Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional study

Background The body of literature regarding the associations between physical activity and psychological problems lacks consensus. Moreover, the role of gender has been scarcely investigated. The present study sought to fill the gap in the data by examining the associations, if any, between moderate...

Full description

Bibliographic Details
Main Authors: Mingli Liu, Jie Zhang, Kimberly E. Kamper-DeMarco, Elwin Hu, Shuqiao Yao
Format: Article
Language:English
Published: PeerJ Inc. 2020-03-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/8775.pdf
_version_ 1797418251779571712
author Mingli Liu
Jie Zhang
Kimberly E. Kamper-DeMarco
Elwin Hu
Shuqiao Yao
author_facet Mingli Liu
Jie Zhang
Kimberly E. Kamper-DeMarco
Elwin Hu
Shuqiao Yao
author_sort Mingli Liu
collection DOAJ
description Background The body of literature regarding the associations between physical activity and psychological problems lacks consensus. Moreover, the role of gender has been scarcely investigated. The present study sought to fill the gap in the data by examining the associations, if any, between moderate-to-vigorous physical activity (MVPA), psychological problems, and self-harm behaviors based on different biological genders (male–female). Methods A self-administered questionnaire was used to measure MVPA and multiple psychological problems, including depression and anxiety; general emotion, behavior, and social problems; Attention Deficit Hyperactivity Disorder (ADHD); Oppositional Defiant Disorder (ODD); conduct problems; and self-harm behaviors. Participants were a nationally representative sample of Chinese high school students (N = 13, 349). A multiple logistic regression analysis of MVPA, stratified by gender, was conducted on the risk of psychological problems and self-harm behaviors in the total sample. Results For boys, a high frequency of MVPA was associated with a lower risk of depression (OR = 0.68, 95% CI [0.57–0.81]) and anxiety (OR = 0.71, 95% CI [0.53–0.96]) compared to the reference group. The moderate frequency of MVPA was associated with a lower risk of ADHD (OR = 0.73, 95% CI [0.56–0.94]) compared to the reference group. For girls, both MVPA groups were associated with a lower risk of depression (moderate MVPA: OR = 0.81, 95% CI [0.70–0.94]; high MVPA: OR = 0.67, 95% CI [0.54–0.83]) compared to the reference group. High MVPA was associated with a lower risk of ADHD (OR = 0.58, 95% CI [0.37–0.89]) compared to the reference group. Only moderate frequency of MVPA was associated with a lower risk of ODD (OR = 0.79, 95% CI [0.64–0.97]). Conclusion MVPA was associated with a lower risk of depression, anxiety, ADHD, and ODD in a gender-specific and MVPA frequency-specific manner. This implies that for specific psychological issues, PA interventions that are modified based on gender and frequency of MVPA may be more effective than PA interventions without these considerations.
first_indexed 2024-03-09T06:29:57Z
format Article
id doaj.art-66706980e040484c8e3b202407a31fe3
institution Directory Open Access Journal
issn 2167-8359
language English
last_indexed 2024-03-09T06:29:57Z
publishDate 2020-03-01
publisher PeerJ Inc.
record_format Article
series PeerJ
spelling doaj.art-66706980e040484c8e3b202407a31fe32023-12-03T11:07:25ZengPeerJ Inc.PeerJ2167-83592020-03-018e877510.7717/peerj.8775Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional studyMingli Liu0Jie Zhang1Kimberly E. Kamper-DeMarco2Elwin Hu3Shuqiao Yao4Department of Psychology, Hunan University of Science and Technology, Xiangtan, Hunan, CountryDepartment of Sociology, State University of New York Buffalo State, Buffalo, NY, USADepartment of Psychology, State University of New York Buffalo State, Buffalo, NY, United States of AmericaSchool of Psychology, Counselling and Psychotherapy, Cairnmillar Institute, Hawthorn East, Victoria, AustraliaInstitute of Psychological Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaBackground The body of literature regarding the associations between physical activity and psychological problems lacks consensus. Moreover, the role of gender has been scarcely investigated. The present study sought to fill the gap in the data by examining the associations, if any, between moderate-to-vigorous physical activity (MVPA), psychological problems, and self-harm behaviors based on different biological genders (male–female). Methods A self-administered questionnaire was used to measure MVPA and multiple psychological problems, including depression and anxiety; general emotion, behavior, and social problems; Attention Deficit Hyperactivity Disorder (ADHD); Oppositional Defiant Disorder (ODD); conduct problems; and self-harm behaviors. Participants were a nationally representative sample of Chinese high school students (N = 13, 349). A multiple logistic regression analysis of MVPA, stratified by gender, was conducted on the risk of psychological problems and self-harm behaviors in the total sample. Results For boys, a high frequency of MVPA was associated with a lower risk of depression (OR = 0.68, 95% CI [0.57–0.81]) and anxiety (OR = 0.71, 95% CI [0.53–0.96]) compared to the reference group. The moderate frequency of MVPA was associated with a lower risk of ADHD (OR = 0.73, 95% CI [0.56–0.94]) compared to the reference group. For girls, both MVPA groups were associated with a lower risk of depression (moderate MVPA: OR = 0.81, 95% CI [0.70–0.94]; high MVPA: OR = 0.67, 95% CI [0.54–0.83]) compared to the reference group. High MVPA was associated with a lower risk of ADHD (OR = 0.58, 95% CI [0.37–0.89]) compared to the reference group. Only moderate frequency of MVPA was associated with a lower risk of ODD (OR = 0.79, 95% CI [0.64–0.97]). Conclusion MVPA was associated with a lower risk of depression, anxiety, ADHD, and ODD in a gender-specific and MVPA frequency-specific manner. This implies that for specific psychological issues, PA interventions that are modified based on gender and frequency of MVPA may be more effective than PA interventions without these considerations.https://peerj.com/articles/8775.pdfSexExerciseDepressionAnxietyADHDOppositional defiant
spellingShingle Mingli Liu
Jie Zhang
Kimberly E. Kamper-DeMarco
Elwin Hu
Shuqiao Yao
Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional study
PeerJ
Sex
Exercise
Depression
Anxiety
ADHD
Oppositional defiant
title Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional study
title_full Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional study
title_fullStr Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional study
title_full_unstemmed Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional study
title_short Associations of moderate-to-vigorous physical activity with psychological problems and suicidality in Chinese high school students: a cross-sectional study
title_sort associations of moderate to vigorous physical activity with psychological problems and suicidality in chinese high school students a cross sectional study
topic Sex
Exercise
Depression
Anxiety
ADHD
Oppositional defiant
url https://peerj.com/articles/8775.pdf
work_keys_str_mv AT mingliliu associationsofmoderatetovigorousphysicalactivitywithpsychologicalproblemsandsuicidalityinchinesehighschoolstudentsacrosssectionalstudy
AT jiezhang associationsofmoderatetovigorousphysicalactivitywithpsychologicalproblemsandsuicidalityinchinesehighschoolstudentsacrosssectionalstudy
AT kimberlyekamperdemarco associationsofmoderatetovigorousphysicalactivitywithpsychologicalproblemsandsuicidalityinchinesehighschoolstudentsacrosssectionalstudy
AT elwinhu associationsofmoderatetovigorousphysicalactivitywithpsychologicalproblemsandsuicidalityinchinesehighschoolstudentsacrosssectionalstudy
AT shuqiaoyao associationsofmoderatetovigorousphysicalactivitywithpsychologicalproblemsandsuicidalityinchinesehighschoolstudentsacrosssectionalstudy