Maintenance of Mental Health: The Role of Physical Activity Among Young Adults
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Sample and Design
2.2. Questionnaires
2.3. Statistical Analysis
3. Results
3.1. Demographic and Sporting Characteristics
3.2. Descriptive Statistics
3.3. Differences by Gender and Exercise Status
3.4. Differences by Other Sporting Characteristics
3.5. Bivariate Association Between the Study Scales
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Geidne, S.; Van Hoye, A. Health promotion in sport, through sport, as an outcome of sport, or health-promoting sport—What is the difference? Int. J. Environ. Res. Public Health 2021, 18, 9045. [Google Scholar] [CrossRef] [PubMed]
- Olson, N.; Oberhoffer-Fritz, R.; Reiner, B.; Schulz, T. Stress, student burnout and study engagement—A cross-sectional comparison of university students of different academic subjects. BMC Psychol. 2021, 13, 293. [Google Scholar] [CrossRef] [PubMed]
- Zhang, J.; Meng, J.; Wen, X. The relationship between stress and academic burnout in college students: Evidence from longitudinal data on indirect effects. Front. Psychol. 2025, 16, 1517920. [Google Scholar] [CrossRef] [PubMed]
- Paár, D.; Kovács, A.; Stocker, M.; Hoffbauer, M.; Fazekas, A.; Betlehem, J.; Bergier, B.; Ács, P. Comparative analysis of sport consumption habits in Hungary, Poland and Germany. BMC Public Health 2021, 21 (Suppl. S1), 1481–1489. [Google Scholar] [CrossRef]
- Kosztin, N.; Balatoni, I. Hungarian university students’ sporting habits: A literature review. Acta Med. Soc. 2021, 12, 92–102. (In Hungarian) [Google Scholar] [CrossRef]
- Balatoni, I.; Varga Szepne, H.; Muller, A.; Kovacs, S.; Kosztin, N.; Csernoch, L. Sporting habits of university students in Hungary. Balt. J. Health Phys. Act. 2019, S2, 27–37. [Google Scholar] [CrossRef]
- Brown, C.E.B.; Richardson, K.; Halil-Pizzirani, B.; Atkins, L.; Yücel, M.; Segrave, R.A. Key influences on university students’ physical activity: A systematic review using the Theoretical Domains Framework and the COM-B model of human behaviour. BMC Public Health. 2024, 24, 418. [Google Scholar] [CrossRef]
- Silva, R.M.F.; Mendonça, C.R.; Azevedo, V.D.; Memon, A.R.; Noll, P.R.E.; Noll, M. Barriers to high school and university students’ physical activity: A systematic review. PLoS ONE 2022, 17, e0265913. [Google Scholar] [CrossRef]
- Johnston, S.A.; Roskowski, C.; He, Z.; Kong, L.; Chen, W. Effects of team sports on anxiety, depression, perceived stress, and sleep quality in college students. J. Am. Coll. Health 2020, 69, 791–797. [Google Scholar] [CrossRef]
- Schultchen, D.; Reichenberger, J.; Mittl, T.; Weh, T.R.; Smyth, J.M.; Blechert, J.; Pollatos, O. Bidirectional relationship of stress and affect with physical activity and healthy eating. Br. J. Health Psychol. 2019, 24, 315–333. [Google Scholar] [CrossRef]
- Hachenberger, J.; Teuber, Z.; Li, Y.M.; Abkai, L.; Wild, E.; Lemola, S. Investigating associations between physical activity, stress experience, and affective wellbeing during an examination period using experience sampling and accelerometry. Sci. Rep. 2023, 13, 8808. [Google Scholar] [CrossRef]
- von Haaren, B.; Haertel, S.; Stumpp, J.; Hey, S.; Ebner-Priemer, U. Reduced emotional stress reactivity to a real-life academic examination stressor in students participating in a 20-week aerobic exercise training: A randomised controlled trial using ambulatory assessment. Psychol. Sport Exerc. 2015, 20, 67–75. [Google Scholar] [CrossRef]
