Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey

BackgroundThe relationship between leisure sedentary behaviors and mental health remains inconclusive. This study aims to provide evidence on leisure sedentary behaviors on mental health using longitudinal data, along with its moderating and mediating roles.MethodsWe utilized data from four waves (2...

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Main Authors: Hao Li, Weihong Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1517830/full
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author Hao Li
Hao Li
Weihong Zeng
Weihong Zeng
author_facet Hao Li
Hao Li
Weihong Zeng
Weihong Zeng
author_sort Hao Li
collection DOAJ
description BackgroundThe relationship between leisure sedentary behaviors and mental health remains inconclusive. This study aims to provide evidence on leisure sedentary behaviors on mental health using longitudinal data, along with its moderating and mediating roles.MethodsWe utilized data from four waves (2006–2015) of the China Health and Nutrition Survey (CHNS), focusing on adults who completed their education, with a total sample of 23,693 observations. Leisure sedentary time, the independent variable, was measured based on self-reported data, while mental health issues were the dependent variables based on the Simplified Symptom Self-Rating Scale (SCL) and the Perceived Stress Scale (PSS-14). The primary analysis employed ordinary least squares (OLS) regression. Potential endogeneity was addressed by instrumental variable (IV) method via two-stage least squares (2SLS) regression and a continuous difference-in-differences (DID) design.ResultsOur findings indicate that high levels of sedentary time are associated adversely with mental health issues. Moderating roles show that improving health literacy and reducing sedentary time were effective in alleviating this adverse impact. Among older adults, social engagement and support from female caregivers showed greater potential to reduce the detrimental mental health impact of leisure sedentary time. Furthermore, obesity serve as its mediating role.ConclusionThis study highlights the potential adverse impact of increased leisure sedentary time on mental health among Chinese population. These results provide a foundation for public health initiatives aimed at addressing the rising prevalence of sedentary behavior and its association with mental health issues.
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spelling doaj-art-c63ad73e727c471bb7e82e5582a4c2862025-02-06T07:09:11ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.15178301517830Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition SurveyHao Li0Hao Li1Weihong Zeng2Weihong Zeng3Jinhe Center for Economic Research, Xi'an Jiaotong University, Xi'an, Shaanxi, ChinaCenter for Aging and Health Research, Xi'an Jiaotong University, Xi'an, Shaanxi, ChinaJinhe Center for Economic Research, Xi'an Jiaotong University, Xi'an, Shaanxi, ChinaCenter for Aging and Health Research, Xi'an Jiaotong University, Xi'an, Shaanxi, ChinaBackgroundThe relationship between leisure sedentary behaviors and mental health remains inconclusive. This study aims to provide evidence on leisure sedentary behaviors on mental health using longitudinal data, along with its moderating and mediating roles.MethodsWe utilized data from four waves (2006–2015) of the China Health and Nutrition Survey (CHNS), focusing on adults who completed their education, with a total sample of 23,693 observations. Leisure sedentary time, the independent variable, was measured based on self-reported data, while mental health issues were the dependent variables based on the Simplified Symptom Self-Rating Scale (SCL) and the Perceived Stress Scale (PSS-14). The primary analysis employed ordinary least squares (OLS) regression. Potential endogeneity was addressed by instrumental variable (IV) method via two-stage least squares (2SLS) regression and a continuous difference-in-differences (DID) design.ResultsOur findings indicate that high levels of sedentary time are associated adversely with mental health issues. Moderating roles show that improving health literacy and reducing sedentary time were effective in alleviating this adverse impact. Among older adults, social engagement and support from female caregivers showed greater potential to reduce the detrimental mental health impact of leisure sedentary time. Furthermore, obesity serve as its mediating role.ConclusionThis study highlights the potential adverse impact of increased leisure sedentary time on mental health among Chinese population. These results provide a foundation for public health initiatives aimed at addressing the rising prevalence of sedentary behavior and its association with mental health issues.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1517830/fullrisky health behaviorleisure sedentary timemental healthhealth-promoting behaviorChina
spellingShingle Hao Li
Hao Li
Weihong Zeng
Weihong Zeng
Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey
Frontiers in Public Health
risky health behavior
leisure sedentary time
mental health
health-promoting behavior
China
title Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey
title_full Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey
title_fullStr Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey
title_full_unstemmed Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey
title_short Is leisure sedentary time associated with mental health issues? Evidence from China Health and Nutrition Survey
title_sort is leisure sedentary time associated with mental health issues evidence from china health and nutrition survey
topic risky health behavior
leisure sedentary time
mental health
health-promoting behavior
China
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1517830/full
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