{
  "abstract": "Introduction Students enrolling in higher education often adopt lifestyles linked to worse mental health, potentially contributing to the peak age onset of mental health problems in early adulthood. However, extensive research is limited by focusing on single lifestyle behaviours, including single time points, within limited cultural contexts, and focusing on a limited set of mental health symptoms.Methods and analysis The UNIversity students’ LIFEstyle behaviours and Mental health cohort (UNILIFE-M) is a prospective worldwide cohort study aiming to investigate the associations between students’ lifestyle behaviours and mental health symptoms during their college years. The UNILIFE-M will gather self-reported data through an online survey on mental health symptoms (ie, depression, anxiety, mania, sleep problems, substance abuse, inattention/hyperactivity and obsessive/compulsive thoughts/behaviours) and lifestyle behaviours (ie, diet, physical activity, substance use, stress management, social support, restorative sleep, environment and sedentary behaviour) over 3.5 years. Participants of 69 universities from 28 countries (300 per site) will be assessed at university admission in the 2023 and/or the 2024 academic year and followed up for 1, 2 and 3.5 years.Ethics and dissemination The study was first approved at a national level in Brazil (CAE:63025822.8.1001.5346). Study sites outside Brazil obtained additional ethics approval from their institutions using the main approval. Results from the UNILIFE-M cohort will be disseminated through scientific publications, presentations at scientific meetings, press releases, the general media and social media.",
  "authors": [
    {
      "affiliations": [
        "Physical Education and Sports Center, Federal University of Santa Maria, Santa Maria, Brazil",
        "Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil",
        "Faculty of Health Sciences, Universidad Autónoma de Chile, Providência, Chile"
      ],
      "name": "Felipe B Schuch"
    },
    {
      "affiliations": [
        "Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil"
      ],
      "name": "Aline Waclawoscky"
    },
    {
      "affiliations": [
        "Physical Education and Sports Center, Federal University of Santa Maria, Santa Maria, Brazil"
      ],
      "name": "Debora Tornquist"
    },
    {
      "affiliations": [
        "Department of Physiotherapy, Redeemer's University, Ede, Nigeria",
        "College of Health Solutions, Arizona State University, Phoenix, Arizona, USA"
      ],
      "name": "Adewale L Oyeyemi"
    },
    {
      "affiliations": [
        "Faculty of Health Sciences, Universidad Autónoma de Chile, Providência, Chile",
        "School of Kinesiology, Faculty of Health and Dentistry, Universidad Diego Portales, Santiago, Chile"
      ],
      "name": "Kabir P Sadarangani"
    },
    {
      "affiliations": [
        "Department of Psychology, Division of Clinical Psychology and Psychological Treatment, LMU Munich, Munich, Germany"
      ],
      "name": "Keisuke Takano"
    },
    {
      "affiliations": [
        "Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia"
      ],
      "name": "Megan Teychenne"
    },
    {
      "affiliations": [
        "Department of Medicine, University of Valencia, INCLIVA, CIBERSAM, Valencia, Spain"
      ],
      "name": "Vicent Balanzá-Martínez"
    },
    {
      "affiliations": [
        "Deakin University, Burwood, Victoria, Australia"
      ],
      "name": "Adrienne O’Neil"
    },
    {
      "affiliations": [
        "School of kinesiology of physical activity sciences, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada",
        "Research Center, Montreal Mental Health University Institute, Montreal, Quebec, Canada"
      ],
      "name": "A J Romain"
    },
    {
      "affiliations": [
        "South East Technological University, Waterford, Ireland"
      ],
      "name": "Aisling McGrath"
    },
    {
      "affiliations": [
        "Department of Psychology, Universidad Católica del Uruguay, Montevideo, Uruguay"
      ],
      "name": "Alejandro Anselmi"
    },
