 1.28-1.51) and three or four (OR: 1.60; 95%CI: 1.38-1.85) were prospectively associated with elevated depressive symptoms. There were no interactions between the pairs of behaviors in the association with later elevated depressive symptoms. Conclusions: Our findings support the need for interventions integrating multiple health behaviors to prevent elevated depressive symptoms among middle-aged and older adults.pt_PT
dc.description.sponsorshipThis paper uses data from SHARE Waves 4, and 6 (DOIs: 10.6103/SHARE.w4.710 and 10.6103/SHARE.w6.710), see Börsch-Supan et al. (2013) for methodological details. The SHARE data collection has been funded by the European Commission, DG RTD through FP5 (QLK6-CT-2001-00360), FP6 (SHARE-I3: RII-CT-2006-062193, COMPARE: CIT5-CT-2005-028857, SHARELIFE: CIT4-CT-2006-028812), FP7 (SHARE-PREP: GA N°211909, SHARE-LEAP: GA N°227822, SHARE M4: GA N°261982, DASISH: GA N°283646) and Horizon 2020 (SHARE-DEV3: GA N°676536, SHARE-COHESION: GA N°870628, SERISS: GA N°654221, SSHOC: GA N°823782) and by DG Employment, Social Affairs & Inclusion through VS 2015/0195, VS 2016/0135, VS 2018/0285, VS 2019/0332, and VS 2020/0313. Additional funding from the German Ministry of Education and Research, the Max Planck Society for the Advancement of Science, the U.S. National Institute on Aging (U01_AG09740-13S2, P01_AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_BSR06-11, OGHA_04-064, HHSN271201300071C, RAG052527A) and from various national funding sources is gratefully acknowledged (see www.share-project.org).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMaturitas. 2022 Jan;155:8-13pt_PT
dc.identifier.doi10.1016/j.maturitas.2021.09.010pt_PT
dc.identifier.eissn1873-4111
dc.identifier.issn0378-5122
dc.identifier.urihttp://hdl.handle.net/10451/50436
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/maturitaspt_PT
dc.subjectDepressionpt_PT
dc.subjectDietpt_PT
dc.subjectMental healthpt_PT
dc.subjectExercisept_PT
dc.subjectMoodpt_PT
dc.titleCross-sectional and prospective associations of lifestyle risk behaviors clustering with elevated depressive symptoms among middle-aged and older adultspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage13pt_PT
oaire.citation.startPage8pt_PT
oaire.citation.titleMaturitaspt_PT
oaire.citation.volume155pt_PT
person.familyNamePeralta
person.familyNameMarques
person.givenNameMiguel
person.givenNameAdilson
person.identifier1142676
person.identifier.ciencia-idC31A-3D60-1F01
person.identifier.ciencia-id5F18-F9C3-11CB
person.identifier.orcid0000-0001-6072-6012
person.identifier.orcid0000-0001-9850-7771
person.identifier.ridH-1666-2017
person.identifier.ridK-4529-2014
person.identifier.scopus-author-id56306465800
person.identifier.scopus-author-id55082567000
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4242c0b6-5a64-4b90-a14d-0209dfca31d0
relation.isAuthorOfPublication1971699a-ff03-48f6-92b9-6a3d7bce1111
relation.isAuthorOfPublication.latestForDiscovery1971699a-ff03-48f6-92b9-6a3d7bce1111

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