ArticleBMJ open2018
Associations between physical behaviour patterns and levels of depressive symptoms, anxiety and well-being in middle-aged adults: a cross-sectional study using isotemporal substitution models.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Association Between Digital Biomarkers of Health and Anxiety: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Association of reallocating time between physical activity and sedentary behavior on the risk of depression: a systematic review and meta-analysis.Frontiers in psychology · 2025Pooled it
- Association between Daily Pattern of Physical Activity and Depression: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Light-intensity physical activity and mental ill health: a systematic review of observational studies in the general population.The international journal of behavioral nutrition and physical activity · 2021Pooled it
- Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled it
- Sedentary behaviors and anxiety among children, adolescents and adults: a systematic review and meta-analysis.BMC public health · 2019Pooled it
- Incidental Lifestyle Physical Activity and Its Relationships With Overall Frailty and Frailty Domains in Community-Dwelling Older Japanese.Geriatrics & gerontology international · 2026Article
- Isotemporal substitution of sedentary time with physical activity for cardiovascular health in older adults: a systematic review.Frontiers in sports and active living · 2026Review
- Adapting the World Health Organization 5 Well-Being Index for Emergency Activation and Response Planning in a US Health Care Setting.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025Article
- Physical activity, physical mobility, and mental health among persons 70 years or older: results from a large population-based study in Sweden.Archives of public health = Archives belges de sante publique · 2025Article
- Validation of the Bangla WHO-5 well-being index among gender and sexually diverse people in Bangladesh.BMC public health · 2025Article
- Emotion Forecasting: A Transformer-Based Approach.Journal of medical Internet research · 2025Article
- Article
- Observational
- Replacement of sedentary behavior with various physical activities and the risk of incident depression: a prospective analysis of accelerator-measured and self-reported UK Biobank data.Social psychiatry and psychiatric epidemiology · 2024Article
- The effect of replacing sedentary behavior with different intensities of physical activity on depression and anxiety in Chinese university students: an isotemporal substitution model.BMC public health · 2024Article
- Article
- The relationship between physical activity and anxiety in college students: exploring the mediating role of lifestyle habits and dietary nutrition.Frontiers in psychology · 2024Article
- Trends in insufficient physical activity among adults in China 2010-18: a population-based study.The international journal of behavioral nutrition and physical activity · 2023Article
- Substitutions of physical activity, sedentary behaviour and sleep: associations with mental health in middle-aged and elderly persons.Journal of epidemiology and community health · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the compositional effects of physical behaviour on mental health.
designCross-sectional study.
settingA population-representative random sample (Mitchelstown cohort) was recruited from a large primary care centre in Mitchelstown, County Cork, Ireland.
participantsIn total 3807 potential participants were selected from the practice list. Following exclusion of duplicates, deaths and ineligibles, 3043 were invited to participate and of these, 2047 (49.2% men) completed the questionnaire and physical examination components of the baseline assessment during the study period (April 2010 and May 2011). Accelerometers were introduced into the study in January 2011. Of the 745 participants seen between January and May of 2011, 475 (44.6% men) subjects (response rate 64%) agreed to participate and of these 397 (46.1% men) had valid accelerometer data. PRIMARY AND SECONDARY OUTCOME MEASURES: Participants wore the wrist GENEActiv accelerometer for 7 consecutive days. Data were summarised into 60 s epochs and activity categorised as sedentary behaviour, light or moderate-to-vigorous physical activity (MVPA). Levels of depressive and anxiety symptoms were assessed using the Centre for Epidemiologic Studies Depression scale and the Hospital Anxiety and Depression Scale. Well-being was assessed using the WHO-5 well-being scale.
resultsIn adjusted isotemporal models, a 30 min increase in light activity per day was associated with a significant decrease in levels of anxiety symptoms (B=-0.34; 95% CI -0.64 to -0.04) and a significant increase in levels of well-being (B=0.58; 95% CI 0.05 to 1.11). No statistically significant associations were observed between any physical behaviour and depressive symptoms or when sedentary behaviour was substituted with MVPA (P>0.05).
conclusionAlthough based on a cross-sectional study, the findings suggest that substituting light activity for sedentary behaviour may have positive associations with symptoms of anxiety and reported well-being among middle-aged adults.
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