    {
      "affiliations": [
        "Associated Post-graduate Program in Movement Sciences, Universidade Federal Rural de Pernambuco (UFRPE), Recife, Brazil"
      ],
      "name": "Aluísio Andrade-Lima"
    },
    {
      "affiliations": [
        "Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, World Health Organization Collaborating Centre for Nursing Research Development, Ribeirão Preto, Brazil"
      ],
      "name": "Ana Carolina Guidorizzi Zanetti"
    },
    {
      "affiliations": [
        "School of Medicine and Health Science, Rehabilitation Science Research Group, Center for the Study of Physical Activity Measurement (CEMA), Universidad del Rosario, Bogota, Colombia"
      ],
      "name": "Andrea-Catalina Trompetero-González"
    },
    {
      "affiliations": [
        "Social and Preventive Medicine, Department of Sport and Health Sciences, Intra-faculty Cognition Sciences, Faculty of Human Science, and Faculty of Health Sciences. Brandenburg, Research Area Services Research and e-Health, University of Potsdam, Potsdam, Germany"
      ],
      "name": "Andreas Heissel"
    },
    {
      "affiliations": [
        "Physiotherapy and rehabilitation Department, Federal University of Santa Maria, Santa Maria, Brazil"
      ],
      "name": "Angel Fonseca Da Silva"
    },
    {
      "affiliations": [
        "Facultad de Salud y Rehabilitación, Programa de Fisioterapia, Institución Universitaria Escuela Nacional del Deporte, Cali, Colombia"
      ],
      "name": "Angela Carolina Zambrano Benavides"
    },
    {
      "affiliations": [
        "Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland",
        "Department of Psychiatry, Wellbeing Services County of North Savo, Kuopio University Hospital, Kuopio, Finland"
      ],
      "name": "Anu Ruusunen"
    },
    {
      "affiliations": [
        "IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile",
        "Center for Interdisciplinary Research in Biomedicine, Biotechnology and Well-Being (CID3B), Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile"
      ],
      "name": "Carlos Cristi-Montero"
    },
    {
      "affiliations": [
        "Department of Psychology, Clinical Psychology and Psychotherapy, University of Marburg, Marburg, Germany",
        "Institute of Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Bayern, Germany"
      ],
      "name": "Cornelia Weise"
    },
    {
      "affiliations": [
        "Graduate Program in Human Movement Sciences, Universidade Federal do Pará, Castanhal, Brazil"
      ],
      "name": "Daniel Alvarez Pires"
    },
    {
      "affiliations": [
        "Faculty of Health Sciences, Universidad Autónoma de Chile, Providência, Chile",
        "Department of Physical Education, Universidade Federal de Sergipe, São Cristóvão, Brazil"
      ],
      "name": "Danilo R P Silva"
    },
    {
      "affiliations": [
        "Faculty of Psychology, Universitas Indonesia, Depok, Indonesia"
      ],
      "name": "Dicky C Pelupessy"
    },
    {
      "affiliations": [
        "Physical Education and Sports Center, Federal University of Santa Maria, Santa Maria, Brazil"
      ],
      "name": "Eduarda Bitencourt dos Santos"
    },
    {
      "affiliations": [
        "Center for Evidence Synthesis in Health, School of Public Health, Brown University, Providence, Rhode Island, USA"
      ],
      "name": "Eduardo Lucia Caputo"
    },
    {
      "affiliations": [
        "Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus"
      ],
      "name": "Elena Critselis"
    },
    {
      "affiliations": [
        "Scientific Laboratory of Psychology and Person-Centered Care, Department of Nursing, School of Health Sciences, University of Ioannina, Ioannina, Greece"
      ],
      "name": "Elena Dragioti"
    },
    {
      "affiliations": [
        "South East Technological University, Waterford, Ireland"
      ],
      "name": "Evan Matthews"
    },
    {
      "affiliations": [
        "Graduate Program in Physiotherapy and Functioning, Department of Physiotherapy, Federal University of Ceara, Fortaleza, Brazil"
      ],
      "name": "Fabianna Resende de Jesus-Moraleida"
