Merellano-Navarro Eugenio, Pasten-Hernández Pablo, Aristegui-Mondaca Juan, Morán-Toloza Antonia, Nuñez-Galaz Marcelo, Giakoni-Ramírez Frano, Duclos-Bastías Daniel, Godoy-Cumillaf Andrés
Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Católica del Maule, Talca 3530000, Chile.
Centro Integral Educación, Talca 3461380, Chile.
Healthcare (Basel). 2025 Aug 17;13(16):2028. doi: 10.3390/healthcare13162028.
To analyze the association between physical activity, health-related quality of life (HRQoL), and perceived barriers to physical activity with the risk of symptoms of depression, anxiety, and stress in Chilean adolescents.
A quantitative, cross-sectional, descriptive-correlational study was conducted with a sample of 351 secondary school students (mean age = 15.75 ± 1.47 years) from several educational institutions in the south-central region of Chile. Validated instruments were used to assess physical activity (PAQ-A), symptoms of mental health (DASS-21), HRQoL (Kidscreen-52), and the short scale of barriers to physical activity. For exploratory purposes, mental health outcomes were dichotomized based on standard cut-off scores, and binary logistic regression models were estimated to identify associated factors.
Based on the binary categorization, a substantial proportion of students exceeded the risk thresholds for depressive (54.4%), anxiety (63%), and stress symptoms (42.2%). Across models, lower physical activity levels, reduced autonomy and weaker relationships with parents, and barriers related to self-concept and motivation were consistently associated with higher mental health risk. Additionally, passive commuting and the perceived school environment emerged as specific predictors of stress and depression risk, respectively.
These findings suggest that individual and contextual factors linked to lifestyle behaviors and perceived social support may play a critical role in adolescent mental health, and could represent key targets for school-based interventions.
分析智利青少年的体育活动、健康相关生活质量（HRQoL）、体育活动的感知障碍与抑郁、焦虑和压力症状风险之间的关联。
对来自智利中南部地区几所教育机构的351名中学生（平均年龄 = 15.75 ± 1.47岁）进行了一项定量、横断面、描述性相关性研究。使用经过验证的工具来评估体育活动（PAQ - A）、心理健康症状（DASS - 21）、健康相关生活质量（Kidscreen - 52）以及体育活动障碍简短量表。出于探索目的，根据标准临界值对心理健康结果进行二分法划分，并估计二元逻辑回归模型以确定相关因素。
根据二元分类，相当大比例的学生超过了抑郁（54.4%）、焦虑（63%）和压力症状（42.2%）的风险阈值。在各个模型中，较低的体育活动水平、自主性降低、与父母的关系较弱以及与自我概念和动机相关的障碍始终与较高的心理健康风险相关。此外，被动通勤和感知到的学校环境分别成为压力和抑郁风险的特定预测因素。
这些发现表明，与生活方式行为和感知到的社会支持相关的个体和情境因素可能在青少年心理健康中起关键作用，并且可能代表基于学校干预的关键目标。
