Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program data

IntroductionThe relationship between physical activity and anxiety among students has been extensively studied, with research highlighting the protective effects of physical activity on mental well-being.MethodsThis article synthesizes existing literature on the topic and presents a novel analysis o...

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Main Authors: Samuel Encarnação, José Eduardo Teixeira, Pedro Forte, Luciano Bernardes Leite, Andrew Sortwell, Luís Branquinho, Ricardo Ferraz, Pedro Afonso, Paula Vaz, António Miguel Monteiro
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Sports and Active Living
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Online Access:https://www.frontiersin.org/articles/10.3389/fspor.2025.1509959/full
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author Samuel Encarnação
Samuel Encarnação
Samuel Encarnação
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
Pedro Forte
Pedro Forte
Pedro Forte
Luciano Bernardes Leite
Luciano Bernardes Leite
Andrew Sortwell
Andrew Sortwell
Luís Branquinho
Luís Branquinho
Luís Branquinho
Luís Branquinho
Ricardo Ferraz
Ricardo Ferraz
Pedro Afonso
Pedro Afonso
Paula Vaz
Paula Vaz
António Miguel Monteiro
António Miguel Monteiro
author_facet Samuel Encarnação
Samuel Encarnação
Samuel Encarnação
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
Pedro Forte
Pedro Forte
Pedro Forte
Luciano Bernardes Leite
Luciano Bernardes Leite
Andrew Sortwell
Andrew Sortwell
Luís Branquinho
Luís Branquinho
Luís Branquinho
Luís Branquinho
Ricardo Ferraz
Ricardo Ferraz
Pedro Afonso
Pedro Afonso
Paula Vaz
Paula Vaz
António Miguel Monteiro
António Miguel Monteiro
author_sort Samuel Encarnação
collection DOAJ
description IntroductionThe relationship between physical activity and anxiety among students has been extensively studied, with research highlighting the protective effects of physical activity on mental well-being.MethodsThis article synthesizes existing literature on the topic and presents a novel analysis of pre-exam anxiety rates among physically inactive high school students from 56 countries. Using data from the Programme for International Student Assessment (PISA) 2018, a hierarchical clustering method was applied to identify four clusters based on stratified country groups by the students' pre-exam anxiety levels.ResultsThe results indicated five clusters for low physically active students (three with higher anxiety rates and two with lower levels of the condition) and four clusters for the low physically active individuals (two for higher anxiety rates and two for lower levels). Furthermore, the hierarchical model worked with good precision in the clustering task. In conclusion, considering the low physically active students, Brazil (82%) and the Dominican Republic (81%) recorded the highest pre-exam anxiety levels, while the Czech Republic (35%) had the lowest. Among the physically active students, Malaysia (82%), Brazil (81%), and Costa Rica (81%) recorded the highest anxiety levels, whereas again, the Czech Republic (35%) had the lowest.DiscussionThese findings emphasize that although physical activity generally relates to reduced anxiety, this association varies across cultural and educational contexts.
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spelling doaj-art-8c207bb43dca41e08b0b714689caeb6e2025-08-20T03:30:28ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672025-07-01710.3389/fspor.2025.15099591509959Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program dataSamuel Encarnação0Samuel Encarnação1Samuel Encarnação2José Eduardo Teixeira3José Eduardo Teixeira4José Eduardo Teixeira5José Eduardo Teixeira6José Eduardo Teixeira7José Eduardo Teixeira8Pedro Forte9Pedro Forte10Pedro Forte11Luciano Bernardes Leite12Luciano Bernardes Leite13Andrew Sortwell14Andrew Sortwell15Luís Branquinho16Luís Branquinho17Luís Branquinho18Luís Branquinho19Ricardo Ferraz20Ricardo Ferraz21Pedro Afonso22Pedro Afonso23Paula Vaz24Paula Vaz25António Miguel Monteiro26António Miguel Monteiro27Department of Sports Sciences and Physical Education, Instituto Politécnico de Bragança, Bragança, PortugalDepartment of Physical Education, Sport and Human Movement, Universidad Autónoma de Madrid (UAM), Ciudad Universitaria de Cantoblanco, Madrid, SpainResearch Centre for Active Living and Wellbeing (Livewell), Instituto Politécnico de Bragança, Bragança, PortugalResearch Centre for Active Living and Wellbeing (Livewell), Instituto Politécnico de Bragança, Bragança, PortugalDepartment of Sports Sciences, Polytechnic of Guarda, Guarda, PortugalDepartment of Sports Sciences, Polytechnic of Cávado and Ave, Guimarães, PortugalSPRINT—Sport Physical Activity and Health Research & Innovation Center, Guarda, PortugalResearch Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Covilhã, PortugalCI-ISCE, Instituto Superior de Ciências Educativas