    },
    {
      "affiliations": [
        "Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada"
      ],
      "name": "Fabiano Alves Gomes"
    },
    {
      "affiliations": [
        "Physiotherapy Department, Faculty of Health Science, UPN Veteran Jakarta, South Jakarta, Indonesia"
      ],
      "name": "Farahdina Bachtiar"
    },
    {
      "affiliations": [
        "Postgraduate Program in Nursing, Federal University of Piaui, Teresina, Brazil"
      ],
      "name": "Fernando Lopes e Silva-Junior"
    },
    {
      "affiliations": [
        "The American University in Cairo, New Cairo, Cairo, Egypt"
      ],
      "name": "Hebasala Sallem"
    },
    {
      "affiliations": [
        "Department of Internal Medicine, Faculty of Medicine, University of Brasília, Brasilia, Brazil"
      ],
      "name": "Helena Moura"
    },
    {
      "affiliations": [
        "Physiotherapy Department, Federal Medical Centre, Makurdi, Nigeria"
      ],
      "name": "Idoo Womboh"
    },
    {
      "affiliations": [
        "Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria"
      ],
      "name": "Igor Grabovac"
    },
    {
      "affiliations": [
        "Department of Kinesiology, University of Wisconsin-Madison, Madison, Wisconsin, USA"
      ],
      "name": "Jacob D Meyer"
    },
    {
      "affiliations": [
        "Facultad de Ciencias de la Salud, Universidad Privada del Norte, Lima, Peru"
      ],
      "name": "Jano Ramos-Diaz"
    },
    {
      "affiliations": [
        "Research Group in Development Movimiento Humano, Universidad de Zaragoza, Zaragoza, Spain",
        "Physical Performance & Sports Research Center (CIRFD), Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, Sevilla, Spain"
      ],
      "name": "Javier Bueno-Antequera"
    },
    {
      "affiliations": [
        "Physiotherapy and rehabilitation Department, Federal University of Santa Maria, Santa Maria, Brazil"
      ],
      "name": "Jênifer de Oliveira"
    },
    {
      "affiliations": [
        "School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands",
        "Scientific research department, GGz Centraal, Amersfoort, Netherlands"
      ],
      "name": "J Deenik"
    },
    {
      "affiliations": [
        "Centro de Biomedicina. Laboratorio de Actividad Física, Ejercicio y Salud",
        "Escuela de Kinesiología, Facultad de Medicina y Ciências de la Salud, Universidad Mayor, Santiago, Chile"
      ],
      "name": "Johana Soto-Sánchez"
    },
    {
      "affiliations": [
        "Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway"
      ],
      "name": "Jolene van der Kaap-Deeder"
    },
    {
      "affiliations": [
        "School of Education, College of Design and Social Context, RMIT University, Melbourne, Victoria, Australia"
      ],
      "name": "Jonathan Leo Ng"
    },
    {
      "affiliations": [
        "Vicerrectoría de Investigación y Postgrado, Universidad de Los Lagos, Osorno, Chile",
        "School of Medicine, Universidad Espíritu Santo, Samborondon, Ecuador"
      ],
      "name": "José Francisco López-Gil"
    },
    {
      "affiliations": [
        "Division of Psychology and Mental Health, The University of Manchester School of Health Sciences, Manchester, UK"
      ],
      "name": "Joseph Firth"
    },
    {
      "affiliations": [
        "Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil",
        "Physiotherapy and rehabilitation Department, Federal University of Santa Maria, Santa Maria, Brazil"
      ],
      "name": "Julia Amaral Teixeira"
    },
    {
      "affiliations": [
        "Laboratorio de Investigación, Instituto Universitario YMCA, Caba, Argentina"
      ],
      "name": "Juan Ramiro Nikonov"
    },
    {
      "affiliations": [
        "Institute of Clinical Psychology and Psychotherapy, TU Dresden, Dresden, Germany"
      ],
      "name": "Jürgen Hoyer"
    },
    {
      "affiliations": [
        "Physical Education Department, College of Education, United Arab Emirates University, Al Ain, Abu Dhabi, UAE"
      ],
      "name": "Lara Carneiro"
    },
    {
      "affiliations": [
