{"title":"Physical activity is associated with subsequent affective well-being in day hospital patients with a diagnosis of depression: A combined ecological momentary assessment and accelerometry study","authors":"Usama EL-Awad , Justin Hachenberger , Udo Schneider , Sakari Lemola","doi":"10.1016/j.mhpa.2025.100700","DOIUrl":"10.1016/j.mhpa.2025.100700","url":null,"abstract":"<div><h3>Background and aims</h3><div>Physical activity is linked to improved affective well-being in individuals with depression, but its effects in day hospital settings have not been studied yet.</div></div><div><h3>Methods</h3><div>Thirty-two patients (<em>M</em><sub>age</sub> = 39.09, <em>SD</em> = 13.49; 46.9 % females) completed baseline questionnaires and a 14-day survey using the Experience Sampling Method (ESM) via a mobile app to report on affective states and physical activity, resulting in 1574 observations. Wrist accelerometers measured physical activity objectively during this period.</div></div><div><h3>Results</h3><div>Both subjective and objective physical activity were positively associated with positive affect, irrespective of patient characteristics such as age, gender, BMI, baseline depression severity, the presence of additional somatic diagnoses, antidepressant use, and whether measurements were taken on weekdays in day hospital care or on weekends when patients were at home.</div></div><div><h3>Conclusion</h3><div>Physical activity is associated with momentary improvements in positive affect in day hospital patients, independent of patient characteristics. Future research should investigate the role of these effects for longer-term improvement in depressive symptoms and study contextual influences, such as indoor versus outdoor activity.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100700"},"PeriodicalIF":2.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144312654","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}
Charlie Schillemans , Stynke Castelein , Kirsty Lynn de Vreede , Harm Jan Rogier Hoenders , Sanne Henrieke Booij
{"title":"Assessing physical activity and sedentary behavior in people with mental Illnesses: Do actigraphy and daily self-report measures agree?","authors":"Charlie Schillemans , Stynke Castelein , Kirsty Lynn de Vreede , Harm Jan Rogier Hoenders , Sanne Henrieke Booij","doi":"10.1016/j.mhpa.2025.100699","DOIUrl":"10.1016/j.mhpa.2025.100699","url":null,"abstract":"<div><h3>Background and aims</h3><div>Moderate to vigorous physical activity (MVPA) and sedentary behavior are important factors for somatic and mental health. However, less than half of the people with mental illness (MI) complies with the norms for physical activity. For improving their physical activity with interventions, accurate measurement methods are essential. Actigraphy and diaries are used to measure physical activity in people with a MI, but little is known about how they compare in this group. This study investigates the agreement between actigraphy and daily diaries for assessing MVPA and sedentary behavior in people with a MI.</div></div><div><h3>Methods</h3><div>As part of a pilot-RCT on a lifestyle intervention, twenty transdiagnostic outpatients wore actigraphy and filled in evening diaries for 2 × 14 days (before/after intervention period) (t = 429 paired observations), measuring daily minutes of MVPA and sedentary time. A mixed-model limits of agreement (LoA) method was used to calculate the mean bias between the measurement methods, which was compared to the clinical accepted difference (MVPA: 10 min, sedentary time: 60 min). Bland-Altman plots were examined on patterns.</div></div><div><h3>Results</h3><div>The mean bias between actigraphy and diaries was −29 min (95 % LoA −122 to 64) for MVPA and −165 min (95 % LoA −584 to 253) for sedentary time; diaries underreported more than clinically acceptable compared to actigraphy. Post-hoc analysis indicated that the bias differed between volume levels.</div></div><div><h3>Conclusions</h3><div>Actigraphy and daily diaries appear incomparable in MI. Follow-up research is needed to uncover the nature of these differences and ways to overcome them. Until then, it is recommendable to use both.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100699"},"PeriodicalIF":2.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254403","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":"Exercise types for efficacy and adherence in adolescents and young adults with depression: A systematic review with network meta-analysis","authors":"Ting Fan, Geng Li, Chengzhen Liu","doi":"10.1016/j.mhpa.2025.100696","DOIUrl":"10.1016/j.mhpa.2025.100696","url":null,"abstract":"<div><h3>Background</h3><div>While existing research shows that exercise can positively influence depression, it remains uncertain whether the efficacy and adherence of different exercise types on depressed adolescents and young adults differ.