Evidence map›Paper›PMID 42239932›Full record

ArticleHealth psychology and behavioral medicine2026

Lifestyle behavior clusters and their associations with depressive symptoms among Chinese adolescents: during and after COVID-19 period.

Zeng-Bao Hu, Ke-Qin Ding, Stuart McDonald, Qing-Hai Gong, Yi Lin

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Article in Health psychology and behavioral medicine, 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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5 · Who and what money

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5 authors.

Zeng-Bao HuFaculty of Humanities and Social Sciences, University of Nottingham Ningbo China, Ningbo City, Zhejiang Province, China.
Ke-Qin DingDepartment of School Health, Ningbo Municipal Center for Disease Control and Prevention, Ningbo City, Zhejiang Province, China.
Stuart McDonaldFaculty of Humanities and Social Sciences, University of Nottingham Ningbo China, Ningbo City, Zhejiang Province, China.
Qing-Hai GongDepartment of School Health, Ningbo Municipal Center for Disease Control and Prevention, Ningbo City, Zhejiang Province, China.
Yi LinFaculty of Humanities and Social Sciences, University of Nottingham Ningbo China, Ningbo City, Zhejiang Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The occurrence of depressive symptoms among adolescents presents a significant public health challenge. However, little is known about the influence of lifestyle changes on depressive symptoms among adolescents after the cancellation of the zero-COVID policy in China. This study aims to examine the associations between clusters of lifestyle behaviors and depressive symptoms among Chinese adolescents during and after the zero-COVID policy period. Methods: A school-based 2-year longitudinal study was conducted from September 2022 to October 2023 in Ningbo, Zhejiang Province, China. Depressive symptoms were assessed using the 20-item Center for Epidemiological Studies Depression Scale. Two-step cluster analysis was used to identify clusters based on adolescents' levels of moderate-to-vigorous physical activities, screen-based sedentary time, sleep duration, and consumption of sugar-sweetened beverages and deep-fried food in each period. A binary generalized linear model (GLM) regression was used to estimate and examine associations between lifestyle clusters and depressive symptoms. Results: A total of 2705 adolescents aged between 10 and 19 years were included in the analysis. The prevalence of depressive symptoms in the zero-COVID policy period was lower than that in the post-zero-COVID policy period (20.00% vs. 25.21%, Conclusions: In general, unhealthy lifestyle clusters were associated with a higher likelihood of depressive symptoms, with the association being stronger and more significant in the post-zero-COVID policy period. Effective interventions for adolescents' lifestyle behaviors, such as health education programs, are needed to reduce long-term negative effects on their mental health in the post-pandemic period and potential future pandemics.

Indexed as

adolescentsChinadepressive symptomsLifestyle behaviorzero-COVID policy

Identifiers

PMID42239932
PMCPMC13228188

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