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24-hour movement behaviours and the risk of common mental health symptoms: A compositional analysis in the UK biobank

Published online by Cambridge University Press:  13 August 2021

A. Kandola ,
B. Del Pozo Cruz ,
D. Osborn ,
B. Stubbs ,
K. Choi  and
J. Hayes
A. Kandola*
Affiliation:
Division Of Psychiatry, University College London, London, United Kingdom
B. Del Pozo Cruz
Affiliation:
Institute For Positive Psychology And Education, Australian Catholic University, Sydney, Australia
D. Osborn
Affiliation:
Division Of Psychiatry, University College London, London, United Kingdom
B. Stubbs
Affiliation:
Institute Of Psychiatry, Psychology, And Neuroscience, King’s College London, London, United Kingdom
K. Choi
Affiliation:
Department Of Psychiatry, Massachusetts General Hospital, Boston, United States of America
J. Hayes
Affiliation:
Division Of Psychiatry, University College London, London, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

Sedentary behaviour is potentially a modifiable risk factor for depression and anxiety disorders, but findings have been inconsistent.

Objectives

To assess associations of sedentary behavior with depression and anxiety symptoms and estimate the impact of replacing daily time spent in sedentary behaviors with sleep, light, or moderate-to-vigorous physical activity, using novel compositional data analysis methods.

Methods

Prospective cohort study in with 60,235 UK Biobank participants (mean age: 56; 56% female). Exposure was baseline daily movement behaviours (accelerometer-assessed sedentary behaviour, physical activity, and self-reported total sleep). Outcomes were depression and anxiety symptoms (Patient Health Questionnaire-9 and Generalised Anxiety Disorders-7) at follow up.

Results

Replacing 60 minutes of sedentary behaviour with light activity, moderate-to-vigorous activity, and sleep was associated with lower depression symptom scores by 1·3% (95%CI, 0·4%-2·1%), 12·5% (95%CI, 11·4%-13·5%), and 7·6% (95%CI, 6·9%-8·4%), and lower odds of depression by 0·95 (95%CI, 0·94-0·96), 0·75 (95%CI, 0·74-0·76), and 0·90 (95%CI, 0·90-0·91) at follow-up. Replacing 60 minutes of sedentary behaviour with moderate-to-vigorous activity and sleep was associated with lower anxiety symptom scores by 6·6% (95%CI, 5·5%-7·6%) and 4·5% (95%CI, 3·7%-5·2%), and lower odds of meeting the threshold for an anxiety disorder by 0·90 (95%CI, 0·89-0·90) and 0·97 (95%CI, 0·96-0·97) at follow-up. However, replacing 60 minutes of sedentary behaviour with light activity was associated with higher anxiety symptom scores by 4·5% (95%CI, 3·7%-5·3%) and higher odds of an anxiety disorder by 1·07 (95%CI, 1·06-1·08).

Conclusions

Sedentary behaviour is a risk factor for increased depression and anxiety symptoms in adults, but different replacement activities differentially influence mental health.

Disclosure

No significant relationships.

Keywords

sedentary behaviourPhysical ActivityDepressionAnxiety
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S120 - S121
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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