Title:
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An exploration of the relationship between physical activity and emotional wellbeing in young people
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Mental illness is a worldwide public health concern. Factors that protect against
mental illness and enhance emotional wellbeing require investigation and .
physical activity has been identified. as potentially beneficial. This research
comprised three phases: a systematic review of studies investigating any
relationship between physical activity and emotional wellbeing in young people;
a qualitative study of young people's understanding of any relationship; and a
cohort study to determine whether physical activity is a protective factor for
emotional wellbeing in young people. Thirty six studies (8 RCT's or controlled
intervention studies and 28 cohort studies) were identified as eligible for
inclusion in the systematic review. The evidence had many weaknesses making it
difficult to draw any clear conclusions about any relationship. A sample of
young people from the AHEAD study schools (n=57) took part in focus groups
and paired interviews (14-15 years). A thematic analysis revealed that physical
activity, while seen as important, was only one of 'many factors identified as
enhancing young people's wellbeing. A prospective cohort (n=673) was formed
based on the participants of the AHEAD trial. Measures of physical activity and
emotional wellbeing were taken at baseline, when participants were aged 12-13
years, and again three years later in the follow-up study (15-16 years).
Accelerometry was used to measure physical activity (volume and MVP A) and
emotional wellbeing was measured using the WEMWBS and SDQ. Multivariable
regression analyses was used to investigate the association between physical
activity and emotional wellbeing, controlling for potential confounders. There
was only evidence of an association between physical activity volume and the
SDQ emotional problems subscale (one of five subscales) (-0.11 (95% CI -0.23 to
0.00) p=0.04). The findings of these three methodologically varied studies
provide no strong evidence that physical activity has a beneficial role, although
small effects cannot be ruled out.
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