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Associations between common mental disorders, cardiovascular risk factors and lifestyle in adults participating in targeted health dialogues in Sweden

Andersson, Ulrika LU orcid ; Stenman, Emelie LU ; Grundberg, Anton LU and Sundquist, Kristina LU (2026) In Preventive Medicine Reports 66.
Abstract

Objective To examine associations of common mental disorders (CMDs) with lifestyle habits and cardiovascular risk factors among participants in targeted health dialogues in Sweden. Methods A cross-sectional study included 8903 40- and 50-year-olds between September 20, 2021, and January 10, 2024. CMDs included depressive, anxiety, and stress-related disorders. Associations between CMDs and lifestyle habits/cardiovascular risk factors were examined using logistic regression, adjusted for sex, education, marital status, and place of birth. Results A quarter of the participants had a CMD. Those without a mental diagnosis constituted the controls. Depressive disorders were associated with physical inactivity (OR 1.43, 95% CI 1.17, 1.76),... (More)

Objective To examine associations of common mental disorders (CMDs) with lifestyle habits and cardiovascular risk factors among participants in targeted health dialogues in Sweden. Methods A cross-sectional study included 8903 40- and 50-year-olds between September 20, 2021, and January 10, 2024. CMDs included depressive, anxiety, and stress-related disorders. Associations between CMDs and lifestyle habits/cardiovascular risk factors were examined using logistic regression, adjusted for sex, education, marital status, and place of birth. Results A quarter of the participants had a CMD. Those without a mental diagnosis constituted the controls. Depressive disorders were associated with physical inactivity (OR 1.43, 95% CI 1.17, 1.76), obesity (OR 1.42, 95% CI 1.16, 1.74), and tobacco use (OR 1.69, 95% CI 1.35, 2.10). Anxiety was associated with excessive alcohol use (OR 1.27, 95% CI 1.06, 1.51), unhealthy diet (OR 1.15, 95% CI 1.00, 1.33), tobacco use (OR 1.83, 95% CI 1.57, 2.14), and higher cardiovascular risk (SCORE2; OR 1.32, 95% CI 1.05, 1.64). Stress-related disorders were associated with tobacco use (OR 1.35, 95% CI 1.10, 1.64) and elevated LDL-cholesterol (OR 1.17, 95% CI 1.01, 1.37). Conclusions Detection of CMDs in middle-aged primary care populations may offer an opportunity for early lifestyle intervention and cardiovascular risk reduction.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anxiety disorders, Cardiovascular risk factors, Depressive disorders, Primary healthcare, Primary prevention, Stress-related disorders
in
Preventive Medicine Reports
volume
66
article number
103474
publisher
Elsevier
external identifiers
  • pmid:42057768
  • scopus:105035864804
ISSN
2211-3355
DOI
10.1016/j.pmedr.2026.103474
language
English
LU publication?
yes
id
80fd2da4-624e-4a8e-9127-3f55bc257b10
date added to LUP
2026-06-26 10:20:30
date last changed
2026-06-27 03:00:02
@article{80fd2da4-624e-4a8e-9127-3f55bc257b10,
  abstract     = {{<p>Objective To examine associations of common mental disorders (CMDs) with lifestyle habits and cardiovascular risk factors among participants in targeted health dialogues in Sweden. Methods A cross-sectional study included 8903 40- and 50-year-olds between September 20, 2021, and January 10, 2024. CMDs included depressive, anxiety, and stress-related disorders. Associations between CMDs and lifestyle habits/cardiovascular risk factors were examined using logistic regression, adjusted for sex, education, marital status, and place of birth. Results A quarter of the participants had a CMD. Those without a mental diagnosis constituted the controls. Depressive disorders were associated with physical inactivity (OR 1.43, 95% CI 1.17, 1.76), obesity (OR 1.42, 95% CI 1.16, 1.74), and tobacco use (OR 1.69, 95% CI 1.35, 2.10). Anxiety was associated with excessive alcohol use (OR 1.27, 95% CI 1.06, 1.51), unhealthy diet (OR 1.15, 95% CI 1.00, 1.33), tobacco use (OR 1.83, 95% CI 1.57, 2.14), and higher cardiovascular risk (SCORE2; OR 1.32, 95% CI 1.05, 1.64). Stress-related disorders were associated with tobacco use (OR 1.35, 95% CI 1.10, 1.64) and elevated LDL-cholesterol (OR 1.17, 95% CI 1.01, 1.37). Conclusions Detection of CMDs in middle-aged primary care populations may offer an opportunity for early lifestyle intervention and cardiovascular risk reduction.</p>}},
  author       = {{Andersson, Ulrika and Stenman, Emelie and Grundberg, Anton and Sundquist, Kristina}},
  issn         = {{2211-3355}},
  keywords     = {{Anxiety disorders; Cardiovascular risk factors; Depressive disorders; Primary healthcare; Primary prevention; Stress-related disorders}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Preventive Medicine Reports}},
  title        = {{Associations between common mental disorders, cardiovascular risk factors and lifestyle in adults participating in targeted health dialogues in Sweden}},
  url          = {{http://dx.doi.org/10.1016/j.pmedr.2026.103474}},
  doi          = {{10.1016/j.pmedr.2026.103474}},
  volume       = {{66}},
  year         = {{2026}},
}