Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents

Abstract Background The objective of the study was to analyze the associations of family aspects, physical fitness, and physical activity with mental-health indicators in a sample of adolescents from Colombia. Methods A cross-sectional study carried out in a sample of 988 adolescents (11-17 years-ol...

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Main Authors: Lucía Lema-Gómez, Carlos Mario Arango-Paternina, Cleiber Eusse-López, Jorge Petro, Jose Petro-Petro, Milton López-Sánchez, Willinton Watts-Fernández, Fabio Perea-Velásquez
Format: Article
Language:English
Published: BMC 2021-12-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-021-12403-2
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author Lucía Lema-Gómez
Carlos Mario Arango-Paternina
Cleiber Eusse-López
Jorge Petro
Jose Petro-Petro
Milton López-Sánchez
Willinton Watts-Fernández
Fabio Perea-Velásquez
author_facet Lucía Lema-Gómez
Carlos Mario Arango-Paternina
Cleiber Eusse-López
Jorge Petro
Jose Petro-Petro
Milton López-Sánchez
Willinton Watts-Fernández
Fabio Perea-Velásquez
author_sort Lucía Lema-Gómez
collection DOAJ
description Abstract Background The objective of the study was to analyze the associations of family aspects, physical fitness, and physical activity with mental-health indicators in a sample of adolescents from Colombia. Methods A cross-sectional study carried out in a sample of 988 adolescents (11-17 years-old) from public schools in Montería. Mental-health indicators were evaluated: Stress, depression, anxiety, happiness, health-related quality of life (HRQL), and subjective wellness. Family aspects included family affluence, functionality, and structure. These variables, along with physical activity and screen time, were measured with questionnaires. A fitness score was established by assessing the components of fitness: Flexibility, cardiorespiratory fitness, grip strength, and lower-limb strength. Associations were analyzed by multivariate linear regression models. Results Nuclear family structure was associated with lower stress level (− 1.08, CI: − 1.98 - -0.18), and family functionality was associated with all the studied mental-health indicators (Stress: -0.11, CI: − 0.17 - -0.06; depression: -0.20, CI: − 0.25 - -0.16; trait anxiety: -0.13, CI: − 0.18 - -0.09; state anxiety: -0.12, CI: − 0.17 - -0.08; happiness: 0.09, CI: 0.07 - 0.1; HRQL: 1.13, CI: 0.99 - 1.27; subjective wellness: 1.67, CI: 1.39 - 1.95). Physical activity was associated (β, 95% Confidence Interval (CI)) with depression (− 0.27, − 0.57 - -0.02), trait anxiety (− 0.39, CI: − 0.65 - -0.13), state anxiety (− 0.30, CI: − 0.53 - -0.07), happiness (0.14, CI: 0.06 - 0.22), HRQL (3.63, CI: 2.86 – 4.43), and subjective wellness (5.29, CI: 3.75 – 6.83). Physical fitness was associated with stress (− 0.80, CI: − 1.17 - -0.43), state anxiety (− 0.45, CI: − 0.73 - -0.17), and HRQL (1.75, CI: 0.82 - 2.69); screen time was only associated with stress (0.06, CI: 0.02 - 0.11). Conclusions Family aspects were associated with mental health indicators, especially family functionality which was associated all mental-health indicators. Similarly, fitness, physical activity, and screen time were associated with the studied indicators of mental health. Particularly, physical activity was associated with all the mental-health indicators, except stress, which was only associated with screen time. Physical fitness was associated with stress, anxiety, and HRQL. Future studies could explore the causal relationships of fitness, physical activity and screen time with mental health in adolescents.
