Physical activity, sugar-sweetened beverages, whole grain bread and insomnia among adolescents and psychological distress in adulthood: prospective data from the population-based HUNT study.

ABSTRACT

BACKGROUND: In this study, we examined the relationship between low levels of physical activity, high consumption of sugar-sweetened beverages and low consumption of whole grain bread and experiencing insomnia in adolescence and psychological distress in young adults. METHODS: This prospective study was based on information retrieved from the Trøndelag Health Study (HUNT) in Norway and included adolescents (age 13-19) participating in Young-HUNT3 (2006-2008) and in HUNT4 (2017-2019) 11 years later (age 23-31). The study sample consisted of 2,230 participants (1,287 females and 943 males). The exposure variables collected in adolescence included self-reported physical activity, consumption of sugar-sweetened beverages and whole grain bread and insomnia, and psychological distress in young adulthood was used as an outcome variable. The relationship between lifestyle behaviours in adolescence and psychological distress in young adulthood was examined using multivariable logistic regression, adjusted for gender, age and psychological distress in adolescence and educational level in young adulthood. RESULTS: An increased odds of psychological distress was shown among young adults who reported low levels of physical activity (OR 1.44, 95 % CI 1.10-2.89), high consumption of sugar-sweetened beverages (OR 1.49, 95 % CI 1.12-1.98), low consumption of whole grain bread (OR 1.35, 95 % CI 1.04-1.77) and insomnia (OR 1.69, 95 % CI 1.23-2.33) in adolescence. In terms of absolute differences, unhealthy lifestyle behaviours increased the risk of psychological distress in young adulthood between 3.18 (95 % CI 0.29-6.07) (low whole grain bread consumption) and 6.01 (95 % CI 1.95-10.07) (insomnia) percentage points. CONCLUSIONS: Low levels of physical activity, high consumption of sugar-sweetened beverages and low consumption of whole grain bread and insomnia during adolescence were associated with psychological distress in young adulthood.