Abstract
In this cross-sectional study, physical activity, sport participation and associations with well-being, anxiety and depressive symptoms were examined in a large representative sample of European adolescents. A school-based survey was completed by 11,110 adolescents from ten European countries who took part in the SEYLE (Saving and Empowering Young Lives in Europe) study. The questionnaire included items assessing physical activity, sport participation and validated instruments assessing well-being (WHO-5), depressive symptoms (BDI-II) and anxiety (SAS). Multi-level mixed effects linear regression was used to examine associations between physical activity/sport participation and mental health measures. A minority of the sample (17.9 % of boys and 10.7 % of girls; p < 0.0005) reported sufficient activity based on WHO guidelines (60 min + daily). The mean number of days of at least 60 min of moderate-to-vigorous activity in the past 2 weeks was 7.5 ± 4.4 among boys and 5.9 days ± 4.3 among girls. Frequency of activity was positively correlated with well-being and negatively correlated with both anxiety and depressive symptoms, up to a threshold of moderate frequency of activity. In a multi-level mixed effects model more frequent physical activity and participation in sport were both found to independently contribute to greater well-being and lower levels of anxiety and depressive symptoms in both sexes. Increasing activity levels and sports participation among the least active young people should be a target of community and school-based interventions to promote well-being. There does not appear to be an additional benefit to mental health associated with meeting the WHO-recommended levels of activity.
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Janssen I, Leblanc AG (2010) Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act 7:40
Strong WB et al (2005) Evidence based physical activity for school-age youth. J Pediatr 146(6):732–737
World Health Organisation, Global Recommendations on Physical Activity for Health. 2010: Geneva
Hallal PC et al (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 380(9838):247–257
Currie, C., et al., Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study:international report from the 2009/2010 survey., in Health Policy for Children and Adolescents. 2012, WHO Regional Office for Europe: Copenhagen
Vilhjalmsson R, Kristjansdottir G (2003) Gender differences in physical activity in older children and adolescents: the central role of organized sport. Soc Sci Med 56(2):363–374
Biddle SJ, Asare M (2011) Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 45(11):886–895
Ahn S, Fedewa AL (2011) A meta-analysis of the relationship between children’s physical activity and mental health. J Pediatr Psychol 36(4):385–397
Larun, L., et al., Exercise in prevention and treatment of anxiety and depression among children and young people. Cochrane Database Syst Rev, 2006(3)
Teychenne M, Costigan SA, Parker K (2015) The association between sedentary behaviour and risk of anxiety: a systematic review. BMC Public Health 15:513
McPhie ML, Rawana JS (2015) The effect of physical activity on depression in adolescence and emerging adulthood: a growth-curve analysis. J Adolesc 40:83–92
Babiss LA, Gangwisch JE (2009) Sports participation as a protective factor against depression and suicidal ideation in adolescents as mediated by self-esteem and social support. J Dev Behav Pediatr 30(5):376–384
Jewett R et al (2014) School sport participation during adolescence and mental health in early adulthood. J Adolesc Health 55(5):640–644
Zhou, J., D. Heim, and K. O’Brien, Alcohol Consumption, Athlete Identity, and Happiness Among Student Sportspeople as a Function of Sport-Type. Alcohol Alcohol, 2015
Balazs J et al (2013) Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk. J Child Psychol Psychiatry 54(6):670–677
Carli V et al (2014) A newly identified group of adolescents at “invisible” risk for psychopathology and suicidal behavior: findings from the SEYLE study. World Psychiatry 13(1):78–86
Wasserman D et al (2010) Saving and empowering young lives in Europe (SEYLE): a randomized controlled trial. BMC Public Health 10:192
Carli V et al (2013) The saving and empowering young lives in Europe (SEYLE) randomized controlled trial (RCT): methodological issues and participant characteristics. BMC Public Health 13:479
Prochaska JJ, Sallis JF, Long B (2001) A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med 155(5):554–559
Ridgers ND et al (2012) Validity of a brief self-report instrument for assessing compliance with physical activity guidelines amongst adolescents. J Sci Med Sport 15(2):136–141
Beck AT et al (1996) Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess 67(3):588–597
Byrne BM (2004) S.S., Lee PWH., Validating the Beck Depression Inventory-II for Hong Kong Community Adolescents. International Journal of Testing. 4(3):199–216
Osman A et al (2004) Reliability and validity of the Beck depression inventory–II with adolescent psychiatric inpatients. Psychol Assess 16(2):120
