Site icon Todays Flair

Associations of Adherence to the 24hour Movement Guidelines with Depressive Symptoms and Anxiety: the Mediating Role of Physical Fitness | BMC Public Health

Associations of Adherence to the 24hour Movement Guidelines with Depressive Symptoms and Anxiety: the Mediating Role of Physical Fitness | BMC Public Health
  • World Health Organization. Mental health of adolescents: World Health Organization; 2024 [cited 2025]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health

  • Coryell W, Endicott J, Winokur G. Anxiety syndromes as epiphenomena of primary major depression: outcome and Familial psychopathology. Am J Psychiatry. 1992;149(1):100–7.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • de Marques D, da Silva Athanasio B, Sena Oliveira AC, Simoes ESAC. How is COVID-19 pandemic impacting mental health of children and adolescents? Int J Disaster Risk Reduction: IJDRR. 2020;51:101845.

    Article 

    Google Scholar 

  • Luo X, Zhou Y, Zheng R, Li X, Dai Y, Narayan A, et al. Association of health-risk behaviors and depressive symptoms and anxiety symptoms: a school-based sample of Chinese adolescents. J Public Health. 2020;42(3):e189–98.

    Article 

    Google Scholar 

  • Hayward C, Wilson KA, Lagle K, Kraemer HC, Killen JD, Taylor CB. The developmental psychopathology of social anxiety in adolescents. Depress Anxiety. 2008;25(3):200–6.

    Article 
    PubMed 

    Google Scholar 

  • Woodward LJ, Fergusson DM. Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry. 2001;40(9):1086–93.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Bernstein GA, Massie ED, Thuras PD, Perwien AR, Borchardt CM, Crosby RD. Somatic symptoms in anxious-depressed school refusers. J Am Acad Child Adolesc Psychiatry. 1997;36(5):661–8.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Black LI, Elgadda N. Chronic school absenteeism for Health-related reasons among children ages 5–17 years: united States. NCHS Data Brief. 2022;2024(498):1–8.

    Google Scholar 

  • Rollo S, Antsygina O, Tremblay MS. The whole day matters: Understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan. J Sport Health Sci. 2020;9(6):493–510.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Hou M, Herold F, Healy S, Haegele JA, Block ME, Ludyga S, et al. 24-Hour movement behaviors among visually impaired US children and adolescents. Ment Health Phys Act. 2023;25:100545.

    Article 

    Google Scholar 

  • Feng J, Zheng C. Associations between meeting 24-hour movement guidelines and health in the early years: A systematic review and meta-analysis. J Sports Sci. 2021;39(22):2545–57.

    Article 
    PubMed 

    Google Scholar 

  • Chen ST, Liu Y, Tremblay MS, Hong JT, Tang Y, Cao ZB, et al. Meeting 24-h movement guidelines: prevalence, correlates, and the relationships with overweight and obesity among Chinese children and adolescents. J Sport Health Sci. 2021;10(3):349–59.

    Article 
    PubMed 

    Google Scholar 

  • Zhang Y, Zhang D, Yang X, López-Gil JF, Chen S. Mapping the research using 24-h movement guidelines in children and adolescents: A bibliometric analysis. Complement Ther Clin Pract. 2024;57:101903.

    Article 
    PubMed 

    Google Scholar 

  • Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Activity. 2010;7(1):40.

    Article 

    Google Scholar 

  • Must A, Tybor DJ. Physical activity and sedentary behavior: a review of longitudinal studies of weight and adiposity in youth. Int J Obes (2005). 2005;29 Suppl(2):S84-96.

    Article 

    Google Scholar 

  • Spruyt K, Molfese DL, Gozal D. Sleep duration, sleep regularity, body weight, and metabolic homeostasis in school-aged children. Pediatrics. 2011;127(2):e345–52.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Stockwell S, Trott M. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med. 2021;7(1):e000960.

    Article 
    PubMed 

    Google Scholar 

  • Jahrami H, BaHammam AS, Bragazzi NL, Saif Z, Faris M, Vitiello MV. Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis. J Clin Sleep Med. 2021;17(2):299–313.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Carson V, Chaput JP, Janssen I, Tremblay MS. Health associations with meeting new 24-hour movement guidelines for Canadian children and youth. Prev Med. 2017;95:7–13.

