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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

Author

Listed:
  • Asteria Brylka

    (Department of Psychology, University of Warwick, Coventry CV4 7AL, UK)

  • Dieter Wolke

    (Department of Psychology, University of Warwick, Coventry CV4 7AL, UK)

  • Sebastian Ludyga

    (Department of Sport, Exercise and Health, Sport Sciences Section, University of Basel, CH-4052 Basel, Switzerland)

  • Ayten Bilgin

    (Department of Psychology, University of Warwick, Coventry CV4 7AL, UK
    School of Psychology, University of Kent, Canterbury CT2 7NP, UK)

  • Juliane Spiegler

    (Department of Psychology, University of Warwick, Coventry CV4 7AL, UK
    Department of Paediatrics, University of Lübeck, 23562 Lübeck, Germany)

  • Hayley Trower

    (Department of Psychology, University of Warwick, Coventry CV4 7AL, UK)

  • Anna Gkiouleka

    (Department of Psychology, University of Warwick, Coventry CV4 7AL, UK)

  • Markus Gerber

    (Department of Sport, Exercise and Health, Sport Sciences Section, University of Basel, CH-4052 Basel, Switzerland)

  • Serge Brand

    (Department of Sport, Exercise and Health, Sport Sciences Section, University of Basel, CH-4052 Basel, Switzerland
    Psychiatric Clinics, Center for Affective, Stress, and Sleep Disorders, University of Basel, CH-4002 Basel, Switzerland
    Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah 6715847141, Iran
    Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences (KUMS), Kermanshah 6715847141, Iran)

  • Alexander Grob

    (Department of Psychology, University of Basel, CH-4055 Basel, Switzerland)

  • Peter Weber

    (Division of Neuropediatrics and Developmental Medicine, University Children’s Hospital Basel, CH-4056 Basel, Switzerland)

  • Kati Heinonen

    (Department of Psychology & Logopedics, University of Helsinki, FI-00014 Helsinki, Finland
    Psychology/Welfare Sciences, Faculty of Social Sciences, Tampere University, FI-33720 Tampere, Finland)

  • Eero Kajantie

    (National Institute of Health and Welfare, FI-00271 Helsinki, Finland
    PEDEGO Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, FI-90014 Oulu, Finland
    Children’s Hospital, Helsinki University Hospital and the University of Helsinki, FI-00014 Helsinki, Finland)

  • Katri Räikkönen

    (Department of Psychology & Logopedics, University of Helsinki, FI-00014 Helsinki, Finland)

  • Sakari Lemola

    (Department of Psychology, University of Warwick, Coventry CV4 7AL, UK
    Department of Psychology, Bielefeld University, 33501 Bielefeld, Germany)

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.

Suggested Citation

  • Asteria Brylka & Dieter Wolke & Sebastian Ludyga & Ayten Bilgin & Juliane Spiegler & Hayley Trower & Anna Gkiouleka & Markus Gerber & Serge Brand & Alexander Grob & Peter Weber & Kati Heinonen & Eero , 2021. "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," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1735-:d:497373
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    References listed on IDEAS

    as
    1. Booker, C.L. & Skew, A.J. & Kelly, Y.J. & Sacker, A., 2015. "Media use, sports participation, and well-being in adolescence: Cross-sectional findings from the UK Household Longitudinal Study," American Journal of Public Health, American Public Health Association, vol. 105(1), pages 173-179.
    2. David J. Fisher, 2015. "Two-stage individual participant data meta-analysis and generalized forest plots," Stata Journal, StataCorp LP, vol. 15(2), pages 369-396, June.
    3. Mingli Liu & Lang Wu & Qingsen Ming, 2015. "How Does Physical Activity Intervention Improve Self-Esteem and Self-Concept in Children and Adolescents? Evidence from a Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-17, August.
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