Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students

Xiaoyan Wu, Shuman Tao, Yukun Zhang, Shichen Zhang, Fangbiao Tao, Xiaoyan Wu, Shuman Tao, Yukun Zhang, Shichen Zhang, Fangbiao Tao

Abstract

Objective: To test the independent and interactive associations of physical activity (PA) and screen time (ST) with self-reported mental health and sleep quality among Chinese college students.

Method: Data were collected in October, 2013. The gender, age, residential background, body mass index (BMI), perceived family economy and perceived study burden were obtained from a total of 4747 college students (41.6% males and 58.4% females). The outcomes were self-reported PA status, ST, anxiety, depression, psychopathological symptoms and sleep quality. Analyses were conducted with logistic regression models.

Results: Overall, 16.3%, 15.9% and 17.3% of the students had psychological problems, such as anxiety, depression and psychopathological symptoms, respectively. The prevalence of poor sleep quality was 9.8%. High ST was significantly positively associated with anxiety (OR=1.38, 95%CI: 1.15-1.65), depression (OR=1.76, 95%CI: 1.47-2.09), psychopathological symptoms (OR=1.69, 95%CI: 1.43-2.01) and poor sleep quality (OR=1.32, 95%CI: 1.06-1.65). High PA was insignificantly negatively associated with anxiety, depression, psychopathological symptoms and poor sleep. Low PA and high ST were independently and interactively associated with increased risks of mental health problems and poor sleep quality (p<0.05 for all).

Conclusion: Interventions are needed to reduce ST and increase PA in the lifestyles of young people. Future research should develop and measure the impacts of interventions and their potential consequences on sleep, health, and well being.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

