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
Open Access
- 10 February 2021
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 18 (4), 1735
- https://doi.org/10.3390/ijerph18041735
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.Funding Information
- New Opportunities for Research Funding Agency Co-operation in Europe (462-16-040)
This publication has 38 references indexed in Scilit:
- Preterm birth: high vulnerability and no resiliency? Reflections on van Lieshout et al. (2018)Journal of Child Psychology and Psychiatry, 2018
- Trajectories of psychopathology in extremely low birth weight survivors from early adolescence to adulthood: a 20‐year longitudinal studyJournal of Child Psychology and Psychiatry, 2018
- Associations between health-related quality of life, cardiorespiratory fitness, muscle strength, physical activity and waist circumference in 10-year-old children: the ASK studyQuality of Life Research, 2017
- Physical Activity for Cognitive and Mental Health in Youth: A Systematic Review of MechanismsPEDIATRICS, 2016
- Personality of adults who were born very pretermArchives of Disease in Childhood: Fetal & Neonatal, 2015
- Bullying of Preterm Children and Emotional Problems at School Age: Cross-Culturally Invariant EffectsThe Journal of Pediatrics, 2015
- Media Use, Sports Participation, and Well-Being in Adolescence: Cross-Sectional Findings From the UK Household Longitudinal StudyAmerican Journal of Public Health, 2015
- Effects of Sensitive Parenting on the Academic Resilience of Very Preterm and Very Low Birth Weight AdolescentsJournal of Adolescent Health, 2013
- Physical activity and mental health in children and adolescents: a review of reviewsBritish Journal of Sports Medicine, 2011
- Meta-Analysis of Neurobehavioral Outcomes in Very Preterm and/or Very Low Birth Weight ChildrenPEDIATRICS, 2009