</div></div><div><h3>Aims</h3><div>This study performed a network meta-analysis of randomized controlled trials (RCTs) to determine the relative efficacy and adherence of exercise types in adolescents and young adults with depression.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in PubMed, The Cochrane Library, PsycINFO, Web of Science, Scopus, CNKI, and Wanfang, with the initial search covering studies up to October 2023 and an updated search performed in April 2025 to ensure inclusion of the most recent evidence. Studies comparing the efficacy and adherence of aerobic exercise, resistance exercise, mind-body exercise, or mixed exercise to usual care in adolescents and young adults with depression were included. Network meta-analysis with frequentist approaches was used for analysis in Stata 16.0.</div></div><div><h3>Results</h3><div>We included 48 randomized controlled trials comprising 3872 participants. Aerobic, resistance, mind-body, and mixed exercise interventions all demonstrated significant efficacy in alleviating depressive symptoms (<em>p</em> < 0.05), with adherence rates comparable to those observed in usual care (<em>p</em> > 0.05). Notably, resistance exercise emerged as the most effective approach, ranking highest in both reducing depression (SUCRA = 81.3) and sustaining adherence (SUCRA = 73.29). Additionally, intervention efficacy was significantly moderated by both the duration of the intervention and the average age of participants.</div></div><div><h3>Conclusion</h3><div>These findings highlight the superiority of resistance exercise in treating depression among adolescents and young adults. Moreover, intervention duration and mean participant age were identified as key factors influencing treatment efficacy. Together, these results offer valuable evidence to inform clinical decision-making and enhance current guidelines for managing depression in this vulnerable population.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100696"},"PeriodicalIF":2.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222298","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}
Kaiqi Guan , Jiayi Yang , Boris Cheval , Matthew Health , Fabian Herold , André O. Werneck , Cassandra J. Lowe , Mats Hallgren , Benjamin Tari , Dominika Pindus , Ryan S. Falck , Markus Gerber , Justin A. Haegele , Arthur F. Kramer , Neville Owen , Charles H. Hillman , Tianyou Guo , Liye Zou
{"title":"Cross-sectional and longitudinal associations between sedentary behavior and behavioral problems in children with overweight/obesity","authors":"Kaiqi Guan , Jiayi Yang , Boris Cheval , Matthew Health , Fabian Herold , André O. Werneck , Cassandra J. Lowe , Mats Hallgren , Benjamin Tari , Dominika Pindus , Ryan S. Falck , Markus Gerber , Justin A. Haegele , Arthur F. Kramer , Neville Owen , Charles H. Hillman , Tianyou Guo , Liye Zou","doi":"10.1016/j.mhpa.2025.100698","DOIUrl":"10.1016/j.mhpa.2025.100698","url":null,"abstract":"<div><h3>Background</h3><div>Sedentary behaviors (ST) are linked to children's mental health, including internalizing and externalizing problems. Research on these associations in children with overweight/obesity is limited. To this end, we examined cross-sectional and longitudinal associations between sedentary time (ST) and behavioral problems in children with overweight/obesity, followed by an investigation of potential sex-related differences.</div></div><div><h3>Methods</h3><div>We included 2273 children with overweight/obesity (49.9 % boys) from the UK Millennium Cohort Study. Accelerometer-measured sedentary time (ST) and MVPA were collected at age 7, and behavioral problems were assessed at ages 7 and 11 via the Strengths and Difficulties Questionnaire (SDQ). General linear models were used to examine how ST at 7 years of age was cross-sectionally and longitudinally associated with externalizing and internalizing, while ethnicity, SDQ scores, parental psychological distress, highest parental education, household poverty, and moderate-to-vigorous physical activity (MVPA) were statistically controlled. These analyses are followed by an analysis investigating sex-related differences.