The associations between lifestyles and mental health using the General Health Questionnaire 12-items are different dependently on age and sex: a population-based cross-sectional study in Kanazawa, Japan

Hori, Daisuke; Tsujiguchi, Hiromasa; Kambayashi, Yasuhiro; Hamagishi, Toshio; Kitaoka, Masami; Mitoma, Junko; Asakura, Hiroki; Suzuki, Fujio; Anyenda, Enoch Olando; Nguyen, Thao Thi Thu; Hibino, Yuri; Shibata, Aki; Hayashi, Kôichi; Sagara, Takiko; Sasahara, Shinichiro; Matsuzaki, Ichiyo; Hatta, Kotaro; Konoshita, Tadashi; Nakamura, Hiroyuki

doi:10.1007/s12199-016-0541-3

Cited by 21 publications

(25 citation statements)

References 44 publications

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“…Our study was conducted in only two geographical areas in Japan. However, a previous crosssectional community-based study in Kanazawa, Japan, reported a GHQ score ≥ 4 in 24.2% of men (n = 4693; mean age 51.6 ± 19.5 years) and 32.0% of women (n = 5678; mean age 52.4 ± 19.4 years) [44]. These percentages were close to ours, which suggests that our findings may be generalizable to the Japanese adult populations.…”

Section: Discussionsupporting

confidence: 88%

Associations between diet and mental health using the 12-item General Health Questionnaire: cross-sectional and prospective analyses from the Japan Multi-Institutional Collaborative Cohort Study

Choda

Wakai

Naito

et al. 2020

Nutr J

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Background: Mental health has become a major public health issue worldwide. Biological and epidemiological studies suggest diet has a role in the prevention or cure of mental disorders. However, further research is required to elucidate the relationship between diet and mental health. This study aimed to investigate associations between dietary intake of nutrients (macronutrients, vitamins, calcium, and fatty acids) and food groups (fish, meat and chicken, dairy products, and vegetables) and mental health among middle-aged Japanese in cross-sectional and prospective studies. Methods: In total, 9298 men and women that participated in two areas of the Japan Multi-Institutional Collaborative Cohort Study were eligible for analysis at the baseline (cross-sectional) survey. Of these, 4701 participants were followed for about 5 years and included in the follow-up (prospective) analysis. The 12-item General Health Questionnaire (GHQ) was used to assess participants' general mental health status over the past several weeks. The average intake of 46 foods over the past year was assessed by a validated food frequency questionnaire. We also evaluated lifestyle and medical factors using a self-administered questionnaire. A cross-sectional logistic regression analysis was performed to estimate odds ratios for a GHQ score ≥ 4 (poor mental health) according to dietary intake of foods/nutrients at baseline. The prospective study used baseline dietary and lifestyle factors and GHQ scores at follow-up. Results: The cross-sectional logistic regression analysis showed vegetables, protein, calcium, vitamin D, carotene and n-3 highly-polyunsaturated fatty acids were inversely associated with a GHQ score ≥ 4. On the other hand, mono-unsaturated fatty acids showed a positive association with higher GHQ score. The prospective logistic regression analysis found dairy products, calcium, vitamin B 2 , and saturated fatty acids were inversely correlated with a GHQ score ≥ 4. Calcium was associated with GHQ scores in both the cross-sectional and follow-up studies. In the follow-up study, the multivariableadjusted odds ratio for a GHQ score ≥ 4 was 0.71 (95% confidence interval, 0.55-0.92) for the highest versus lowest quartiles of calorie-adjusted dietary calcium intake. Conclusion: Consuming particular nutrients and foods, especially calcium and dairy products, may lead to better mental health in Japanese adults.

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Section: Discussionsupporting

confidence: 88%

Associations between diet and mental health using the 12-item General Health Questionnaire: cross-sectional and prospective analyses from the Japan Multi-Institutional Collaborative Cohort Study

Choda

Wakai

Naito

et al. 2020

Nutr J

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“…This study has some limitations, first, due to the limitation of data acquisition, it is difficult to evaluate other factors that may have an impact on their mental health, such as their lifestyle habits (exercise, sleep) [34]. Second, we did not have a comprehensive understanding of the physical health status of the elderly.…”

Section: Discussionmentioning

confidence: 99%

Mental health and related influencing factors among rural elderly in 14 poverty state counties of Chongqing, Southwest China: a cross-sectional study

Yang

Deng

Yang

et al. 2020

Environ Health Prev Med

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Background China has the largest elderly population in the world; little attention has been paid to the mental health of elderly in areas of extreme poverty. This is the first study to investigate the mental health of the rural elderly in poverty state counties in Chongqing and was part of the Chongqing 2018 health literacy promotion project. Methods In 2019, a cross-sectional study was conducted to investigate the mental health status of the rural elderly in fourteen poverty state counties of Chongqing, in which a total of 1400 elderly aged ≥ 65 years were interviewed, where mental health status was measured by the ten-item Kessler10 (K10) scale. Ordered multivariate logistic regression was performed to evaluate the influencing factors related to mental health of the elderly in these areas. Results The average score of K10 in 14 poverty state counties was 17.40 ± 6.31, 47.6% was labeled as good, 30.2% was moderate, 17.0% was poor, and lastly 5.1% was bad, and the mental health status of the elderly in the northeastern wing of Chongqing was better than the one in the southeastern wing of Chongqing. A worse self-rated health was the risk factor for mental health both in the northeastern and southeastern wings of Chongqing (all P < 0.001). Lower education level (OR (95% CI) = 1.45 (1.12–1.87), P = 0.004) was a risk factor in the northeastern wing, whereas older age (OR (95% CI) = 1.33 (1.13–1.56), P = 0.001) was a risk factors in the southeastern wing. Conclusions The results showed that mental health of the elderly in poverty state counties was poor, especially in the southeastern wing of Chongqing. Particular attention needs to be paid to the males who were less educated, older, and single; female with lower annual per capital income; and especially the elderly with poor self-rated health.

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“…Similar to previous studies, higher life satisfaction lowers the risk of mental health (D'Ambrosi et al , ; Hannaford, Moore, & Macleod, ). A study from Japan showed the worst mental health status in middle‐aged and young persons (Hori et al , ). The present study discovered that the GHQ‐12 Scale evaluation for health was significantly associated with life satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Health‐related life satisfaction and its influencing factors: A cross‐sectional study in China

Wang

Jin

Zhang

et al. 2018

Japan Journal Nursing Sci

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The associations between lifestyles and mental health using the General Health Questionnaire 12-items are different dependently on age and sex: a population-based cross-sectional study in Kanazawa, Japan

Abstract: The associations between mental health and lifestyles differ across age groups. Further study is needed to reveal effects of aging on lifestyle and mental health with a longitudinal design.

Cited by 21 publications

References 44 publications

Associations between diet and mental health using the 12-item General Health Questionnaire: cross-sectional and prospective analyses from the Japan Multi-Institutional Collaborative Cohort Study

Associations between diet and mental health using the 12-item General Health Questionnaire: cross-sectional and prospective analyses from the Japan Multi-Institutional Collaborative Cohort Study

Mental health and related influencing factors among rural elderly in 14 poverty state counties of Chongqing, Southwest China: a cross-sectional study

Health‐related life satisfaction and its influencing factors: A cross‐sectional study in China

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