Byrne BM, Stewart SM, Lee PW (2004) Validating the beck depression inventory-II for Hong Kong community adolescents. International Journal of Testing 4(3):199–216
Zung WW (1971) A rating instrument for anxiety disorders. Psychosomatics 12(6):371–379
Olatunji BO et al (2006) Dimensionality of somatic complaints: factor structure and psychometric properties of the Self-Rating Anxiety Scale. J Anxiety Disord 20(5):543–561
Bech P (2004) Measuring the dimension of Psychological General Well-Being by the WHO-5 119. Quality of Life Newsletter 32:15–16
Bech P et al (2003) Measuring well-being rather than the absence of distress symptoms: a comparison of the SF-36 Mental Health subscale and the WHO-Five well-being scale. International journal of methods in psychiatric research 12(2):85–91
Blom EH et al (2012) Screening for depressed mood in an adolescent psychiatric context by brief self-assessment scales-testing psychometric validity of WHO-5 and BDI-6 indices by latent trait analyses. Health and quality of life outcomes 10(149):1–6
Borraccino A et al (2009) Socioeconomic effects on meeting physical activity guidelines: comparisons among 32 countries. Med Sci Sports Exerc 41(4):749–756
Skrove M, Romundstad P, Indredavik MS (2013) Resilience, lifestyle and symptoms of anxiety and depression in adolescence: the Young-HUNT study. Soc Psychiatry Psychiatr Epidemiol 48(3):407–416
Cohen J (1988) Statistical power analysis for the behavioural sciences. Hillsdale, Erlbaum
Ware JE Jr (1995) The status of health assessment 1994. Annu Rev Public Health 16:327–354
Wang F et al (2012) Long-term association between leisure-time physical activity and changes in happiness: analysis of the Prospective National Population Health Survey. Am J Epidemiol 176(12):1095–1100
Kim YS et al (2012) Relationship between physical activity and general mental health. Prev Med 55(5):458–463
Smith AR et al (2013) Exercise caution: over-exercise is associated with suicidality among individuals with disordered eating. Psychiatry Res 206(2–3):246–255
Davis C et al (1997) The prevalence of high-level exercise in the eating disorders: etiological implications. Compr Psychiatry 38(6):321–326
Stavrakakis N et al (2012) Bidirectional prospective associations between physical activity and depressive symptoms. The TRAILS Study. J Adolesc Health 50(5):503–508
Paluska SA, Schwenk TL (2000) Physical activity and mental health: current concepts. Sports Med 29(3):167–180
Monshouwer K et al (2013) Possible mechanisms explaining the association between physical activity and mental health: findings form the 2001 Dutch Health Behaviour in School-Aged Children survey. Clinical Psychological Science 1(1):67–74
Da Azevedo Silva M et al (2012) Bidirectional association between physical activity and symptoms of anxiety and depression: the Whitehall II study. Eur J Epidemiol 27(7):537–546
de Souto Barreto P (2015) Global health agenda on non-communicable diseases: has WHO set a smart goal for physical activity? BMJ 350:h23
Gibbons RD, Hedeker D, DuToit S (2010) Advances in analysis of longitudinal data. Annu Rev Clin Psychol 6:79–107
The SEYLE project is supported through Coordination Theme 1 (Health) of the European Union Seventh Framework Program (FP7), Grant agreement nr HEALTH-F2-2009-223091. The Project Leader and Coordinator of the SEYLE project is Professor Danuta Wasserman, Karolinska Institute (KI), Head of the National Centre for Suicide Research and Prevention of Mental Ill-Health and Suicide (NASP), at KI, Sweden. Other members of the Executive Committee are Professor Marco Sarchiapone, University of Molise, Italy; Senior Lecturer Vladimir Carli, Karolinska Institute, Sweden; Professor Christina W. Hoven, New York State Psychiatric Institute and Columbia University, USA; Anthropologist Camilla Wasserman, New York State Psychiatric Institute, USA and Department of Health Sciences, University of Molise, Italy. Site leaders for each SEYLE centre are: Danuta Wasserman (Karolinska Institute, Sweden, Coordinating Centre), Christian Haring (University for Medical Information Technology, Austria), Airi Varnik (Estonian Swedish Mental Health & Suicidology Institute, Estonia), Jean-Pierre Kahn (University of Lorraine, France), Romuald Brunner (University of Heidelberg, Germany), Judit Balazs (Vadaskert Child and Adolescent Psychiatric Hospital, Hungary), Paul Corcoran (National Suicide Research Foundation, Ireland), Alan Apter (Tel-Aviv University, Israel), Marco Sarchiapone (University of Molise, Italy), Doina Cosman (Iuliu Hatieganu University of Medicine and Pharmacy, Romania), Vita Postuvan (University of Primorska, Slovenia) and Julio Bobes (University of Oviedo, Spain).
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McMahon, E.M., Corcoran, P., O’Regan, G. et al. Physical activity in European adolescents and associations with anxiety, depression and well-being. Eur Child Adolesc Psychiatry 26, 111–122 (2017). https://doi.org/10.1007/s00787-016-0875-9
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DOI: https://doi.org/10.1007/s00787-016-0875-9