- Flueckiger, L.; Lieb, R.; Meyer, A.H.; Witthauer, C.; Mata, J. The importance of physical activity and sleep for affect on stressful days: Two intensive longitudinal studies. Emotion 2016, 16, 488–497. [Google Scholar] [CrossRef] [PubMed]
- de Camargo, E.M.; Piola, T.S.; Dos Santos, L.P.; de Borba, E.F.; de Campos, W.; da Silva, S.G. Frequency of physical activity and stress levels among Brazilian adults during social distancing due to the coronavirus (COVID-19): Cross-sectional study. Sao Paulo Med. J. 2021, 139, 325–330. [Google Scholar] [CrossRef]
- Freudenberger, H.J. Staff Burn-Out. J. Soc. Issues 1974, 30, 159–165. [Google Scholar] [CrossRef]
- Maslach, C.; Jackson, S.E. The Cost of Caring; Prentice-Hall: Englewood Cliffs, NJ, USA, 1981. [Google Scholar]
- Rosales-Ricardo, Y.; Ferreira, J.P. Effects of physical exercise on Burnout syndrome in university students. MEDICC Rev. 2022, 24, 36–39. [Google Scholar] [CrossRef]
- Schaufeli, W.B.; Martínez, I.M.; Marques-Pinto, A.; Salanova, M.; Bakker, A.B. Burnout and engagement in university students: A cross-national study. J. Cross-Cult. Psychol. 2002, 33, 464–481. [Google Scholar] [CrossRef]
- Fu, W.; Li, Y.; Liu, Y.; Li, D.; Wang, G.; Liu, Y.; Zhang, T.; Zheng, Y. The influence of different physical exercise amounts on learning burnout in adolescents: The mediating effect of self-efficacy. Front. Psychol. 2023, 14, 1089570. [Google Scholar] [CrossRef]
- Chen, K.; Liu, F.; Mou, L.; Zhao, P.; Guo, L. How physical exercise impacts academic burnout in college students: The mediating effects of self-efficacy and resilience. Front. Psychol. 2022, 13, 964169. [Google Scholar] [CrossRef]
- Prendergast, K.B.; Schofield, G.M.; Mackay, L.M. Associations between lifestyle behaviours and optimal wellbeing in a diverse sample of New Zealand adults. BMC Public Health 2016, 16, 62. [Google Scholar] [CrossRef]
- Buecker, S.; Simacek, T.; Ingwersen, B.; Terwiel, S.; Simonsmeier, B.A. Physical activity and subjective well-being in healthy individuals: A meta-analytic review. Health Psychol. Rev. 2021, 15, 574–592. [Google Scholar] [CrossRef] [PubMed]
- Boehm, J.K.; Chen, Y.; Koga, H.; Mathur, M.B.; Vie, L.L.; Kubzansky, L.D. Is optimism associated with healthier cardiovascular-related behavior? Meta-analyses of three health behaviors. Circ. Res. 2018, 122, 1119–1134. [Google Scholar] [CrossRef] [PubMed]
- Zhang, Z.; Chen, W. A systematic review of the relationship between physical activity and happiness. J. Happiness Stud. 2019, 20, 1305–1322. [Google Scholar] [CrossRef]
- Roman, J.E.I.; Ekholm, O.; Algren, M.H.; Koyanagi, A.; Stewart-Brown, S.; Hall, E.E.; Stubbs, B.; Koushede, V.; Thygesen, L.C.; Santini, Z.I. Mental wellbeing and physical activity levels: A prospective cohort study. Ment. Health Phys. Act. 2023, 24, 100498. [Google Scholar] [CrossRef]
- Martín-Rodríguez, A.; Gostian-Ropotin, L.A.; Beltrán-Velasco, A.I.; Belando-Pedreño, N.; Simón, J.A.; López-Mora, C.; Navarro-Jiménez, E.; Tornero-Aguilera, J.F.; Clemente-Suárez, V.J. Sporting mind: The interplay of physical activity and psychological health. Sports 2024, 12, 37. [Google Scholar] [CrossRef]
- Kim, C.; Yeom, J.; Jeong, S.; Chung, J.B. Resilience and social change: Findings from research trends using association rule mining. Heliyon 2023, 9, e18766. [Google Scholar] [CrossRef]
- Belcher, B.R.; Zink, J.; Azad, A.; Campbell, C.E.; Chakravartti, S.P.; Herting, M.M. The roles of physical activity, exercise, and fitness in promoting resilience during adolescence: Effects on mental well-being and brain development. Biol. Psychiatry Cogn. Neurosci. Neuroimaging 2020, 6, 225–237. [Google Scholar] [CrossRef]
