Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, China

ObjectiveThis study aims to investigate the prevalence of smartphone addiction, physical activity levels, and depressive symptoms among secondary school students, and to analyze the combined impact of smartphone addiction and physical activity on depressive symptoms.MethodsA cluster sampling method...

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Main Authors: Rui Yang, Shuoyuan Tan, Gulqihra Abdukerima, Ting Lu, Chen Chen, Lixin Song, Bing Ji, Yipeng Lv, Jianwei Shi
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1473752/full
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author Rui Yang
Shuoyuan Tan
Gulqihra Abdukerima
Ting Lu
Chen Chen
Lixin Song
Bing Ji
Yipeng Lv
Jianwei Shi
Jianwei Shi
author_facet Rui Yang
Shuoyuan Tan
Gulqihra Abdukerima
Ting Lu
Chen Chen
Lixin Song
Bing Ji
Yipeng Lv
Jianwei Shi
Jianwei Shi
author_sort Rui Yang
collection DOAJ
description ObjectiveThis study aims to investigate the prevalence of smartphone addiction, physical activity levels, and depressive symptoms among secondary school students, and to analyze the combined impact of smartphone addiction and physical activity on depressive symptoms.MethodsA cluster sampling method was employed in two secondary schools in the Jing’an District of Shanghai, China. Univariate analysis was used to compare the prevalence of depressive symptoms across different demographic characteristics. Logistic regression was utilized to examine the associations between smartphone addiction, physical activity, and their combined effect on depressive symptoms.ResultsA total of 1,316 respondents participated in the study, with reported prevalence rates of depressive symptoms (36.2%), smartphone addiction (19.2%), and insufficient physical activity (23.3%). Risk factors for depressive symptoms included being a non-only child (OR=1.421, 95% CI: 1.090-1.853, P=0.009), inadequate sleep duration (OR=2.722, 95% CI: 2.070-3.578, P<0.001) and smartphone addiction (OR=2.173, 95% CI: 1.621-2.913, P < 0.001). Adolescents with smartphone addiction were significantly more likely to report depressive symptoms compared to those without (OR=2.173, 95% CI: 1.621-2.913, P < 0.001). Joint analysis indicated that combined smartphone addiction and insufficient physical activity significantly increased the risk of depressive symptoms (OR=2.781, 95% CI: 1.627-4.753, P < 0.001).ConclusionThe study identified a high prevalence of severe smartphone addiction, insufficient physical activity, and elevated rates of depressive symptoms among secondary school students. Smartphone addiction and inadequate physical activity were associated with increased likelihood of depressive symptoms. Moreover, higher levels of physical activity appeared to mitigate the adverse impact of smartphone addiction on depressive symptoms.
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publisher Frontiers Media S.A.
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spelling doaj-art-0f8e360b94f04b5e8b930774d43d1c602025-01-03T12:31:45ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14737521473752Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, ChinaRui Yang0Shuoyuan Tan1Gulqihra Abdukerima2Ting Lu3Chen Chen4Lixin Song5Bing Ji6Yipeng Lv7Jianwei Shi8Jianwei Shi9School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Jiao Tong University of Medicine, Shanghai, ChinaShanghai Jing’an District Jiangning Road Community Health Service Center, Shanghai, ChinaShanghai Jing’an District Jiangning Road Community Health Service Center, Shanghai, ChinaShanghai Jing’an District Jiangning Road Community Health Service Center, Shanghai, ChinaSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of General Practice, Yangpu Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Social Medicine and Health Management, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaObjectiveThis study aims to investigate the prevalence of smartphone addiction, physical activity levels, and depressive symptoms among secondary school students, and to analyze the combined impact of smartphone addiction and physical activity on depressive symptoms.MethodsA cluster sampling method was employed in two secondary schools in the Jing’an District of Shanghai, China. Univariate analysis was used to compare the prevalence of depressive symptoms across different demographic characteristics. Logistic regression was utilized to examine the associations between smartphone addiction, physical activity, and their combined effect on depressive symptoms.ResultsA total of 1,316 respondents participated in the study, with reported prevalence rates of depressive symptoms (36.2%), smartphone addiction (19.2%), and insufficient physical activity (23.3%). Risk factors for depressive symptoms included being a non-only child (OR=1.421, 95% CI: 1.090-1.853, P=0.009), inadequate sleep duration (OR=2.722, 95% CI: 2.070-3.578, P<0.001) and smartphone addiction (OR=2.173, 95% CI: 1.621-2.913, P < 0.001). Adolescents with smartphone addiction were significantly more likely to report depressive symptoms compared to those without (OR=2.173, 95% CI: 1.621-2.913, P < 0.001). Joint analysis indicated that combined smartphone addiction and insufficient physical activity significantly increased the risk of depressive symptoms (OR=2.781, 95% CI: 1.627-4.753, P < 0.001).ConclusionThe study identified a high prevalence of severe smartphone addiction, insufficient physical activity, and elevated rates of depressive symptoms among secondary school students. Smartphone addiction and inadequate physical activity were associated with increased likelihood of depressive symptoms. Moreover, higher levels of physical activity appeared to mitigate the adverse impact of smartphone addiction on depressive symptoms.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1473752/fulldepressive symptomssmartphone addictionphysical activityadolescentsChina
spellingShingle Rui Yang
Shuoyuan Tan
Gulqihra Abdukerima
Ting Lu
Chen Chen
Lixin Song
Bing Ji
Yipeng Lv
Jianwei Shi
Jianwei Shi
Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, China
Frontiers in Psychiatry
depressive symptoms
smartphone addiction
physical activity
adolescents
China
title Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, China
title_full Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, China
title_fullStr Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, China
title_full_unstemmed Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, China
title_short Combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students: a cross sectional study in Shanghai, China
title_sort combined effect of the smartphone addiction and physical activity on the depressive symptoms in secondary school students a cross sectional study in shanghai china
topic depressive symptoms
smartphone addiction
physical activity
adolescents
China
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1473752/full
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