Evidence map›Paper›PMID 34298218›Full record

ArticleJournal of affective disorders2021

Association of mentally-active and mentally-passive sedentary behaviour with depressive symptoms among adolescents.

André O Werneck, Erin Hoare, Brendon Stubbs, Esther M F van Sluijs, Kirsten Corder

Open access · hybridAbstract read
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Screen time and allostatic load among youth: findings from the National Health and Nutrition Examination Survey, 2015-2018.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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  9. Article
  10. Associations of screen time with symptoms of stress, anxiety, and depression in adolescents.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024
    Article
  11. Article
  12. Poor Agreement between Responses to the International Physical Activity Questionnaire and Objective ActiGraphInternational journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

André O WerneckMRC Epidemiology Unit and Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, University of Cambridge, Cambridge CB2 0QQ, UK; Department of Physical Education, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Presidente Prudente, Brazil.
Erin HoareMRC Epidemiology Unit and Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, University of Cambridge, Cambridge CB2 0QQ, UK; Food & Mood Centre, Centre for Innovation in Mental and Physical Health and Clinical Treatment, School of Medicine, Faculty of Health, Deakin University, Australia.
Brendon StubbsDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK; Maudsley NHS Foundation Trust, London, UK.
Esther M F van SluijsMRC Epidemiology Unit and Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, University of Cambridge, Cambridge CB2 0QQ, UK. Electronic address: esther.vansluijs@mrc-epid.cam.ac.uk.
Kirsten CorderMRC Epidemiology Unit and Centre for Diet and Activity Research (CEDAR), School of Clinical Medicine, Institute of Metabolic Science, Cambridge Biomedical Campus, University of Cambridge, Cambridge CB2 0QQ, UK.
University of Cambridge · GBDeakin University · AUKing's College London · GB

Funding

Department of HealthMedical Research Council MC_UU_00006/5Medical Research Council MC_UU_12015/7Medical Research Council MR/K023187/1Wellcome Trust
6 · The paper itself

Abstract

backgroundThe evidence on the association between sedentary behaviour and depression in adolescence is mixed. We aimed to investigate the association between mentally-active and mentally-passive sedentary behaviours at 11 years (11y) and depressive symptoms at 14y, and to examine potential mediators.

methodsUK Millennium Cohort Study data were used (n=7,124; 49% boys). At 11y, participants self-reported frequency of mentally-passive (listening to music, internet use) and mentally-active sedentary behaviours (reading, playing electronic games). Additional parental-reported behaviours (mentally-passive: TV viewing; mentally-active: homework) were summed with self-reported behaviours to represent continuous indicators of mentally-active and mentally-passive sedentary behaviour. Depressive symptoms were assessed (at 11y and 14y) using the short-version of Mood and Feelings Questionnaire. Body mass index (BMI), mentally-passive sedentary behaviour and cognition at 14y were examined as potential mediators. Linear regression models were adjusted for confounders and stratified by sex. Subsequent mediation analyses reporting e-values were used to assess unmeasured confounding.

resultsAmong girls, mentally-passive sedentary behaviour at 11y was associated with later depressive symptoms (14y) [β:0.089 (95%CI:0.055-0.122), e-value:1.32]. This association was mediated by BMI [5.6% (95%CI:4.1%-8.6%)] and mentally-passive sedentary behaviour [105.6% (95%CI:79.6%-156.7%)]. No associations were observed in boys or between mentally-active sedentary behaviour and later depressive symptoms. LIMITATIONS: The parental report of behaviours and the assessment of mediators and outcome in the same wave are the main limitations.

conclusionFuture interventions aiming to improve mental health among girls could aim to reduce mentally-passive sedentary behaviour in early teens and could target potential mediators including BMI.

Indexed as

DepressionSedentary BehaviorAdolescentCohort StudiesFemaleHumansMaleSelf ReportSurveys and QuestionnairesDepressionPassivePhysical activityPsychological distressSitting

Identifiers

PMID34298218
PMCPMC7612671
OpenAlexW3178917988

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.