- Zhao, Z.; Zhao, S.; Wang, Q.; Zhang, Y.; Chen, C. Effects of physical exercise on mobile phone addiction in college students: The chain mediation effect of psychological resilience and perceived stress. Int. J. Environ. Res. Public Health 2022, 19, 15679. [Google Scholar] [CrossRef]
- Ho, F.K.W.; Louie, L.H.T.; Chow, C.B.; Wong, W.H.S. Physical activity improves mental health through resilience in Hong Kong Chinese adolescents. BMC Pediatr. 2015, 15, 48. [Google Scholar] [CrossRef]
- Li, X.; Yu, H.; Yang, N. The mediating role of resilience in the effects of physical exercise on college students’ negative emotions during the COVID-19 epidemic. Sci. Rep. 2021, 11, 24510. [Google Scholar] [CrossRef]
- Cohen, S.; Kamarck, T.; Mermelstein, R. A global measure of perceived stress. J. Health Soc. Behav. 1983, 24, 385–396. [Google Scholar] [CrossRef] [PubMed]
- Stauder, A.; Konkolÿ Thege, B. Characteristics of the Hungarian version of the Perceived Stress Scale. J. Ment. Health Psychosom. 2006, 7, 203–216. (In Hungarian) [Google Scholar] [CrossRef]
- Salmela-Aro, K.; Kiuru, N.; Leskinen, E.; Nurmi, J.-E. School burnout inventory (SBI). Eur. J. Psychol. Assess. 2009, 25, 48–57. [Google Scholar] [CrossRef]
- Jagodics, B.; Kóródi, K.; Szabó, É. Exploring the Student Burnout Scale using Hungarian sample. Hung. J. Psychol. 2021, 76, 1–22. (In Hungarian) [Google Scholar] [CrossRef]
- Topp, C.W.; Østergaard, S.D.; Søndergaard, S.; Bech, P. The WHO-5 Well-Being Index: A systematic review of the literature. Psychother. Psychosom. 2015, 84, 167–176. [Google Scholar] [CrossRef]
- Susánszky, É.; Konkolÿ Thege, B.; Stauder, A.; Kopp, M. Validation of The Short (5-item) version of The WHO Well-Being Scale based on a Hungarian Representative Health Survey (Hungarostudy 2002). J. Ment. Health Psychosom. 2006, 7, 247–255. (In Hungarian) [Google Scholar] [CrossRef]
- Connor, K.M.; Davidson, J.R.T. Development of a new resilience scale: The Connor–Davidson Resilience Scale (CD-RISC). Depress. Anxiety 2003, 18, 76–82. [Google Scholar] [CrossRef]
- Járai, R.; Vajda, D.; Hargitai, R.; Nagy, L.; Csókási, K.; Kiss, E.C. Characteristics of the 10-item Connor–Davidson Resilience Scale. Appl. Psychol. 2015, 15, 129–136. (In Hungarian) [Google Scholar] [CrossRef]
- Graves, B.S.; Hall, M.E.; Dias-Karch, C.; Haischer, M.H.; Apter, C. Gender differences in perceived stress and coping among college students. PLoS ONE 2021, 16, e0255634. [Google Scholar] [CrossRef]
- Falbová, D.; Kovalčíková, V.; Beňuš, R.; Vorobeľová, L. Long-term consequences of COVID-19 on mental and physical health in young adults. Cent. Eur. J. Public Health 2024, 32, 219–224. [Google Scholar] [CrossRef]
- Xu, S.; Liu, Z.; Tian, S.; Ma, Z.; Jia, C.; Sun, G. Physical Activity and Resilience among College Students: The Mediating Effects of Basic Psychological Needs. Int. J. Environ. Res. Public Health 2021, 18, 3722. [Google Scholar] [CrossRef]
- Diehl, K.; Fuchs, A.K.; Rathmann, K.; Hilger-Kolb, J. Students’ motivation for sport activity and participation in university sports: A mixed-methods study. Biomed. Res. Int. 2018, 2018, 9524861. [Google Scholar] [CrossRef]
- García-Álvarez, D.; Faubel, R. Strategies and measurement tools in physical activity promotion interventions in the university setting: A systematic review. Int. J. Environ. Res. Public Health 2020, 17, 6526. [Google Scholar] [CrossRef]

| Variables (N = 264) | n | % |
|---|---|---|
| Sex | ||
| Male | 65 | 24.60 |
