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Body and Mind Intertwined: Physical Activity Intensity, Sleep Quality, and Depressive Symptoms: Cross-Sectional
Witold Wit Hryniewicz1,2,3, Igor Barczak1,2,3, Kacper Fręśko1,2,3
1Faculty of Medicine, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Journal of Clinical Medicine
|July 28, 2026
Summary
Regular, high-intensity physical activity (PA) is linked to fewer depressive symptoms. While sleep quality didn't fully mediate this, consistent exercise intensity and duration are key for mental well-being.
Area of Science:
- Lifestyle Medicine
- Clinical Psychology
- Exercise Science
Background:
- Rising global rates of depression and insomnia, particularly in young adults.
- Need for clinical and lifestyle interventions to address mental health concerns.
- Investigating the role of physical activity (PA) in mitigating depression and insomnia.
Purpose of the Study:
- To assess if habitual physical activity (PA) improves sleep quality and reduces depressive symptoms.
- To explore the mediating role of sleep parameters in the relationship between training intensity and depression.
- To analyze the impact of training intensity, volume, and experience on mental well-being.
Main Methods:
- Cross-sectional study with 349 participants (predominantly young adults).
- Assessed depressive symptoms using Beck Depression Inventory (BDI) and sleep quality via Pittsburgh Sleep Quality Index (PSQI).
- Utilized Structural Equation Modelling (SEM) to analyze mediation effects of PA, sleep, and depression.
Main Results:
- Higher training intensity and volume correlated with lower depressive symptoms (lower BDI scores).
- Sleep quality did not significantly mediate the PA-depression link, except for daytime dysfunction.
- Longer training experience (3-5 years) showed lower BDI scores; PA type was less critical than intensity and consistency.
Conclusions:
- Systematic, high-intensity physical activity (PA) over time is significantly associated with reduced depressive symptoms.
- Training frequency and intensity emerge as crucial factors for mental well-being, warranting further investigation.
- PA demonstrates potential as a mind-body intervention supporting overall mental health.
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