Evidence map›Paper›PMID 33364864›Full record

ArticlePsychology research and behavior management2020

Moving More and Sitting Less as Healthy Lifestyle Behaviors are Protective Factors for Insomnia, Depression, and Anxiety Among Adolescents During the COVID-19 Pandemic.

Chunping Lu, Xinli Chi, Kaixin Liang, Si-Tong Chen, Liuyue Huang, Tianyou Guo, Can Jiao, Qian Yu, Nicola Veronese, Fernanda Cunha Soares and 3 more

Open access · goldAbstract read
In one paragraph

Article in Psychology research and behavior management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 7 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 7 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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  4. The Impact of Physical Activity on Mental Health during COVID-19 Pandemic in China: A Systematic Review.International journal of environmental research and public health · 2022
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  8. Improvements in stress among Latinas participating in a randomized controlled trial of technology-supported physical activity interventions.Stress and health : journal of the International Society for the Investigation of Stress · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 6 countries.

Chunping Lu *The Greater Bay Area Institute of Educational Research, Shenzhen University, Shenzhen 518060, People's Republic of China.
Xinli Chi *Center for Lifestyle and Mental Health, Shenzhen University, Shenzhen 518060, People's Republic of China.
Kaixin LiangCenter for Lifestyle and Mental Health, Shenzhen University, Shenzhen 518060, People's Republic of China.ORCID 0000-0003-2916-9232
Si-Tong ChenInstitute for Health and Sport, Victoria University, Melbourne 8001, Australia.
Liuyue HuangCenter for Lifestyle and Mental Health, Shenzhen University, Shenzhen 518060, People's Republic of China.
Tianyou GuoCenter for Lifestyle and Mental Health, Shenzhen University, Shenzhen 518060, People's Republic of China.
Can JiaoCenter for Lifestyle and Mental Health, Shenzhen University, Shenzhen 518060, People's Republic of China.
Qian YuExercise and Mental Health Laboratory, Shenzhen University, Shenzhen 518060, People's Republic of China.ORCID 0000-0001-8882-1994
Nicola VeroneseGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
Fernanda Cunha SoaresSchool of Physical Education, University of Pernambuco, Recife, PE, Brazil.
Igor GrabovacDepartment of Social and Preventive Medicine, Center for Public Health, Medical University of Vienna, Vienna, Wien 1090, Austria.
Albert YeungDepression Clinical and Research Program, Massachusetts General Hospital, Boston, MA 02114, USA.
Liye ZouExercise and Mental Health Laboratory, Shenzhen University, Shenzhen 518060, People's Republic of China.ORCID 0000-0001-6411-5710
Shenzhen University · CNMassachusetts General Hospital · USMedical University of Vienna · ATUniversidade de Pernambuco · BRUniversity of Palermo · ITVictoria University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to investigate associations of physical activity time (PAT) and sitting time (ST) independently and jointly with insomnia, depressive and anxiety symptoms among Chinese adolescents in the context of COVID-19.

methodsA cross-sectional study including 965 adolescents (mean age = 15.26, SD = 0.46) was conducted in May 2020. PAT, ST and the symptoms of insomnia, depression and anxiety were assessed with the International Physical Activity Questionnaire Short Form, the Youth Self-Rating Insomnia Scales, the 9-item Patient Health Questionnaire and the Generalized Anxiety Disorder scale via an online survey platform. Logistic regression was used to analyze the association between COVID-19-related fear, PAT, ST and combinations of PAT and ST with insomnia, depressive and anxiety symptoms.

resultsCOVID-19-related fear was associated with higher odds of insomnia, depressive and anxiety symptoms. PAT was associated with lower odds of insomnia and depressive symptoms, while ST was associated with higher odds of these three symptoms. After combining PAT and ST, the group with both low PAT and high ST was set as the referent. For insomnia, groups with low ST reported significantly lower odds of symptoms. For depression, groups with high PAT and/or low ST reported lower odds of symptoms. Regarding anxiety, only the group with both high PAT and low ST reported lower odds of symptoms. Generally, group with both high PAT and low ST reported lower odds of the three symptoms than the referent.

conclusionCOVID-19-related fear was a risk factor for developing insomnia, depressive and anxiety symptoms among Chinese adolescents. Fortunately, moving more and sitting less were good for sleep and mental health in Chinese adolescents during the pandemic. Educators should help adolescents to be more physically active in their daily life in the primary prevention of adolescent insomnia, depression and anxiety.

Indexed as

exercisemental healthphysical activitysedentary behaviorsleep

Identifiers

PMID33364864
PMCPMC7751784
OpenAlexW3111742291

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.