</div></div><div><h3>Results</h3><div>In the cross-sectional analyses, more ST was associated with fewer externalizing problems at 7 years among boys (β: −0.008, 95 % CI: −0.013, −0.003) and girls (β: −0.006, 95 % CI: −0.011, −0.001) without controlling for MVPA. More ST at 7 years was associated with fewer externalizing problems (β: −0.010, 95 %CI: −0.015, −0.004) only among boys when adjusting for MVPA. In the longitudinal analysis, more ST at 7 years was associated with fewer externalizing problems at 11 years for boys (β: −0.006, 95 %CI: −0.010, −0.001) and girls (β: −0.007, 95 %CI: −0.012, −0.002) without controlling for MVPA. When adjusting for MVPA at 7 years, more ST at 7 years was associated with fewer externalizing problems at 11 years for girls (β: −0.006, 95 %CI: −0.013, 0.000).</div></div><div><h3>Conclusions</h3><div>In overweight/obese children, device-measured ST at the age of 7 years predicted fewer caregiver-reported externalizing problems at the age of 11 years, with boys showing stronger cross-sectional and girls longitudinal associations after MVPA adjustment. This suggests that the behavioral relationship of ST differs by sex and developmental stage, potentially warranting context-specific interventions to counteract its negative mental health influence.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100698"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195865","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}
Youngyun Jin , Jinkyung Cho , Taewan Kim , Donghyun Kim
{"title":"Non-exercise estimation of Cardiorespiratory fitness as a mediator in the relationship between physical comorbidity and depression among Korean cancer Survivors: Evidence from KNHANES 2016–2020","authors":"Youngyun Jin , Jinkyung Cho , Taewan Kim , Donghyun Kim","doi":"10.1016/j.mhpa.2025.100697","DOIUrl":"10.1016/j.mhpa.2025.100697","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to explore the relationship between physical comorbidity (PC) and depression among Korean adult cancer survivors, investigating the potential mediating role of non-exercise estimation of cardiorespiratory fitness (eCRF).</div></div><div><h3>Methods</h3><div>Data from 448 cancer survivors aged 20–64 years participating in the Korean National Health and Nutrition Examination Survey Ⅶ–Ⅷ (2016–2020) were analyzed. Depression was assessed using the 9-item Patient Health Questionnaire (PHQ-9). Subjects were categorized into two groups: normal and depression. PC was defined as a participant diagnosis by a physician or treatment at the time of the survey. eCRF was determined using sex and age-specific algorithms.</div></div><div><h3>Results</h3><div>A higher number of PC and lower eCRF were associated with an increased risk of depressive symptoms in cancer survivors. Additionally, the mediation analysis showed that eCRF mediated the relationship between PC and PHQ-9 scores (indirect effect = 0.013, bootstrap 95 %CI = 0.006 to 0.021), even after adjusting for covariates. The total effects of PC on the PHQ-9 score was 8.4 %, explaining the relationship.</div></div><div><h3>Conclusion</h3><div>These findings highlight the importance of regular physical activity to enhance cardiorespiratory fitness, a critical component of holistic survivorship care. Early physical activity interventions should be integrated into clinical practice to prevent depression in cancer survivors with chronic diseases.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100697"},"PeriodicalIF":2.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144241629","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}
Yu-Bu Wang , Marcelo Bigliassi , Boris Cheval , Qian Yu , Silvio Maltagliati , Zhihao Zhang , Fabian Herold , Yanxia Chen , Olivier Dupuy , Yanping Gao , Meijun Hou , Layan Fessler , Jin Kuang , Markus Gerber , Matthew Heath , Dominika M. Pindus , Zhi-Xiong Mao , Peter C. Terry , Liye Zou
{"title":"Effects of self-selected audiovisual stimuli on affective responses and cortical oxygenation in the prefrontal cortex during acute endurance exercise: An fNIRS study","authors":"Yu-Bu Wang , Marcelo Bigliassi , Boris Cheval , Qian Yu , Silvio Maltagliati , Zhihao Zhang , Fabian Herold , Yanxia Chen , Olivier Dupuy , Yanping Gao , Meijun Hou , Layan Fessler , Jin Kuang , Markus Gerber , Matthew Heath , Dominika M. Pindus , Zhi-Xiong Mao , Peter C. Terry , Liye Zou","doi":"10.1016/j.mhpa.2025.100688","DOIUrl":"10.1016/j.mhpa.2025.100688","url":null,"abstract":"<div><h3>Objectives</h3><div>Using audiovisual stimuli during exercise is an effective strategy to enhance pleasure, which is crucial for sustaining exercise. According to self-determination theory, self-selected audiovisual stimuli may boost autonomy and intrinsic motivation. However, the effects of self-selected audiovisual stimuli remain inconclusive. Thus, this study examines the impact of self-selected audiovisual stimuli on affective responses and prefrontal oxygenation during acute endurance exercise.