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Therefore, the present study aims to assess the association between sets of lifestyle patterns and the occurrence of CMD in Brazilian adolescents evaluated in a national school-based cross-sectional survey. The outcome variable considered was presence of CMD. Lifestyle patterns were identified from the Principal Component Analysis. Consumption of foods, water and alcoholic beverages, sleep, physical activity, and smoking were used to identify patterns as explanatory variables. Sociodemographic characteristics, administrative dependence of the school and, nutritional status, were considered adjustment factors in the regression model. A total of 70,427 adolescents were evaluated. The principal component analysis identified three lifestyle patterns: high consumption of ultra-processed foods and low consumption of unprocessed or minimally processed foods (pattern 1); high consumption of alcoholic beverages and tobacco in the last 30 days (pattern 2); and high consumption of water and high level of physical activity (pattern 3). In the adjusted model, in patterns 1 and 2, the third tertile presented greater chance of CMD (OR 1.68; CI 95% 1.51\u20131.87 and OR 1.38; CI 95% 1.19\u20131.60, respectively). In pattern 3, the second (OR 0.88; CI 95% 0.80\u20130.96) and the third (OR 0.80; CI 95% 0.72\u20130.88) tertiles presented lower chances of CMD among the adolescents evaluated. Therefore, we suggest that health-promoting practices aimed at adolescents include multiple behaviors, with the objective of ensuring physical, mental, and social well-being.<\/jats:p>","DOI":"10.1371\/journal.pone.0261261","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T18:41:02Z","timestamp":1639507262000},"page":"e0261261","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":10,"title":["Lifestyle patterns associated with common mental disorders in Brazilian adolescents: Results of the Study of Cardiovascular Risks in Adolescents (ERICA)"],"prefix":"10.1371","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2605-378X","authenticated-orcid":true,"given":"Sara Ara\u00fajo","family":"Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariene Silva","family":"do Carmo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00eania Mara Baiocchi","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2021,12,14]]},"reference":[{"key":"pone.0261261.ref001","unstructured":"Every Woman Every Child. The Global Strategy For Women\u00b4s, Children\u00b4s and Adolescents\u00b4Health (2016\u20132030). World Heal Organ [Internet]. 2015; http:\/\/doi.wiley.com\/10.1002\/ceas.12013%0Ahttps:\/\/www.researchgate.net\/publication\/317087330%0Ahttps:\/\/repositories.lib.utexas.edu\/handle\/2152\/39127%0Ahttps:\/\/cris.brighton.ac.uk\/ws\/portalfiles\/portal\/4755978\/Julius+Ojebode%27s+Thesis.pdf%0Ausir.salford.a."},{"issue":"2","key":"pone.0261261.ref002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0116820","article-title":"The global burden of mental, neurological and substance use disorders: An analysis from the global burden of disease study 2010","volume":"10","author":"HA Whiteford","year":"2015","journal-title":"PLoS One"},{"key":"pone.0261261.ref003","unstructured":"WHO. World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. 2009; http:\/\/www.who.int\/healthinfo\/global_burden_disease\/GlobalHealthRisks_report_full.pdf."},{"key":"pone.0261261.ref004","unstructured":"World Health Organization. Mental Health Action Plan 2013\u20132020. WHO Libr Cat DataLibrary Cat Data [Internet]. 2013;1\u201344. http:\/\/apps.who.int\/iris\/bitstream\/10665\/89966\/1\/9789241506021_eng.pdf?ua=1%5Cnhttp:\/\/apps.who.int\/iris\/bitstream\/10665\/89966\/1\/9789241506021_eng.pdf."},{"key":"pone.0261261.ref005","unstructured":"World Health Organization. Depression and other common mental disorders: global health estimates. WHO World Heal Organ [Internet]. 2017;1\u201324. http:\/\/apps.who.int\/iris\/bitstream\/10665\/254610\/1\/WHO-MSD-MER-2017.2-eng.pdf."},{"key":"pone.0261261.ref006","unstructured":"American Psychiatry Association. Manual diagn\u00f3stico e estat\u00edstico de transtornos mentais\u2014DSM-5. Artmed, editor. Artmed. 2014. 992 p."},{"key":"pone.0261261.ref007","unstructured":"Gorenstein, Clarice; Wang, Yuan-Pang; Hungerb\u00fchler I. Instrumentos de Avalia\u00e7\u00e3o em Sa\u00fade Mental. Artmed, editor. 2016."