Sedentary behavior and physical activity are associated with risk of depression among adult and older populations: a systematic review and dose–response meta-analysis

作者：Dawei Wang, Yuheng Zhang, Zhiguang Guo, Songtao Lu · 发表于：Frontiers in Psychology · 年份：2025 · DOI：10.3389/fpsyg.2025.1542340 · 被引用次数：8 · 研究领域：Physical Activity and Health、Cardiac Health and Mental Health、Sleep and related disorders

Background: Depression symptoms are commonly experienced by adults and older people; however, there is uncertainty concerning the associations of lifestyle with the risk of depression. This study systematically reviewed and meta-analyzed observational data to assess the link between instrumented sedentary behavior (i-SB) and physical activity (i-PA) measures and depression risk among adult and older populations. Methods: A systematic review across four databases was performed up to July 27, 2024, targeting studies linking i-SB, i-PA, and depression. The review included a dose-response meta-analysis, presenting results as odds ratios (OR) and 95% confidence intervals (95% CI). Results: Fifty-one studies, encompassing 1,318,687 participants, fulfilled the inclusion criteria. The comparison between the most and least sedentary groups yielded a pooled OR of 1.09 (95% CI 1.05-1.13). The comparison between the least and most active participant groups yielded pooled ORs of 0.96 (95% CI 0.93-0.98) for light activity (LPA), 0.91 (95% CI 0.86-0.96) for moderate-to-vigorous activity (MVPA), 0.93 (95% CI 0.90-0.96) for total physical activity (TPA), and 0.87 (95% CI 0.81-0.94) for steps per day. After adjusting i-PA, a lower OR for i-SB did not indicate a significant link to increased depression risk. Meta-regression analyses confirmed a dose-response relationship between SB, MVPA, daily steps, and depression. Conclusion: The association between i-SB and the risk of depression was not co...