</div></div><div><h3>Methods</h3><div>Twenty-nine physically inactive individuals (<em>M</em><sub>age</sub> = 19.6, <em>SD</em> = 1.4 years, 3 males) participated in the intervention with three conditions: self-selected (SS), researcher-selected (RS), and no audiovisual stimuli (control, C). Conditions were randomized and counterbalanced. Participants exercised for 23 min (3 min warm-up + 20 min moderate-intensity treadmill running). Functional near-infrared spectroscopy assessed cortical oxygenation changes in the dorsolateral prefrontal cortex (dlPFC). Psychological responses (affective valence, arousal, perceived exertion, and attentional focus) were measured before and during exercise. Linear mixed models were used to compare condition differences.</div></div><div><h3>Results</h3><div>Participants reported more positive affective valence (<em>p</em> = .02, η<sub>p</sub><sup>2</sup> = 0.02) and more external attentional focus (<em>p</em> < .01, η<sub>p</sub><sup>2</sup> = 0.16) in the SS compared to the RS condition. Oxygenated hemoglobin (O<sub>2</sub>Hb) in the right dlPFC was also higher in the SS (<em>p</em> < .01, η<sub>p</sub><sup>2</sup> = 0.05) compared to the RS condition. However, correlations between affective valence and O<sub>2</sub>Hb were not significant (right dlPFC: <em>r</em> = 0.21, <em>p</em> = .12; left dlPFC: <em>r</em> = −0.17, <em>p</em> = .19).</div></div><div><h3>Conclusions</h3><div>Self-selected audiovisual stimuli appear to induce positive affective valence and increase O<sub>2</sub>Hb in the right dlPFC. These stimuli may activate the right prefrontal cortex to regulate negative affective valence. Future research should explore factors that moderate or mediate these effects, providing further insight into the neurophysiological processes that enhance exercise-related positive affective valence.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100688"},"PeriodicalIF":2.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123849","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}
Vagner Deuel de O. Tavares , Geovan Menezes de Sousa , Felipe B. Schuch , Joseph Firth , Lin Yang , Maria Stein , Bruno Marson Malagodi , Raissa Nóbrega , Renali Camilo Bezerra , Alexandre Guimarães Gouveia , Jaime Eduardo Hallak , Emerson Arcoverde , Colleen Cuthbert , Nicole Leite Galvão-Coelho
{"title":"Balancing Cortisol: The role of affect-adjusted and multimodal exercise as an adjunct to pharmacotherapy in a randomized controlled trial for major depressive disorder","authors":"Vagner Deuel de O. Tavares , Geovan Menezes de Sousa , Felipe B. Schuch , Joseph Firth , Lin Yang , Maria Stein , Bruno Marson Malagodi , Raissa Nóbrega , Renali Camilo Bezerra , Alexandre Guimarães Gouveia , Jaime Eduardo Hallak , Emerson Arcoverde , Colleen Cuthbert , Nicole Leite Galvão-Coelho","doi":"10.1016/j.mhpa.2025.100687","DOIUrl":"10.1016/j.mhpa.2025.100687","url":null,"abstract":"<div><h3>Background</h3><div>The adjunctive effects of exercise on cortisol levels in people with major depressive disorders (MDD) are equivocal. Therefore, we aimed to compare pharmacotherapy alone (antidepressants) versus an adjunct intervention of pharmacotherapy plus exercise on cortisol levels over 12 weeks.</div></div><div><h3>Methods</h3><div>Serum cortisol were assessed before (baseline–t0), during (Week 5–t1), and at the end of treatment (Week 12–t2). The exercise intervention focused on promoting perceived effort, enjoyment, and overall pleasure throughout the multimodal exercise sessions. The study enrolled 59 adults and randomly allocated them into two groups: exercise group (EG; n= 26,76.9% females, mean age 28.5 years; normal cortisol- EG-CN, n= 18 and hypercortisolemia- EG-HC, n = 7) and control group (CG, n= 29,72.40% females, mean age 26.0 years/normal cortisol CO-CN, n= 17 and hypercortisolemia- CO-HC, n= 11).</div></div><div><h3>Results</h3><div>No changes in cortisol levels were observed over time in both groups (EG and CO). However, in subgroup analysis, participants with hypercortisolemia reduced their cortisol levels regardless of the intervention allocation. At the end of the study, hypercortisolemic MDD participants of EG showed similar cortisol levels with those of the normal cortisol group (EG-CN) [p= .507,d= −.22(-1.11,.67)], while hypercortisolemic MDD participants under exclusive pharmacotherapy (control group) continued to show significantly higher levels than CO-CN [p=<.0001,d= −2.32(-3.41,-1.20)].