Lu Songtao, Sun Jun, Guo Zhiguang, Yi Mingyu, Zhang Yuheng, Wang Jiali, Wang Yue
School of Physical Education, Central China Normal University, Wuhan, China.
School of Sports, Wuhan University of Science and Technology, Wuhan, China.
Front Psychol. 2024 Oct 4;15:1465974. doi: 10.3389/fpsyg.2024.1465974. eCollection 2024.
Higher sedentary behavior (SB) and lower physical activity (PA) are associated with negative physical and mental health outcomes. SB and PA can be objectively assessed using inertial sensors to evaluate body movements. This study aimed to quantify the association between instrumented measures of SB (i-SB) and PA (i-PA) and depression among children and adolescents using a systematic review and meta-analysis of observational studies.
An electronic search was conducted on six databases up to May 12, 2024. A dose-response meta-analysis was conducted to determine the association between i-SB and i-PA and depression, expressed as odds ratios (ORs) and 95% confidence intervals (CIs).
Five cross-sectional and 11 longitudinal studies comprising 26,109 participants met the inclusion criteria. Comparing the most sedentary with the least sedentary groups of participants resulted in a pooled ORs of 1.05 (95% CI 0.94-1.16). Comparing the least active with the most active groups of participants resulted in pooled ORs of 0.93 (95% CI 0.84-1.07), 0.89 (95% CI 0.79-1.00), 0.83 (95% CI 0.66-0.99), and 0.73 (95% CI 0.58-0.89) for light, moderate-to-vigorous (MV), vigorous, and total PA, respectively. Robust error meta-regression analyses showed clear dose-response relationships between i-SB and i-MVPA and depression.
Both i-SB and i-PA were significantly associated with risk of depression in children and adolescents, which may become non-significant after mutual adjustment for i-PA and i-SB.
[https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=546666], identifier [CRD42024546666].
久坐行为增加和身体活动减少与负面的身心健康结果相关。久坐行为和身体活动可以通过惯性传感器客观评估，以评价身体运动情况。本研究旨在通过对观察性研究进行系统评价和荟萃分析，量化儿童和青少年中久坐行为（i-SB）和身体活动（i-PA）的仪器测量值与抑郁症之间的关联。
截至2024年5月12日，在六个数据库中进行了电子检索。进行剂量反应荟萃分析，以确定i-SB和i-PA与抑郁症之间的关联，以比值比（OR）和95%置信区间（CI）表示。
五项横断面研究和十一项纵向研究，共26109名参与者符合纳入标准。将久坐程度最高的参与者组与久坐程度最低的参与者组进行比较，合并OR为1.05（95%CI 0.94-1.16）。将活动最少的参与者组与活动最多的参与者组进行比较，轻度、中度至剧烈（MV）、剧烈和总身体活动的合并OR分别为0.93（95%CI 0.84-1.07）、0.89（95%CI 0.79-1.00）、0.83（95%CI 0.66-0.99）和0.73（95%CI 0.58-0.89）。稳健误差元回归分析显示，i-SB和i-MVPA与抑郁症之间存在明确的剂量反应关系。
i-SB和i-PA均与儿童和青少年的抑郁症风险显著相关，在对i-PA和i-SB进行相互调整后，这种关联可能不再显著。
[https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=546666]，标识符[CRD42024546666]。
