Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study

Abstract Objective The aim of this research was to examine the bidirectional association between self-reported symptoms of mental disorder and physical activity among a large sample of Canadian secondary school students over time. Methods Linked survey data were obtained from 28,567 grade 9 to 12 st...

Full description

Bibliographic Details
Main Authors: M. Claire Buchan, Isabella Romano, Alexandra Butler, Rachel E. Laxer, Karen A. Patte, Scott T. Leatherdale
Format: Article
Language:English
Published: BMC 2021-10-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:https://doi.org/10.1186/s12966-021-01201-z
_version_ 1819118004591394816
author M. Claire Buchan
Isabella Romano
Alexandra Butler
Rachel E. Laxer
Karen A. Patte
Scott T. Leatherdale
author_facet M. Claire Buchan
Isabella Romano
Alexandra Butler
Rachel E. Laxer
Karen A. Patte
Scott T. Leatherdale
author_sort M. Claire Buchan
collection DOAJ
description Abstract Objective The aim of this research was to examine the bidirectional association between self-reported symptoms of mental disorder and physical activity among a large sample of Canadian secondary school students over time. Methods Linked survey data were obtained from 28,567 grade 9 to 12 students across Canada participating in two waves of the COMPASS Study (2017–18; 2018–19). Autoregressive cross-lagged models were run to examine the reciprocal relationships between self-reported moderate-to-vigorous physical activity (MVPA) and symptoms of depression (CESD-10) and anxiety (GAD-7). Models were stratified by gender, and accounted for grade, ethno-racial identity, and school-level clustering. Results Autoregressive associations show that neither symptoms of anxiety nor depression, at baseline, were predictive of mean MVPA at follow-up – consistent for the full sample and among both males and females. Higher MVPA among males at baseline was associated with lower symptoms of both anxiety (β = − 0.03, p = 0.002) and depression (β = − 0.05, p < 0.001) at follow-up. However, among females, higher MVPA at baseline was associated with greater symptoms of anxiety (β = 0.03, p < 0.001), but not symptoms of depression (β = 0.01, p = 0.073), at follow-up. Conclusion In our large sample of Canadian secondary school students, associations between physical activity and symptoms of mental disorder were not bi-directional, and these relationships differed in males and females. This study illustrates the complex nature of the relationship between physical activity and symptoms of mental disorder among youth. While results support the benefits of promoting physical activity among males to prevent or manage internalizing symptoms, the relationship among females warrants further investigation.
first_indexed 2024-12-22T05:41:59Z
format Article
id doaj.art-86a7c89e4434478ab41ac44bcd066ad7
institution Directory Open Access Journal
issn 1479-5868
language English
last_indexed 2024-12-22T05:41:59Z
publishDate 2021-10-01
publisher BMC
record_format Article
series International Journal of Behavioral Nutrition and Physical Activity
spelling doaj.art-86a7c89e4434478ab41ac44bcd066ad72022-12-21T18:37:10ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682021-10-0118111110.1186/s12966-021-01201-zBi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS studyM. Claire Buchan0Isabella Romano1Alexandra Butler2Rachel E. Laxer3Karen A. Patte4Scott T. Leatherdale5School of Public Health Sciences, University of WaterlooSchool of Public Health Sciences, University of WaterlooSchool of Public Health Sciences, University of WaterlooPublic Health OntarioDepartment of Health Sciences, Brock UniversitySchool of Public Health Sciences, University of WaterlooAbstract Objective The aim of this research was to examine the bidirectional association between self-reported symptoms of mental disorder and physical activity among a large sample of Canadian secondary school students over time. Methods Linked survey data were obtained from 28,567 grade 9 to 12 students across Canada participating in two waves of the COMPASS Study (2017–18; 2018–19). Autoregressive cross-lagged models were run to examine the reciprocal relationships between self-reported moderate-to-vigorous physical activity (MVPA) and symptoms of depression (CESD-10) and anxiety (GAD-7). Models were stratified by gender, and accounted for grade, ethno-racial identity, and school-level clustering. Results Autoregressive associations show that neither symptoms of anxiety nor depression, at baseline, were predictive of mean MVPA at follow-up – consistent for the full sample and among both males and females. Higher MVPA among males at baseline was associated with lower symptoms of both anxiety (β = − 0.03, p = 0.002) and depression (β = − 0.05, p < 0.001) at follow-up. However, among females, higher MVPA at baseline was associated with greater symptoms of anxiety (β = 0.03, p < 0.001), but not symptoms of depression (β = 0.01, p = 0.073), at follow-up. Conclusion In our large sample of Canadian secondary school students, associations between physical activity and symptoms of mental disorder were not bi-directional, and these relationships differed in males and females. This study illustrates the complex nature of the relationship between physical activity and symptoms of mental disorder among youth. While results support the benefits of promoting physical activity among males to prevent or manage internalizing symptoms, the relationship among females warrants further investigation.https://doi.org/10.1186/s12966-021-01201-zPhysical activityDepressionAnxietyAdolescentCross-lagged model
spellingShingle M. Claire Buchan
Isabella Romano
Alexandra Butler
Rachel E. Laxer
Karen A. Patte
Scott T. Leatherdale
Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study
International Journal of Behavioral Nutrition and Physical Activity
Physical activity
Depression
Anxiety
Adolescent
Cross-lagged model
title Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study
title_full Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study
title_fullStr Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study
title_full_unstemmed Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study
title_short Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: a sex-stratified analysis of students in the COMPASS study
title_sort bi directional relationships between physical activity and mental health among a large sample of canadian youth a sex stratified analysis of students in the compass study
topic Physical activity
Depression
Anxiety
Adolescent
Cross-lagged model
url https://doi.org/10.1186/s12966-021-01201-z
work_keys_str_mv AT mclairebuchan bidirectionalrelationshipsbetweenphysicalactivityandmentalhealthamongalargesampleofcanadianyouthasexstratifiedanalysisofstudentsinthecompassstudy
AT isabellaromano bidirectionalrelationshipsbetweenphysicalactivityandmentalhealthamongalargesampleofcanadianyouthasexstratifiedanalysisofstudentsinthecompassstudy
AT alexandrabutler bidirectionalrelationshipsbetweenphysicalactivityandmentalhealthamongalargesampleofcanadianyouthasexstratifiedanalysisofstudentsinthecompassstudy
AT rachelelaxer bidirectionalrelationshipsbetweenphysicalactivityandmentalhealthamongalargesampleofcanadianyouthasexstratifiedanalysisofstudentsinthecompassstudy
AT karenapatte bidirectionalrelationshipsbetweenphysicalactivityandmentalhealthamongalargesampleofcanadianyouthasexstratifiedanalysisofstudentsinthecompassstudy
AT scotttleatherdale bidirectionalrelationshipsbetweenphysicalactivityandmentalhealthamongalargesampleofcanadianyouthasexstratifiedanalysisofstudentsinthecompassstudy