The Association of Sports Participation With Depressive Symptoms and Anxiety Disorder in Adolescents.

An increasing body of evidence has evidenced that physical activity is negatively associated with depression and anxiety in adolescents, although the associations between various modalities of PA with depression and anxiety have yet to be effectively explored. This study aimed to investigate the associations between sports participation and depression and anxiety among a sample of Chinese adolescents. 2,374 adolescents from eight schools were invited to participate in this survey, of whom 1,714 adolescents from grades 7, 8, 10 and 11 were included for final analysis. Depressive symptoms and anxiety disorder were assessed using the Patient Health Questionnaire-9 (PHQ-9), as well as the Generalized Anxiety Disorder-7 (GAD-7), respectively. Sport participation was assessed using a single question. Additionally, sociodemographic factors were assessed using a self-reported questionnaire. Ordinal logistic regression was used to estimate sport participation's associations with depressive symptoms and anxiety disorders separately, having controlled for all sociodemographic covariates. Among all study participants, those with less participation in sport-related activities had a greater likelihood of reporting depressive symptoms (Odd ratio [OR] for never = 2.07; OR for 1-3 times per month = 1.77; OR for 1-2 times per week = 1.77), as well as anxiety disorders (OR for never = 1.61; OR for 1-3 times per month = 1.69; OR for 1-2 times per week = 1.38). Encouraging adolescents to engage in more sports participation would provide an effective and feasible approach for mental health promotion. Despite this study having found promising evidence, the research findings should be replicated using more improved research with an enhanced study design. Future researchers are encouraged to design and implement sports participation interventions aimed at promoting mental health among adolescents, while future China-based studies are encouraged to replicate or negate our study findings.

Chi G ，Wang L 《Frontiers in Public Health》

Physical activity in European adolescents and associations with anxiety, depression and well-being.

McMahon EM ，Corcoran P ，O'Regan G ，Keeley H ，Cannon M ，Carli V ，Wasserman C ，Hadlaczky G ，Sarchiapone M ，Apter A ，Balazs J ，Balint M ，Bobes J ，Brunner R ，Cozman D ，Haring C ，Iosue M ，Kaess M ，Kahn JP ，Nemes B ，Podlogar T ，Poštuvan V ，Sáiz P ，Sisask M ，Tubiana A ，Värnik P ，Hoven CW ，Wasserman D ... -  《-》

Self-reported Mental and Physical Health Among Norwegian Adolescents Before and During the COVID-19 Pandemic.

Burdzovic Andreas J ，Brunborg GS 《JAMA Network Open》

Physical activity and sport participation among adolescents: associations with mental health in different age groups. Results from the Young-HUNT study: a cross-sectional survey.

Knowledge of how physical activity (PA) and sport participation are related to mental health throughout adolescence is scarce. Our objective was to describe PA levels and sport participation in a population-based sample of adolescents, and to explore how they relate to mental health in different age groups. A population-based cross-sectional study. The adolescent part of the Nord-Trøndelag Health Study, a Norwegian population-based health survey, conducted from 2006 to 2008. Of 10 464 invited participants (age 13-19 years), 7619 (73%) participated, of whom 3785 (50%) were boys. Mental health outcomes included psychological distress assessed using a short version of the Hopkins Symptom Check List Five items, self-esteem assessed using a short version of the Rosenberg Self-Esteem Scale and life satisfaction assessed with a single-item satisfaction with life measure. Logistic regression models were used to estimate the likelihood of psychological distress, low self-esteem and low life satisfaction, according to self-reported PA level and type of sport participation, stratified by gender and school level (junior vs senior high school). Fewer senior high school students participated in team sports compared with junior high school students (p<0.001). Physically active adolescents and participants in team sports had higher self-esteem and life satisfaction. A high PA level, compared with a low PA level, was associated with reduced odds of psychological distress among senior high school students (OR 0.63, 95% CI 0.46 to 0.86 for girls and OR 0.46, 95% CI 0.27 to 0.79 for boys). Team sport participation was associated with reduced odds of psychological distress in senior high school girls. A high PA level was favourably associated with various dimensions of mental health, especially for adolescents in senior high school. Team sport participation may have a positive impact on mental health and should, therefore, be encouraged.

Guddal MH ，Stensland SØ ，Småstuen MC ，Johnsen MB ，Zwart JA ，Storheim K ... -  《BMJ Open》

Prospective associations between sport participation and psychological adjustment in adolescents.

Engaging in sport has been suggested to be mitigate against psychological distress. Using a prospective-longitudinal design, we examine whether sport participation is associated with reduced psychological difficulties in adolescents and whether associations differ by sport and personal characteristics. 17 550 adolescents from grade 7 to 10 (mean age=14.4 years old) self-reported on sport participation, depressive symptoms, social anxiety symptoms and loneliness in Spring 2007 and 1 year later. Analyses tested the association between sport participation and subsequent psychological difficulties using linear regression, while adjusting for pre-existing psychological and sociodemographic characteristics. Analyses also verified whether associations differed by sport frequency (weekly/more than weekly) and type (team/individual) using Wald tests of parameter constraints, as well as sex, age and pre-existing psychological difficulties using interaction terms. After adjusting for potential confounders, sport participation predicted lower social anxiety symptoms (beta=-0.02 (-0.04, -0.01)) and loneliness (beta=-0.04 (-0.05, -0.02)), but not depressive symptoms. Moderation analyses showed that sport participation predicted greater reductions in depressive symptoms, social anxiety symptoms and loneliness in adolescents with higher baseline scores on each outcome. Associations did not differ by sport frequency and type, sex and age. Post hoc analyses revealed bidirectional associations between sport participation and social anxiety symptoms and loneliness. Sport participation predicts small reductions in adolescent psychological distress. Reductions seem most important in youth experiencing greater pre-existing psychological difficulty. Our findings suggest that sport participation represents a protective factor that supports psychological resilience in at-risk youth.

Brière FN ，Yale-Soulière G ，Gonzalez-Sicilia D ，Harbec MJ ，Morizot J ，Janosz M ，Pagani LS ... -  《-》