</div></div><div><h3>Conclusion</h3><div>Our preliminary findings suggest that, in people with MDD and hypercortisolemia, a structured, multimodal, affect-adjusted, and supervised exercise program along with pharmacotherapy normalized cortisol levels. Notwithstanding, neither pharmacotherapy nor exercise plus pharmacotherapy changed cortisol levels among those with normal cortisol levels at baseline. These results indicate that combining exercise with pharmacotherapy may be effective in reducing cortisol levels specifically in individuals with MDD and elevated cortisol. However, further studies with larger samples are needed to explore this response more thoroughly.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100687"},"PeriodicalIF":2.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123848","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}
Jiahui Wang , Fabian Herold , Zhihao Zhang , Yanxia Chen , Dominika M. Pindus , Charles H. Hillman , Qian Yu , Kaiqi Guan , Arthur F. Kramer , Fred Paas , Boris Cheval , Matthew Heath , Laurie Kramer , André O. Werneck , Neville Owen , Mats Hallgren , Shuo Lu , Liye Zou
{"title":"Prospective associations between screen-based sedentary behaviors and cognitive performance among children aged 5–7 years","authors":"Jiahui Wang , Fabian Herold , Zhihao Zhang , Yanxia Chen , Dominika M. Pindus , Charles H. Hillman , Qian Yu , Kaiqi Guan , Arthur F. Kramer , Fred Paas , Boris Cheval , Matthew Heath , Laurie Kramer , André O. Werneck , Neville Owen , Mats Hallgren , Shuo Lu , Liye Zou","doi":"10.1016/j.mhpa.2025.100686","DOIUrl":"10.1016/j.mhpa.2025.100686","url":null,"abstract":"<div><h3>Background</h3><div>The 5- to 7-year shift is a critical period for cognitive development and is particularly sensitive to lifestyle factors such as sedentary behavior (SB). Screen-based activities can be classified into two types: mentally active SB requires higher cognitive engagement (e.g., computer use, electronic gaming), and mentally passive SB involves less cognitive engagement (e.g., TV-watching). Although there has been a growing interest in understanding the role of such forms of SB on cognitive development in recent years, is associated with cognitive development trajectories, considering the moderating role of the SB duration, SB type, and sex.</div></div><div><h3>Methods</h3><div>Data from 12,257 children (6178 boys; 6079 girls) in the UK Millennium Cohort Study (MCS), a longitudinal and nationally representative birth cohort study in the UK, were analyzed. The MCS includes children born between September 2000 and January 2002. For this study, we used data from wave 3 (at the age of 5 years) to assess the association between computer use/e-gaming and TV-watching time with cognitive performance assessed in wave 4 (at the age of 7 years). Cognitive performance was assessed using the British Ability Scales II (BAS II), including word reading and pattern construction tests, and an adapted National Foundation for Educational Research (NFER) Progress in Maths test. Statistical analyses were performed via a Generalized Linear Model (GLM) adjusted for confounders and stratified by sex.</div></div><div><h3>Results</h3><div>For boys, computer use/e-gaming at the age of 5 years was associated with better word reading performance at the age of 7 years for those who engaged in it for less than 1 h (<em>β</em> = 0.148, 95% CI: 0.081 to 0.215, p < 0.001) and 1–3 h (<em>β</em> = 0.209, 95% CI: 0.128 to 0.290, p < 0.001) per day. Regarding maths performance, computer use/e-gaming for less than 1 h (<em>β</em> = 0.179, 95% CI: 0.120 to 0.237, p < 0.001) and 1–3 h (<em>β</em> = 0.181, 95% CI: 0.101 to 0.261, p < 0.001) per day at the age of 5 years were associated with better maths performance at the age of 7 years, whereas 7 h or more per day were negatively associated with maths performance when considering the same observation period (<em>β</em> = −0.356, 95% CI: −0.698 to −0.134, p = 0.041). For girls, TV-watching of 1–3 h (<em>β</em> = −0.224, 95% CI: −0.383 to −0.065, p = 0.006), 3–5 h (<em>β</em> = −0.211, 95% CI: −0.385 to −0.038, p = 0.017), and 7 h or more (<em>β</em> = −0.257, 95% CI: −0.461 to −0.053, p = 0.014) per day at the age of 5 years were were associated with worse maths performance at the age of 7 years. No statistically significant prospective associations were found between daily time spent on screen-based SB and spatial construction performance.</div></div><div><h3>Conclusions</h3><div>Our study extends the literature in demonstrating that the prospective associations of screen-based SB and cognitive perform","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100686"},"PeriodicalIF":2.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271288","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}
