Evidence map›Paper›PMID 40898129›Full record

ArticleBMC public health2025

Association between modifiable lifestyle behaviors and depressive symptoms among Chinese adolescents: a longitudinal analysis from 2019 to 2021.

Dongling Yang, Liting Chu, Fengyun Zhang, Keyang Zheng, Wenjuan Qi, Shuangxiao Qu, Yanting Yang, Yuting Huang, Shenglei Huang, Chunyan Luo and 1 more

Abstract read
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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Dongling YangDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Liting ChuDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Fengyun ZhangDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Keyang ZhengDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Wenjuan QiDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Shuangxiao QuDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Yanting YangDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Yuting HuangDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Shenglei HuangDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Chunyan LuoDivision of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China. luochunyan_ess@163.com.
Xiaodong SunShanghai Municipal Center for Disease Control and Prevention, Shanghai, China. sunxiaodong@scdc.sh.cn.

Funding

Shanghai Municipal Health Commission GWVI-7
6 · The paper itself

Abstract

backgroundThe incidence of depression in adolescents is high, and depression has a great impact on children and adolescents, while the effects of changeable lifestyle on depression in adolescents are inconsistent, and there is a lack of longitudinal research results. To fill these knowledge gaps, we conducted a longitudinal study in Shanghai to evaluate the association between modifiable lifestyle behaviors and depression symptoms in adolescents.

methodsA total of 4314 students participated in the survey each year from 2019 to 2021 was included in this study. Students' physical activity behavior, screen behavior, and sleep behavior were collected by questionnaires. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D scale).

resultsThe detection rate of depressive symptoms in the study subjects was 23.6% in 2019, 23.2% in 2020, and 26.6% in 2021, and the trend test showed a significant upward trend in three years (P-trend = 0.001). Also, the detection rate of depressive symptoms in girls was higher than that of boys, but a significant rising trend was observed in boys over time (P-trend = 0.010). The generalized estimating equation analysis revealed that Students with TV time ≥ 2 h/day(OR = 1.29, 95%CI: 1.15, 1.46), computer time ≥ 2 h/day (OR = 1.20, 95%CI: 1.07, 1.36), mobile screen time ≥ 2 h/day(OR = 1.18, 95% CI: 1.08, 1.29), internet addiction(OR = 2.46, 95% CI: 1.81, 3.35), and inadequate sleep duration(OR = 0.66, 95% CI: 0.60, 0.72) were associated with an increased likelihood of detecting depressive symptoms. Students who participated in moderate-to-vigorous physical activity (MVPA) for a minimum of 60 min 1 to 4 days per week (OR = 0.77, 95%CI: 0.68, 0.86) or 5 to 7 days per week (OR = 0.73, 95%CI: 0.64, 0.84) exhibited a reduced likelihood of depressive symptoms in comparison to students who did not engage in MVPA for at least 60 min per week (P < 0.05).

conclusionWe presented the climbing trend of depressive symptom rate over three years and identified several alarming factors that were associated with adolescent depression symptoms in Shanghai, China, notably in lower level MPVA, electronic devices use, and inadequate sleep with increasing depression.

Indexed as

DepressionLife StyleAdolescentChinaEast Asian PeopleExerciseFemaleHumansLongitudinal StudiesMaleScreen TimeStudentsSurveys and QuestionnairesAdolescentsDepressive symptomsLifestyle behaviorsLongitudinal analysis

Identifiers

PMID40898129
PMCPMC12403434

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LicenceCC BY-NC-ND
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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.