Sedentary behaviour and its link to depression and anxiety in adults: a systematic review and meta-analysis
Journal Title: Journal of Public Health and Development - Year 2024, Vol 22, Issue 3
Abstract
The increased mechanization and advancements in technology over the past few years have increased the time an individual spends sitting. Various studies have established links between non-communicable diseases and sedentary behaviour (SB). The risk of weight gain, diabetes, hypercholesterolemia, etc. has been associated with a sedentary lifestyle. Prolonged sedentary time has also been linked to poor mental health. Many studies report a positive relationship between a sedentary lifestyle and depression & anxiety, while some others have not established a clear link. The current review was conducted to examine the recent literature about the relationship between SB and depression & anxiety. An extensive review of the literature was conducted by using Google Scholar, Scopus, PubMed, and Science Direct databases using PRISMA guidelines. Sixteen articles were finally included in the review of which four studies reported odds ratio (OR) for anxiety. A pooled OR of 1.52 (95% CI 1.44-1.60) (p=0.000) was obtained for depression and 1.53 (95% CI 1.40-1.68) (p=0.000) for anxiety. Four studies conducted during COVID-19 also reported SB was linked to depression and anxiety. Sub-group analysis indicated that this relationship was impacted by a few confounders such as BMI, gender, activity levels, etc. SB increases the odds of depression and anxiety, which could be affected by other lifestyle factors. Therefore, it is vital to adhere to physical activity guidelines given by WHO, which would help in improving the mental well-being of individuals. There is a need for more RCTs with larger samples to understand the dose-response relationship between SB and mental health.
Authors and Affiliations
Vaishali Pathak, Bani Tamber Aeri
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