Evidence map›Paper›PMID 42050574›Full record

ArticleBMC psychiatry2026

Perceived health exposure to mega sporting event and depressive symptoms in older adults: the mediating roles of physical activity and loneliness.

Botang Guo, Ying Fu, Qingyan Tian, Yihao Shu, Kexin Li, Haocheng Yang, Xueying Zhang, Ming Zhang, Yu Liu, Ping Tang and 1 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2026. 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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2 · The registry

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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.

Botang GuoDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China.
Ying FuDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China.
Qingyan TianDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China.
Yihao ShuDepartment of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Medical School, Shenzhen, Guangdong Province, 518073, China.
Kexin LiDepartment of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Medical School, Shenzhen, Guangdong Province, 518073, China.
Haocheng YangDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China.
Xueying ZhangDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China.
Ming ZhangDepartment of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Medical School, Shenzhen, Guangdong Province, 518073, China.
Yu LiuDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China. yuliu890130@163.com.
Ping TangDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China. lhyytp@163.com.
Dongsheng HuDepartment of General Practice, Shenzhen Luohu People's Hospital (Luohu Clinical College of Shantou University Medical College), YouYi Road 47, Shenzhen, Guangdong Province, 518000, China. dongshenghu563@126.com.

Funding

Hospital management research project of Shenzhen Luohu District People's Hospital YYGL2026001National Natural Science Foundation of China 82273707National Natural Science Foundation of China 82373675Natural Science Foundation of Guangdong Province 2024A1515010972Program for Youzuzhikeyan of Shenzhen University SZU2024YZZKY001Science and Technology Development Foundation of Shenzhen JCY20240813143014019Shenzhen Key Medical Discipline Construction Fund No.SZXK062Shenzhen Medical Research Fund B2503004Shenzhen Philosophy and Social Sciences Planning Project No.SZ2024C018
6 · The paper itself

Abstract

backgroundMega sporting events are increasingly discussed for their potential public health legacy, yet evidence on their mental health relevance among older adults and the underlying pathways remains limited. This study examined the association between perceived health-related exposure to a mega sporting event and depressive symptoms in community-dwelling older adults, focusing on the roles of physical activity and loneliness.

methodsThis cross-sectional survey was conducted between October and November 2025 in 10 community health service centers in Luohu District, Shenzhen, China. A total of 961 adults aged 60 years and older were included. Depressive symptoms were assessed using the 5-item Geriatric Depression Scale. Perceived event-related health exposure was assessed using a context-specific five-item indicator reflecting event-related health information exposure. Physical activity was measured using the Physical Activity Rating Scale–3 and loneliness using the 3-item UCLA Loneliness Scale. Multivariable regression and serial mediation analysis with 5,000 bootstrap resamples were performed, adjusting for sociodemographic characteristics, self-rated health, and chronic disease status.

resultsAmong the 961 participants, 258 individuals (26.85%) met the criteria for depressive symptoms. Higher perceived event-related health exposure was associated with lower depressive symptom scores (B = − 0.045). Indirect effects were observed via physical activity (B = − 0.021) and loneliness (B = − 0.006), as well as via a sequential pathway linking higher perceived exposure to higher physical activity, lower loneliness, and lower depressive symptoms (B = − 0.004). Overall, indirect effects accounted for 68.9% of the total effect. Findings were consistent in sensitivity analyses using binary depressive symptoms.

conclusionsHigher perceived event-related health exposure was associated with fewer depressive symptoms among older adults, with physical activity and loneliness indicating behavioral and psychosocial pathways. These findings may inform consideration of physical activity promotion and social connectedness in planning the public health implications of large-scale sporting events for aging populations. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

DepressionExerciseLonelinessSportsAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle Aged

Identifiers

PMID42050574
PMCPMC13267273

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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.