ArticlePsychological medicine2023
The bidirectional association of 24-h activity rhythms and sleep with depressive symptoms in middle-aged and elderly persons.
Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 26 citations in OpenAlex.
- Enhancing a Behavioral Intervention Using Rest-Activity Rhythm Monitoring via a Consumer Wearable in Older Dementia Caregivers and People With Dementia: Feasibility and Acceptability Study.JMIR formative research · 2026Article
- A machine-learning-derived online screening tool for depressive symptoms in chronic digestive system diseases patients: a cross-sectional study with temporal validation from CHARLS.Scientific reports · 2026Article
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- Sleep health profiles across six population-based cohorts and recommendations for validating clustering models.Sleep health · 2025Article
- Sleep quality and duration as predictors of alcohol and cannabis use motives in daily life.Addictive behaviors · 2025Article
- Long-term consumption of green tea protects the mental health of middle-aged and older adult men by improving inflammation levels.Frontiers in public health · 2025Article
- The lifestyle of new middle-aged and older adults in Taiwan described by wearable device: age and gender differences.European journal of ageing · 2024Article
- Digital biomarkers for non-motor symptoms in Parkinson's disease: the state of the art.NPJ digital medicine · 2024Review
- Twenty-four-hour physical activity patterns associated with depressive symptoms: a cross-sectional study using big data-machine learning approach.BMC public health · 2024Article
- The middle-aged and older Chinese adults' health using actigraphy in Taiwan (MOCHA-T): protocol for a multidimensional dataset of health and lifestyle.BMC public health · 2024Article
- Rest-Activity Rhythm Characteristics Associated With Depression Symptoms in Stroke Survivors.Archives of physical medicine and rehabilitation · 2023Observational
- Sleep Quality is Associated with Axial Length Elongation in Myopic Children Receiving Orthokeratology: A Retrospective Study.Nature and science of sleep · 2023Article
- Light up: an intervention study of the effect of environmental dynamic lighting on sleep-wake rhythm, mood and behaviour in older adults with intellectual disabilities.Journal of intellectual disability research : JIDR · 2022Article
- Association of 24-Hour Activity Pattern Phenotypes With Depression Symptoms and Cognitive Performance in Aging.JAMA psychiatry · 2022Article
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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
backgroundIn older populations disturbed 24-h activity rhythms, poor sleep, and depressive symptoms are often lingering and co-morbid, making treatment difficult. To improve insights into these commonly co-occurring problems, we assessed the bidirectional association of sleep and 24-h activity rhythms with depressive symptoms in middle-aged and elderly persons.
methodsIn 1734 participants (mean age: 62.3 ± 9.3 years, 55% women) from the prospective Rotterdam Study, 24-h activity rhythms and sleep were estimated with actigraphy (mean duration: 146 ± 19.6 h), sleep quality with the Pittsburgh Sleep Quality Index, and depressive symptoms with the Center for Epidemiological Studies Depression scale. Repeated measures were available for 947 participants (54%) over a median follow-up of 6 years (interquartile range = 5.6-6.3). Linear-mixed models were used to assess temporal associations of 24-h activity rhythms and sleep with depressive symptoms in both directions.
resultsHigh 24-h activity rhythm fragmentation (IV) (
conclusionThis study demonstrates a bidirectional association of 24-h activity rhythms, actigraphy-estimated sleep, and self-rated sleep quality with depressive symptoms over a time frame of multiple years in middle-aged and elderly persons.
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