Associations of physical activity with sleep satisfaction, perceived stress, and problematic Internet use in Korean adolescents

BMC Public Health

Subin Park¹ 

[1] Department of Psychiatry, Seoul National Hospital 398, Neungdong-ro, Gwangin-gu, Seoul 143-711, South Korea

关键词: Adolescents;    KYRBS;    Exercise;    Mental Health;    Epidemiology;   

Others  :  1123046
DOI  :  10.1186/1471-2458-14-1143

 received in 2014-05-20, accepted in 2014-09-24,  发布年份 2014

【 摘 要 】

Background

The association of physical activity (PA) with sleep quality, perceived stress, and problematic Internet use was examined in a nationwide sample of Korean adolescents.

Methods

Data from the 2010 Korean Youth Risk Behavior Web-based Survey collected from 73,238 Korean adolescents aged 12–18 years (mean age 15.06 ± 1.75 years) were analyzed. Participants were asked to rate the frequency with which they engaged in moderate and vigorous PA per week. The risk of problematic Internet use was assessed with the Korean Internet Addiction Proneness Scale for Youth-Short Form. Self-report questionnaires were used to assess levels of sleep satisfaction and perceived stress. The associations of PA with sleep satisfaction, perceived stress, and problematic Internet use were assessed with multiple logistic regression analysis. Then, the Sobel test was used to explore the mediation of the relationship between PA and problematic Internet use by sleep satisfaction and stress.

Results

Physically active subjects were more likely to express satisfaction with their sleep (AOR = 1.13; 95% CI = 1.08, 1.18), less likely to feel stress in their lives (AOR = 0.89, 95% CI = 0.86, 0.93), and less likely to be a problematic Internet user (AOR = 0.78; 95% CI = 0.73, 0.82) compared to physically inactive subjects. The Sobel test revealed that the inverse association between PA and problematic Internet use was partially mediated by increased sleep satisfaction or decreased perceived stress (Z = −4.315, p < 0.001).

Conclusions

The results of the present study indicate a negative association between level of physical activity and risk of problematic Internet use via the mediation of sleep satisfaction and stress in Korean adolescents. Physical activity may be helpful to improve adolescent mental health.

