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Passive and mentally-active sedentary behaviors and incident major depressive disorder : A 13-year cohort study

Hallgren, Mats (author)
Karolinska Institutet,Epidemiology of Psychiatric Conditions, Substance use and Social Environment (EPiCSS), Department of Public Health Sciences, Karolinska Institutet, Sweden
Owen, Neville (author)
Behavioral Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia
Stubbs, Brendon (author)
Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, United Kingdom
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Zeebari, Zangin (author)
Karolinska Institutet,Jönköping University,IHH, Statistik,Department of Public Health Sciences, Karolinska Institutet, Solna, Sweden
Vancampfort, Davy (author)
KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium
Schuch, Felipe (author)
Centro Universitário La Salle (Unilasalle) Canoas, Brazil
Bellocco, Rino (author)
Karolinska Institutet,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
Dunstan, David (author)
Physical Activity Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia
Trolle Lagerros, Ylva (author)
Karolinska Institutet,Department of Medicine, Clinic of Endocrinology, Metabolism and Diabetes, Karolinska University, Hospital Huddinge, Stockholm, Sweden
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 (creator_code:org_t)
Elsevier, 2018
2018
English.
In: Journal of Affective Disorders. - : Elsevier. - 0165-0327 .- 1573-2517. ; 241, s. 579-585
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Regular physical activity reduces the risk of depression onset and is an effective treatment for mood disorders. Recent studies have reported that sedentary behavior (SB) increases the risk of depression in adults, but relationships of different types of SBs with depression have not been examined systematically. We explored longitudinal relationships of passive (e.g. watching TV) and mentally-active (e.g. office-work) SBs with incident major depressive disorder (MDD).Methods: Self-report questionnaires were completed by 40,569 Swedish adults in 1997; responses were linked to clinician-diagnosed MDD obtained from medical registers until 2010. Relationships between passive, mentally-active and total SBs with incident MDD were explored using survival analysis with Cox proportional hazards regression. Models controlled for leisure time moderate-vigorous physical activity and occupational physical activity. Moderating effects of gender were examined.Results: In fully-adjusted models, including only non-depressed adults at baseline, those reporting ≥ 3 h of mentally-active SBs on a typical day (versus < 3 h) had significant lower hazards of incident MDD at follow-up (HR = 0.74, 95% CI = 0.58–0.94, p = 0.018). There was a non-significant positive relationship of passive SBs with incident MDD (HR = 1.20, 95% CI = 0.96–1.52, p = 0.106). The association between total SBs (passive and mentally-active combined) was not significant (HR = 0.91, 95% CI = 0.75–1.10, p = 0.36). Gender did not moderate these associations.Limitations: Physical activity and SBs were self-reported.Conclusion: Mentally-active SBs may have beneficial effects on adults’ mental well-being. These effects are largely independent of habitual physical activity levels. 

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Keyword

Depression
Mentally-active
Passive
Physical activity
Sedentary behavior
Sitting
adult
Article
cohort analysis
female
follow up
human
incidence
major clinical study
major depression
male
middle aged
office worker
priority journal
questionnaire
risk assessment
sedentary lifestyle
self report
television viewing

Publication and Content Type

ref (subject category)
art (subject category)

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