Mental Health and Physical Activity最新文献

{"title":"Fear of physical activity relates to cardiac interoception and symptom distress in patients with chronic heart failure","authors":"Jeremia Mark Hoffmann ,&nbsp;André Schulz ,&nbsp;Johannes B. Finke ,&nbsp;Michael Lauterbach ,&nbsp;Hartmut Schächinger ,&nbsp;Claus Vögele ,&nbsp;Heike Spaderna","doi":"10.1016/j.mhpa.2023.100553","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100553","url":null,"abstract":"<div><h3>Background</h3><p>Patients with chronic heart failure often experience symptoms during physical activity, such as shortness of breath and tachycardia, which may result in fear of physical activity (FoPA). This study tested whether interoception (i.e., the perception of body sensations) and symptom distress (i.e., negative appraisal of symptoms) are associated with FoPA in outpatients with chronic heart failure.</p></div><div><h3>Method</h3><p>FoPA was assessed with the Fear of Activities in Situations (FActS) in patients with diagnosed heart failure and healthy controls. A heartbeat tracking task and self-reports were used to assess interoceptive accuracy and interoceptive attention in patients and controls. Heart failure-related distress was assessed using ratings of symptom and treatment burden in patients. Multiple regression models were calculated to determine associations with continuous FoPA scores.</p></div><div><h3>Results</h3><p>Patients with low FoPA perceived their heartbeats more accurately than patients with high FoPA and healthy controls. Interoceptive accuracy and symptom distress explained almost half of the variance in FoPA, after adjustments for sex and disease severity, in patients with heart failure.</p></div><div><h3>Conclusions</h3><p>In patients inaccurate interoception and symptom distress were associated with high FoPA, independent of heart failure severity. The perception and appraisal of cardiac arousal and symptoms during physical activity deserve further attention to develop interventions to reduce FoPA in patients with heart failure.</p></div><div><h3>ClinicalTrials.gov Identifier</h3><p>NCT03119298.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187524","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":"Associations between lifestyle behavior change during the COVID-19 pandemic and mental health among French adolescents: Insights from the EXIST pilot study","authors":"Florian Manneville ,&nbsp;Yacoubou Abdou Omorou ,&nbsp;Sarah Bitar ,&nbsp;Benoît Lalloué ,&nbsp;Jonathan Epstein ,&nbsp;Jennifer O'Loughlin ,&nbsp;Nelly Agrinier ,&nbsp;Laetitia Minary ,&nbsp;The EXIST group","doi":"10.1016/j.mhpa.2023.100557","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100557","url":null,"abstract":"<div><h3>Background</h3><p>It is unclear whether changes in physical activity (PA) or sugar consumption during the COVID-19 pandemic relate to mental health among adolescents. This study identified profiles of change in PA and sugar consumption during the COVID-19 pandemic, and estimated associations between these profiles and anxiety, depression and wellbeing among French adolescents.</p></div><div><h3>Methods</h3><p>Data were from the cross-sectional school-based EXIST pilot study conducted one year after the end of the first lockdown. Adolescents provided data on lifestyle behavior changes and mental health during the pandemic using self-report questionnaires. We used latent class analysis to identify profiles of change in PA and sugar consumption, and conducted multinomial logistic regression to estimate associations between these profiles, and mental health.</p></div><div><h3>Results</h3><p>Among 380 adolescents (52.5% male; 13.5 ± 0.6 years), we identified four change profiles: 1) “increased PA and decreased sugar consumption” (21.8%), 2) “PA and sugar consumption stable over time” (36.1%), 3) “decreased PA and increased sugar consumption” (28.4%), and 4) “consistently low PA and stable sugar consumption over time” (13.7%). Compared to adolescents in profile 1, odds of depression were higher among adolescents in profile 3 (OR [95%CI] = 2.42[1.17; 4.99]) and profile 4 (OR = 3.16; [1.39; 7.19]). Associations were similar for wellbeing, but profiles were unrelated to anxiety.</p></div><div><h3>Conclusions</h3><p>Unfavorable changes in PA and sugar consumption during the COVID-19 pandemic may have contributed to deteriorating adolescents’ mental health. Future studies should assess long-term effects of the pandemic on PA and sugar consumption, and whether any long-term changes are associated with adolescent mental health.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187572","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":"Thriving families: The feasibility and preliminary efficacy of a multi-component physical literacy program for children with neurodevelopmental, emotional, or behavioural problems","authors":"Kemi E. Wright ,&nbsp;Ben Jackson ,&nbsp;Melissa K. Licari ,&nbsp;James A. Dimmock ,&nbsp;Bonnie J. Furzer","doi":"10.1016/j.mhpa.2023.100558","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100558","url":null,"abstract":"<div><p>Children with neurodevelopmental, emotional, or behavioural challenges participate in lower levels of physical activity (PA) and subsequently have poorer physical and mental health outcomes. We sought to determine the feasibility and preliminary efficacy of a multi-component physical literacy program for children with neurodevelopmental, emotional, or behavioural challenges. Thirty children and 28 parents were recruited to participate in the 10-week single-group