ArticleFrontiers in public health2025
Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Article
- Longitudinal transitions in sedentary behavior and physical activity in relation to all-cause and cause-specific mortality among postmenopausal women.GeroScience · 2026Observational
- Association between sedentary behaviour, sleep duration, physical activity and mental health among teachers in China during COVID-19: a cross- sectional study.Frontiers in public health · 2026Article
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2 authors.
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Abstract
Background: The relationship between leisure sedentary behaviors and mental health remains inconclusive. This study aims to provide evidence on leisure sedentary behaviors on mental health using longitudinal data, along with its moderating and mediating roles. Methods: We utilized data from four waves (2006-2015) of the China Health and Nutrition Survey (CHNS), focusing on adults who completed their education, with a total sample of 23,693 observations. Leisure sedentary time, the independent variable, was measured based on self-reported data, while mental health issues were the dependent variables based on the Simplified Symptom Self-Rating Scale (SCL) and the Perceived Stress Scale (PSS-14). The primary analysis employed ordinary least squares (OLS) regression. Potential endogeneity was addressed by instrumental variable (IV) method via two-stage least squares (2SLS) regression and a continuous difference-in-differences (DID) design. Results: Our findings indicate that high levels of sedentary time are associated adversely with mental health issues. Moderating roles show that improving health literacy and reducing sedentary time were effective in alleviating this adverse impact. Among older adults, social engagement and support from female caregivers showed greater potential to reduce the detrimental mental health impact of leisure sedentary time. Furthermore, obesity serve as its mediating role. Conclusion: This study highlights the potential adverse impact of increased leisure sedentary time on mental health among Chinese population. These results provide a foundation for public health initiatives aimed at addressing the rising prevalence of sedentary behavior and its association with mental health issues.
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