Skip to main content

Advertisement

Log in

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

  • Regular Article
  • Published:
Environmental Health and Preventive Medicine Aims and scope

Abstract

Objectives

The aim of this study was to examine potential differences of the associations between mental health and lifestyle factors across a wide range of age.

Methods

In August/September 2011, data were collected from 4693 males (age 51.6 ± 19.5) and 5678 females (age 52.4 ± 19.4) living in Kanazawa, Japan. A cross-sectional community-based survey was conducted with self-administered questionnaire including the General Health Questionnaire (GHQ) 12-item version, sociodemographic, and lifestyle factors. Associations between the GHQ scores and other variables were examined using two-way analysis of variance (ANOVA) followed by multiple comparisons and logistic regression stratified by age and gender.

Results

Multiple comparisons indicated that people aged 20–39 or 40–64 had higher GHQ scores than older aged. The two-way ANOVA revealed significant interaction between body mass index and age group, and between exercise and age group. Overweight or underweight males aged 40–64 had poorer mental health than those at normal weight. In the elderly, being underweight was significantly associated with poor mental health. There were no significant effects of exercise on mental health for young adults. The logistic regression showed significant negative effects of short-time sleep in adults.

Conclusions

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kawakami N, Takeshima T, Ono Y, Uda H, Hata Y, Nakane Y, et al. Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002–2003. Psychiatry Clin Neurosci. 2005;59:441–52.

    Article  PubMed  Google Scholar 

  2. Belloc NB. Relationship of health practices and mortality. Prev Med. 1973;2:67–81.

    Article  CAS  PubMed  Google Scholar 

  3. Johansson SE, Sundquist J. Change in lifestyle factors and their influence on health status and all-cause mortality. Int J Epidemiol. 1999;28:1073–80.

    Article  CAS  PubMed  Google Scholar 

  4. Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. 2010;33:585–92.

    PubMed  PubMed Central  Google Scholar 

  5. Ford ES, Bergmann MM, Boeing H, Li C, Capewell S. Healthy lifestyle behaviors and all-cause mortality among adults in the United States. Prev Med. 2012;55:23–7.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ezoe S, Morimoto K. Behavioural lifestyle and mental health status of Japanese factory workers. Prev Med. 1994;23:98–105.

    Article  CAS  PubMed  Google Scholar 

  7. Rohrer JE, Rush Pierce J, Blackburn C. Lifestyle and mental health. Prev Med. 2005;40:438–43.

    Article  PubMed  Google Scholar 

  8. Kawada T, Otsuka T, Inagaki H, Wakayama Y, Katsumata M, Li Q, et al. Relationship among lifestyles, aging and psychological wellbeing using the General Health Questionnaire 12-items in Japanese working men. Aging Male. 2011;14:115–8.

    Article  PubMed  Google Scholar 

  9. Chen X, Sekine M, Hamanishi S, Wang H, Gaina A, Yamagami T, et al. Lifestyles and health-related quality of life in Japanese school children: a cross-sectional study. Prev Med. 2005;40:668–78.

    Article  PubMed  Google Scholar 

  10. Matsuzaki I, Sagara T, Oshita Y, Nagase H, Ogino K, Sasahara S, et al. Psychological factors including sense of coherence and some lifestyles are related to General Health Questionnaire-12 (GHQ-12) in elderly workers in Japan. Environ Health Prev Med. 2007;12:21–7.

    Article  Google Scholar 

  11. Sagara T, Hitomi Y, Kambayashi Y, Hibino Y, Matsuzaki I, Sasahara S, et al. Common risk factors for changes in body weight and psychological well-being in Japanese male middle-aged workers. Environ Health Prev Med. 2009;14:319–27.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Schwartz FJ, Susan JP. The state of civil society in Japan. Cambridge: Cambridge University Press; 2003.

    Book  Google Scholar 

  13. Goldberg DP, Rickels K, Downing R, Hesbacher P. A comparison of two psychiatric screening tests. Br J Psychiatry. 1976;129:61–7.

    Article  CAS  PubMed  Google Scholar 

  14. Minowa M. Factor structure of the 12-item General Health Questionnaire in the Japanese general adult population. Psychiatry Clin Neurosci. 2003;57:379–83.

    Article  PubMed  Google Scholar 

  15. Baksheev GN, Robinson J, Cosgrave EM, Baker K, Yung AR. Validity of the 12-item General Health Questionnaire (GHQ-12) in detecting depressive and anxiety disorders among high school students. Psychiatry Res. 2011;187:291–6.

    Article  PubMed  Google Scholar 

  16. Goldberg DP, Oldehinkel T, Ormel J. Why GHQ threshold varies from one place to another. Psychol Med. 1998;28:915–21.

    Article  CAS  PubMed  Google Scholar 

  17. http://apps.who.int/iris/bitstream/10665/37003/1/WHO_TRS_854.pdf. Accessed 20 Feb 2016.

  18. Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ. 2007;335:194.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Cole TJ, Lobstein T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes. 2012;7:284–94.

    Article  CAS  PubMed  Google Scholar 

  20. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1–6.

    Article  Google Scholar 

  21. Gallicchio L, Kalesan B. Sleep duration and mortality: a systematic review and meta-analysis. J Sleep Res. 2009;18:148–58.

    Article  PubMed  Google Scholar 

  22. Asztalos M, De Bourdeaudhuij I, Cardon G. The relationship between physical activity and mental health varies across activity intensity levels and dimensions of mental health among women and men. Public Health Nutr. 2010;13:1207–14.

