Sascha Thal , Chloe Graham , Nikos Ntoumanis , Bronwyn Myers , Stephen Bright , Jocelyn Jones , Eleanor Quested
{"title":"Fostering physical activity motivation at substance use disorder treatment facilities: A qualitative study grounded in self-determination theory","authors":"Sascha Thal , Chloe Graham , Nikos Ntoumanis , Bronwyn Myers , Stephen Bright , Jocelyn Jones , Eleanor Quested","doi":"10.1016/j.mhpa.2024.100650","DOIUrl":"10.1016/j.mhpa.2024.100650","url":null,"abstract":"<div><h3>Background and aims</h3><div>Studies have found inconclusive results for the effects of physical activity (PA) interventions on substance use, mental health, and physiological health of people experiencing substance use disorders (SUDs). To improve PA interventions for individuals with SUDs, a deeper understanding of the underlying motivational processes is imperative. This study employs self-determination theory as a framework to explore factors impacting PA motivation in SUD treatment contexts.</div></div><div><h3>Methods</h3><div>A qualitative research design utilising semi-structured interviews explored the experiences and perspectives of five people with lived or living experience of SUD treatment and five stakeholders within SUD treatment facilities across Western Australia. A reflexive thematic analysis was employed for the data analysis.</div></div><div><h3>Results</h3><div>Five themes were developed: (i) Belonging to a Community, describing the sense of community fostered by group PA (ii) Mind, Body, and Soul, outlining the impact of PA on mental and physical well-being and sense of self; (iii) Physical Activity and Recovery Integration, describing how structured PA supports individuals transitioning from SUD treatment to community environments, (iv) Goals and Rewards, illustrating how setting goals fosters a sense of accomplishment, and (v) Safe Space, describing the importance of creating safe environments for PA exploration.</div></div><div><h3>Conclusion</h3><div>Insights gained from this study could be used to design PA interventions that address individuals’ basic psychological needs and promote more autonomous motivation while fostering peer connections, PA knowledge, and independence. These implementations may lead to greater PA engagement and adherence.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100650"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evan Matthews , Hannah Fabian , Martina Gooney , Denise Rogers , Joseph Firth
{"title":"An integrative overview of physical activity for people with opioid use disorder","authors":"Evan Matthews , Hannah Fabian , Martina Gooney , Denise Rogers , Joseph Firth","doi":"10.1016/j.mhpa.2024.100651","DOIUrl":"10.1016/j.mhpa.2024.100651","url":null,"abstract":"<div><h3>Background</h3><div>People with and in recovery from opioid use disorder face a burden of poor physical and mental health. However, an emergent and growing body of evidence shows that physical activity has a multidimensional therapeutic potential to help people with opioid use disorders during recovery.</div></div><div><h3>Methods</h3><div>We conducted a narrative review that incorporated a broad range of quantitative and qualitative evidence, in addition to key review evidence, to offer an overview of the benefits of physical activity on (i) abstinence and related outcomes, (ii) other mental health and cognitive outcomes, (iii) physical health outcomes, (iv) social health and wellbeing outcomes. We also discuss the evidence for (v) physical activity levels and behaviour in people with opioid use disorder, (vi) and, key factors of influences on physical activity behaviour among people with opioid use disorder. The article concludes with key recommendations for future research and practice.</div></div><div><h3>Results</h3><div>A limited body of evidence exists for using physical activity to improve outcomes of abstinence, improved physical health, mental health and social health among people with opioid use disorder. To date, such interventions are somewhat limited in quality and scale, and few have examined effects beyond light and moderate intensity, including high intensity PA and resistance exercise intervention. People with opioid use disorder appear to have nuanced physical activity behaviours that are influenced by a plethora of individual, interpersonal and environmental factors. Such populations also typically have low levels of physical activity, but more research is required to understand this.</div></div><div><h3>Conclusion</h3><div>There is an apparent need for integrated efforts to improve opportunities for physical activity as part of treatment for opioid use disorders. There is also a need for the inclusion of people with opioid use disorder in PA implementation research.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100651"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bruno Marson Malagodi , Marcia Greguol , Vagner Deuel de Oliveira Tavares , Attilio Carraro , Helio Serassuelo Júnior
