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The Dose-Response Relationship Between Leisure-Time Physical Activity and Smartphone Addiction in First-Year Tehran
Hosein Ataei-Goujani1,2, Keyvan Karimi3,4, Anis Gharajeh3,4
1Occupational Sleep Research Center, Baharloo Hospital Tehran University of Medical Sciences Tehran Iran.
Health Science Reports
|June 9, 2026
Summary
Promoting leisure-time physical activity (LTPA) may reduce smartphone addiction (SA) in university students. Higher LTPA levels showed a significant inverse association with SA severity, particularly at lower activity amounts.
Area of Science:
- Medical and Health Sciences
- Psychology
- Public Health
Background:
- Smartphone addiction (SA) is a growing concern among first-year university students.
- Physical activity (PA) offers numerous health benefits, but its association with SA is inconsistent across studies.
- The Iranian sociocultural context may influence the relationship between PA and SA.
Purpose of the Study:
- To investigate the relationship between physical activity and smartphone addiction among first-year students at Tehran University of Medical Sciences (TUMS).
Main Methods:
- A cross-sectional study analyzed data from 397 first-year TUMS students.
- Smartphone addiction was assessed using the Smartphone Addiction Scale-Short Version (SAS-SV).
- Physical activity was measured using the Global Physical Activity Questionnaire (GPAQ-v2), with analyses including multivariable linear regression and dose-response analysis.
Main Results:
- Sufficient moderate leisure-time physical activity (LTPA) demonstrated the strongest inverse association with SA (adjusted β = -5.04, p = 0.005).
- Trend analysis confirmed a significant relationship between LTPA levels and SA severity.
- Dose-response analysis indicated that higher PA levels correlated with lower SA, most notably at lower PA amounts.
Conclusions:
- Promoting LTPA may be a viable strategy to mitigate smartphone addiction in first-year university students.
- The findings highlight the potential role of physical activity in addressing behavioral issues like SA in academic settings.