non-randomised feasibility trial. Thriving Families was designed to promote children's physical literacy through (a) providing programmed opportunities for PA, (b) incorporating parents, (c) supporting motivation and engagement, and (d) utilising behaviour change techniques. Program feasibility was determined using qualitative and quantitative feedback. Preliminary efficacy was determined through pre-and post-intervention assessments of children's physical literacy. Results indicate that the program is acceptable and was well received. Effect size estimates for parent knowledge (<em>d</em> = 0.78) and confidence (<em>d</em> = 0.57) were moderate to large; however, little change was observed for parents' motivation to support PA and children's perceptions of PA support. Moderate or large effects were observed for pre-to-post-program change on children's domains of physical competence. The Thriving Families program appears to be feasible and acceptable for community-based implementation and may provide benefits for physical and psychological outcomes.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S175529662300056X/pdfft?md5=2418c8825e0899fef614843f4b46eb92&pid=1-s2.0-S175529662300056X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91987119","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":"The increase in vagally-mediated heart rate variability mediates treatment effects of exercise on global symptom severity across diagnostically heterogenous mental disorders: A secondary analysis of the ImPuls trial","authors":"Johanna-Marie Zeibig ,&nbsp;Keisuke Takano ,&nbsp;Britta Seiffer ,&nbsp;Gorden Sudeck ,&nbsp;Inka Rösel ,&nbsp;Martin Hautzinger ,&nbsp;Sebastian Wolf","doi":"10.1016/j.mhpa.2023.100537","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100537","url":null,"abstract":"<div><h3>Background</h3><p>The reduced ability to adaptively respond to stressors (coping) has been proposed as an underlying mechanism across psychopathology. It is associated with a reduced vagally-mediated heart rate variability (vmHRV) at rest and increased perceived stress. The present study investigated the increase in vmHRV and the reduction in perceived stress as potential mediators of the previously demonstrated intervention effect of exercise on global symptom severity across diagnostically heterogeneous mental disorders.</p></div><div><h3>Methods</h3><p>Sedentary outpatients with depressive disorders, anxiety disorders, insomnia and attention deficit hyperactivity disorder were randomly assigned to a 12-week standardized exercise intervention (<em>n</em> = 38) or passive control condition (<em>n</em> = 36). Baseline and post-treatment assessments included measures of global symptom severity (Symptom Checklist-90), resting vmHRV (root mean square of successive differences between normal heartbeats), and perceived stress (Perceived Stress Scale). Intention-to-treat analyses were conducted using linear mixed models and structural equations modeling.</p></div><div><h3>Results</h3><p>Among the intervention group, resting vmHRV increased significantly (<em>d</em> = 0.87, <em>p</em> = .003) but perceived stress did not show a significant reduction (<em>d</em> = −0.32, <em>p</em> = .267) compared to the control group. The increase in vmHRV partially mediated the intervention effect on global symptom severity (<em>ß</em> = −0.05, <em>p</em> = .013).</p></div><div><h3>Conclusion</h3><p>The study results provide evidence that an increase in vmHRV potentially acts as a partial mediator for the beneficial effects of exercise interventions on symptoms across individuals with mental disorders who may have a diminished ability to cope with stressors.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187425","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":"A grounded theory of weight lifting as a healing strategy for trauma","authors":"Eva Nowakowski-Sims ,&nbsp;Mariah Rooney ,&nbsp;Dana Vigue ,&nbsp;Savannah Woods","doi":"10.1016/j.mhpa.2023.100521","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100521","url":null,"abstract":"<div><p>Research has found significant benefits in using exercise as an adjunct treatment for PTSD, depression, and anxiety. Weight lifting as an adjunct treatment for trauma is an emerging research area with very few empirically based studies. This study used a qualitative grounded theory approach to explore how weight lifting contributes to healing for persons with a trauma history. Forty-six persons (26 = women, 8 = men, 6 = nonbinary, 5 = transgender man, 1 = agender), recruited from a national sample of individuals, who identified as having experienced trauma and who engage in weight lifting, were individually interviewed. Data were analyzed using Charmaz's (2006) constructivist grounded theory strategies. Central themes revealed that past and current trauma experiences created relational and bodily disconnection fueled by hyper- or hypo-vigilance, impulsivity, and dysregulation. Weight lifting healed trauma through the felt sense of the mind-body connection, which created a healthier, more empowered, and connected trauma survivor. Study findings offer important insights to inform the development of trauma-informed gym spaces as well as the integration of weight lifting into trauma recovery programs.