ArticleJournal of multidisciplinary healthcare2026
Exercise Attitudes Mediate the Impact of Mental Health on Physical Activity Practices Among Chinese College Students: A Cross-Sectional Study in Chongqing.
Article in Journal of multidisciplinary healthcare, 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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Abstract
Purpose: This study examined how exercise attitudes mediate the link between mental health and physical activity in Chongqing college students, using structural equation modeling to identify key factors. Patients and Methods: A cross-sectional survey recruited college students at Chongqing Medical University between October 29 and November 20, 2024. Demographic data and Mental Health, Attitude and Practice scores were collected using self-Administrated questionnaires. Results: A total of 2113 valid responses were analyzed. Among the respondents, 1,288 (60.96%) were first-year students, and 1,337 (63.27%) reported having a regular exercise habit. The mean scores for mental health, attitude as well as practice were 1.54 ± 0.57 (possible range: 1-4.85; representing the mean score per item across 80 items, where scores <2 indicate no mental health issues), 21.43 ± 3.36 (possible range: 6-30) and 33.09 ± 6.16 (possible range: 9-45), respectively. Spearman Correlation analysis revealed a significant positive association between attitude and practice (r=0.7195, P<0.001). Mediation analysis showed that the direct effect of mental health on both attitude (β = -0.38, P<0.001) and practice (β=-0.06, P=0.001), as well as of attitude on practice (β=0.88, P<0.001), furthermore, mental health indirectly affected practice through attitude (β=-0.34, P<0.001). Conclusion: The findings suggest that exercise attitudes mediate the mental health-physical activity link. Integrated campus strategies combining psychological support and attitude interventions are recommended.
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