Age, skin color, self-rated health, and depression associated with co-occurrence of obesogenic behaviors in university students: a cross-sectional study

Barbosa, Bruna Carolina Rafael; Parajára, Magda do Carmo; Paula, Waléria de; Machado, Elaine Leandro; Meireles, Adriana Lúcia

doi:10.1590/1516-3180.2022.0301.r1.10102022

Cited by 3 publications

(2 citation statements)

References 41 publications

(42 reference statements)

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“…Conversely, poor sleep can negatively affect people's mood, cognition, and daily functioning, increasing the risk of anxiety and depression 31 . These mental disorders, in turn, can damage self-rated health, causing psychological distress, low self-esteem, social isolation, and worsening physical health 32,33 .…”

Section: Discussionmentioning

confidence: 99%

How anxiety and depression mediate the link between sleep quality and health perception during crisis periods

de Menezes-Junior,

Moura,

Machado-Coelho

et al. 2024

Preprint

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Background and objectives: During crisis periods, understanding the impact of sleep quality on self-rated health becomes crucial. However, the role of anxiety and depression as potential mediators in this relationship remains insufficiently explored. Therefore, this study aimed to assess the association of sleep quality with self-rated health, and mediation by anxiety and depression. Methods:This cross-sectional, population-based study was conducted with 1,762 adults from October to December 2020 in the Iron Quadrilateral region of Brazil. The exposure variable was poor sleep quality, as measured by the PSQI. The outcome was self-rated health. The mediators tested were anxiety and depression, which were evaluated using symptoms, medical diagnoses, and the use of drugs. To test the mediators' factors, the Karlson-Holm-Breen method was used. The direct acyclic graph was used to select a minimal set of adjustments in multivariate analysis. Results:There were 22.6% of people with poor health ratings, 52.5% with bad sleep, 35.1% with worry, and 24.7% with depression. According to the multivariate analysis, individuals with poor sleep quality were 2.82 times more likely to self-assess their health as poor. The presence of anxiety and depression explained 16.57% and 5.99% of the association between poor sleep quality and poor self-rated health, respectively, in the mediation analysis. Conclusion:During the COVID-19 pandemic, individuals who had poor sleep quality had lower self-rated health. Furthermore, symptoms of anxiety and depression explained a portion of the association. Our study emphasizes the importance of evaluating individuals' sleep quality and mental health during a crisis.

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Section: Discussionmentioning

confidence: 99%

How anxiety and depression mediate the link between sleep quality and health perception during crisis periods

de Menezes-Junior,

Moura,

Machado-Coelho

et al. 2024

Preprint

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“…Despite being a topic that has been widely explored in research on adult populations [ 20 ], few studies in Brazil have investigated the clustering of multiple obesogenic behaviors among young adults, mainly in populations of university students [ 21 – 23 ]. Additionally, few studies have assessed how the co-occurrence of obesogenic behaviors is related to symptoms of anxiety and depression among university students, especially during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Co-occurrence of obesogenic behaviors and their implications for mental health during the COVID-19 pandemic: a study with university students

Barbosa,

de Deus Mendonça,

Machado

et al. 2024

BMC Public Health

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Background The university years are a critical period for young adults, as they are more exposed to obesogenic behaviors and experience stressful situations that compromise their mental health. This study aims to estimate the prevalence of anxiety and depression symptoms and evaluate the association between the combined occurrence of obesogenic behaviors among university students. Methods A cross-sectional study was conducted on students from a public university in Brazil during the COVID-19 pandemic. Data were collected from July to August 2020 using an online questionnaire. The outcome variables (anxiety and depression symptoms) were assessed using the Depression, Anxiety and Stress Scale-21 (DASS-21). The co-occurrence of obesogenic behaviors was measured based on irregular consumption of fruits and vegetables, frequent consumption of ultra-processed foods, physical inactivity during leisure time, and sedentary behavior. A Venn diagram was used for the exploratory analysis. To verify the association between the outcome and explanatory variables, a directed acyclic graph model was constructed, and multivariate logistic regression was performed to calculate odds ratios (ORs) and 95% confidence intervals (95%CIs). Results A total of 1,353 students aged 18–24 years participated in this study. Symptoms of anxiety and depression were present in 46.1% and 54.6% of the participants, respectively. The most prevalent combination of obesogenic behaviors was frequent consumption of ultra-processed foods, physical inactivity during leisure time, and sedentary behavior (17.2%). The greater the number of simultaneous obesogenic behaviors, the higher the chance to present symptoms of anxiety [OR: 2.81 (95%CI: 1.77–4.46)] and depression [OR: 3.46 (95%CI: 2.20–5.43)]. Conclusion These findings reinforce the need to take actions to promote mental health in the university environment in conjunction with programs to promote a healthy lifestyle and improve the physical and mental well-being of students.

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Sedentary behavior is associated with the mental health of university students during the Covid-19 pandemic, and not practicing physical activity accentuates its adverse effects: cross-sectional study

Barbosa,

Menezes-Júnior,

de Paula

et al. 2024

BMC Public Health

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Background Movement behaviours, such as sedentary behavior (SB) and physical inactivity, have become a public health issue due to their implications for physical and mental health. The literature indicates that the university environment influences the movement behaviors of university students, and the strategies adopted during the pandemic may have favored a decrease in the practice of physical activity and an increase in the time dedicated to SB in this population. We aimed to evaluate the association of SB and moderate to vigorous leisure-time physical activity (MVPA) with presence of symptoms of mental disorders during the COVID-19 pandemic. Methods This is a multicenter survey conducted with undergraduate students from eight Brazilian universities between October 2021 and February 2022 using an online questionnaire. The outcome variable was symptoms of anxiety and depression, assessed by the Depression, Anxiety, and Stress Scale-21. SB was assessed by total sitting time, being that individuals with ≥ 9 h/day were classified with high SB. The practice of MVPA was evaluated based on weekly frequency, duration, and type of exercise. Subsequently, the ratio between the time spent in MVPA (minutes/day) and the time spent in SB (hours/day) was calculated, being considered as cutoff point was the practice of 2.5 min of MVPA for each sedentary hour. To assess the association between the outcome and explanatory variables, multivariable logistic regression was performed. Results A total of 8,650 students participated in the study, with an average age of 23.9 years (SD: ± 6.34). In the multivariate analysis, the odds of anxiety symptoms [OR: 1.37 (95% CI: 1.24–1.50)] and depression [OR: 1.61 (95% CI: 1.47–1.77)] were higher in individuals with ≥ 9 h of SB per day. In the analysis of the relationship between MVPA and SB, not engaging in 2.5 min of MVPA per hour of SB increases the odds of anxiety symptoms [OR: 1.44 (95% CI: 1.31–1.58)] and depression [OR: 1.74 (95% CI: 1.59–1.92)]. Conclusion The results suggest that SB is a risk factor associated with symptoms of anxiety and depression and that not engaging in MVPA exacerbates the negative effects of SB.

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Age, skin color, self-rated health, and depression associated with co-occurrence of obesogenic behaviors in university students: a cross-sectional study

Cited by 3 publications

References 41 publications

How anxiety and depression mediate the link between sleep quality and health perception during crisis periods

How anxiety and depression mediate the link between sleep quality and health perception during crisis periods

Co-occurrence of obesogenic behaviors and their implications for mental health during the COVID-19 pandemic: a study with university students

Sedentary behavior is associated with the mental health of university students during the Covid-19 pandemic, and not practicing physical activity accentuates its adverse effects: cross-sectional study

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