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Act. Sedentary Sleep Behav."],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>While recent studies, primarily among Asian cohorts, have linked adherence to 24-hour movement behavior (24-HMB) guidelines with improved mental health\u2014some of which show sex differences\u2014few studies have explored these relationships among older adults from the United States.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>National Health and Nutrition Examination Survey data from 2011-2018 were examined in 2,812 older adults (\u2265\u00a065years). Those considered adherent to 24-HMB guidelines had a sleep duration of 7\u20138\u00a0h.\/night, moderate-vigorous physical activity (MVPA) \u2265\u2009150\u2009min\/wk., and sedentary behavior (SB)\u2009&lt;\u20098\u00a0h.\/day. Sleep duration, SB, and MVPA were self-reported, with SB and MVPA obtained from the validated Global Physical Activity Questionnaire. Depression was measured using the Patient Health Questionnaire (PHQ-9), with a score of \u2265\u200910 indicating depression. Logistic regression was used to evaluate overall and sex-stratified associations between non-adherence to all three behaviors, combinations of two behaviors, or individual behavior guidelines, with odds of depression, adjusted for putative confounders.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Among the full sample, non-adherence to all three 24-HMB guidelines was associated with 1.7 [95% confidence interval (CI):1.1, 3.1; <jats:italic>p<\/jats:italic>\u2009=\u20090.02] higher odds of depression versus those that adhered to all three behaviors. After sex stratification, the association only persisted among males [OR\u2009=\u20092.5 (95% CI:1.1, 5.4); <jats:italic>p<\/jats:italic>\u2009=\u20090.02]. Within the overall sample, higher odds of depression were observed for those who did not adhere to the SB\u2009+\u2009sleep duration guidelines and the sleep duration\u2009+\u2009MVPA guidelines. Sex-stratified findings revealed that associations only remained significant in males. While in the overall sample of older adults, non-adherence to the sleep duration guideline was associated with 2.1 (95% CI:1.4, 3.3; <jats:italic>p<\/jats:italic>\u2009=\u20090.001) higher odds of depression compared to those that adhered to the guideline.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Results provide evidence of associations between non-adherence to 24-HMB and higher odds of depression, specifically in older males, suggesting a potential sex-specific effect that warrants further investigation.\u00a0Future studies using longitudinal designs are needed to confirm these findings and explore the mechanisms underlying these associations.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s44167-024-00071-7","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T06:58:17Z","timestamp":1736405897000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Adherence to the 24-hour movement behavior guidelines and depression risk among older adults from the United States"],"prefix":"10.1186","volume":"4","author":[{"given":"Astrid N.","family":"Zamora","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjan S.","family":"Walia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby C.","family":"King","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"71_CR1","unstructured":"Schaeffer K, U.S. centenarian population is projected to quadruple over the next 30 years [Internet]. 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