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KMID : 0359420230410010027
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Korean Journal of Sports Medicine
2023 Volume.41 No. 1 p.27 ~ p.35
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Association between Sedentary Behavior and General Anxiety Disorder by Change in Physical Activity after COVID-19 among Adolescents
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Park Doo-Yong
Kim Eun-Kyung
Kim Yeon-Soo
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Abstract
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Purpose: This study aimed to investigate the association between sedentary behavior and generalized anxiety disorder (GAD)according to changes in physical activity after coronavirus disease 2019 (COVID-19) in Korean adolescents.
Methods: This study included 52,723 South Korean middle and high school students who had obtained a complete Koreayouth risk behavior survey, 2021. To identify the association between sitting time and GAD (GAD-7 scale≥10), oddsratio (OR) and 95% confidence interval (CI) were calculated using complex sample logistic regression analysis (p＜0.05).
Results: After adjusting for confounding variables, higher sitting time was associated with higher GAD risk (OR [95% CI]:5?10 hours, 1.15 [1.04?1.27]; 10?15 hours, 1.23 [1.12?1.35]; ≥15 hours, 1.28 [1.15?1.43]). In adolescents whose physicalactivity has not changed or has increased after COVID-19, as the sitting time increased, the OR (95% CI) of GAD increased(5?10 hours, 1.15 [1.02?1.31]; 10?15 hours, 1.20 [1.07?1.35]; ≥15 hours, 1.35 [1.17?1.54]). But, not in adolescentswhose physical activity has decreased after COVID-19.
Conclusion: We observed the independent associations between sedentary behavior and GAD, and sedentary behaviorand GAD are associated by change in physical activity after COVID-19 among adolescents. Therefore, in the pandemicera reducing sedentary behavior and increasing physical activity is necessary for adolescents to enhance mental healthand decrease the case of GAD.
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KEYWORD
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Sedentary behavior, Anxiety disorders, Adolescents, COVID-19, Mental disorders
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