    Article  PubMed  Google Scholar 

  23. Artazcoz L, Borrell C, Cascant L. Gender perspective in the analysis of the relationship between long workhours, health and health-related behavior. Scand J Work Environ Heal. 2007;33:344–50.

    Article  Google Scholar 

  24. De Moor MHM, Beem AL, Stubbe JH, Boomsma DI, De Geus EJC. Regular exercise, anxiety, depression and personality: a population-based study. Prev Med. 2006;42:273–9.

    Article  PubMed  Google Scholar 

  25. Christensen H, Jorm AF, Mackinnon AJ, Korten AE, Jacomb PA, Henderson AS, et al. Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychol Med. 1999;29:325–39.

    Article  CAS  PubMed  Google Scholar 

  26. Jorm AF, Windsor TD, Dear KBG, Anstey KJ, Christensen H, Rodgers B. Age group differences in psychological distress: the role of psychosocial risk factors that vary with age. Psychol Med. 2005;35:1253–63.

    Article  CAS  PubMed  Google Scholar 

  27. Molarius A, Berglund K, Eriksson C, Eriksson HG, Lindén-Boström M, Nordström E, et al. Mental health symptoms in relation to socio-economic conditions and lifestyle factors—a population-based study in Sweden. BMC Public Health. 2009;9:302.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Honda A, Date Y, Abe Y, Aoyagi K, Honda S. Work-related stress, caregiver role, and depressive symptoms among Japanese workers. Saf Health Work. 2014;5:7–12.

    Article  PubMed  Google Scholar 

  29. Kikuzawa S. Elder care, multiple role involvement, and well-being among middle-aged men and women in Japan. J Cross Cult Gerontol. 2015;30:423–38.

    Article  PubMed  Google Scholar 

  30. Mather M, Canli T, English T, Whitfield S, Wais P, Ochsner K, et al. Amygdala responses to emotionally valenced stimuli in older and younger adults. Psychol Sci. 2004;15:259–63.

    Article  PubMed  Google Scholar 

  31. Hozawa A, Okamura T, Oki I, Murakami Y, Kadowaki T, Nakamura K, et al. Relationship between BMI and all-cause mortality in Japan: NIPPON DATA80. Obesity. 2008;16:1714–7.

    Article  PubMed  Google Scholar 

  32. Tamakoshi A, Yatsuya H, Lin Y, Tamakoshi K, Kondo T, Suzuki S, et al. BMI and all-cause mortality among Japanese older adults: findings from the Japan collaborative cohort study. Obesity. 2010;18:362–9.

    Article  PubMed  Google Scholar 

  33. Ul-Haq Z, Mackay DF, Fenwick E, Pell JP. Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36. Obesity. 2013;21:322–7.

    Article  Google Scholar 

  34. Matsuzawa Y, Nakamura T, Takahashi M, Ryo M, Inoue S, Ikeda Y, et al. New criteria for “obesity disease” in Japan. Circ J. 2002;66:987–92.

    Article  Google Scholar 

  35. Krueger PM, Friedman EM. Sleep duration in the united states: a cross-sectional population-based study. Am J Epidemiol. 2009;169:1052–63.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Tamakoshi A, Ohno Y. Self-reported sleep duration as a predictor of all-cause mortality: results from the JACC study, Japan. Sleep. 2004;27:51–4.

    PubMed  Google Scholar 

  37. Tanaka H, Shirakawa S. Sleep health, lifestyle and mental health in the Japanese elderly: ensuring sleep to promote a healthy brain and mind. J Psychosom Res. 2004;56:465–77.

    Article  PubMed  Google Scholar 

  38. Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol. 2002;156:328–34.

    Article  PubMed  Google Scholar 

  39. Brown WJ, Ford JH, Burton NW, Marshall AL, Dobson AJ. Prospective study of physical activity and depressive symptoms in middle-aged women. Am J Prev Med. 2005;29:265–72.

    Article  PubMed  Google Scholar 

  40. Steptoe A, Butler N. Sports participation and emotional wellbeing in adolescents. Lancet. 1996;347:1789–92.

    Article  CAS  PubMed  Google Scholar 

  41. Allison KR, Adlaf EM, Irving HM, Hatch JL, Smith TF, Dwyer JJM, et al. Relationship of vigorous physical activity to psychologic distress among adolescents. J Adolesc Health. 2005;37:164–6.

    Article  PubMed  Google Scholar 

  42. Cotman CW, Berchtold NC. Exercise: a behavioral intervention to enhance brain health and plasticity. Trends Neurosci. 2002;25:295–301.

    Article  CAS  PubMed  Google Scholar 

  43. Nakamura K, Hoshino Y, Kodama K, Yamamoto M. Reliability of self-reported body height and weight of adult Japanese women. J Biosoc Sci. 1999;31:555–8.

    Article  CAS  PubMed  Google Scholar 

  44. Wada K, Tamakoshi K, Tsunekawa T, Otsuka R, Zhang H, Murata C, et al. Validity of self-reported height and weight in a Japanese workplace population. Int J Obes. 2005;29:1093–9.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

The authors wish to express their gratitude to the leaders and staff of the City of Kanazawa and the neighborhood associations for their support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daisuke Hori.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hori, D., Tsujiguchi, H., Kambayashi, Y. et al. 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. Environ Health Prev Med 21, 410–421 (2016). https://doi.org/10.1007/s12199-016-0541-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12199-016-0541-3

Keywords

Navigation