do Douro (ISCE Douro), Penafiel, PortugalResearch Centre for Active Living and Wellbeing (Livewell), Instituto Politécnico de Bragança, Bragança, PortugalCI-ISCE, Instituto Superior de Ciências Educativas do Douro (ISCE Douro), Penafiel, PortugalDepartment of Sports Sciences, Instituto Politécnico de Bragança, Bragança, PortugalDepartment of Sports Sciences, Instituto Politécnico de Bragança, Bragança, Portugal0Department of Physical Education, Universidade Federal de Viçosa, Viçosa, BrazilResearch Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Covilhã, Portugal1School of Health Sciences and Physiotherapy, University of Notre Dame Australia, Sydney, NSW, AustraliaResearch Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Covilhã, PortugalCI-ISCE, Instituto Superior de Ciências Educativas do Douro (ISCE Douro), Penafiel, Portugal2Biosciences Higher School of Elvas, Polytechnic Institute of Portalegre, Portalegre, Portugal;3Life Quality Research Centre (CIEQV), Portalegre, PortugalResearch Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Covilhã, Portugal4Department of Sports Sciences, University of Beira Interior, Covilhã, Portugal2Biosciences Higher School of Elvas, Polytechnic Institute of Portalegre, Portalegre, Portugal;5Department of Sports Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, PortugalDepartment of Sports Sciences and Physical Education, Instituto Politécnico de Bragança, Bragança, Portugal6Centro de Investigação em Educação Básica (CIEB), Instituto Politécnico de Bragança, Bragança, PortugalResearch Centre for Active Living and Wellbeing (Livewell), Instituto Politécnico de Bragança, Bragança, PortugalDepartment of Sports Sciences, Instituto Politécnico de Bragança, Bragança, PortugalIntroductionThe relationship between physical activity and anxiety among students has been extensively studied, with research highlighting the protective effects of physical activity on mental well-being.MethodsThis article synthesizes existing literature on the topic and presents a novel analysis of pre-exam anxiety rates among physically inactive high school students from 56 countries. Using data from the Programme for International Student Assessment (PISA) 2018, a hierarchical clustering method was applied to identify four clusters based on stratified country groups by the students' pre-exam anxiety levels.ResultsThe results indicated five clusters for low physically active students (three with higher anxiety rates and two with lower levels of the condition) and four clusters for the low physically active individuals (two for higher anxiety rates and two for lower levels). Furthermore, the hierarchical model worked with good precision in the clustering task. In conclusion, considering the low physically active students, Brazil (82%) and the Dominican Republic (81%) recorded the highest pre-exam anxiety levels, while the Czech Republic (35%) had the lowest. Among the physically active students, Malaysia (82%), Brazil (81%), and Costa Rica (81%) recorded the highest anxiety levels, whereas again, the Czech Republic (35%) had the lowest.DiscussionThese findings emphasize that although physical activity generally relates to reduced anxiety, this association varies across cultural and educational contexts.https://www.frontiersin.org/articles/10.3389/fspor.2025.1509959/fullanxiousnessunsupervised machine learningteenshealthy lifestylesocial protection
spellingShingle Samuel Encarnação
Samuel Encarnação
Samuel Encarnação
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
José Eduardo Teixeira
Pedro Forte
Pedro Forte
Pedro Forte
Luciano Bernardes Leite
Luciano Bernardes Leite
Andrew Sortwell
Andrew Sortwell
Luís Branquinho
Luís Branquinho
Luís Branquinho
Luís Branquinho
Ricardo Ferraz
Ricardo Ferraz
Pedro Afonso
Pedro Afonso
Paula Vaz
Paula Vaz
António Miguel Monteiro
António Miguel Monteiro
Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program data
Frontiers in Sports and Active Living
anxiousness
unsupervised machine learning
teens
healthy lifestyle
social protection
title Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program data
title_full Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program data
title_fullStr Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program data
title_full_unstemmed Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program data
title_short Hierarchical clustering of the pre-exam anxiety levels in physically inactive and active adolescent students from 56 countries: an observational study using PISA program data
title_sort hierarchical clustering of the pre exam anxiety levels in physically inactive and active adolescent students from 56 countries an observational study using pisa program data
topic anxiousness
unsupervised machine learning
teens
healthy lifestyle
social protection
url https://www.frontiersin.org/articles/10.3389/fspor.2025.1509959/full
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