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A 24\u2010h day includes time spent sleeping, in sedentary behavior (SB), or engaging in physical activities. However, the joint and combined associations of these 24\u2010h movement behaviors with depressive and anxiety symptoms remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the compositional associations of 24\u2010h movement behaviors with depressive and anxiety symptoms in a population\u2010based sample of middle\u2010aged adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study population (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20094490) comprised of participants from the Northern Finland Birth Cohort 1966 (NFBC1966). Over 14 consecutive days, movement behaviors\u2014SB, light physical activity (LPA), and moderate\u2010to\u2010vigorous physical activity (MVPA)\u2014were recorded using a hip\u2010worn accelerometer and were combined with self\u2010reported sleep duration to obtain the 24\u2010h time\u2010use composition. Three different screening tools\u2014Beck Depression Inventory\u2010II (BDI\u2010II), Generalized Anxiety Disorder\u20107 (GAD\u20107), and Hopkins Symptom Checklist\u201025 (HSCL\u201025)\u2014were utilized to assess the severity of depressive and anxiety symptoms. Compositional linear regression and time reallocation analysis were performed to examine the associations of 24\u2010h movement behaviors with depressive and anxiety symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compositional 24\u2010h movement behaviors were significantly associated with depressive and anxiety symptoms. Higher MVPA relative to other components of 24\u2010h movement behaviors was associated with significantly lower depressive and anxiety symptoms. A 30\u2010min reallocation of time from SB to MVPA was associated with 9.0% (95% confidence interval [CI]: 6.3%, 11.6%) lower depressive symptoms and 4.5% (95% CI: 2.1%, 6.9%) lower anxiety symptoms assessed with BDI\u2010II and GAD\u20107 tools, respectively. Similar patterns of associations were observed in the time reallocation analysis when depressive and anxiety symptoms were assessed with the HSCL\u201025 screening tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Each component of 24\u2010h movement behaviors was associated with depressive and anxiety symptoms. Among the component parts of 24\u2010h movement behaviors, MVPA was most strongly associated with lower depressive and anxiety symptoms, whereas LPA only showed marginal favorable benefits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/da\/6881070","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:05:48Z","timestamp":1777388748000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Compositional Associations of 24\u2010h Movement Behaviors With Depressive and Anxiety Symptoms in Middle\u2010Aged 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