    Article 
    PubMed 

    Google Scholar 

  • Katzmarzyk PT, Staiano AE. Relationship between meeting 24-Hour movement guidelines and cardiometabolic risk factors in children. J Phys Act Health. 2017;14(10):779–84.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Hui SS-c, Zhang R, Suzuki K, Naito H, Balasekaran G, Song JK, et al. The associations between meeting 24-hour movement guidelines and adiposity in Asian adolescents: the Asia-Fit study. Scand J Med Sci Sports. 2021;31(3):763–71.

    Article 
    PubMed 

    Google Scholar 

  • Tanaka C, Tremblay MS, Okuda M, Tanaka S. Association between 24-hour movement guidelines and physical fitness in children. Pediatr Int. 2020;62(12):1381–7.

    Article 
    PubMed 

    Google Scholar 

  • Twenge JM, Campbell WK. Associations between screen time and lower psychological well-being among children and adolescents: evidence from a population-based study. Prev Med Rep. 2018;12:271–83.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Suchert V, Hanewinkel R, Isensee B. Sedentary behavior and indicators of mental health in school-aged children and adolescents: A systematic review. Prev Med. 2015;76:48–57.

    Article 
    PubMed 

    Google Scholar 

  • Short MA, Gradisar M, Lack LC, Wright HR, Dohnt H. The sleep patterns and well-being of Australian adolescents. J Adolesc. 2013;36(1):103–10.

    Article 
    PubMed 

    Google Scholar 

  • Ortega FB, Ruiz JR, Castillo MJ, Sjöström M. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes. 2005;2008(32(1):1–11.

    Google Scholar 

  • Posadzki P, Pieper D, Bajpai R, Makaruk H, Könsgen N, Neuhaus AL, et al. Exercise/physical activity and health outcomes: an overview of Cochrane systematic reviews. BMC Public Health. 2020;20(1):1724.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Nystoriak MA, Bhatnagar A. Cardiovascular effects and benefits of exercise. Front Cardiovasc Med. 2018;5:135.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Silverman M, Deuster P. Biological mechanisms underlying the role of physical fitness in health and resilience. Interface Focus. 2014;4.

  • Blair SN, Cheng Y, Holder JS. Is physical activity or physical fitness more important in defining health benefits? Med Sci Sports Exerc. 2001;33(379–99):discussion S419-20.

    Google Scholar 

  • Lubans D, Richards J, Hillman C, Faulkner G, Beauchamp M, Nilsson M et al. Physical activity for cognitive and mental health in youth: A systematic review of mechanisms. Pediatrics. 2016;138(3).

  • Mahindru A, Patil P, Agrawal V. Role of physical activity on mental health and Well-Being: A review. Cureus. 2023;15(1):e33475.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Kettunen O, Kyröläinen H, Santtila M, Vuorimaa T, Vasankari TJ. Greater levels of cardiorespiratory and muscular fitness are associated with low stress and high mental resources in normal but not overweight men. BMC Public Health. 2016;16:788.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Gao Z. Perceived competence and enjoyment in predicting students’ physical activity and cardiorespiratory fitness. Percept Mot Skills. 2008;107(2):365–72.

    Article 
    PubMed 

    Google Scholar 

  • Appelqvist-Schmidlechner K, Vaara JP, Vasankari T, Häkkinen A, Mäntysaari M, Kyröläinen H. Muscular and cardiorespiratory fitness are associated with health-related quality of life among young adult men. BMC Public Health. 2020;20(1):842.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Smith PJ, Merwin RM. The role of exercise in management of mental health disorders: an integrative review. Annu Rev Med. 2021;72:45–62.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Lu S, Cheval B. Associations of 24-Hour movement behavior with depressive symptoms and anxiety in children: Cross-Sectional findings from a Chinese sample. Healthc (Basel Switzerland). 2021;9(11).

  • Zimmerman SP, Nowland L, Zhu X, Haegele JA, Ross SM. Associations between 24-h movement guidelines compliance and anxiety and depression among youth receiving special education services in the US. Disabil Health J. 2024;17(1):101541.

    Article 
    PubMed 

    Google Scholar 

  • Groves CI, Huong C, Porter CD, Summerville B, Swafford I, Witham B, et al. Associations between 24-h movement behaviors and indicators of mental health and well-being across the lifespan: a systematic review. J Activity Sedentary Sleep Behav. 2024;3(1):9.

    Article 

    Google Scholar 

  • Silverman MN, Deuster PA. Biological mechanisms underlying the role of physical fitness in health and resilience. Interface Focus. 2014;4(5):20140040.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Schuch FB, Vancampfort D. Physical activity, exercise, and mental disorders: it is time to move on. Trends Psychiatry Psychother. 2021;43(3):177–84.

