Evidence map›Paper›PMID 38532194›Full record

ArticleInternational journal of behavioral medicine2025

Independent and Joint Associations of Physical Activity and Sleep on Mental Health Among a Global Sample of 200,743 Adults.

Denver M Y Brown, Itamar Lerner, John Cairney, Matthew Y Kwan

Abstract read
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In one paragraph

Article in International journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Sleep quality and nocturnal pain in patients with elbow disorders: a prospective multicenter study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Observational
  2. Article
  3. Article
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

4 authors at 3 institutions in 3 countries.

Denver M Y BrownDepartment of Psychology, The University of Texas at San Antonio, 1 UTSA Circle, San Antonio, TX, USA. denver.brown@utsa.edu.ORCID http://orcid.org/0000-0003-4078-8253
Itamar LernerDepartment of Psychology, The University of Texas at San Antonio, 1 UTSA Circle, San Antonio, TX, USA.ORCID http://orcid.org/0000-0003-2525-2741
John CairneySchool of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0003-2856-3967
Matthew Y KwanDepartment of Child and Youth Studies, Brock University, St. Catherines, Canada.ORCID http://orcid.org/0000-0002-9757-2771
The University of Texas at San Antonio · USBrock University · CAThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research has demonstrated that both sleep and physical activity (PA) are independently associated with various indicators of mental health among adults. However, their joint contribution to mental health has received limited attention. The present study used cross-sectional data from the Mental Health Million Project to examine the independent and joint effects of sleep and PA on mental health among a global sample of adults, and whether these effects differ among individuals receiving mental health treatment.

methodThe sample included 200,743 participants (33.1% young adults, 45.6% middle-aged adults, 21.3% older adults; 57.6% females, 0.9% other) from 213 countries, territories, and archipelagos worldwide that completed a comprehensive 47-item assessment of mental health including both problems (i.e., ill-being) and assets (i.e., well-being): the Mental Health Quotient. Participants also reported their weekly frequency of PA and adequate sleep, and mental health treatment status. A series of generalized linear mixed models were computed.

resultsIndependent dose-response associations were observed, whereby greater amounts of PA and adequate sleep were each associated with better mental health. In addition, a synergistic interaction was observed in which the positive correlation of PA with mental health was strengthened with greater frequency of adequate sleep. These benefits were less pronounced among adults receiving mental health treatment.

conclusionWhile findings suggest sleep can help to offset the negative influence of a physically inactive lifestyle (and vice versa), our results point to a "more is better" approach for both behaviors when it comes to promoting mental health.

Indexed as

ExerciseMental HealthSleepAdultAgedCross-Sectional StudiesFemaleGlobal HealthHumansMaleMiddle AgedYoung AdultBehaviorExercisePopulation healthPsychological well-being

Identifiers

PMID38532194
OpenAlexW4393201149

What OpenQuestion holds

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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.