Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemic

BackgroundAdolescents faced increased psychological distress during the COVID-19 pandemic. While prior research suggests physical activity (PA) may mitigate depression and anxiety, findings have been inconsistent and rarely focus on adolescents during prolonged lockdowns. This study addresses this g...

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Main Authors: Hai-Ying Yang, Li-Hong Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1631978/full
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author Hai-Ying Yang
Li-Hong Sun
author_facet Hai-Ying Yang
Li-Hong Sun
author_sort Hai-Ying Yang
collection DOAJ
description BackgroundAdolescents faced increased psychological distress during the COVID-19 pandemic. While prior research suggests physical activity (PA) may mitigate depression and anxiety, findings have been inconsistent and rarely focus on adolescents during prolonged lockdowns. This study addresses this gap by evaluating the association between daily PA duration and mental health outcomes among Chinese adolescents during the pandemic.MethodsA cross-sectional online survey was conducted from June 1–30, 2020, among 1,142 adolescents aged 11–18 years in Pidu District, Chengdu City, China. Depressive and anxiety symptoms were assessed using the Center for Epidemiological Studies Depression Scale for Children (CES-DC) and the Generalized Anxiety Disorder 7-item scale (GAD-7), respectively. PA was self-reported and categorized as <30, 30–60, and >60 minutes/day. Logistic regression was used to estimate odds ratios (ORs) for depression (CES-DC >15) and anxiety (GAD-7 ≥5), using ≥30 min/day as the reference.ResultsDepressive symptoms were reported by 40.7% of participants and anxiety symptoms by 24.1%. Compared to adolescents with ≥30 min/day of PA, those with <30 min/day had significantly higher odds of depression (OR = 1.722, 95% CI: 1.342–2.226) and anxiety (OR = 1.653, 95% CI: 1.299–2.521). Additional independent predictors included female sex, sleep duration <6 hours, and self-reported decline in learning efficiency.ConclusionsInsufficient PA (<30 min/day) was independently associated with elevated depression and anxiety symptoms in adolescents during the pandemic. These findings support promoting ≥30 minutes of daily PA as a scalable, non-pharmacological strategy to protect adolescent mental health during public health emergencies.
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spelling doaj-art-6c4e1b5df3a14e45809aaa664fd6e7c22025-08-25T05:25:26ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.16319781631978Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemicHai-Ying Yang0Li-Hong Sun1School of Physical Education, Southwest Jiaotong University, Chengdu, Sichuan, ChinaSchool of Physical Education, Hubei Second Normal University, Wuhan, Hubei, ChinaBackgroundAdolescents faced increased psychological distress during the COVID-19 pandemic. While prior research suggests physical activity (PA) may mitigate depression and anxiety, findings have been inconsistent and rarely focus on adolescents during prolonged lockdowns. This study addresses this gap by evaluating the association between daily PA duration and mental health outcomes among Chinese adolescents during the pandemic.MethodsA cross-sectional online survey was conducted from June 1–30, 2020, among 1,142 adolescents aged 11–18 years in Pidu District, Chengdu City, China. Depressive and anxiety symptoms were assessed using the Center for Epidemiological Studies Depression Scale for Children (CES-DC) and the Generalized Anxiety Disorder 7-item scale (GAD-7), respectively. PA was self-reported and categorized as <30, 30–60, and >60 minutes/day. Logistic regression was used to estimate odds ratios (ORs) for depression (CES-DC >15) and anxiety (GAD-7 ≥5), using ≥30 min/day as the reference.ResultsDepressive symptoms were reported by 40.7% of participants and anxiety symptoms by 24.1%. Compared to adolescents with ≥30 min/day of PA, those with <30 min/day had significantly higher odds of depression (OR = 1.722, 95% CI: 1.342–2.226) and anxiety (OR = 1.653, 95% CI: 1.299–2.521). Additional independent predictors included female sex, sleep duration <6 hours, and self-reported decline in learning efficiency.ConclusionsInsufficient PA (<30 min/day) was independently associated with elevated depression and anxiety symptoms in adolescents during the pandemic. These findings support promoting ≥30 minutes of daily PA as a scalable, non-pharmacological strategy to protect adolescent mental health during public health emergencies.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1631978/fulladolescentsphysical activitydepressionanxietyCOVID-19mental health
spellingShingle Hai-Ying Yang
Li-Hong Sun
Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemic
Frontiers in Psychiatry
adolescents
physical activity
depression
anxiety
COVID-19
mental health
title Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemic
title_full Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemic
title_fullStr Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemic
title_full_unstemmed Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemic
title_short Impact of physical activity on symptoms of depression and anxiety in adolescents during the COVID-19 pandemic
title_sort impact of physical activity on symptoms of depression and anxiety in adolescents during the covid 19 pandemic
topic adolescents
physical activity
depression
anxiety
COVID-19
mental health
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1631978/full
work_keys_str_mv AT haiyingyang impactofphysicalactivityonsymptomsofdepressionandanxietyinadolescentsduringthecovid19pandemic
AT lihongsun impactofphysicalactivityonsymptomsofdepressionandanxietyinadolescentsduringthecovid19pandemic