    PubMed 
    PubMed Central 

    Google Scholar 

  • Neumann RJ, Ahrens KF, Kollmann B, Goldbach N, Chmitorz A, Weichert D, et al. The impact of physical fitness on resilience to modern life stress and the mediating role of general self-efficacy. Eur Arch Psychiatry Clin NeuroSci. 2022;272(4):679–92.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Macpherson H, Teo WP, Schneider LA, Smith AE. A Life-Long approach to physical activity for brain health. Front Aging Neurosci. 2017;9:147.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Liu Y, Yan T, Chu JM-T, Chen Y, Dunnett S, Ho Y-S, et al. The beneficial effects of physical exercise in the brain and related pathophysiological mechanisms in neurodegenerative diseases. Lab Invest. 2019;99(7):943–57.

    Article 
    PubMed 

    Google Scholar 

  • Shi C, Yan J, Wang L, Shen H. Exploring the self-reported physical fitness and self-rated health, mental health disorders, and body satisfaction among Chinese adolescents: A cross-sectional study. Front Psychol. 2022;13:1003231.

  • Knezevic E, Nenic K, Milanovic V, Knezevic NN. The Role of Cortisol in Chronic Stress, Neurodegenerative Diseases, and Psychological Disorders. Cells. 2023;12(23):2726. https://doi.org/10.3390/cells12232726.

  • Dziurkowska E, Wesolowski M. Cortisol as a Biomarker of Mental Disorder Severity. J Clin Med. 2021;10(21):5204. https://doi.org/10.3390/jcm10215204.

  • Liu Y, Wang M, Tynjälä J, Lv Y, Villberg J, Zhang Z, et al. Test-retest reliability of selected items of health behaviour in School-aged children (HBSC) survey questionnaire in beijing, China. BMC Med Res Methodol. 2010;10:73.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Su Y, Zhang Y, Chen ST, Hong JT, Wang H. Is the health behavior in School-Aged survey questionnaire reliable and valid in assessing physical activity and sedentary behavior in young populations?? A systematic review. Front Public Health. 2022;10:729641.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Tremblay MS, Carson V, Chaput JP, Connor Gorber S, Dinh T, Duggan M, et al. Canadian 24-Hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Applied physiology, nutrition, and metabolism = physiologie appliquee. Nutr Et Metab. 2016;41(6 Suppl 3):S311–27.

    Google Scholar 

  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Guo C. Assessing the Chinese version of Pittsburgh sleep quality index in non-clinical adolescents. Curr Psychol. 2023;42(28):24860–70.

    Article 

    Google Scholar 

  • Levis B, Benedetti A, Thombs BD. Accuracy of patient health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ (Clinical Res ed). 2019;365:l1476.

    Google Scholar 

  • Sun J, Liang K, Chi X, Chen S. Psychometric Properties of the Generalized Anxiety Disorder Scale-7 Item (GAD-7) in a Large Sample of Chinese Adolescents. Healthcare (Basel). 2021;9(12):1709. https://doi.org/10.3390/healthcare9121709.

  • Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016;39:24–31.

    Article 
    PubMed 

    Google Scholar 

  • Ortega FB, Ruiz JR, España-Romero V, Vicente-Rodriguez G, Martínez-Gómez D, Manios Y, et al. The international fitness scale (IFIS): usefulness of self-reported fitness in youth. Int J Epidemiol. 2011;40(3):701–11.

    Article 
    PubMed 

    Google Scholar 

  • De Moraes ACF, Vilanova-Campelo RC, Torres-Leal FL, Carvalho HB. Is Self-Reported Physical Fitness Useful for Estimating Fitness Levels in Children and Adolescents? A Reliability and Validity Study. Medicina (Kaunas). 2019;55(6):286. https://doi.org/10.3390/medicina55060286.

  • Sánchez-López M, Martínez-Vizcaíno V, García-Hermoso A, Jiménez-Pavón D, Ortega FB. Construct validity and test–retest reliability of the international fitness scale (IFIS) in Spanish children aged 9–12 years. Scand J Med Sci Sports. 2015;25(4):543–51.

    Article 
    PubMed 

    Google Scholar 

  • Bao R, Chen S, Kastelic K, Drenowatz C, Li M, Zhang J, et al. Reliability of international fitness scale (IFIS) in Chinese children and adolescents. Children. 2022;9(4):531.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Kline RB. Principles and practice of structural equation modeling. Guilford; 2023. https://www.guilford.com/books/Principles-and-Practice-of-Structural-Equation-Modeling/Rex-Kline/9781462551910.