        "Body-Brain-Mind Laboratory, School of Psychology, Wuhan Sport University, Wuhan, China"
      ],
      "name": "Liye Zou"
    },
    {
      "affiliations": [
        "Centre for Mental Health Research, Australian National University, Canberra, Australian Capital Territory, Australia"
      ],
      "name": "Louise M Farrer"
    },
    {
      "affiliations": [
        "Department of Clinical Psychology and Experimental Psychopathology, University of Göttingen, Gottingen, Germany",
        "Mental Health Research and Treatment Center, Ruhr University Bochum, Bochum, Germany"
      ],
      "name": "Marcella L Woud"
    },
    {
      "affiliations": [
        "Ottawa Hospital Research Institute (OHRI) Ottawa, Ottawa, Ontario, Canada",
        "Department of Mental Health, The Ottawa Hospital, Ottawa, Ontario, Canada",
        "Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany",
        "SCIENCES lab, Department of Psychiatry, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Marco Solmi"
    },
    {
      "affiliations": [
        "Physical Education and Sports Center, Federal University of Santa Maria, Santa Maria, Brazil",
        "Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil"
      ],
      "name": "Maria Eduarda Adornes Guimarães"
    },
    {
      "affiliations": [
        "Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland"
      ],
      "name": "Markus Gerber"
    },
    {
      "affiliations": [
        "Department of eHealth and Sports Analytics, Faculty of Sport Science, Ruhr University Bochum, Bochum, Germany",
        "Department of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of Heidelberg, Mannheim, UK",
        "Department of Sport and Exercise Science, Research Group Sport and Exercise Psychology, University of Salzburg, Salzburg, Austria"
      ],
      "name": "Markus Reichert"
    },
    {
      "affiliations": [
        "Department of Psychological Medicine, University of Otago, Wellington, New Zealand"
      ],
      "name": "Matthew Jenkins"
    },
    {
      "affiliations": [
        "SHAPE Research Group, School of Science and Technology, Nottingham Trent University, Nottingham, UK"
      ],
      "name": "Matthew J Savage"
    },
    {
      "affiliations": [
        "Department of Neuropsychiatry",
        "Mental Health Epidemiology Group (MHEG), Federal University of Santa Maria, Santa Maria, Brazil",
        "Graduate Program in Psychiatry and Behavioral Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil"
      ],
      "name": "Mauricio Scopel Hoffmann"
    },
    {
      "affiliations": [
        "School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia"
      ],
      "name": "Melinda Hutchesson"
    },
    {
      "affiliations": [
        "School of Physiotherapy, Universidad Popular Autonoma del Estado de Puebla, Puebla, Mexico",
        "Vascular Unity, Hospital Beneficiencia Española Puebla, Puebla, Mexico"
      ],
      "name": "Milton Enrique Gonzalez Henao"
    },
    {
      "affiliations": [
        "Facultad de Ciencias de la Salud, Universidad Anáhuac México, Huixquilucan, Mexico"
      ],
      "name": "Moises Jonathan Magos Chong"
    },
    {
      "affiliations": [
        "Institute of Psychology, University of Münster, Münster, Germany"
      ],
      "name": "Nexhmedin Morina"
    },
    {
      "affiliations": [
        "Laboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, Brazil",
        "NICM Health Research Institute, Western Sydney University, Sydney, New South Wales, Australia"
      ],
      "name": "Nicole L Galvão-Coelho"
    },
    {
      "affiliations": [
        "Clinical Child and Adolescent Psychology and Psychotherapy, Department of Psychology, Faculty of Psychology and Sports Science, Bielefeld University, Bielefeld, Germany"
      ],
      "name": "Nina Heinrichs"
    },
    {
      "affiliations": [
        "Department of Research, Institución Universitaria Fundación Escuela Colombiana de Rehabilitación, Bogota, Colombia"
      ],
      "name": "Olga L Montoya-Hurtado"
    },
    {
      "affiliations": [
        "Department of Physiotherapy, University of Calabar, Calabar, Nigeria"
