Device-assessed total and prolonged sitting time: associations with anxiety, depression, and health-related quality of life in adults

Biddle, Stuart J. H. ORCID: https://orcid.org/0000-0002-7663-6895 and Henson, Joseph and Davies, Melanie J. and Khunti, Kamlesh and Sutton, Stephen and Yates, Thomas and Edwardson, Charlotte L. (2021) Device-assessed total and prolonged sitting time: associations with anxiety, depression, and health-related quality of life in adults. Journal of Affective Disorders, 287. pp. 107-114. ISSN 0165-0327

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Abstract

Objective: Assessment of sitting has been challenging and nuances in the length of sitting are often missed.

Methods: The present study assessed total, short and prolonged sitting time, and number of breaks from sitting, and their association with anxiety, depression, and health-related quality of life (HRQoL). Adults (M=59.1 years) in three studies (n=1,574) wore the activPAL accelerometer (thigh) to obtain a measure of sitting, and the Actigraph accelerometer (hip) for estimating moderate-to-vigorous physical activity (MVPA). Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale, and HRQoL using the EQ-5D-5L (for health state and utility scores). Generalised linear modelling tested associations.

Results: Total and prolonged sitting were associated with higher depression [total: β = 0.132 (0.010, 0.254); prolonged: β = 0.178 (0.053, 0.304)] and worse HRQoL health state scores [(total: β = -0.985 (-1.471, -0.499); prolonged: β = -0.834 (-1.301, -0.367)] and utility scores [(total: β = -0.008 (-0.012, -0.003); prolonged: β = -0.008 (-0.012, -0.004], after controlling for covariates. MVPA was associated with better HRQoL health state and utility scores [health state: β =0.554 (0.187, 0.922); utility: β = 0.001 (0.001, 0.002)]. Total and prolonged sitting were associated with a 14% increased odds of being in the borderline/abnormal category for depression. No interactions were observed between MVPA status (active vs. inactive) and total or prolonged sitting. Anxiety was unrelated to any sitting variable.

Conclusion: Device-based measures of both total and prolonged sitting time were associated with depression and health-related quality of life, but not anxiety.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Submitted version deposited in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 11 Jun 2021 02:09
Last Modified: 20 Oct 2021 01:10
Uncontrolled Keywords: accelerometer; activPAL; actigraph; sedentary; physical activity
Fields of Research (2008): 11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111714 Mental Health
Fields of Research (2020): 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology
42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health
Identification Number or DOI: https://doi.org/10.1016/j.jad.2021.03.037
URI: http://eprints.usq.edu.au/id/eprint/42146

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