Skip to Main Content
TABLE 3

Associations of Meeting Healthy Lifestyle Recommendations With Physician Visits for Mental Health Disorders in Subsequent 4-Year Follow-up

Univariate RR (95% CI)PModel 1,a RR (95% CI)PModel 2,b RR (95% CI)P
Vegetables and fruit       
 No (reference) — — — 
 Yes 0.77 (0.59–1.00) .052 0.85 (0.67–1.07) .162 0.98 (0.75–1.27) .850 
Grain products       
 No (reference) — — — 
 Yes 1.09 (0.84–1.41) .508 1.10 (0.86–1.42) .451 1.16 (0.89–1.50) .269 
Milk and alternatives       
 No (reference) — — — 
 Yes 0.78 (0.62–0.98)* .029* 0.79 (0.63–0.99)* .037* 0.83 (0.66–1.05) .099 
Meat and alternatives       
 No (reference) — — — 
 Yes 0.85 (0.62–1.17) .324 0.89 (0.66–1.20) .439 0.82 (0.60–1.10) .181 
Saturated fat       
 No (reference) — — — 
 Yes 0.87 (0.68–1.12) .277 0.90 (0.71–1.15) .399 0.84 (0.64–1.09) .196 
Added sugars       
 No (reference) — — — 
 Yes 0.70 (0.56–0.87)* .002* 0.82 (0.65–1.03) .093 0.93 (0.73–1.20) .585 
Physical activity       
 No (reference) — — — 
 Yes 0.51 (0.39–0.66)* <.001* 0.53 (0.41–0.68)* <.001* 0.53 (0.42–0.68)* <.001* 
Sleep       
 No (reference) — — — 
 Yes 0.98 (0.63–1.52) .914 1.23 (0.78–1.95) .369 1.24 (0.81–1.89) .330 
Screen (TV and computer)       
 No (reference) — — — 
 Yes 0.64 (0.51–0.79)* <.001* 0.75 (0.59–0.94)* .013* 0.76 (0.60–0.96)* .021 
Body wt status       
 Normal wt (reference) — — — 
 Overweight 0.74 (0.55–0.98)* .032* 0.75 (0.57–0.98)* .038* 0.84 (0.65–1.10) .213 
 Obese 0.73 (0.54–0.98)* .038* 0.63 (0.47–0.85)* .002* 0.61 (0.46–0.82)* .001* 
Sex       
 Female (reference) — — — 
 Male 1.91 (1.53–2.38)* <.001* 2.11 (1.70–2.60)* <.001* 1.84 (1.48–2.27)* <.001 
Parental education       
 Secondary or less (reference) — — — 
 College diploma 0.68 (0.50–0.93)* .017* 0.74 (0.54–1.03) .072 0.74 (0.48–1.07) .060 
 University or graduate degree 0.47 (0.33–0.66)* <.001* 0.58 (0.40–0.85)* .005* 0.60 (0.41–0.89)* .012* 
Household income, Canadian $       
 ≤20 000 — — — 
 20 000–40 001 0.74 (0.50–1.09) .126 0.72 (0.48–1.07) .108 0.72 (0.48–1.07) .103 
 40 001–60 000 0.50 (0.36–0.69)* <.001* 0.51 (0.36–0.72)* <.001* 0.51 (0.36–0.73)* <.001* 
 ≥60 001 0.39 (0.27–0.57)* <.001* 0.44 (0.29–0.65)* <.001* 0.46 (0.30–0.69)* <.001* 
Region of residence       
 Urban — — — 
 Rural 0.71 (0.55–0.93)* .011* 0.69 (0.54–0.86)* .001* 0.64 (0.51–0.81)* <.001* 
Univariate RR (95% CI)PModel 1,a RR (95% CI)PModel 2,b RR (95% CI)P
Vegetables and fruit       
 No (reference) — — — 
 Yes 0.77 (0.59–1.00) .052 0.85 (0.67–1.07) .162 0.98 (0.75–1.27) .850 
Grain products       
 No (reference) — — — 
 Yes 1.09 (0.84–1.41) .508 1.10 (0.86–1.42) .451 1.16 (0.89–1.50) .269 
Milk and alternatives       
 No (reference) — — — 
 Yes 0.78 (0.62–0.98)* .029* 0.79 (0.63–0.99)* .037* 0.83 (0.66–1.05) .099 
Meat and alternatives       
 No (reference) — — — 
 Yes 0.85 (0.62–1.17) .324 0.89 (0.66–1.20) .439 0.82 (0.60–1.10) .181 
Saturated fat       
 No (reference) — — — 
 Yes 0.87 (0.68–1.12) .277 0.90 (0.71–1.15) .399 0.84 (0.64–1.09) .196 
Added sugars       
 No (reference) — — — 
 Yes 0.70 (0.56–0.87)* .002* 0.82 (0.65–1.03) .093 0.93 (0.73–1.20) .585 
Physical activity       
 No (reference) — — — 
 Yes 0.51 (0.39–0.66)* <.001* 0.53 (0.41–0.68)* <.001* 0.53 (0.42–0.68)* <.001* 
Sleep       
 No (reference) — — — 
 Yes 0.98 (0.63–1.52) .914 1.23 (0.78–1.95) .369 1.24 (0.81–1.89) .330 
Screen (TV and computer)       
 No (reference) — — — 
 Yes 0.64 (0.51–0.79)* <.001* 0.75 (0.59–0.94)* .013* 0.76 (0.60–0.96)* .021 
Body wt status       
 Normal wt (reference) — — — 
 Overweight 0.74 (0.55–0.98)* .032* 0.75 (0.57–0.98)* .038* 0.84 (0.65–1.10) .213 
 Obese 0.73 (0.54–0.98)* .038* 0.63 (0.47–0.85)* .002* 0.61 (0.46–0.82)* .001* 
Sex       
 Female (reference) — — — 
 Male 1.91 (1.53–2.38)* <.001* 2.11 (1.70–2.60)* <.001* 1.84 (1.48–2.27)* <.001 
Parental education       
 Secondary or less (reference) — — — 
 College diploma 0.68 (0.50–0.93)* .017* 0.74 (0.54–1.03) .072 0.74 (0.48–1.07) .060 
 University or graduate degree 0.47 (0.33–0.66)* <.001* 0.58 (0.40–0.85)* .005* 0.60 (0.41–0.89)* .012* 
Household income, Canadian $       
 ≤20 000 — — — 
 20 000–40 001 0.74 (0.50–1.09) .126 0.72 (0.48–1.07) .108 0.72 (0.48–1.07) .103 
 40 001–60 000 0.50 (0.36–0.69)* <.001* 0.51 (0.36–0.72)* <.001* 0.51 (0.36–0.73)* <.001* 
 ≥60 001 0.39 (0.27–0.57)* <.001* 0.44 (0.29–0.65)* <.001* 0.46 (0.30–0.69)* <.001* 
Region of residence       
 Urban — — — 
 Rural 0.71 (0.55–0.93)* .011* 0.69 (0.54–0.86)* .001* 0.64 (0.51–0.81)* <.001* 

Estimates are weighted to represent fifth-grade students in Nova Scotia. TV, television; —, not applicable.

a

Adjusted for sex, body weight status, parental education, parental income, region of residence, and energy intake.

b

Mutually adjusted for all variables in the table.

*

P < .05.

Close Modal

or Create an Account

Close Modal
Close Modal