},{"issue":"4","key":"pone.0261261.ref008","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0232007","article-title":"Common mental disorders prevalence in adolescents: A systematic review and metaanalyses","volume":"15","author":"SA Silva","year":"2020","journal-title":"PLoS One"},{"key":"pone.0261261.ref009","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jad.2014.08.006","article-title":"Risk and protective factors for depression that adolescents can modify: A systematic review and meta-analysis of longitudinal studies","volume":"169","author":"KE Cairns","year":"2014","journal-title":"J Affect Disord"},{"key":"pone.0261261.ref010","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.jad.2017.09.022","article-title":"Diet quality and depression risk: A systematic review and dose-response meta-analysis of prospective studies","volume":"226","author":"M Molendijk","year":"2018","journal-title":"J Affect Disord"},{"issue":"3","key":"pone.0261261.ref011","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/S2215-0366(14)00051-0","article-title":"Nutritional medicine as mainstream in psychiatry","volume":"2","author":"J Sarris","year":"2015","journal-title":"The Lancet Psychiatry"},{"key":"pone.0261261.ref012","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.jad.2020.01.104","article-title":"Joint association of ultra-processed food and sedentary behavior with anxiety-induced sleep disturbance among Brazilian adolescents","volume":"266","author":"AO Werneck","year":"2020","journal-title":"J Affect Disord"},{"issue":"10","key":"pone.0261261.ref013","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1371\/journal.pmed.0040296","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"4","author":"E Von Elm","year":"2007","journal-title":"PLoS Med"},{"issue":"1","key":"pone.0261261.ref014","first-page":"1","article-title":"The study of cardiovascular risk in adolescents\u2014ERICA: Rationale, design and sample characteristics of a national survey examining cardiovascular risk factor profile in Brazilian adolescents","volume":"15","author":"KV Bloch","year":"2015","journal-title":"BMC Public Health"},{"issue":"5","key":"pone.0261261.ref015","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1590\/0102-311X00043214","article-title":"Sampling design for the Study of Cardiovascular Risks in Adolescents (ERICA)","volume":"31","author":"MTL de Vasconcellos","year":"2015","journal-title":"Cad Saude Publica"},{"issue":"supl 1","key":"pone.0261261.ref016","first-page":"1s","article-title":"Response rate in the study of cardiovascular risks in adolescents\u2014ERICA","volume":"50","author":"TLN Da Silva","year":"2016","journal-title":"Rev Saude Publica"},{"key":"pone.0261261.ref017","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.nutres.2006.09.002","article-title":"Correlation in food intake between parents and adolescents depends on socioeconomic level","volume":"26","author":"Gloria Valeria da Veiga","year":"2006","journal-title":"Nutr Res"},{"issue":"2","key":"pone.0261261.ref018","first-page":"464","article-title":"Software to record 24-hour food recall: application in the Study of Cardiovascular Risks in Adolescents","volume":"19","author":"LA Barufaldi","year":"2016","journal-title":"Rev Bras Epidemiol"},{"issue":"5","key":"pone.0261261.ref019","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1093\/ajcn\/77.5.1171","article-title":"Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women","volume":"77","author":"JM Conway","year":"2003","journal-title":"Am J Clin Nutr"},{"issue":"supl 1","key":"pone.0261261.ref020","first-page":"1s","article-title":"ERICA: Prevalence of common mental disorders in Brazilian adolescents","volume":"50","author":"CS Lopes","year":"2016","journal-title":"Rev Saude Publica"},{"key":"pone.0261261.ref021","doi-asserted-by":"crossref","unstructured":"Drapeau A, Marchand A, Beaulieu-Prevost D. Epidemiology of Psychological Distress. Ment Illnesses\u2014Understanding, Predict Control [Internet]. 2012; http:\/\/www.intechopen.com\/books\/mental-illnesses-understanding-prediction-and-control\/epidemiology-of-psychological-distress.","DOI":"10.5772\/30872"},{"issue":"3","key":"pone.0261261.ref022","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1017\/S0033291700031500","article-title":"A Comparison of the Validity of Two Psychiatric Screening Questionnaires (Ghq-12 and Srq-20) In Brazil, Using Relative Operating Characteristic (Roc) Analysis","volume":"15","author":"J De Jesus Mari","year":"1985","journal-title":"Psychol Med"},{"issue":"1\u20133","key":"pone.0261261.ref023","first-page":"28","article-title":"NOVA. The star shines bright","volume":"7","author":"CA Monteiro","year":"2016","journal-title":"World Nutr"},{"key":"pone.0261261.ref024","unstructured":"IBGE. Pesquisa de Or\u00e7amentos Familiares 2008\/2009: Tabelas de Composi\u00e7\u00e3o Nutricional dos Alimentos Consumidos no Brasil [Internet]. Minist\u00e9rio do Planejamento, Or\u00e7amento e Gest\u00e3o. 2011. https:\/\/biblioteca.ibge.gov.br\/visualizacao\/livros\/liv50002.pdf."