Association of Web-Based Physical Education With Mental Health of College Students in Wuhan During the COVID-19 Outbreak: Cross-Sectional Survey Study

Deng, Cheng-Hu; Wang, Jing Qiang; Zhu, Li; Liu, He Wang; Guo, Yu; Peng, Xuanlin; Shao, Junfeng; Xia, Wei

doi:10.2196/21301

Cited by 76 publications

(101 citation statements)

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“…Of the identified studies, 21 studies meet the criteria [ 7 , 8 , 11 , 26 – 43 ]. Four studies had a prospective longitudinal design [ 29 , 32 , 39 , 42 ], 1 was a cross-sectional study with a retrospective measure of the exposure factor (henceforth treated as retrospective) [ 7 ], and 16 were cross-sectional studies [ 8 , 11 , 26 – 28 , 30 – 38 , 40 , 41 , 43 , 44 ]. A total of 7 studies were conducted in Asia [ 27 , 28 , 30 , 33 , 36 , 42 , 43 ], 6 in Europe [ 11 , 29 , 34 , 35 , 38 , 39 ], 3 in South America [ 8 , 31 , 32 ], 3 in North America [ 7 , 26 , 37 ], 1 in Oceania [ 41 ] and 1 study included a multinational sample [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Out of ten studies reporting analyses on the association between the overall volume of PA and depression, seven studies showed that more PA is significantly associated with less depression symptoms [ 26 , 28 , 30 , 35 , 36 , 38 , 40 ], and three out of nine studies investigating the association between the overall volume of PA and anxiety symptoms showed that more PA is significantly associated with less anxiety symptoms [ 28 , 35 , 38 ]. Three out of six studies reported higher frequencies of PA to be significantly associated with less depression [ 30 , 32 , 39 ] and two out of five studies to be significantly associated with less anxiety [ 30 , 32 ]. One study showed that vigorous but not moderate PA is significantly associated with less depression and anxiety symptoms [ 8 ] and another study indicated that light and vigorous PA is significantly correlated with less depression, but moderate intensity was not [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

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Is Physical Activity Associated with Less Depression and Anxiety During the COVID-19 Pandemic? A Rapid Systematic Review

et al. 2021

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Background The Covid-19 pandemic is affecting the entire world population. During the first spread, most governments have implemented quarantine and strict social distancing procedures. Similar measures during recent pandemics resulted in an increase in post-traumatic stress, anxiety and depression symptoms. The development of novel interventions to mitigate the mental health burden are of utmost importance. Objective In this rapid review, we aimed to provide a systematic overview of the literature with regard to associations between physical activity (PA) and depression and anxiety during the COVID-19 pandemic. Data Source We searched major databases (PubMed, EMBASE, SPORTDiscus, and Web of Science) and preprint servers (MedRxiv, SportRxiv, ResearchGate, and Google Scholar), for relevant papers up to 25/07/2020. Study Eligibility Criteria We included observational studies with cross-sectional and longitudinal designs. To qualify for inclusion in the review, studies must have tested the association of PA with depression or anxiety, using linear or logistic regressions. Depression and anxiety must have been assessed using validated rating scales. Study Appraisal and Synthesis Methods Effect sizes were represented by fully adjusted standardized betas and odds ratios (OR) alongside 95% confidence intervals (CI). In case standardized effects could not be obtained, unstandardized effects were presented and indicated. Results We identified a total of 21 observational studies (4 longitudinal, 1 cross-sectional with retrospective analysis, and 16 cross-sectional), including information of 42,293 (age 6–70 years, median female = 68%) participants from five continents. The early evidence suggests that people who performed PA on a regular basis with higher volume and frequency and kept the PA routines stable, showed less symptoms of depression and anxiety. For instance, those reporting a higher total time spent in moderate to vigorous PA had 12–32% lower chances of presenting depressive symptoms and 15–34% of presenting anxiety. Conclusion Performing PA during Covid-19 is associated with less depression and anxiety. To maintain PA routines during Covid-19, specific volitional and motivational skills might be paramount to overcome Covid-19 specific barriers. Particularly, web-based technologies could be an accessible way to increase motivation and volition for PA and maintain daily PA routines.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Is Physical Activity Associated with Less Depression and Anxiety During the COVID-19 Pandemic? A Rapid Systematic Review

et al. 2021

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“…Finally, this meta-analysis included 84 studies with a total of 1 292 811 Chinese university students (Cao, 2020; Chang et al ., 2020; Chen et al ., 2020 a , 2020 b , 2020 c , 2020 d ; Chi et al ., 2020; Cong et al ., 2020; Deng et al ., 2020; Dong, 2020; Dong et al ., 2020; Feng, 2020; Feng et al ., 2020; Han et al ., 2020; Ji et al ., 2020; Jiang et al ., 2020; Lei et al ., 2020; Li and He, 2020; Li et al ., 2020 b ; Lian et al ., 2020; Liang et al ., 2020 a , 2020 b ; Lin and Xu, 2020; Lin et al ., 2020 a , 2020 b ; Liu, 2020 a , 2020 b ; Liu et al ., 2020 a , 2020 b , 2020 c ; Ma et al ., 2020 a , 2020 b ; Mao et al ., 2020; Qian, 2020; Ren et al ., 2020 a , 2020 b ; 2020 c ; Si et al ., 2020; Sun et al ., 2020, 2021; Tang et al ., 2020; Wan and Shao, 2020; Wang and He, 2020; Wang and Li, 2020; Wang et al ., 2020 b ; 2020 c ; 2020 d ; 2020 e ; 2020 f ; 2021; Wei, 2020; Wu et al ., 2020, 2021; Xiang et al ., 2020; Xiao et al ., 2020 a , 2020 b ; Xie et al ., 2020; Xin et al ., 2020; Xing et al ., 2020; Xiong et al ., 2020; Xu and Li, 2020; Yan et al ., 2020; Yang et al ., 2020 b ; Yao et al ., 2020; Yi et al ., 2020 a , 2020 b ; Yu et al ., 2020, 2021; Zhan et al ., 2020; Zhang et al ., 2020 b , 2020 c , 2020 d , 2020 ...…”

