Evidence map›Paper›PMID 40975752›Full record

ArticleMolecular psychiatry2026

Accelerometer-measured physical activity, sedentary behavior, and incident neuropsychiatric diseases: a large prospective cohort study of 73411 participants.

Jia-Yi Wu, Yu-Zhu Li, Dan-Dan Zhang, Pei-Yang Gao, Yan Fu, Wei Zhang, Jian-Feng Feng, Ya-Ru Zhang, Wei Cheng, Jin-Tai Yu

Abstract read
PubMed Publisher
In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jia-Yi Wu *Department of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, 200433, P.R. China.
Yu-Zhu Li *Department of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, 200433, P.R. China.
Dan-Dan ZhangDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Pei-Yang GaoDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.ORCID http://orcid.org/0009-0002-7559-1215
Yan FuDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Wei ZhangInstitute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, 200433, P.R. China.
Jian-Feng FengInstitute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, 200433, P.R. China.ORCID http://orcid.org/0000-0001-5987-2258
Ya-Ru ZhangDepartment of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, 200433, P.R. China. yaruzhang@fudan.edu.cn.
Wei ChengDepartment of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, 200433, P.R. China. wcheng@fudan.edu.cn.ORCID http://orcid.org/0000-0003-1118-1743
Jin-Tai YuDepartment of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, 200433, P.R. China. jintai_yu@fudan.edu.cn.ORCID http://orcid.org/0000-0002-2532-383X

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82071997
6 · The paper itself

Abstract

Physical activity and sedentary behavior are closely associated with neuropsychiatric diseases, while previous studies have mainly relied on self-reported data, which have been shown to be inconsistent with objectively measured metrics. Using data from 73,411 participants, objectively quantifying physical activity through energy expenditure and time allocation, we identified longitudinal associations between physical activity, sedentary behavior, and neuropsychiatric diseases using Cox proportional hazards models. Our findings indicated that moderate to vigorous physical activity energy expenditure showed the strongest protective effect on neuropsychiatric diseases (hazard ratios: 0.60-0.86, all FDR-Q < 0.001), while an increased proportion of sedentary time was identified as a risk factor for neuropsychiatric diseases (HRs: 1.05-1.54, FDR-Q < 0.05). Restricted cubic spline analyses demonstrated an L-shaped association linking physical activity and neuropsychiatric diseases and an inverted L-shaped relationship between sedentary behavior and dementia. Linear regression models further linked physical activity and sedentary behavior to cognitive function, physical function, and mental health. Key brain regions related to these behaviors included the lateral occipital cortex, cuneus, pallidum, and accumbens. Proteomics and metabolic analyses identified significant involvement of ITGAV protein and high-intensity lipoprotein. Structural equation modeling elucidated that inflammation and metabolism mediate the relationship between physical activity, sedentary behavior, and neuropsychiatric diseases. Overall, our study provides critical evidence of the link between physical activity, sedentary behavior, and neuropsychiatric diseases, shedding light on potential neurobiological mechanisms underlying these associations.

Indexed as

ExerciseMental DisordersSedentary BehaviorAccelerometryAdultAgedBrainCognitionCohort StudiesEnergy MetabolismFemaleHumansIncidenceLongitudinal StudiesMaleMiddle Aged

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.