  • Kandola A, Ashdown-Franks G, Hendrikse J, Sabiston CM, Stubbs B. Physical activity and depression: towards Understanding the antidepressant mechanisms of physical activity. Neurosci Biobehav Rev. 2019;107:525–39.

    Article 
    PubMed 

    Google Scholar 

  • Ahn S, Fedewa AL. A meta-analysis of the relationship between children’s physical activity and mental health. J Pediatr Psychol. 2011;36(4):385–97.

    Article 
    PubMed 

    Google Scholar 

  • Rodriguez-Ayllon M, Cadenas-Sánchez C, Estévez-López F, Muñoz NE, Mora-Gonzalez J, Migueles JH, et al. Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: A systematic review and Meta-Analysis. Sports med. (Auckland, NZ). 2019;49(9):1383–410.

    Article 

    Google Scholar 

  • Geng J, Wang Y, Wang H, Wang P. Social comparison orientation and cyberbullying perpetration and victimization: roles of envy on social networking sites and body satisfaction. J Interpers Violence. 2022;37(17–18):Np16060–83.

    Article 
    PubMed 

    Google Scholar 

  • Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean J Family Med. 2020;41(6):365–73.

    Article 

    Google Scholar 

  • Mutz DC, Roberts DF, Vuuren DPv. Reconsidering the displacement hypothesis: television’s influence on children’s time use. Communication Res. 1993;20(1):51–75.

    Article 

    Google Scholar 

  • Hoare E, Milton K, Foster C, Allender S. Depression, psychological distress and internet use among community-based Australian adolescents: a cross-sectional study. BMC Public Health. 2017;17(1):365.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med. 2019;23(4):2324–32.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Richards A, Kanady JC, Neylan TC. Sleep disturbance in PTSD and other anxiety-related disorders: an updated review of clinical features, physiological characteristics, and psychological and Neurobiological mechanisms. Neuropsychopharmacology: Official Publication Am Coll Neuropsychopharmacol. 2020;45(1):55–73.

    Article 

    Google Scholar 

  • Wilhite K, Booker B, Huang B-H, Antczak D, Corbett L, Parker PD, et al. Combinations of physical activity, sedentary behavior, and sleep duration and their associations with physical, psychological, and educational outcomes in children and adolescents: A systematic review. Am J Epidemiol. 2023;192:665–79.

    Article 
    PubMed 

    Google Scholar 

  • Roberts RE, Roberts CR, Duong HT. Sleepless in adolescence: prospective data on sleep deprivation, health and functioning. J Adolesc. 2009;32(5):1045–57.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Short MA, Gradisar M, Gill J, Camfferman D. Identifying adolescent sleep problems. PLoS ONE. 2013;8(9):e75301.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Marques A, Mota J, Gaspar T, De Matos M. Associations between self-reported fitness and self-rated health, life-satisfaction and health-related quality of life among adolescents. J Exerc Sci Fit. 2017;15:8–11.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • White RL, Vella S, Biddle S, Sutcliffe J, Guagliano JM, Uddin R, et al. Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies. Int J Behav Nutr Phys Activity. 2024;21(1):134.

    Article 

    Google Scholar 

  • Pickett K, Yardley L, Kendrick T. Physical activity and depression: A multiple mediation analysis. Ment Health Phys Act. 2012;5(2):125–34.

    Article 

    Google Scholar 

  • Kayani S, Kiyani T, Kayani S, Morris T, Biasutti M, Wang J. Physical Activity and Anxiety of Chinese University Students: Mediation of Self-System. Int J Environ Res Public Health. 2021;18(9):4468. https://doi.org/10.3390/ijerph18094468.

  • Medrano-Ureña MDR, Ortega-Ruiz R, Benítez-Sillero JD. Physical Fitness, Exercise Self-Efficacy, and Quality of Life in Adulthood: A Systematic Review. Int J Environ Res Public Health. 2020;17(17):6343. https://doi.org/10.3390/ijerph17176343.

  • Tacchi MJ, Heggelund J, Scott J. Predictive validity of objective measures of physical fitness for the new onset of mental disorders in adolescents and young adults. Early Interv Psychiat. 2019;13(6):1310–8.

    Article 

    Google Scholar 

  • Lubans DR, Smith JJ, Morgan PJ, Beauchamp MR, Miller A, Lonsdale C, et al. Mediators of psychological Well-being in adolescent boys. J Adolesc Health: Official Publication Soc Adolesc Med. 2016;58(2):230–6.

    Article 

    Google Scholar 

  • link

    Exit mobile version