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187488","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":"Associations between type and timing of sedentary behaviour and affect in adolescents: An ecological momentary assessment study","authors":"Matthew Bourke,&nbsp;Sophie M. Phillips","doi":"10.1016/j.mhpa.2023.100550","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100550","url":null,"abstract":"<div><h3>Background</h3><p>There is limited evidence on the associations between type and timing of different sedentary behaviour with affect in adolescents. This study aimed to investigate within-person associations between different types of sedentary behaviour with core affect among a sample of Australian adolescents and explore if the association differs across different times of the day.</p></div><div><h3>Methods</h3><p>Using ecological momentary assessment, 119 participants (Mage = 14.7 years, 54% male) self-reported engagement in different types of sedentary behaviour, as well as providing information on their affective states multiple times each day, over a four-day period. Data were analysed using multi-level and time-varying effects models.</p></div><div><h3>Results</h3><p>Playing video games and having a meal on the weekend was favourably associated with valence and tense arousal. Watching TV or a movie on the weekend was associated with lower tense arousal but also lower energetic arousal. Using social media and reading or doing homework on the weekend were also negatively associated with energetic arousal. Reading or doing homework and using social media on a weekday afternoon were inversely associated with valence. Playing video games using social media and reading or doing homework were inversely associated with energetic arousal on weekdays. Results from the time-varying effects models demonstrated that the magnitude of these effects may differ depending upon the time of the day that the sedentary behaviour occurs.</p></div><div><h3>Conclusions</h3><p>The type, and to a lesser extent, the timing of sedentary behaviours are differently associated with affect in adolescents. These results may provide unique insights into why some types of sedentary behaviours are related to worse mental health and wellbeing and others are not.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187529","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":"Momentary associations between sedentary bouts, cognitive load and mood in daily life: An ambulatory assessment study","authors":"Marco Giurgiu ,&nbsp;Ulrich W. Ebner-Priemer","doi":"10.1016/j.mhpa.2023.100540","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100540","url":null,"abstract":"<div><h3>Objectives</h3><p>Empirical evidence points to sedentary behavior as a ubiquitous health-related risk factor. Given the increasing number of mental disorders, a growing body of studies now focuses on the relationship between sedentary behavior and mental health. However, momentary interactions between sedentary bouts, mood, and type of cognitive load in daily life are highly understudied.</p></div><div><h3>Methods</h3><p>To investigate whether sedentary bouts influence mood, we conducted an Ambulatory Assessment study in the everyday life of 103 university students over 5 days. We continuously measured sedentary behavior via accelerometers and assessed mood and type of cognitive load up to six times each day on smartphone diaries. We employed multilevel modeling to analyze the within-person effects of sedentary behavior, and cognitive load on mood.</p></div><div><h3>Results</h3><p>Sedentary bouts (20-min intervals prior to each e-diary assessment) negatively influenced energetic arousal (<em>p</em> &lt; 0.001) and valence (<em>p</em> = 0.023). Cognitive load (mentally active vs. mentally passive) influenced negatively energetic arousal (<em>p</em> &lt; 0.001) and positively calmness (<em>p</em> = 0.031). Exploratory interaction analyses revealed significant differences between cognitive load and bouts of SB (interrupted vs. uninterrupted).</p></div><div><h3>Conclusions</h3><p>The negative association between sedentary behavior and two of three mood dimensions (i.e., valence and energetic arousal) suggests sedentary behavior is an important risk factor for mental health among healthy young adults. Additionally, the cognitive load, specifically the distinction between mentally active and mentally passive activities, is an important factor in shaping momentary mood. We strongly recommend reducing prolonged SB and recognizing the potential benefits of engaging in mentally active activities.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187484","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":"A cross-sectional study of the psychosocial predictors of re-engaging in team sport during early motherhood","authors":"Caitlin Liddelow,&nbsp;Bethany White,&nbsp;Emily Arnold,&nbsp;Stewart A Vella","doi":"10.1016/j.mhpa.2023.100555","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100555","url":null,"abstract":"<div><h3>Background</h3><p>Mothers with young children in Australia have significantly low rates of participation in physical activity and sport. This is potentially due to the postpartum transition to motherhood, and the expectation of the maternal role. This study aimed to apply an extended model of self-determination theory to compare mothers who have and have not re-engaged in team sports since their child was born and investigate the psychosocial factors that may have influenced their re-engagement in team sports.</p></div><div><h3>Methods</h3><p>A cross-sectional design was used to collect data from 191 mothers (<em>M</em> = 32.2) who were either currently playing or had previously played team sport. A hierarchical multiple regression was used to predict mother's motivation to re-engage using self-determination theory factors (autonomy, relatedness, competence), postpartum mental health (depression, anxiety, and stress) and maternal identity. A hierarchical binary logistic regression was then conducted to predict the likelihood of re-engagement based on motivation, postpartum mental health, and maternal identity.