Associations of Physical Activity, Screen Time with Depression, Anxiety and Sleep Quality among Chinese College Freshmen
Open accessAbstract
OBJECTIVES: To investigate the independent and interactive associations of physical activity (PA) and screen time (ST) with depression, anxiety and sleep quality among Chinese college students. METHODS: A cross-sectional study was conducted in Wuhan University, China from November to December 2011. The students reported their PA, ST and socio-economic characteristics using self-administered questionnaires. Sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI). Depression and anxiety were assessed using the Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS), respectively. Multivariate logistic regression models were used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) of the independent and interactive relationships of PA and ST with depression, anxiety and sleep quality. RESULTS: A total of 1106 freshmen (471 females and 635 males) aged 18.9±0.9 years were included in the study. After adjustment for potential confounders, high PA and low ST were independently associated with significantly lower risks for poor sleep quality (OR: 0.48, 95% CI: 0.30-0.78) and depression (OR: 0.67, 95%CI: 0.44-0.89), respectively. An interactive inverse association was observed for combined effects of PA and low ST on depression (OR: 0.62, 95%CI: 0.40-0.92) and sleep quality (OR: 0.51, 95%CI: 0.27-0.91). No statistically significant associations were found between PA, ST and anxiety among the participants. CONCLUSIONS: These findings suggest an independent and interactive relationship of high PA and low ST with significantly reduced prevalence of depressive problems and favorable sleep quality among Chinese college freshmen.
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Excessive screen time has been linked to a variety of health concerns including obesity, sleep disturbance, and mental health issues.
“Excessive screen time has been linked to a variety of health concerns including obesity, sleep disturbance, and mental health issues [7, 22].”
From Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China (2021) · cites this paper as [22]
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- Authors
- Feng, Q., Zhang, Q.-L., Du, Y., Ye, Y.-L., & He, Q.-Q.
- Affiliations
- Wuhan University (CN)
- ORCID
- Feng, Qi
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-06-25
- Volume
- 9
- Issue
- 6
- Pages
- e100914
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4071010
- OpenAlex
- W2092317665
- Cited by
- 285
- References
- 37
- Citations by year
- 2026: 14 · 2025: 27 · 2024: 37 · 2023: 42 · 2022: 38 · 2021: 31 · 2020: 27 · 2019: 23 · 2018: 23 · 2017: 8 · 2016: 9 · 2015: 6
- FWCI
- 5.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Wuhan University
- Fundamental Research Funds for the Central Universities
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- physical activity, screen time, depression, anxiety, sleep quality, first-year students, university students, Chinese students, interaction effects, mental health
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, China, Cross-Sectional Studies, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Mental Health, Sleep Wake Disorders, Students, Time Factors, Universities, Exercise, Prevalence, Young Adult, Self Report
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