{"title":"Acute effect of different types of moderate intensity physical exercise on affective response and mood state in individuals with substance use disorder","authors":"Bruno Marson Malagodi , Marcia Greguol , Vagner Deuel de Oliveira Tavares , Attilio Carraro , Helio Serassuelo Júnior","doi":"10.1016/j.mhpa.2024.100634","DOIUrl":"10.1016/j.mhpa.2024.100634","url":null,"abstract":"<div><div>Substance use disorder (SUD) affects a significant percentage of people around the world, negatively influencing aspects of physical and mental health. Physical exercise can promote acute and chronic effects on the affective response and mood of individuals and has shown promising effects in all phases of rehabilitation. The objective of this study was to verify the acute effects of two types of physical exercises at moderate intensity on the mood state and on the affective response of individuals hospitalized for the treatment of SUD. For this purpose, 43 individuals (31 men and 12 women) underwent two physical exercise sessions (one aerobic and one functional) and a control session. Before and immediately after the sessions, subjects answered questionnaires about mood, affective valence, and perceived arousal. Generalized estimating equations (GEE) followed by the Bonferroni post hoc test were used to assess the effect of timing and session on the variables. The results showed significant improvements after both physical exercise sessions in mood (reduction in levels of tension, depression, anger, fatigue, and confusion) and in affective valences (feeling of pleasure and arousal perception), with no changes after the control session. It is observed that different types of physical exercises can positively impact the mental health of individuals undergoing treatment for SUD and should be used as a non-pharmacological strategy in the rehabilitation process.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100634"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emmanuel Ekpor , Samuel Akyirem , Precious Adade Duodu , Jonathan Bayuo , Veronica Brady
{"title":"Examining the longitudinal effect of depressive symptoms on physical activity in persons with type 2 diabetes during the COVID-19 pandemic","authors":"Emmanuel Ekpor , Samuel Akyirem , Precious Adade Duodu , Jonathan Bayuo , Veronica Brady","doi":"10.1016/j.mhpa.2024.100647","DOIUrl":"10.1016/j.mhpa.2024.100647","url":null,"abstract":"<div><h3>Background and aims</h3><div>The American Diabetes Association recommends that individuals with type 2 diabetes (T2D) engage in at least 150 min of physical activity per week for optimal health. However, depressive symptoms, prevalent in this population, may hinder the ability to follow this recommendation, particularly during stressful events like the COVID-19 pandemic. This longitudinal study aimed at investigating the impact of depressive symptoms on physical activity levels among individuals with T2D during the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>We analyzed data from 5348 individuals with T2D participating in the All of Us Research Program's COVID-19 Participant Experience (COPE) survey. Depressive symptoms and physical activity levels were measured using the Patient Health Questionnaire (PHQ-9) and the International Physical Activity Questionnaire (IPAQ), respectively. Stabilized inverse probability weights (sIPW)-weighted mixed-effect logistic regression models evaluated the association between depressive symptoms and physical activity across three time points: May, June, and July 2020.</div></div><div><h3>Results</h3><div>Participants had a mean age of 61.43 (11.63) years, with majority being female (56.49%) and non-Hispanic White (76.25%). At baseline, 50% of the participants had moderate-to-severe depressive symptoms, and 20% were physically active. The predicted probability of being physically active decreased with increasing depressive symptoms (aOR = 0.66; 95%CI: 0.60, 0.73). The inverse association between depressive symptoms and physical activity was strongest among non-Hispanic White.</div></div><div><h3>Conclusions</h3><div>Depressive symptoms were significantly associated with lower odds of engaging in physical activity among individuals with T2D during the COVID-19 period. Further studies capturing pre- and post-pandemic data are needed to clarify the pandemic's impact on these associations.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100647"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonio Baena-Extremera , Cristina Martín-Pérez , Andrés Catena , Julio Fuentesal-García
{"title":"Green exercise versus indoor urban exercise: Related frontal brain thickness and cognitive performance","authors":"Antonio Baena-Extremera , Cristina Martín-Pérez , Andrés Catena , Julio Fuentesal-García","doi":"10.1016/j.mhpa.2024.100649","DOIUrl":"10.1016/j.mhpa.2024.100649","url":null,"abstract":"<div><h3>Background and aims</h3><div>This study compared, for the first time, cognitive function, and the cortical thickness of frontal areas in healthy adults who exercise regularly in outdoor green spaces (\"green exercise group,\" GEG; n = 22, mean age = 39.91 years, females = 11) with those who exercise in indoor urban settings (\"urban exercise group,\" UEG; n = 25, mean age = 40 years, females = 11). We further explored the associations between frontal brain thickness and cognitive measures in each group separately.</div></div><div><h3>Method</h3><div>Forty-seven healthy adults participated. All underwent a neuropsychological evaluation for short-term memory, working memory, and attention. High-resolution T1-weighted 3D magnetic resonance imaging (MRI) scans were acquired for each participant. The thickness of frontal brain regions was extracted and exported to JASP software for statistical analyses.</div></div><div><h3>Results</h3><div>The GEG performed better on working memory and short-term memory tasks compared to the UEG. Additionally, the GEG exhibited increased thickness in the right anterior cingulate cortex (rACC) and the right superior frontal sulcus (rSFS). These areas were associated with short-term memory within the GEG. Fisher's test and Zou's intervals revealed that only the correlation between the rSFS and short-term memory was significantly different between the UEG and GEG.</div></div><div><h3>Conclusion</h3><div>These findings suggest that exercising in outdoor natural areas might be related to better cognitive function and greater brain thickness in frontal areas. This study will contribute to the growing body of evidence linking brain, cognition and exercising in natural areas. Further research is needed to confirm these findings and explore the underlying mechanisms.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100649"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christian Swann , Darren Wagner , Melanie M. Clarke , Scott G. Goddard , Grace McKeon , Simon Rosenbaum , Stewart A. Vella , Megan Teychenne