</p></div><div><h3>Results</h3><p>Findings showed that autonomy, competence, anxiety, and maternal identity play key roles in predicting the motivation of mothers to engage in team sport. Additionally, greater motivation increased the likelihood of a mother re-engaging in team sport.</p></div><div><h3>Conclusion</h3><p>This study has important theoretical and practical implications in that it expands the knowledge of the unique population of ‘everyday’ mothers within a sport and physical activity context, as well as provides preliminary directions for applied research in motivating mothers to re-engage in team sports.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187502","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":"Effect of acute exercise on cognitive flexibility: Role of baseline cognitive performance","authors":"Hong Mou ,&nbsp;Shudong Tian ,&nbsp;Yang Yuan ,&nbsp;Dan Sun ,&nbsp;Fanghui Qiu","doi":"10.1016/j.mhpa.2023.100522","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100522","url":null,"abstract":"<div><p>A wealth of evidence has shown that acute aerobic exercise can enhance executive function. However, empirical evidence lacks consensus regarding whether acute aerobic exercise has a beneficial effect on cognitive flexibility when individual baseline cognitive differences are considered. Therefore, the aim of our study was to examine the effects of high-intensity interval exercise (HIIE) and moderate-intensity continuous exercise (MICE) on cognitive flexibility in young adults with differences in baseline cognitive performance. One hundred and ten college students (mean age = 20.17 ± 1.15 years) were divided into lower-performers (n = 55) and higher-performers (n = 55) groups based on their cognitive performance on the pre-test of the first cognitive flexibility test. Both groups were asked to complete a more-odd shifting task, which assesses cognitive flexibility, before and approximately 5 min after a 20 min HIIE session, a 20 min MICE session, and a reading control session. The results showed that individuals with lower baseline cognitive performance gained greater cognitive flexibility benefits from the 20 min HIIE and the 20 min MICE, whereas those with higher baseline cognitive performance had improved cognitive flexibility only from the 20 min HIIE. These findings indicate that baseline cognitive performance is a variable that influences the beneficial effects of acute exercise on cognitive flexibility. We recommend that young adults should consider their individual cognitive capacity when adopting effective and appropriate exercise modalities to improve cognitive performance.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187571","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":"Promoting mental health in children and adolescents with disabilities through school-based physical activity intervention during the COVID-19 pandemic","authors":"Wen Yang ,&nbsp;Jane Jie Yu ,&nbsp;Stephen Heung-Sang Wong ,&nbsp;Raymond Kim-Wai Sum ,&nbsp;Catherine Carty ,&nbsp;Cindy Hui-Ping Sit","doi":"10.1016/j.mhpa.2023.100554","DOIUrl":"https://doi.org/10.1016/j.mhpa.2023.100554","url":null,"abstract":"<div><h3>Background</h3><p>Children and adolescents with disabilities had lower levels of physical activity (PA) and mental health than their typically developing peers during the COVID-19 pandemic.</p></div><div><h3>Objectives</h3><p>This study aimed to examine the effects of school-based PA intervention on quality of life (QoL) and self-concept (SC) in children and adolescents with intellectual disabilities (IDs), physical disabilities (PDs), and hearing impairments (HIs).</p></div><div><h3>Methods</h3><p>Fifty-eight participants with disabilities (Mage = 15.0 ± 2.2 years) were recruited from five Hong Kong special schools during the COVID-19 pandemic. School-based PA intervention included (un)structured PA, teacher training, and parental involvement. PA levels, QoL, and SC were measured by the Physical Activity Questionnaire for Older Children, Pediatric Quality of Life Inventory, and Physical Self-Description Questionnaire Short Form, respectively. PROCESS macro, linear mixed model, two-way ANOVAs, and linear regression were used in the data analyses.</p></div><div><h3>Results</h3><p>There were positive intervention effects on PA levels (Mean Difference [MD] = 0.33, 95% CI [0.06, 0.60]) and SC (MD = 0.38, 95% CI [0.03, 0.73]) in participants with disabilities; and social QoL (MD = 14.10, 95% CI [0.43, 27.78]) only in participants with IDs. SC improvement significantly mediated the relationship between PA and QoL improvements in participants with disabilities (<em>β</em> = 0.304, <em>R</em>² = 26%) and males (<em>β</em> = 0.463, <em>R</em>² = 10%). Contextual factors significantly moderated PA levels and mental health.</p></div><div><h3>Conclusion</h3><p>School-based PA intervention improved QoL through positive changes in SC in children and adolescents with disabilities during the COVID-19 pandemic. Future studies should consider stress, anxiety, and depression to explore the effectiveness of school-based PA intervention in children and adolescents with disabilities.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50187503","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}