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Health promotion and public health
Increased sedentary behaviour is associated with increased depression symptoms in adults
  1. Sheila Hardy
  1. Faculty of Health, University of Hull, Hull, UK
  1. Correspondence to Sheila Hardy, University of Hull, Hull HU6 7RX, UK; sa.hardy{at}

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Commentary on: Del Pozo Cruz B, Alfonso-Rosa RM, McGregor D, et al. Sedentary behaviour is associated with depression symptoms: compositional data analysis from a representative sample of 3233 US adults and older adults assessed with accelerometers. J Affect Disord 2020;265:59–62. doi: 10.1016/j.jad.2020.01.023.

Implications for practice and research

  • Nurses using a comprehensive 24-hour lifestyle management approach with their patients, rather than targeting individual sedentary behaviours, could contribute to effectively preventing and/or reducing depression symptoms.

  • Further research is required to find out whether holistic interventions that target sedentary time, physical activity and appropriate sleep prevent and improve depression symptoms.


There is evidence to support the individual connections between sedentary behaviours and depression symptoms,1 but the codependency between physical activity, sedentary behaviours and sleep in a given 24-hour period is often overlooked. …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.