{"title":"Is there a need for mental health informed goal setting in physical activity?","authors":"Christian Swann , Darren Wagner , Melanie M. Clarke , Scott G. Goddard , Grace McKeon , Simon Rosenbaum , Stewart A. Vella , Megan Teychenne","doi":"10.1016/j.mhpa.2024.100648","DOIUrl":"10.1016/j.mhpa.2024.100648","url":null,"abstract":"<div><div>Goals are standard practice when promoting physical activity for mental health and wellbeing and for the management of mental health disorders. While there are benefits of setting physical activity goals, there are also known risks, side-effects, and detrimental outcomes. We illustrate how these can potentially exacerbate mental health symptoms. Given the high rates of mental health disorders worldwide, we argue that mental health informed goal setting is needed in physical activity and may be relevant to hundreds of millions of people worldwide. We present recommendations for setting mental health informed physical activity goals to minimise/avoid the risks of exacerbating mental health symptoms as well as maximising benefits for both physical and mental health.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100648"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exercising with virtual reality is potentially better for the working memory and positive mood than cycling alone","authors":"Genta Ochi , Ken Ohno , Ryuta Kuwamizu , Koya Yamashiro , Tomomi Fujimoto , Koyuki Ikarashi , Naoki Kodama , Hideaki Onishi , Daisuke Sato","doi":"10.1016/j.mhpa.2024.100641","DOIUrl":"10.1016/j.mhpa.2024.100641","url":null,"abstract":"<div><h3>Background and aims</h3><div>Although virtual reality (VR) exercise has attracted attention as a factor in exercise habituation due to its mood-enhancing effects, its impact on brain function remains unclear. This study aimed to explore how VR exercise affects working memory, a key executive function, and its underlying neural mechanisms.</div></div><div><h3>Methods</h3><div>The study involved 23 healthy university students who engaged in exercise in a VR environment. Outcomes included cardiorespiratory and psychological assessments, as well as functional magnetic resonance imaging (fMRI).</div></div><div><h3>Results</h3><div>Our findings indicate that a 10-min VR exercise session improved mood (vitality level) and working memory task performance (3-back task) more effectively than exercise or rest alone. Furthermore, the results confirmed that increased vitality from both exercise and VR exercise interventions was associated with improved 3-back task performance. However, specific brain regions contributing to this enhancement remain unidentified.</div></div><div><h3>Conclusion</h3><div>These results highlight VR exercise as an optimal exercise program for enhancing working memory function by increasing vitality levels. These insights underscore the potential of VR as a novel exercise modality, with benefits extending beyond exercise adherence to potentially prevent dementia and depression.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100641"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identification of relevant mental health indicators for European community-based health enhancing physical activity initiatives: An adapted Delphi study","authors":"Aisling McGrath , Evan Matthews , Niamh Murphy , Ilse Oostveen , Annemarie Wagemakers , Kirsten Verkooijen","doi":"10.1016/j.mhpa.2024.100638","DOIUrl":"10.1016/j.mhpa.2024.100638","url":null,"abstract":"<div><div>Health enhancing physical activity (HEPA) initiatives can improve mental health; however there is a lack of standardised measures to evaluate mental health impact. This study aimed to identify the relevant indicators of mental health and well-being in community-based HEPA initiatives in Europe as determined by specialists and practitioners in the field, and understand assessment methods commonly used.</div><div>An adapted, two round, Delphi method was conducted with N = 20 specialists (practitioners and academics) in the field of mental health and physical activity from Denmark, the Netherlands, the UK, and Ireland. Specialists selected the most important indicators and agreed consensus on definitions and operationalisation, where consensus ≥50% signified important indicators.</div><div>Specialists compiled 66 (n = 21 outcome, n = 45 determinant) indicators. Top rated indicators for the evaluation of HEPA initiatives were self-rated mental health (69.2%), physical activity (69.2%) life satisfaction (53.8%), stress (53.8%), loneliness (53.8%), social participation, network, connection and support (53.8%). Consensus on definition and application of the nine indicators varied (44.4%–100%), with no consensus on a standardised measurement tool reached, although specialists pointed to the need for culturally sensitive measurement tools.</div><div>While this study highlights a lack of conformity for evaluating mental health and wellbeing outcomes, it suggests utility in an agreed definition and application of nine indicators for the evaluation of HEPA initiatives, with social determinants of particularly high importance across the relevant contexts. Further research is recommended to develop guidance on pragmatic measurement tools that can be utilised across other (European) countries and their implementation tested.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100638"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhongting Liu , Yanxia Chen , Fabian Herold , Boris Cheval , Ryan S. Falck , Arthur F. Kramer , Markus Gerber , André O. Werneck , Ruopeng An , Megan Teychenne , Neville Owen , Liye Zou
