Physical activity and mental health in Chinese high school students: a cross-sectional study

Abstract Adolescent physical activity (PA) is essential for mental health. However, the declining PA levels amongst this group pose global challenges. This study examines the relationship between PA and mental health amongst 1668 Chinese high school students, focusing on gender and grade-level diffe...

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Main Authors: Zhiyi Xu, Fucheng Zhang, Meihua Su, Xiangdong Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-94397-0
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author Zhiyi Xu
Fucheng Zhang
Meihua Su
Xiangdong Wang
author_facet Zhiyi Xu
Fucheng Zhang
Meihua Su
Xiangdong Wang
author_sort Zhiyi Xu
collection DOAJ
description Abstract Adolescent physical activity (PA) is essential for mental health. However, the declining PA levels amongst this group pose global challenges. This study examines the relationship between PA and mental health amongst 1668 Chinese high school students, focusing on gender and grade-level differences. Only 30.9% of students met the recommended 60 min of daily moderate-to-vigorous PA (MVPA), with boys showing a significantly higher compliance rate than girls (44.2% vs. 25.2%, P < 0.001). MVPA compliance was linked to better mental health, as compliant students had a lower mental health detection rate (43.6%) compared with non-compliant peers (56.4%, P < 0.001). The grade 11 students were at the highest risk of mental health issues (OR = 2.421, 95% CI: 1.893–3.096 and P < 0.001), whilst being female (OR = 0.630, 95% CI: 0.502–0.791 and P < 0.001). Meanwhile, MVPA non-compliance (OR = 0.792, 95% CI: 0.736–0.851 and P = 0.008) were additional risk factors. Poorer mental health correlated with reduced time in vigorous PA and increased time in low-intensity activities (P = 0.001). These findings highlight the low PA levels and significant mental health risks amongst adolescents, particularly girls and grade 11 students. Targeted interventions promoting PA, time management and mental health support are critical.
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spelling doaj-art-31caa28c6a6e4b98b89c8576995e10a02025-08-20T02:51:24ZengNature PortfolioScientific Reports2045-23222025-03-0115111310.1038/s41598-025-94397-0Physical activity and mental health in Chinese high school students: a cross-sectional studyZhiyi Xu0Fucheng Zhang1Meihua Su2Xiangdong Wang3Physical Education Institute, Jimei UniversityPhysical Education Institute, Jimei UniversityPhysical Education Institute, Jimei UniversityPhysical Education Institute, Jimei UniversityAbstract Adolescent physical activity (PA) is essential for mental health. However, the declining PA levels amongst this group pose global challenges. This study examines the relationship between PA and mental health amongst 1668 Chinese high school students, focusing on gender and grade-level differences. Only 30.9% of students met the recommended 60 min of daily moderate-to-vigorous PA (MVPA), with boys showing a significantly higher compliance rate than girls (44.2% vs. 25.2%, P < 0.001). MVPA compliance was linked to better mental health, as compliant students had a lower mental health detection rate (43.6%) compared with non-compliant peers (56.4%, P < 0.001). The grade 11 students were at the highest risk of mental health issues (OR = 2.421, 95% CI: 1.893–3.096 and P < 0.001), whilst being female (OR = 0.630, 95% CI: 0.502–0.791 and P < 0.001). Meanwhile, MVPA non-compliance (OR = 0.792, 95% CI: 0.736–0.851 and P = 0.008) were additional risk factors. Poorer mental health correlated with reduced time in vigorous PA and increased time in low-intensity activities (P = 0.001). These findings highlight the low PA levels and significant mental health risks amongst adolescents, particularly girls and grade 11 students. Targeted interventions promoting PA, time management and mental health support are critical.https://doi.org/10.1038/s41598-025-94397-0Proactive healthPhysical activityMental healthHigh school studentsCross-sectional studyGender differences
spellingShingle Zhiyi Xu
Fucheng Zhang
Meihua Su
Xiangdong Wang
Physical activity and mental health in Chinese high school students: a cross-sectional study
Scientific Reports
Proactive health
Physical activity
Mental health
High school students
Cross-sectional study
Gender differences
title Physical activity and mental health in Chinese high school students: a cross-sectional study
title_full Physical activity and mental health in Chinese high school students: a cross-sectional study
title_fullStr Physical activity and mental health in Chinese high school students: a cross-sectional study
title_full_unstemmed Physical activity and mental health in Chinese high school students: a cross-sectional study
title_short Physical activity and mental health in Chinese high school students: a cross-sectional study
title_sort physical activity and mental health in chinese high school students a cross sectional study
topic Proactive health
Physical activity
Mental health
High school students
Cross-sectional study
Gender differences
url https://doi.org/10.1038/s41598-025-94397-0
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AT fuchengzhang physicalactivityandmentalhealthinchinesehighschoolstudentsacrosssectionalstudy
AT meihuasu physicalactivityandmentalhealthinchinesehighschoolstudentsacrosssectionalstudy
AT xiangdongwang physicalactivityandmentalhealthinchinesehighschoolstudentsacrosssectionalstudy