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spelling doaj.art-e24d36a5773c40828696a63fda49a3c92022-12-21T21:21:25ZengBMCBMC Public Health1471-24582021-12-0121111110.1186/s12889-021-12403-2Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescentsLucía Lema-Gómez0Carlos Mario Arango-Paternina1Cleiber Eusse-López2Jorge Petro3Jose Petro-Petro4Milton López-Sánchez5Willinton Watts-Fernández6Fabio Perea-Velásquez7Departamento de Cultura Física, Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de CórdobaInstituto Universitario de Educación Física, Universidad de AntioquiaDepartamento de Cultura Física, Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de CórdobaDepartamento de Cultura Física, Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de CórdobaDepartamento de Cultura Física, Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de CórdobaDepartamento de Cultura Física, Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de CórdobaDepartamento de Cultura Física, Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de CórdobaDepartamento de Cultura Física, Research Group in Physical Activity, Sports and Health Sciences (GICAFS), Universidad de CórdobaAbstract Background The objective of the study was to analyze the associations of family aspects, physical fitness, and physical activity with mental-health indicators in a sample of adolescents from Colombia. Methods A cross-sectional study carried out in a sample of 988 adolescents (11-17 years-old) from public schools in Montería. Mental-health indicators were evaluated: Stress, depression, anxiety, happiness, health-related quality of life (HRQL), and subjective wellness. Family aspects included family affluence, functionality, and structure. These variables, along with physical activity and screen time, were measured with questionnaires. A fitness score was established by assessing the components of fitness: Flexibility, cardiorespiratory fitness, grip strength, and lower-limb strength. Associations were analyzed by multivariate linear regression models. Results Nuclear family structure was associated with lower stress level (− 1.08, CI: − 1.98 - -0.18), and family functionality was associated with all the studied mental-health indicators (Stress: -0.11, CI: − 0.17 - -0.06; depression: -0.20, CI: − 0.25 - -0.16; trait anxiety: -0.13, CI: − 0.18 - -0.09; state anxiety: -0.12, CI: − 0.17 - -0.08; happiness: 0.09, CI: 0.07 - 0.1; HRQL: 1.13, CI: 0.99 - 1.27; subjective wellness: 1.67, CI: 1.39 - 1.95). Physical activity was associated (β, 95% Confidence Interval (CI)) with depression (− 0.27, − 0.57 - -0.02), trait anxiety (− 0.39, CI: − 0.65 - -0.13), state anxiety (− 0.30, CI: − 0.53 - -0.07), happiness (0.14, CI: 0.06 - 0.22), HRQL (3.63, CI: 2.86 – 4.43), and subjective wellness (5.29, CI: 3.75 – 6.83). Physical fitness was associated with stress (− 0.80, CI: − 1.17 - -0.43), state anxiety (− 0.45, CI: − 0.73 - -0.17), and HRQL (1.75, CI: 0.82 - 2.69); screen time was only associated with stress (0.06, CI: 0.02 - 0.11). Conclusions Family aspects were associated with mental health indicators, especially family functionality which was associated all mental-health indicators. Similarly, fitness, physical activity, and screen time were associated with the studied indicators of mental health. Particularly, physical activity was associated with all the mental-health indicators, except stress, which was only associated with screen time. Physical fitness was associated with stress, anxiety, and HRQL. Future studies could explore the causal relationships of fitness, physical activity and screen time with mental health in adolescents.https://doi.org/10.1186/s12889-021-12403-2AnxietyHealth-related quality of lifeMental healthPhysical activityPhysical fitnessSedentary behavior
spellingShingle Lucía Lema-Gómez
Carlos Mario Arango-Paternina
Cleiber Eusse-López
Jorge Petro
Jose Petro-Petro
Milton López-Sánchez
Willinton Watts-Fernández
Fabio Perea-Velásquez
Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents
BMC Public Health
Anxiety
Health-related quality of life
Mental health
Physical activity
Physical fitness
Sedentary behavior
title Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents
title_full Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents
title_fullStr Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents
title_full_unstemmed Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents
title_short Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents
title_sort family aspects physical fitness and physical activity associated with mental health indicators in adolescents
topic Anxiety
Health-related quality of life
Mental health
Physical activity
Physical fitness
Sedentary behavior
url https://doi.org/10.1186/s12889-021-12403-2
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