{"title":"Linking social determinants of health to mental health, movement behaviors, and cognitive function among U.S. youth","authors":"Zhongting Liu , Yanxia Chen , Fabian Herold , Boris Cheval , Ryan S. Falck , Arthur F. Kramer , Markus Gerber , André O. Werneck , Ruopeng An , Megan Teychenne , Neville Owen , Liye Zou","doi":"10.1016/j.mhpa.2024.100639","DOIUrl":"10.1016/j.mhpa.2024.100639","url":null,"abstract":"<div><h3>Background</h3><div>Few studies have focused on a comprehensive view of social determinants of health (SDOH) domains as influences on the health of young people. This study aimed to investigate the associations between the Healthy people 2030 SDOH-related domains (i.e., economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context) with mental health, movement behaviors, and cognitive function among U.S. youth.</div></div><div><h3>Methods</h3><div>This cross-sectional study used nationally representative data from the 2020–2021 National Survey of Children's Health, covering 54,595 youth aged 6–17 years. The associations of indicators of SDOH-related domains with mental health (depression and anxiety), movement behaviors (physical activity and screen-based sedentary behavior), and cognitive function were estimated using multivariable logistic regression models, adjusting for age, sex, and race.</div></div><div><h3>Results</h3><div>Economic stability, education access and quality, health care access and quality, and social and community context were associated with at least one outcome measure of mental health, movement behaviors, and cognitive function, while neighborhood and built environment was associated with mental health and movement behaviors. The social and community context domain stood out, with friendship difficulty and household-based adverse childhood experiences being associated with poorer outcomes on most health indicators.</div></div><div><h3>Conclusion</h3><div>All five SDOH-related domains are related to aspects of youth health, with the social and community context domain showing the most associations, highlighting the need for interventions to improve social connection and address adverse childhood experiences, which may be more impactful in ameliorating many health-related challenges.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100639"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhihui Cheng , Fabian Herold , Kaiqi Guan , Yanping Gao , Markus Gerber , André Oliveira Werneck , Fred Paas , Peter A. Hall , Yanxia Chen , Liye Zou
{"title":"Prospective associations between physical activity and internalizing/externalizing problems in preterm youth across 7 years","authors":"Zhihui Cheng , Fabian Herold , Kaiqi Guan , Yanping Gao , Markus Gerber , André Oliveira Werneck , Fred Paas , Peter A. Hall , Yanxia Chen , Liye Zou","doi":"10.1016/j.mhpa.2024.100646","DOIUrl":"10.1016/j.mhpa.2024.100646","url":null,"abstract":"<div><h3>Objectives</h3><div>Physical activity (PA) is associated with better mental health in youth. However, most studies involving preterm-born youth and studying the associations between PA and mental health used a cross-sectional design, which limits our understanding of the long-term, dynamic associations between PA and internalizing/externalizing problems in this age group. To address this knowledge gap, this study aims to examine the prospective associations between the time spent in different PA intensity levels and internalizing/externalizing problems in preterm youth.</div></div><div><h3>Methods</h3><div>In this study, a total of 349 children and adolescents from the Millennium Cohort Study were followed at 7, 11, and 14 years. PA levels were measured using accelerometers at 7 years, and internalizing/externalizing problems were measured at 7 years, 11 years, and 14 years. To determine the associations between the time spent in different PA intensity levels and later internalizing/externalizing problems in preterm youth, linear regression models were performed after adjusting for confounding variables such as gender, ethnicity, and sedentary behavior.</div></div><div><h3>Results</h3><div>Significant associations between moderate-to-vigorous-intensity PA (MVPA) at 7 years and lower internalizing problems at 11 years (<em>β</em> = −0.024, 95% <em>CI</em>: 0.037, −0.010, <em>p</em> = 0.001) and at 14 years (<em>β</em> = −0.023, 95% <em>CI</em>: 0.037, −0.009, <em>p</em> = 0.001], <em>p</em> = 0.001) were observed.</div></div><div><h3>Conclusions</h3><div>Among preterm youth, MVPA is prospectively associated with lower internalizing problems, whereas no significant association was found between MVPA and externalizing problems. Thus, future research should investigate how early PA interventions can influence trajectories of internalizing problems in preterm youth.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"27 ","pages":"Article 100646"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}