Cross-sectional study2014Open access

Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese college freshmen

Feng Q, Zhang QL, Du Y, Ye YL, He QQ

PloS one · 174 citations

How it was studied

Design
Cross-sectional study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Wuhan University
Government
Fundamental Research Funds for the Central Universities

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2014-06-25 · PLoS One · vol. 9 · issue 6 · p. e100914
Publisher
Public Library of Science
Cited
297 citations · more than 94% of similar papers · 3.8× the field average
Impact
Top 10% most cited in its field
References
37 works
Access
Open access (journal) · CC-BY
Research areas
Physical Activity and Health · Sleep and related disorders · Obesity, Physical Activity, Diet
Keywords
physical activity, screen time, depression, anxiety, sleep quality, first-year students, university students, Chinese students, interaction effects, mental health
MeSH
humans, exercise, prevalence, follow-up studies, cross-sectional studies, mental health, anxiety disorders, depressive disorder, time factors, students, universities, adolescent, adult, china, female, male, young adult, self report, sleep wake disorders

5 authors

From CN

  • Qi FengWuhan University
  • Qing-le ZhangWuhan University
  • Yue DuWuhan University
  • Yong-ling YeWuhan University
  • Qiqiang He · correspondingWuhan University

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.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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