ArticleThe international journal of behavioral nutrition and physical activity2022
Association of Changes of lifestyle behaviors before and during the COVID-19 pandemic with mental health: a longitudinal study in children and adolescents.
Article in The international journal of behavioral nutrition and physical activity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 37 citations in OpenAlex.
- Associations of reallocating time between physical activity, sedentary behavior, and sleep with mental health among Chinese adolescents: an isotemporal substitution analysis.Health and quality of life outcomes · 2026Article
- Relationships Between Eating Behaviors and Psychological Distress Among Female High School Students: A Social Network Analysis Perspective.Psychiatry investigation · 2026Article
- Impact of the Interaction Between Screen Time and Activity Interests on Adolescent Depression Risk: Construction of a Predictive Model Based on Machine Learning.Actas espanolas de psiquiatria · 2026Article
- Screen Time, Child Depression, and Anxiety During the COVID-19 Pandemic: Systematic Review and Meta-Analysis.JMIR pediatrics and parenting · 2026Review
- The Impact of Smartphone Use on Brain Function in Adolescence: A Scoping Review.Pediatric reports · 2026Review
- Lifestyle behavior clusters and their associations with depressive symptoms among Chinese adolescents: during and after COVID-19 period.Health psychology and behavioral medicine · 2026Article
- Is fatigue associated with adolescents' mental health? A pre- vs. post-COVID-19 cross-sectional survey comparison.Frontiers in child and adolescent psychiatry · 2026Article
- Association Between Diet and Emotional Symptoms in Early Childhood: Cross-Sectional Results from the Piccolipiù Cohort.Nutrients · 2025Article
- Association between modifiable lifestyle behaviors and depressive symptoms among Chinese adolescents: a longitudinal analysis from 2019 to 2021.BMC public health · 2025Article
- Exploring the relationship between lifestyle factors and depressive symptoms in Korean adolescents amid the COVID-19 pandemic.BMC psychiatry · 2025Article
- Positive rate and influencing factors of adolescent idiopathic scoliosis among school children aged 9 to 18 years in Xiamen, China.BMC pediatrics · 2025Article
- Gender specific mental health among adolescents in Northern Italy: a cross-sectional study.Frontiers in public health · 2025Article
- Prevalence of depressive symptoms among children and adolescents in china: a systematic review and meta-analysis.Child and adolescent psychiatry and mental health · 2024Review
- Association between changes in adherence to the 24-hour movement guidelines with depression and anxiety symptoms among Chinese adolescents: a prospective population-based study.Child and adolescent psychiatry and mental health · 2024Article
- The effects of COVID-19 on the Physical Activity and Recreational Screen Time among Chinese children and adolescents.Journal of exercise science and fitness · 2024Article
- Daily Activities in European Children and Adolescents During COVID-19 School Closure: A Longitudinal Study Exploring Physical Activity, Use of Screens, and Sleep Patterns.Journal of prevention (2022) · 2024Article
- Examining enduring effects of COVID-19 on college students' internalizing and externalizing problems: A four-year longitudinal analysis.Journal of affective disorders · 2024Article
- Move Well, Feel Good: Feasibility and acceptability of a school-based motor competence intervention to promote positive mental health.PloS one · 2024Article
- Winners or Losers? Two Academic Years in Experiences of COVID-19 Pandemic.Psychology in Russia : state of the art · 2024Article
- COVID-19 and unfavorable changes in mental health unrelated to changes in physical activity, sedentary time, and health behaviors among Swedish adolescents: A longitudinal study.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe examined the prospective associations of changes in lifestyle behaviors before/during the COVID-19 pandemic, namely physical activity and screen time, with mental health. Furthermore, the impacts of physical activity and screen time on mental health during the pandemic were examined cross-sectionally.
methodsA two-wave longitudinal study was conducted among 2423 children and adolescents in Shanghai, China. Lifestyle behavior variables (physical activity and screen time) and psychological variables (depressive symptoms, anxiety, and stress) were measured using a self-reported questionnaire in January and March 2020. A series of multivariable logistic regressions were performed to examine the associations between changes in lifestyle behaviors in two waves and psychological problems. The combined associations of physical activity and screen time with psychological problems were also explored using the second wave data.
resultsCompared to students with persistently short screen time before and during the COVID-19 pandemic, those with prolonged screen time (OR = 1·36 for depression, OR = 1·48 for anxiety) and those with persistently long screen time (OR = 1·70 for depression, OR = 2·13 for anxiety) reported a higher risk of psychological symptoms. The association between changes in physical activity and psychological symptoms was not statistically significant after adjustment for demographic factors, socioeconomic status, and screen time. During the COVID-19 pandemic, engaging in longer screen time (OR = 1·44 for depression, OR = 1·55 for anxiety) was associated with worsened psychological conditions, while engaging in increased physical activity (OR = 0·58 for depression, OR = 0·66 for anxiety) was associated with better psychological conditions.
conclusionsOur study suggests that promoting physical activity and limiting leisure screen time during the COVID-19 pandemic are important to prevent and mitigate psychological problems in children and adolescents. Therefore, effective interventions targeting lifestyle behaviors are needed to protect children and adolescents' physical and mental health.
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