Section: Resultsmentioning

confidence: 99%

Prevalence of depressive symptoms among Chinese university students amid the COVID-19 pandemic: a systematic review and meta-analysis

Luo

Zhong

Chiu

2021

Epidemiol Psychiatr Sci

112

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Aims Chinese university students are at high risk for depressive symptoms and the ongoing coronavirus disease 2019 (COVID-19) pandemic may have exacerbated the mental health of university students. However, existing studies on depressive symptoms in Chinese university students during the COVID-19 pandemic reported a wide range of prevalence estimates, making mental health planning for this population difficult. The objective of this study was to conduct a systematic review and meta-analysis of surveys that assessed the prevalence of depressive symptoms in Chinese university students amid the COVID-19 pandemic. Methods Major Chinese (CNKI, Wanfang, VIP) and English (PubMed, Embase, PsycInfo) databases and preprint platforms were searched to identify cross-sectional studies containing data on the prevalence of depressive symptoms in Chinese university students during the pandemic. Two authors independently retrieved the literature, evaluated the eligibility of potential studies, assessed the risk of bias (RoB) of included studies, and extracted data. RoB was assessed with the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. Results In total, 1177 records were retrieved, and 84 studies involving 1 292 811 Chinese university students during the pandemic were included. None of the included studies were rated as completely low RoB. Statistically significant heterogeneity in the prevalence estimates of included studies was detected (I2 = 99.9%, p < 0.001). The pooled prevalence of depressive symptoms was 26.0% (95%CI: 23.3–28.9%), which was significantly higher in female than in male students (30.8% v. 28.6%, p < 0.001), in postgraduates than in undergraduates (29.3% v. 22.9%, p < 0.001), in students living inside than in those living outside the COVID-19 epicentre (27.5% v. 22.3%, P < 0.001), in students from universities at the epicentre than in those from universities outside the epicentre (26.2% v. 23.1%, p < 0.001), in students who had close contact with COVID-19 than in those who did not (46.0% v. 25.0%, p < 0.001), and in students who had acquaintances or relatives infected with COVID-19 (39.7% v. 24.0%, p < 0.001) than in those who did not. Five sources of heterogeneity were identified from the subgroup analysis: survey period, % of males among the survey sample, scale of depressive symptoms, cutoff score of the scale and level of RoB. Conclusions Over one-fourth of Chinese university students experienced depressive symptoms during the COVID-19 pandemic. Mental health services for this population should include periodic evaluation of depressive symptoms, expanded social support and psychiatric assessment and treatment when necessary. It is also necessary to design depression prevention programmes that target higher-risk cohorts of university students.

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“…This is of particular concern given the experience of loneliness tends to be most common in young adults (Beam and Kim, 2020 ). However, professional physical guidance, especially in the context of online PA sessions, is needed for university students (Deng et al, 2020 ). Hence, the work of exercise professionals would be essential to ensure that PA programs are properly designed, monitored and implemented, which is of most importance to guarantee safety and efficacy of exercise training and long-term PA adherence (Natalucci et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on University Students' Physical Activity Levels: An Early Systematic Review

et al. 2021

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Purpose: This systematic review aimed to analyze the impact that the COVID-19 lockdown had on the amount of physical activity performed by university students.Materials and Methods: A systematic electronic search for studies providing information regarding physical activity levels pre and during COVID-19 pandemic in university students was performed up to 20th October 2020 in the databases Cochrane Library, PubMed, SPORTDiscus, and Web of Science. The risk of bias of external validity quality of included studies was assessed by means of those the Newcastle-Ottawa Scale (NOS). The quality of the evidence for main outcomes was graded using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.Results and Conclusions: A total of 10 studies were selected. Physical activity levels were assessed by means of questionnaires (10 studies) and accelerometer (1 study). Risk of bias was regarded as low and high in six and four investigations, respectively. The quality of evidence was downgraded to low. A significant reduction of physical activity levels were observed in 9 studies. Compared to pre-lockdown values, five studies showed a reduction of light/mild physical activity (walking) between 32.5 and 365.5%, while seven studies revealed a reduction of high/vigorous physical activity between 2.9 and 52.8%. Walking, moderate, vigorous, and total physical activity levels have been reduced during the COVID-19 pandemic confinements in university students of different countries. Despite of the reductions, those who met the current minimum PA recommendations before the lockdown generally met the recommendations also during the confinements.

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Association of Web-Based Physical Education With Mental Health of College Students in Wuhan During the COVID-19 Outbreak: Cross-Sectional Survey Study

Cited by 76 publications

References 36 publications

Is Physical Activity Associated with Less Depression and Anxiety During the COVID-19 Pandemic? A Rapid Systematic Review

Is Physical Activity Associated with Less Depression and Anxiety During the COVID-19 Pandemic? A Rapid Systematic Review

Prevalence of depressive symptoms among Chinese university students amid the COVID-19 pandemic: a systematic review and meta-analysis

Impact of COVID-19 Pandemic on University Students' Physical Activity Levels: An Early Systematic Review

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