Jussila, JJ, Pulakka, A, Ervasti, J, et al. Associations of leisure-time physical activity and active school transport with mental health outcomes: A population-based study. Scand J Med Sci Sports. 2023; 33: 670-681. doi:10.1111/sms.14292
Associations of leisure-time physical activity and active school transport with mental health outcomes : a population-based study
|Author:||Jussila, Juuso J.1,2,3; Pulakka, Anna4,5; Ervasti, Jenni6;|
1Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
2Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland
3Environmental Health Unit, Finnish Institute for Health and Welfare (THL), Kuopio, Finland
4Research Unit of Population Health, University of Oulu, Oulu, Finland
5Population Health Unit, Finnish Institute for Health and Welfare (THL), Helsinki, Finland
6Finnish Institute of Occupational Health, Helsinki, Finland
7Department of Applied Physics, University of Eastern Finland, Kuopio, Finland
8Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
9Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland
|Online Access:||PDF Full Text (PDF, 0.2 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe20230831114993
John Wiley & Sons,
|Publish Date:|| 2023-08-31
Promoting physical activity can improve population health. This study aimed to examine associations of leisure-time moderate-to-vigorous physical activity and active school transport with mental health, that is, symptoms of depression and anxiety, among 15- to 16-year-old adolescents. We also assessed the relationships with less-studied outcomes, such as chronic stress and visits to school psychologist. A nationwide Finnish cohort of eighth and ninth graders from the School Health Promotion study (32 829 participants; mean age 15.4 years; 53% girls) was studied. We used logistic regression to estimate odds ratios (OR), with models adjusted for major sociodemographic, health behavior, and physical activity variables. Key findings suggest that leisure-time moderate-to-vigorous physical activity is associated with better mental health in a dose–response manner. Even the smallest dose, 30 weekly minutes, was linked to 17% lower odds of chronic stress symptoms compared to inactivity (OR 0.83, 95% CI 0.71–0.96). Compared to non-active transportation, more than 30 min of daily active school transport yielded 19% (OR 1.19, 95% CI 1.07–1.31) and 33% (OR 1.33, 95% CI 1.12–1.58) higher odds of depression symptoms and school psychologist visits, respectively. However, no associations were found for low-to-moderate daily active school transport levels (<30 min). This large-scale study further highlights a positive association between leisure-time physical activity and mental health among youth. Future research should explore what factors might explain the potential adverse mental health outcomes of active school transport.
Scandinavian journal of medicine & science in sports
|Pages:||670 - 681|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3142 Public health care science, environmental and occupational health
JJJ and SA were supported by the Academy of Finland, Strategic Research Council (#336003). JE was supported by the Academy of Finland, Strategic Research Council (#336004). JIH was supported by the Academy of Finland, Strategic Research Council (#335382). SM was supported by the Academy of Finland competitive fund-ing to strengthen university research profiles (PROFI) for the University of Eastern Finland (#325022). PS was supported by the Academy of Finland, Strategic Research Council (#335186).
The data that support the findings of this study are available from Findata - Finnish Social and Health Data Permit Authority. Restrictions apply to the availability of these data, which were used under license for this study. Data are available from https://finda ta.fi/en/ with the permission of Findata - Finnish Social and Health Data Permit Authority.
© 2022 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.