ArticleJMIR public health and surveillance2024
Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study.
Article in JMIR public health and surveillance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Estimated Prevalence of Compliance With Muscle-Strengthening Activity Recommendations in Children and Adolescents: A Meta-Analysis.Acta paediatrica (Oslo, Norway : 1992) · 2025Pooled it
- Temporal Variations and Sociodemographic Differences in no Muscle-Strengthening Exercise Among Adolescents: A 10-Year Repeated Cross-Sectional Study.Scandinavian journal of medicine & science in sports · 2026Article
- Correlates of muscle strengthening exercise in adolescents: A machine learning based analysis.PloS one · 2026Article
- Physical activity and depressive symptoms among college students: positive mental health as a mediator.Frontiers in psychology · 2026Article
- Types and Frequencies of Physical Activity Associated with Physical Fitness in Chinese Children and Adolescents: A National Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Determinants of engagement in muscle-strengthening activities among children and adolescents: insights from a large-scale school-based study.Frontiers in public health · 2025Article
- Exploring the sports participation, muscle-strengthening exercise and active commuting with comorbidity of depression and anxiety among Chinese children and adolescents: a cross-sectional study.Frontiers in psychology · 2024Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundExisting literature on the association between the frequency of muscle-strengthening exercise (MSE) and depression among adolescents is limited and contradictory.
objectiveThis study aimed to elucidate the association of MSE frequency with depression symptoms among middle and high school students in China.
methodsA total of 27,070 students in grades 7-12 from 376 middle and high schools were surveyed using an anonymous self-administered questionnaire between April and June 2022. Information on engaging in MSE was self-reported, and depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). Poisson regression was used to examine the association between MSE frequency and depression symptoms.
resultsAmong the 27,006 eligible students, 51.6% (n=13,933) were boys, and the mean age was 15.6 (SD 1.7) years. The overall prevalence of meeting MSE recommendations (ie, engaging in MSE ≥3 days/week) was 34.6% (95% CI 32.6%-36.6%; n=9145); the prevalence was higher in boys (43.8%, 95% CI 41.8%-45.8%; 6067/13,933) than in girls (24.3%, 95% CI 22%-26.6%; 3078/13,073; P<.001). A total of 5882 (21.8%) students reported having depression symptoms. After adjustment for sociodemographic status, lifestyle factors, academic performance, and experience of physical fighting, compared to students who did not engage in MSE, the prevalence ratios (PRs) for depression symptoms were 0.98 (95% CI 0.97-0.99) for those engaging in MSE once a week, 0.95 (95% CI 0.93-0.97) for 2 days/week, 0.93 (95% CI 0.90-0.96) for 3 days/week, 0.90 (95% CI 0.87-0.94) for 4 days/week, 0.88 (95% CI 0.84-0.93) for 5 days/week, 0.86 (95% CI 0.81-0.92) for 6 days/week, and 0.84 (95% CI 0.78-0.90) for 7 days/week, respectively.
conclusionsThe overall prevalence of meeting MSE recommendations among Chinese adolescents is low. The frequency of MSE was inversely associated with depression symptoms.
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