Cited by 285Physical Activity and HealthHealth and Lifestyle StudiesSleep and related disorders

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Associations of Physical Activity, Screen Time with Depression, Anxiety and Sleep Quality among Chinese College Freshmen

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Feng, Qi, Zhang, Qing-le, Du, Yue, Ye, Yong-ling, He, Qi-qiang·2014·PLoS ONE

DOI 10.1371/journal.pone.0100914PMC PMC4071010

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Abstract

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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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)
DOI: 10.1371/journal.pone.0100914
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
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (unspecified)
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 › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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Associations of Physical Activity, Screen Time with Depression, Anxiety and Sleep Quality among Chinese College Freshmen

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