},{"issue":"1","key":"pone.0261261.ref025","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.sleh.2014.12.010","article-title":"National sleep foundation\u2019s sleep time duration recommendations: Methodology and results summary","volume":"1","author":"M Hirshkowitz","year":"2015","journal-title":"Sleep Heal"},{"issue":"1","key":"pone.0261261.ref026","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1590\/S1415-790X2012000100018","article-title":"Validade e reprodutibilidade de um question\u00e1rio para medida de atividade f\u00edsica em adolescentes: Uma adapta\u00e7\u00e3o do Self-Administered Physical Activity Checklist","volume":"15","author":"JC de Farias J\u00fanior","year":"2012","journal-title":"Rev Bras Epidemiol"},{"key":"pone.0261261.ref027","unstructured":"WHO. WHO Recommendations on Adolescent Health: Guidelines Approved by the WHO Guidelines Review Committee. World Heal Organ [Internet]. 2017;(August):1\u201330. Available from: http:\/\/apps.who.int\/iris\/bitstream\/10665\/42590\/1\/9241562218.pdf."},{"key":"pone.0261261.ref028","unstructured":"World Health Organization. WHO Guidelines on physical activity and sedentary behaviour. Routledge Handbook of Youth Sport. 2020. 1\u2013104 p."},{"issue":"September","key":"pone.0261261.ref029","doi-asserted-by":"crossref","first-page":"660","DOI":"10.2471\/BLT.07.043497","article-title":"Development of a WHO growth reference for school-aged children and adolescents","volume":"85","author":"Mercedes Onis","year":"2007","journal-title":"Bull World Health Organ"},{"key":"pone.0261261.ref030","unstructured":"Hair Jr, Joseph F.; Black, William C.; Babin, Barry J.; Anderson, Rolph E.; Tatham RL. An\u00e1lise multivariada de dados. 6a edi\u00e7\u00e3o. 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Pesquisa de Or\u00e7amentos Familiares 2017\u20132018\u2014Primeiros Resultados [Internet]. Ibge. 2019. 69 p. http:\/\/scholar.google.com\/scholar?hl=en&btnG=Search&q=intitle:Pesquisa+de+Or?amentos+Familiares#0."},{"issue":"6","key":"pone.0261261.ref036","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.jand.2020.12.010","article-title":"School Type, Eating Habits, and Screen Time are Associated With Ultra-Processed Food Consumption Among Brazilian Adolescents","volume":"121","author":"LL Rocha","year":"2021","journal-title":"J Acad Nutr Diet"},{"key":"pone.0261261.ref037","unstructured":"Brasil. Guia Alimentar para a Popula\u00e7\u00e3o Brasileira [Internet]. 2a edi\u00e7\u00e3o. Guia alimentar para a popula\u00e7\u00e3o. Minist\u00e9rio da Sa\u00fade. Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade. Departamento de Aten\u00e7\u00e3o B\u00e1sica.; 2014. 156 p. http:\/\/www.ufsm.br\/congressodireito\/anais%0Ahttp:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2017000405009&lng=pt&tlng=pt%0Ahttp:\/\/www.unicamp.br\/nepa\/arquivo_san\/volume_17_1_2010\/san_vol_17_1_Neila[113-122].pdf%0Awww.saude.gov.br\/bvs."},{"issue":"1","key":"pone.0261261.ref038","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12916-019-1312-y","article-title":"Prospective association between ultra-processed food consumption and incident depressive symptoms in the French NutriNet-Sant\u00e9 cohort","volume":"17","author":"M Adjibade","year":"2019","journal-title":"BMC Med"},{"issue":"3","key":"pone.0261261.ref039","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1007\/s00394-019-01970-1","article-title":"Ultra-processed food consumption and the incidence of depression in a Mediterranean cohort: the SUN Project","volume":"59","author":"C G\u00f3mez-Donoso","year":"2020","journal-title":"Eur J Nutr"},{"issue":"December","key":"pone.0261261.ref040","first-page":"1","article-title":"Ultra-Processed Food Is Positively Associated With Depressive Symptoms Among United States Adults","volume":"7","author":"L Zheng","year":"2020","journal-title":"Front Nutr"},{"key":"pone.0261261.ref041","doi-asserted-by":"crossref","unstructured":"Chen X, Zhang Z, Yang H, Qiu P, Wang H, Wang F, et al. Consumption of ultra-processed foods and health outcomes: a systematic review of epidemiological studies. 2020;1\u201310.","DOI":"10.1186\/s12937-020-00604-1"},{"key":"pone.0261261.ref042","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.ebiom.2017.02.020","article-title":"Nutritional Psychiatry: Where to Next?","volume":"17","author":"FN Jacka","year":"2017","journal-title":"EBioMedicine"},{"issue":"November 2018","key":"pone.0261261.ref043","doi-asserted-by":"crossref","first-page":"100147","DOI":"10.1016\/j.abrep.2018.100147","article-title":"Smoking, alcohol consumption and mental health: Data from the Brazilian study of Cardiovascular Risks in Adolescents (ERICA)","volume":"9","author":"VR Ferreira","year":"2019","journal-title":"Addict Behav Reports"},{"issue":"2","key":"pone.0261261.ref044","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.jadohealth.2013.07.034","article-title":"Alcohol consumption and psychological distress in adolescents: A multi-country study","volume":"54","author":"O Balogun","year":"2014","journal-title":"J Adolesc Heal"},{"key":"pone.0261261.ref045","unstructured":"IBGE. Pesquisa Nacional de Sa\u00fade do Escolar (PeNSE) 2015. IBGE. Instituto Brasileiro de Geografia e Estat\u00edstica, editor. 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