References

    1. Trost SG, Blair SN, Khan KM. Physical inactivity remains the greatest public health problem of the 21st century: evidence, improved methods and solutions using the '7 investments that work' as a framework. Br J Sports Med. 2014; 48(3): 169–170. 10.1136/bjsports-2013-093372
    1. Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012; 380(9838): 247–257. 10.1016/S0140-6736(12)60646-1
    1. Jayakody K, Gunadasa S, Hosker C. Exercise for anxiety disorders: systematic review. Br J Sports Med. 2014; 48(3): 187–196. 10.1136/bjsports-2012-091287
    1. Anderson E, Shivakumar G. Effects of exercise and physical activity on anxiety. Front Psychiatry. 2013; 4: 27 10.3389/fpsyt.2013.00027
    1. Mammen G, Faulkner G. Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med. 2013; 45(5): 649–657. 10.1016/j.amepre.2013.08.001
    1. Cooney GM, Dwan K, Greig CA, Lawlor DA, Rimer J, Waugh FR, et al. Exercise for depression. Cochrane Database Syst Rev. 2013; 9: CD004366 10.1002/14651858.CD004366.pub6
    1. Kim YS, Park YS, Allegrante JP, Marks R, Ok H, Ok Cho K, et al. Relationship between physical activity and general mental health. Prev Med. 2012; 55(5): 458–463. 10.1016/j.ypmed.2012.08.021
    1. Wang H, Fu J, Lu Q, Tao F, Hao J. Physical activity, Body Mass Index and mental health in Chinese adolescents: a population based study. J Sports Med Phys Fitness. 2014; 54(4): 518–525.
    1. Vankim NA, Nelson TF. Vigorous physical activity, mental health, perceived stress, and socializing among college students. Am J Health Promot. 2013; 28(1): 7–15. 10.4278/ajhp.111101-QUAN-395
    1. Sorić M, Starc G, Borer KT, Jurak G, Kovač M, Strel J, et al. Associations of objectively assessed sleep and physical activity in 11-year old children. Ann Hum Biol. 2015; 42(1): 31–37. 10.3109/03014460.2014.928367
    1. Rothon C, Edwards P, Bhui K, Viner RM, Taylor S, Stansfeld SA, et al. Physical activity and depressive symptoms in adolescents: a prospective study. BMC Med. 2010; 8: 32 10.1186/1741-7015-8-32
    1. Katzmarzyk PT. Physical activity, sedentary behavior, and health: paradigm paralysis or paradigm shift? Diabetes. 2010; 59(11): 2717–2725. 10.2337/db10-0822
    1. Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011; 8: 98 10.1186/1479-5868-8-98
    1. Nuutinen T, Ray C, Roos E. Do computer use, TV viewing, and the presence of the media in the bedroom predict school-aged children's sleep habits in a longitudinal study? BMC Public Health. 2013; 13: 684 10.1186/1471-2458-13-684
    1. Castillo LG, Schwartz SJ. Introduction to the special issue on college student mental health. J Clin Psychol. 2013; 69(4): 291–297. 10.1002/jclp.21972
    1. Iannotti RJ, Kogan MD, Janssen I, Boyce WF. Patterns of adolescent physical activity, screen-based media use, and positive and negative health indicators in the U.S. and Canada. J Adolesc Health. 2009; 44(5): 493–499. 10.1016/j.jadohealth.2008.10.142
    1. Cao H, Qian Q, Weng T, Yuan C, Sun Y, Wang H, et al. Screen time, physical activity and mental health among urban adolescents in China. Prev Med. 2011; 53(4–5): 316–320.
    1. Feng Q, Zhang QL, Du Y, Ye YL, He QQ. Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese college freshmen. PLoS One. 2014; 9(6): e100914 10.1371/journal.pone.0100914
    1. Hamer M, Stamatakis E, Mishra G. Psychological distress, television viewing, and physical activity in children aged 4 to 12 years. Pediatrics. 2009; 123(5): 1263–1268. 10.1542/peds.2008-1523
    1. Kremer P, Elshaug C, Leslie E, Toumbourou JW, Patton GC, Williams J. Physical activity, leisure-time screen use and depression among children and young adolescents. J Sci Med Sport. 2014; 17(2): 183–187. 10.1016/j.jsams.2013.03.012
    1. Kjønniksen L, Torsheim T, Wold B. Tracking of leisure-time physical activity during adolescence and young adulthood: a 10-year longitudinal study. Int J Behav Nutr Phys Act. 2008; 5: 69 10.1186/1479-5868-5-69
    1. Yu QC, Ma WJ, Zou YF, Chen GM, Yao YY, Su PY, et al. Impact of evening exercise on college students' sleep quality. Chin J Pre Med. 2013; 47(6): 542–546.
    1. Zung WW. A rating instrument for anxiety disorders. Psychosomatics. 1971; 12(6): 371–379.
    1. Ling Y, Wei Y, Yi JY, Xiao J, Yao SQ. Factorial Structure of the CES- D Scale Among Chinese High School Students. Chin J Clinical Psychology. 2008; 16(3): 265–267.
    1. Tao FB, Hu CL, Sun YH, Hao JH. The development and application of multidimensional sub-health questionnaire of adolescents (MSQA). Chin J Dis Control Prev. 2008; 12(4): 309–314.
