A follow‑up study on the association between physical activity, screen time and depressive symptoms in adolescents

WANG Shufeng; HU Yongfeng; ZHANG Minzhe; RAO Weiming; YANG Hongguang; ZHANG Minjie; ZHENG Miaobing; HE Qiqiang

doi:10.14188/j.1671-8852.2023.0293

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A follow‑up study on the association between physical activity, screen time and depressive symptoms in adolescents

更新时间：2026-11-05

- A follow‑up study on the association between physical activity, screen time and depressive symptoms in adolescents
- Medical Journal of Wuhan University Vol. 46, Issue 3, Pages: 365-369(2025)
- 作者机构：
  
  1.武汉市新洲区疾病预防控制中心湖北武汉 430400
  2.武汉大学公共卫生学院湖北武汉 430071
  3.澳大利亚迪肯大学营养与运动学院墨尔本澳大利亚
- 作者简介：
- 基金信息：
- DOI：10.14188/j.1671-8852.2023.0293
  CLC： R749
- Received：13 May 2023，
  
  Published：25 March 2025
- 稿件说明：
移动端阅览
汪树锋,胡永峰,张敏哲等.青少年体力活动和屏幕时长与抑郁症状关联追踪研究[J].武汉大学学报（医学版）,2025,46(03):365-369.

WANG Shufeng,HU Yongfeng,ZHANG Minzhe,et al.A follow‑up study on the association between physical activity, screen time and depressive symptoms in adolescents[J].Medical Journal of Wuhan University,2025,46(03):365-369.
汪树锋,胡永峰,张敏哲等.青少年体力活动和屏幕时长与抑郁症状关联追踪研究[J].武汉大学学报（医学版）,2025,46(03):365-369. DOI： 10.14188/j.1671-8852.2023.0293.

WANG Shufeng,HU Yongfeng,ZHANG Minzhe,et al.A follow‑up study on the association between physical activity, screen time and depressive symptoms in adolescents[J].Medical Journal of Wuhan University,2025,46(03):365-369. DOI： 10.14188/j.1671-8852.2023.0293.

摘要

目的

调查中高强度体力活动（MVPA）和屏幕时长（ST）与青少年抑郁症状的纵向关联。

方法

采用分层整群抽样方法，于2020年10月对武汉市新洲区中学生进行问卷调查，了解其MVPA、ST和抑郁症状，并在1年后跟踪随访。采用广义估计方程模型分析MVPA、ST与抑郁症状的关联。

结果

共有404名学生参与了随访调查。2020年和2021年调查对象抑郁症状检出率分别为28.5%和33.9%。MVPA不足（

=2.17，95%

：1.21~3.90）和ST

2 h⋅d

-1

(

=1.73，95%

：1.22~2.45）均为抑郁症状独立危险因素。与对照组相比，MVPA不足且ST

2 h•d

-1

的青少年抑郁症状风险显著上升(

=3.18，95%

：1.36~7.44）。

结论

MVPA不足和ST时间过长显著增加青少年抑郁症状风险。家长和学校应鼓励学生增加体力活动，并减少使用电子设备，以促进其心理健康水平。

Abstract

Objective

To investigate the longitudinal association of moderate to vigorous physical activity (MVPA) and screen time (ST) with depressive symptoms in adolescents.

Methods

A stratified cluster sampling method was used to investigate MVPA

and depressive symptoms of middle‑school students in Xinzhou District of Wuhan in October 2020. They were followed up one year later. A generalized estimation equation model was used to analyze the association between MVPA

and depressive symptoms.

Results

A total of 404 students participated in the follow‑up survey. The detection rates of depressive symptoms were 28.5% in 2020 and 33.3% in 2021

respectively. Insufficient MVPA time （

=2.17

95%

: 1.21‑3.89）and ST

2 h⋅d

-1

(

=1.73

95%

: 1.22‑2.45）were independent risk factors for depressive symptoms. Compared with the control group

adolescents with insufficient MVPA time and ST

2 h•d

-1

had a significantly higher risk of depressive symptoms (

=3.18

95%

: 1.36‑7.44）.

Conclusion

Insufficient MVPA and long ST significantly increased the risk of depressive symptoms among adolescents. Parents and schools should encourage students to increase physical activity and reduce the use of electronic devices to decrease the risk of depressive symptoms.

关键词

Keywords

references

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