Isotemporal substitution analysis of time between sleep, sedentary behavior, and physical activity on depressive symptoms in older adults: a cross-sectional study

ABSTRACT BACKGROUND: Compared to young individuals, older adults participate more in sedentary behavior (SB) and less in physical activity (PA). These behaviors are associated with numerous adverse health factors. OBJECTIVE: The purpose of the study was to examine the hypothetical effects of substituting time spent sleeping, performing SB, and performing moderate-to-vigorous physical activity (MVPA) on depressive symptomatology in older adults. DESIGN AND SETTING: An analytical cross-sectional study employing exploratory survey methods was conducted in the city of Alcobaça in the state of Bahia, Brazil METHODS: The study included 473 older adults who answered a structured questionnaire during an interview. Exposure time to SB and PA level were assessed using the International Physical Activity Questionnaire, and depressive symptoms were analyzed using the short version of the Geriatric Depression Scale. An isotemporal replacement model was used to evaluate the effects of different SB sessions on depressive symptomatology. RESULTS: An increase in the risk of depressive symptoms was observed when MVPA and sleep time were substituted for the same SB time at all times tested, with maximum values of 40% and 20%, respectively. Opposite substitution of MVPA and sleep time increments reduced the risk of depressive symptomatology by 28% and 17%, respectively. CONCLUSIONS: The results of the present study indicate that replacing SB with the same amount of sleep or MVPA may reduce depressive symptoms. The longer the reallocation time, the greater are the benefits.

Substitution mode of rare and endangered Chinese medicinal materials and research strategy of multi-component replacement / 中国中药杂志

Rare and endangered Chinese medicinal materials are the material basis for innovation and development of Chinese medicinal materials and their curative effects are remarkable. However, the resources are in shortage due to various man-made or natural factors such as rising demand, overexploitation and environmental degradation. Therefore, finding alternatives is a feasible and effective solution. This study systematically sorted out the list of rare and endangered Chinese medicinal materials, and combed relevant policies and regulations. According to existing research, the substitution model of rare and endangered Chinese medicinal materials was constructed from the theoretical level. In view of the slow search for substitutes, the failure to follow the basic theory of traditional Chinese medicine in the process of research and development, the difficulty in breaking through technologies and the incomplete guarantee of the clinical efficacy of substitutes, a multi-component replacement was proposed to replace the originals with more effective components from a wide range of sources. This study was expected to promote the study on the substitutes of rare and endangered Chinese medicinal materials to step into a new stage.

Isotemporal substitution of sedentary time with physical activity and its associations with mental health of Japanese office workers / 体力科学

In this study, we performed isotemporal substitution analysis to examine potential associations of sedentary time and physical activity with mental health of Japanese office workers. This study employed a cross-sectional study design. We analyzed data on 108 Japanese office workers (mean age 46.4 ± 9.8 years; 64.8% women) in the study. Sedentary behavior (SB; ≤ 1.5 metabolic equivalents [METs]), light-intensity physical activity (LPA; 1.6–2.9 METs), and moderate-to-vigorous physical activity (MVPA; ≥ 3 METs) were measured with a triaxial accelerometer. Two kinds of self-administered questionnaires, the mental stress (K6) and work engagement (Utrecht Work Engagement Scale), were used to assess negative/positive mental health. A cut-off score of 5 or higher on the K6 was used to define persons with mental stress. Logistic and multiple regression analyses using an isotemporal substitution model was applied to demonstrate the association between replacing 30 min/d of SB with an equal amount of time spent on LPA or MVPA and mental stress and work engagement; the studied covariates were age, sex, body mass index, economic status, education, and overtime hours. The results showed that replacing SB with MVPA for 30 min/d was significantly decreased odds ratio (OR) of mental stress (OR = 0.38, 95% confidence interval 0.15–0.92), whereas the replacement was not associated with work engagement (B = 0.16, P = 0.38). In contrast, substitution of SB with LPA was not associated with mental stress and work engagement. These results indicate that substituting sedentary time with MVPA could be associated with mental stress of Japanese office workers.