The Association between Physical Activity, Fitness and Body Mass Index on Mental Well-Being and Quality of Life in Adolescents
Open accessAbstract
PURPOSE: The purpose of the current study was to investigate the mediatory role between vigorous physical activity, body mass index (BMI), and cardiorespiratory fitness on symptoms of depression and their subsequent direct and indirect effects on quality of life (QoL). METHODS: Five hundred and seventy-six adolescents' (314 boys, 12.5 ± 1.1 years) physical activity levels, cardiorespiratory fitness, BMI, levels of depressive symptoms, and QoL were measured. Structural equation modelling was used to evaluate the difference in linear structural associations between variables. RESULTS: The model suggested that cardiorespiratory fitness (β = 0.16, p < 0.001) and symptoms of depression (β = - 0.52, p < 0.001) were both directly associated with physical QoL, with depressive symptoms also directly influencing psychological QoL (β = - 0.79, p < 0.01). Body mass index was indirectly associated with physical QoL, mediated by both symptoms of depression (β = - 0.06, p < 0.001) and cardiorespiratory fitness (β = 0.05, p < 0.001) and psychological QoL mediated by symptoms of depression (β = - 0.09, p < 0.001). Vigorous physical activity was indirectly associated with QoL, mediated by cardiorespiratory fitness (β = - 0.04, p < 0.001). CONCLUSIONS: Models suggested that vigorous physical activity, cardiorespiratory fitness and BMI were associated, both directly and indirectly, with mental well-being and QoL. It could, therefore, be postulated that enhancing cardiorespiratory fitness and BMI through increasing vigorous physical activity may be beneficial to both mental well-being and QoL in adolescents.
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Effective treatment for eating disorders requires addressing both behavioral symptoms and underlying body image issues to ensure sustainable recovery.
“Effective treatment requires addressing both the behavioral symptoms and the underlying body image issues to ensure sustainable recovery [192].”
From Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors (2024) · cites this paper as [192]
The Discussion (page not provided) addresses BMI, depressive symptoms, and self-perceived appearance in adolescents, but not treatment for eating disorders. Searches for eating-disorder treatment, behavioral symptoms, body-image issues, and recovery found no passage addressing the claim. (LLM, conf=0.75)
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“Effective treatment requires addressing both the behavioral symptoms and the underlying body image issues to ensure sustainable recovery [192].”
BackgroundFernandes, M. D. S. V., Silva, T. M. V. D., Noll, P. R. E. S., Almeida, A. A. D., & Noll, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19063735 · Cited by 21 · see citing works
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- Authors
- Eddolls, W. T. B., McNarry, M. A., Lester, L., Winn, C. O. N., Stratton, G., & Mackintosh, K. A.
- Affiliations
- Swansea University (GB)
- The University of Western Australia (AU)
- Corresponding author
- Eddolls, William T. B.
- ORCID
- Venue
- Quality of Life Research
- Published
- 2018-06-12
- Volume
- 27
- Issue
- 9
- Pages
- 2313-2320
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- PMC
- PMC6132966
- OpenAlex
- W2808548633
- Cited by
- 124
- References
- 59
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 16 · 2023: 22 · 2022: 25 · 2021: 20 · 2020: 15 · 2019: 4 · 2018: 2
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Quality of Life Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
- Funders
- Commando Joe’s Fun and Fitness Limited
- Asthma UK (AUK-AC-2012-01)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
- Keywords
- physical activity, cardiorespiratory fitness, body mass index, adolescents, depressive symptoms, psychological well-being, quality of life, high-intensity exercise, mediation
- MeSH terms
- Child, Cross-Sectional Studies, Female, Humans, Male, Mental Health, Physical Fitness, Quality of Life, Exercise, Body Mass Index
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