      ],
      "name": "Patrick Ayi Ewah"
    },
    {
      "affiliations": [
        "School of Medicine, Lebanese American University, Byblos, Beirut, Lebanon",
        "Faculty of Pharmacy, Lebanese University, Beirut, Lebanon"
      ],
      "name": "Pascale Salameh"
    },
    {
      "affiliations": [
        "Institute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil"
      ],
      "name": "Raquel De Boni"
    },
    {
      "affiliations": [
        "School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK",
        "Department of Educational Studies, Xi'an Jiaotong-Liverpool University, Suzhou, China"
      ],
      "name": "Rebecca Y M Cheung"
    },
    {
      "affiliations": [
        "Department of Physical Education, Montes Claros State University, Montes Claros, Brazil"
      ],
      "name": "Renato Sobral Monteiro-Junior"
    },
    {
      "affiliations": [
        "School of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia"
      ],
      "name": "Rhiannon Lee White"
    },
    {
      "affiliations": [
        "Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria"
      ],
      "name": "Sandra Haider"
    },
    {
      "affiliations": [
        "Department of Physical Therapy, Anton de Kom University of Suriname, Paramaribo, Suriname"
      ],
      "name": "Se-Sergio Baldew"
    },
    {
      "affiliations": [
        "Yong Shian GOH, Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore"
      ],
      "name": "Shawn Gow"
    },
    {
      "affiliations": [
        "School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia"
      ],
      "name": "Simon Rosenbaum"
    },
    {
      "affiliations": [
        "School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon",
        "Applied Science Research Center, Applied Science Private University, Amman, Jordan"
      ],
      "name": "Souheil Hallit"
    },
    {
      "affiliations": [
        "Physiotherapy and rehabilitation Department, Federal University of Santa Maria, Santa Maria, Brazil"
      ],
      "name": "Stéfany Giacomelo Piccinin"
    },
    {
      "affiliations": [
        "Department of Educational Sciences and Psychology, TU Dortmund University, Dortmund, Germany"
      ],
      "name": "Stephan Heinzel"
    },
    {
      "affiliations": [
        "Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia"
      ],
      "name": "Susan Torres"
    },
    {
      "affiliations": [
        "Al Akhawayn University in Ifrane, Ifrane, Morocco"
      ],
      "name": "Tabassum Rashid"
    },
    {
      "affiliations": [
        "Department of Physical Education, School of Sports, Federal University of Santa Catarina, Florianopolis, Brazil"
      ],
      "name": "Thiago Sousa Matias"
    },
    {
      "affiliations": [
        "Institute of Psychology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany"
      ],
      "name": "Tim Rohe"
    },
    {
      "affiliations": [
        "Universidade Federal de Pernambuco, Recife, Brazil"
      ],
      "name": "Tony Meireles"
    },
    {
      "affiliations": [
        "Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile"
      ],
      "name": "Waleska Reyes-Ferrada"
    },
    {
      "affiliations": [
        "Physical Education Unit, The Chinese University of Hong Kong-Shenzhen, Shenzhen, China"
      ],
      "name": "Yanjie Zhang"
    },
    {
      "affiliations": [
        "Faculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tuebingen, Tuebingen, Germany"
      ],
      "name": "Anna Katharina Frei"
    },
    {
      "affiliations": [
        "Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil"
      ],
      "name": "Andrea Deslandes"
    },
    {
      "affiliations": [
        "Faculty of Economics and Social Sciences, Institute of Sports Science, Department of Education & Health Research, University of Tuebingen, Tuebingen, Germany"
      ],
      "name": "Sebastian Wolf"
    }
  ],
  "title": "UNIversity students’ LIFEstyle behaviours and Mental health cohort (UNILIFE-M): study protocol of a multicentre, prospective cohort study",
  "uid": "59f91e46-309c-5561-a5ea-2d76b1690b5d"
}