ArticleAging clinical and experimental research2024
Associations of 24-hour movement behaviors with depressive symptoms in rural-dwelling older adults: a compositional data analysis.
Article in Aging clinical and experimental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Independent associations and isotemporal substitution analysis of 24-hour movement behaviors and depression among Chinese older adults.BMC psychology · 2026Article
- Sleep, Physical Activity, and Mood Among People Seeking Mental Health Care.JAMA network open · 2026Article
- Effects of substituting TV-watching time with physical activities or sleep on incident major depression. Results from the lifelines cohort study.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Association between 24-hour movement behaviors and depressive symptoms among urban older adults in china: a compositional isotemporal substitution analysis.Frontiers in psychiatry · 2025Article
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Authors and funding
12 authors.
Funding
Abstract
backgroundWe aimed to explore the association of sleep duration with depressive symptoms among rural-dwelling older adults in China, and to estimate the impact of substituting sleep with sedentary behavior (SB) and physical activity (PA) on the association with depressive symptoms.
methodsThis population-based cross-sectional study included 2001 rural-dwelling older adults (age ≥ 60 years, 59.2% female). Sleep duration was assessed using the Pittsburgh Sleep Quality Index. We used accelerometers to assess SB and PA, and the 15-item Geriatric Depression Scale to assess depressive symptoms. Data were analyzed using restricted cubic splines, compositional logistic regression, and isotemporal substitution models.
resultsRestricted cubic spline curves showed a U-shaped association between daily sleep duration and the likelihood of depressive symptoms (P-nonlinear < 0.001). Among older adults with sleep duration < 7 h/day, reallocating 60 min/day spent on SB and PA to sleep were associated with multivariable-adjusted odds ratio (OR) of 0.81 (95% confidence interval [CI] = 0.78-0.84) and 0.79 (0.76-0.82), respectively, for depressive symptoms. Among older adults with sleep duration ≥ 7 h/day, reallocating 60 min/day spent in sleep to SB and PA, and reallocating 60 min/day spent on SB to PA were associated with multivariable-adjusted OR of 0.78 (0.74-0.84), 0.73 (0.69-0.78), and 0.94 (0.92-0.96), respectively, for depressive symptoms.
conclusionsOur study reveals a U-shaped association of sleep duration with depressive symptoms in rural older adults and further shows that replacing SB and PA with sleep or vice versa is associated with reduced likelihoods of depressive symptoms depending on sleep duration.
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