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Physical Activity, Mental Health, and Well-Being in Very Pre-Term and Term Born Adolescents: An Individual Participant Data Meta-Analysis of Two Accelerometry Studies Publisher Pubmed



Brylka A1 ; Wolke D1 ; Ludyga S2 ; Bilgin A1, 3 ; Spiegler J1, 4 ; Trower H1 ; Gkiouleka A1 ; Gerber M2 ; Brand S2, 5, 6, 7, 8 ; Grob A9 ; Weber P10 ; Heinonen K11, 12 ; Kajantie E13, 14, 15 ; Raikkonen K11 Show All Authors
Authors
  1. Brylka A1
  2. Wolke D1
  3. Ludyga S2
  4. Bilgin A1, 3
  5. Spiegler J1, 4
  6. Trower H1
  7. Gkiouleka A1
  8. Gerber M2
  9. Brand S2, 5, 6, 7, 8
  10. Grob A9
  11. Weber P10
  12. Heinonen K11, 12
  13. Kajantie E13, 14, 15
  14. Raikkonen K11
  15. Lemola S1, 16
Show Affiliations
Authors Affiliations
  1. 1. Department of Psychology, University of Warwick, Coventry, CV4 7AL, United Kingdom
  2. 2. Department of Sport, Exercise and Health, Sport Sciences Section, University of Basel, Basel, CH-4052, Switzerland
  3. 3. School of Psychology, University of Kent, Canterbury, CT2 7NP, United Kingdom
  4. 4. Department of Paediatrics, University of Lubeck, Lubeck, 23562, Germany
  5. 5. Psychiatric Clinics, Center for Affective, Stress, and Sleep Disorders, University of Basel, Basel, CH-4002, Switzerland
  6. 6. Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, 6715847141, Iran
  7. 7. Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences (KUMS), Kermanshah, 6715847141, Iran
  8. 8. School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, 1417863181, Iran
  9. 9. Department of Psychology, University of Basel, Basel, CH-4055, Switzerland
  10. 10. Division of Neuropediatrics and Developmental Medicine, University Children′s Hospital Basel, Basel, CH-4056, Switzerland
  11. 11. Department of Psychology & Logopedics, University of Helsinki, Helsinki, FI-00014, Finland
  12. 12. Psychology/Welfare Sciences, Faculty of Social Sciences, Tampere University, Tampere, FI-33720, Finland
  13. 13. National Institute of Health and Welfare, Helsinki, FI-00271, Finland
  14. 14. PEDEGO Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, FI-90014, Finland
  15. 15. Children’s Hospital, Helsinki University Hospital and the University of Helsinki, Helsinki, FI-00014, Finland
  16. 16. Department of Psychology, Bielefeld University, Bielefeld, 33501, Germany

Source: International Journal of Environmental Research and Public Health Published:2021


Abstract

This study examined whether physical activity is associated with better mental health and well-being among very preterm (≤32 weeks) and term born (≥37 weeks) adolescents alike or whether the associations are stronger in either of the groups. Physical activity was measured with accelerometry in children born very preterm and at term in two cohorts, the Basel Study of Preterm Children (BSPC; 40 adolescents born ≤32 weeks of gestation and 59 term born controls aged 12.3 years) and the Millennium Cohort Study (MCS; 45 adolescents born ≤32 weeks of gestation and 3137 term born controls aged 14.2 years on average). In both cohorts, emotional and behavioral problems were mother-reported using the Strengths and Difficulties Questionnaire. Subjective well-being was self-reported using the Kidscreen-52 Questionnaire in the BSPC and single items in the MCS. Hierarchical regressions with ‘preterm status × physical activity’-interaction effects were subjected to individual participant data (IPD) meta-analysis. IPD meta-analysis showed that higher levels of physical activity were associated with lower levels of peer problems, and higher levels of psychological well-being, better self-perception/body image, and school related well-being. Overall, the effect-sizes were small and the associations did not differ significantly between very preterm and term born adolescents. Future research may examine the mechanisms behind effects of physical activity on mental health and wellbeing in adolescence as well as which type of physical activity might be most beneficial for term and preterm born children. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
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