【 授权许可】

   
2014 Park; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Ferron C, Narring F, Cauderay M, Michaud PA: Sport activity in adolescence: associations with health perceptions and experimental behaviours. Health Educ Res 1999, 14:225-233.
• [2]Calfas KJ (Ed): The Relationship between Physical Activity and the Psychological Wellbeing of Youth. Malden, Mass: Blackwell Science; 1999.
• [3]Calfas KJ, Taylor WC: Effects of physical-activity on psychological variables in adolescents. Pediatr Exerc Sci 1994, 6:406-423.
• [4]Kirkcaldy BD, Shephard RJ, Siefen RG: The relationship between physical activity and self-image and problem behaviour among adolescents. Soc Psychiatry Psychiatr Epidemiol 2002, 37:544-550.
• [5]Biddle SJH, Asare M: Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 2011, 45:886-895.
• [6]Brand S, Gerber M, Beck J, Hatzinger M, Puhse U, Holsboer-Trachsler E: Exercising, sleep-EEG patterns, and psychological functioning are related among adolescents. World J Biological Psychiatry 2010, 11:129-140.
• [7]Korea Internet & Security Agency: Survey on Internet use. Seoul: Korean Internet & Security Agency; 2010.
• [8]Park S, Hong KEM, Park EJ, Ha KS, Yoo HJ: The association between problematic internet use and depression, suicidal ideation and bipolar disorder symptoms in Korean adolescents. Aust N Z J Psychiatry 2013, 47:153-159.
• [9]Ha JH, Kim SY, Bae SC, Bae S, Kim H, Sim M, Lyoo IK, Cho SC: Depression and Internet addiction in adolescents. Psychopathology 2007, 40:424-430.
• [10]Jang KS, Hwang SY, Choi JY: Internet addiction and psychiatric symptoms among Korean adolescents. J Sch Health 2008, 78:165-171.
• [11]Yoo HJ, Cho SC, Ha J, Yune SK, Kim SJ, Hwang J, Chung A, Sung YH, Lyoo IK: Attention deficit hyperactivity symptoms and internet addiction. Psychiatry Clin Neurosci 2004, 58:487-494.
• [12]Fu KW, Chan WS, Wong PW, Yip PS: Internet addiction: prevalence, discriminant validity and correlates among adolescents in Hong Kong. Br J Psychiatry 2010, 196:486-492.
• [13]Kim K, Ryu E, Chon MY, Yeun EJ, Choi SY, Seo JS, Nam BW: Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: a questionnaire survey. Int J Nurs Stud 2006, 43:185-192.
• [14]Williamson D, Dewey A, Steinberg H: Mood change through physical exercise in nine- to ten-year-old children. Percept Mot Skills 2001, 93:311-316.
• [15]Vandelanotte C, Sugiyama T, Gardiner P, Owen N: Associations of leisure-time internet and computer use with overweight and obesity, physical activity and sedentary behaviors: Cross-sectional study. J Med Internet Res 2009, 11:e28.
• [16]Yang CK: Sociopsychiatric characteristics of adolescents who use computers to excess. Acta Psychiatr Scand 2001, 104:217-222.
• [17]Camacho TC, Roberts RE, Lazarus NB, Kaplan GA, Cohen RD: Physical activity and depression: evidence from the Alameda County Study. Am J Epidemiol 1991, 134:220-231.
• [18]Thomee S, Harenstam A, Hagberg M: Computer use and stress, sleep disturbances, and symptoms of depression among young adults - a prospective cohort study. BMC Psychiatry 2012, 12:176. BioMed Central Full Text
• [19]Punamaki RL, Wallenius M, Nygard CH, Saarni L, Rimpela A: Use of information and communication technology (ICT) and perceived health in adolescence: The role of sleeping habits and waking-time tiredness. J Adolesc 2007, 30:569-585.
• [20]Lang C, Brand S, Feldmeth AK, Holsboer-Trachsler E, Puhse U, Gerber M: Increased self-reported and objectively assessed physical activity predict sleep quality among adolescents. Physiol Behav 2013, 120:46-53.
• [21]Korea Centers for Disease Control and Prevention: Korea Youth Risk Behavior Web-Based Survey: Survey Summaries. Cheongwon: Korea Centers for Disease Control and Prevention; 2010.
• [22]IPAQ Research Committee: Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire(IPAQ), Short Form, ver. 2.0. 2005. http://www.ipaq.ki.se webcite
• [23]Sobel ME: Asymptotic confidence intervals for indirect effects in structural equation models. Sociol Methodol 1982, 13:290-312.
• [24]Biddle S: Children, exercise and mental-health. International J Sport Psychology 1993, 24:200-216.
• [25]Larun L, Nordheim LV, Ekeland E, Hagen KB, Heian F: Exercise in prevention and treatment of anxiety and depression among children and young people. Cochrane Database Syst Rev 2006, 19:CD004691.
• [26]Ekeland E, Heian F, Hagen KB: Can exercise improve self esteem in children and young people? A systematic review of randomised controlledtrials. Br J Sports Med 2005, 39:792-798.
• [27]Gerber M, Kellmann M, Hartmann T, Puhse U: Do exercise and fitness buffer against stress among Swiss police and emergency response service officers? Psychol Sport Exerc 2010, 11:286-294.
• [28]Kalak N, Gerber M, Kirov R, Mikoteit T, Yordanova J, Puhse U, Holsboer-Trachsler E, Brand S: Daily morning running for 3 weeks improved sleep and psychological functioning in healthy adolescents compared with controls. J Adolesc Health 2012, 51:615-622.
• [29]Gerber M, Brand S, Holsboer-Trachsler E, Puhse U: Fitness and exercise as correlates of sleep complaints: is it all in our minds? Med Sci Sports Exerc 2010, 42:893-901.
• [30]Dunn AL, Trivedi MH, Kampert JB, Clark CG, Chambliss HO: Exercise treatment for depression: efficacy and dose response. Am J Prev Med 2005, 28:1-8.
• [31]Strohle A: Physical activity, exercise, depression and anxiety disorders. J Neural Transm 2009, 116:777-784.
• [32]Caspersen CJ, Pereira MA, Curran KM: Changes in physical activity patterns in the United States, by sex and cross-sectional age. Med Sci Sports Exerc 2000, 32:1601-1609.
• [33]van Mechelen W, Twisk JW, Post GB, Snel J, Kemper HC: Physical activity of young people: the Amsterdam Longitudinal Growth and Health Study. Med Sci Sports Exerc 2000, 32:1610-1616.
• [34]Ministry for Health and Welfare: The State of Korean Children and Adolescents. Seoul: Ministry for Health and Welfare; 2009.
• [35]Stults-Kolehmainen MA, Sinha R: The effects of stress on physical activity and exercise. Sports Med 2014, 44:81-121.
• [36]Tang NK, Sanborn AN: Better quality sleep promotes daytime physical activity in patients with chronic pain? A multilevel analysis of the within-person relationship. PLoS One 2014, 9:e92158.