    1. Xing C, Tao FB, Yuan CJ, Wan YH, Qi XY, Hu CL, et al. Evaluation of reliability and validity of the multidimensional sub-health questionnaire of adolescents. Chin J Public Health. 2008; 24(9): 1031–1033.
    1. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2): 193–213.
    1. Liu XC, Scouten WH. Studies on oriented and reversible immobilization of glycoprotein using novel boronate affinity gel. J Mol Recognit. 1996; 9(5–6): 462–467.
    1. O'Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U, et al. The ABC of Physical Activity for Health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci. 2010; 28(6): 573–591. 10.1080/02640411003671212
    1. Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010; 7: 40 10.1186/1479-5868-7-40
    1. Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med. 2011; 45(11): 886–895. 10.1136/bjsports-2011-090185
    1. Rocha SF, Marocolo M, Corrêa EN, Morato GS, da Mota GR. Physical activity helps to control music performance anxiety. Med Probl Perform Art. 2014; 29(2): 111–112.
    1. Adams TB, Moore MT, Dye J. The relationship between physical activity and mental health in a national sample of college females. Women Health. 2007; 45(1): 69–85.
    1. Tyson P, Wilson K, Crone D, Brailsford R, Laws K. Physical activity and mental health in a student population. J Ment Health. 2010; 19(6): 492–499. 10.3109/09638230902968308
    1. Ploughman M. Exercise is brain food: the effects of physical activity on cognitive function. Dev Neurorehabil. 2008; 11(3): 236–240. 10.1080/17518420801997007
    1. Kamijo K, Takeda Y. General physical activity levels influence positive and negative priming effects in young adults. Clin Neurophysiol. 2009; 120(3): 511–519. 10.1016/j.clinph.2008.11.022
    1. Themanson JR, Pontifex MB, Hillman CH. Fitness and action monitoring: evidence for improved cognitive flexibility in young adults. Neuroscience. 2008; 157(2): 319–328. 10.1016/j.neuroscience.2008.09.014
    1. Iannotti RJ, Janssen I, Haug E, Kololo H, Annaheim B, Borraccino A, et al. Interrelationships of adolescent physical activity, screen-based sedentary behaviour, and social and psychological health. Int J Public Health. 2009; 54(Suppl 2): 191–198. 10.1007/s00038-009-5410-z
    1. Must A, Tybor DJ. Physical activity and sedentary behavior: a review of longitudinal studies of weight and adiposity in youth. Int J Obes (Lond). 2005; 29(Suppl 2): S84–96.
    1. Hamer M, Stamatakis E, Mishra GD. Television- and screen-based activity and mental well-being in adults. Am J Prev Med. 2010; 38(4): 375–380. 10.1016/j.amepre.2009.12.030
    1. Melkevik O, Torsheim T, Iannotti RJ, Wold B. Is spending time in screen-based sedentary behaviors associated with less physical activity: a cross national investigation. Int J Behav Nutr Phys Act. 2010; 7: 46 10.1186/1479-5868-7-46
    1. Wijndaele K, Brage S, Besson H, Khaw KT, Sharp SJ, Luben R, et al. Television viewing time independently predicts all-cause and cardiovascular mortality: the EPIC Norfolk study. Int J Epidemiol. 2011; 40(1): 150–159. 10.1093/ije/dyq105
    1. Goldbacher EM, Matthews KA. Are psychological characteristics related to risk of the metabolic syndrome? A review of the literature. Ann Behav Med. 2007; 34(3): 240–252.
    1. Vélez JC, Souza A, Traslaviña S, Barbosa C, Wosu A, Andrade A, et al. The Epidemiology of Sleep Quality and Consumption of Stimulant Beverages among Patagonian Chilean College Students. Sleep Disord. 2013; 2013:910104 10.1155/2013/910104
    1. Matamura M, Tochigi M, Usami S, Yonehara H, Fukushima M, Nishida A, et al. Associations between sleep habits and mental health status and suicidality in a longitudinal survey of monozygotic twin adolescents. J Sleep Res. 2014; 23(3): 290–294. 10.1111/jsr.12127
    1. Hale L, Guan S. Screen time and sleep among school-aged children and adolescents: A systematic literature review. Sleep Med Rev. 2014 Aug 12. pii: S1087–0792(14)00081–1.
    1. Cain N, Gradisar M. Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Med. 2010; 11(8): 735–742. 10.1016/j.sleep.2010.02.006
    1. Brand S, Gerber M, Beck J, Hatzinger M, Pühse U, Holsboer-Trachsler E. High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: a comparison of athletes and controls. J Adolesc Health. 2010; 46(2): 133–141. 10.1016/j.jadohealth.2009.06.018
    1. Chennaoui M, Arnal PJ, Sauvet F, Léger D. Sleep and exercise: A reciprocal issue? Sleep Med Rev. 2014 Jun 30. pii: S1087–0792(14)00072–0.

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