Sam Dixon, Gavin Daniel Tempest, Florentina Hettinga , Mohammed Khudair , Nicola McCullogh
{"title":"The impact of an acute bout of physical activity on executive function and academic achievement in preadolescent children: A systematic review and meta-analysis","authors":"Sam Dixon, Gavin Daniel Tempest, Florentina Hettinga , Mohammed Khudair , Nicola McCullogh","doi":"10.1016/j.mhpa.2025.100685","DOIUrl":"10.1016/j.mhpa.2025.100685","url":null,"abstract":"<div><div>Long-term physical activity (PA) offers well-established benefits for children, but the impact of an acute bout of PA on executive function (EF) and academic achievement (AA) is not fully understood. Integrating findings in this area can inform key stakeholders on embedding PA in educational settings. This systematic review and meta-analysis examined the impact of acute PA bouts on preadolescent children's EF and AA. Following PRISMA guidelines, 15 studies were included, varying in PA type, duration, intensity, outcome measures, and often assessing multiple EF domains: inhibition (n = 13), working memory (n = 9), and cognitive flexibility (n = 7). Meta-analyses indicated no statistically significant impact of acute bouts of PA on children's EF (accuracy: Cohen's d = 0.02; CI = −0.04 to 0.07; response time: Cohen's d = −0.02; CI = −0.40 to 0.36). Only two studies included measures of AA, precluding a meta-analysis for this outcome. High heterogeneity between included studies, moderate risk of bias, and the detection of publication bias was shown. Future research should continue to investigate dose-response relationships in this area, clearly defining the type, intensity and duration of PA performed, while also considering contextual factors that may influence its effectiveness, such as the setting within which it is designed to be implemented. Additionally, more high-quality research is needed, with careful attention to methodological decisions such as EF measurement tools and assessment timepoints. Greater methodological consistency across studies will enhance the applicability of findings and aid future attempts to synthesise the literature in this field.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100685"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906282","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}
Eva Fors , Björg Helgadóttir , Maria M. Ekblom , Gisela Nyberg , Eva Noren Selinus
{"title":"Physical activity is linked to fewer psychosomatic problems in adolescents with ADHD symptoms","authors":"Eva Fors , Björg Helgadóttir , Maria M. Ekblom , Gisela Nyberg , Eva Noren Selinus","doi":"10.1016/j.mhpa.2025.100683","DOIUrl":"10.1016/j.mhpa.2025.100683","url":null,"abstract":"<div><h3>Aim</h3><div>Insufficient physical activity among adolescents, combined with poorer well-being and mental health, are worrying societal problems. Adolescents with ADHD encounter daily challenges and are more prone to experiencing mental and physical health issues compared to their peers. The aim was to investigate associations between moderate-to-vigorous physical activity, sedentary time, screen-time, psychosomatic problems, and ADHD symptoms in adolescents.</div></div><div><h3>Method</h3><div>Data came from a cross-sectional study. Participants (N = 1139) were seventh-grade students who answered questionnaires on screen-time, psychosomatic problems, hyperactivity, and ADHD and were assigned an accelerometer, worn for seven consecutive days. Data were analyzed using linear regression.</div></div><div><h3>Results</h3><div>A negative association was found between moderate to vigorous physical activity and psychosomatic problems in the entire sample. Moderate-to-vigorous physical activity was more strongly associated with psychosomatic problems for adolescents with self-reported ADHD symptoms (B = −0.14 (−0.24, −0.04)) than adolescents without ADHD symptoms (B: -0.03 (−0.05, −0.01)).</div></div><div><h3>Conclusions</h3><div>Moderate-to-vigorous physical activity, sedentary time, and screen-time were all significantly associated with psychosomatic problems among all participants. Moderate-to-vigorous physical activity showed a stronger association with psychosomatic problems among participants with ADHD. This indicates that this group may be particularly responsive to interventions attempting to promote mental health through physical activity.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"28 ","pages":"Article 100683"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877445","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}