| Female | 199 | 75.42 |
| Sporting status | ||
| Inactive | 95 | 35.98 |
| Active | 169 | 64.02 |
| Variables (N = 169) | n | % |
| Length of sporting time (years) | ||
| 1 year or less | 25 | 14.79 |
| 2–3 years | 28 | 16.57 |
| 3–5 years | 16 | 9.47 |
| 5–10 years | 23 | 13.61 |
| >10 years | 77 | 45.56 |
| Sporting on days/week | ||
| 1 day | 59 | 34.91 |
| 2 days | 74 | 43.79 |
| 3 days | 31 | 18.34 |
| 4 days or more | 5 | 2.96 |
| Sporting time per occasion | ||
| 1–2 h | 81 | 47.93 |
| 3–4 h | 81 | 47.93 |
| 5 h or more | 7 | 4.14 |
| More than one occasion a day | ||
| No | 117 | 69.23 |
| Yes | 52 | 30.77 |
| Level of sporting | ||
| Hobby | 148 | 87.57 |
| Competitive | 21 | 12.43 |
| Type of sport | ||
| Endurance | 121 | 71.60 |
| Tactical | 19 | 11.24 |
| Combat | 12 | 7.10 |
| Artistic | 17 | 10.06 |
| Variables | Range | Mean (SD) | Skewness | Kurtosis |
|---|---|---|---|---|
| Perceived stress | 18–65 | 40.58 (8.53) | −0.103 | −0.058 |
| Student burnout | 9–45 | 23.07 (8.93) | 0.424 | −0.718 |
| Resilience | 0–40 | 28.19 (6.74) | −0.734 | 0.552 |
| Well-being | 0–15 | 9.91 (3.39) | −0.309 | –0.610 |
| Sex | Sporting Status | |||||
|---|---|---|---|---|---|---|
| Male (n = 65) | Female (n = 199) | No (n = 95) | Yes (n = 169) | |||
| Variables | Mean (SD) | Mean (SD) | t-Value Significance Cohen’s d | Mean (SD) | Mean (SD) | t-Value Significance Cohen’s d |
| Perceived stress | 38.68 (8.42) | 41.20 (8.50) | −2.079 p = 0.039 0.298 | 42.12 (7.98) | 39.71 (8.73) | 2.215 p = 0.028 0.288 |
| Student burnout | 23.22 (8.72) | 23.03 (9.02) | 0.149 p = 0.882 0.021 | 24.64 (8.74) | 22.19 (8.94) | 2.157 p = 0.032 0.277 |
| Resilience | 27.14 (6.97) | 28.54 (6.64) | −1.456 p = 0.147 0.206 | 27.09 (6.51) | 28.81 (6.81) | −1.997 p = 0.047 0.258 |
| Well-being | 9.66 (3.59) | 9.99 (3.33) | −0.688 p = 0.492 0.096 | 9.21 (3.63) | 10.31 (3.19) | −2.549 p = 0.011 0.322 |
| Length of Sporting Time | Level of Sporting | More Than One Occasion a Day | |||||||
|---|---|---|---|---|---|---|---|---|---|
| <10 year (n = 92) | ≥10 years (n = 77) | Hobby (n = 148) | Competitive (n = 21) | Yes (n = 52) | No (n = 117) | ||||
| Variables | Mean (SD) | Mean (SD) | t-Value Significance Cohen’s d | Mean (SD) | Mean (SD) | t-Value Significance Cohen’s d | Mean (SD) | Mean (SD) | t-Value Significance Cohen’s d |
| Perceived stress | 41.19 (8.29) | 39.09 (8.99) | 1.822 p = 0.070 0.243 | 39.93 (8.79) | 38.19 (8.36) | 0.852 p = 0.396 0.203 | 40.73 (8.99) | 39.26 (8.68) | 1.013 p = 0.312 0.167 |
| Student burnout | 23.84 (8.94) | 21.19 (8.68) | 2.208 p = 0.028 0.301 | 22.53 (9.11) | 19.81 (7.35) | 1.307 p = 0.032 0.329 | 22.94 (10.39) | 21.85 (8.23) | 0.729 p = 0.467 0.116 |
| Resilience | 27.66 (6.80) | 29.49 (6.46) | −2.023 p = 0.044 0.276 | 28.80 (6.70) | 28.86 (7.71) | −0.033 p = 0.973 0.008 | 28.81 (7.32) | 28.81 (6.60) | −0.004 p = 0.997 0.000 |
| Well-being | 9.64 (3.44) | 10.58 (3.19) | −2.077 p = 0.039 0.283 | 10.31 (3.21) | 10.29 (3.15) | 0.034 p = 0.973 0.006 | 10.31 (3.36) | 10.31 (3.13) | 0.000 p = 1.000 0.000 |
| Variable (Scores) | 2 | 3 | 4 | 5 |
|---|---|---|---|---|
| 1. Sporting status | −0.136 * | −0.132 * | 0.122 * | 0.156 * |
| 2. Perceived stress | - | 0.494 ** | −0.586 ** | −0.537 ** |
| 3. Student burnout | - | - | −0.326 *** | −0.435 ** |
| 4. Resilience | - | - | - | 0.500 ** |
| 5. Well-being | - | - | - | - |
| Cluster 1 Mean (SD) z-Score | Cluster 2 Mean (SD) z-Score | t-Value | Cohen’s d | |
|---|---|---|---|---|
| Perceived stress | 46.40 (6.19) 0.68 | 35.01 (6.52) −0.65 | 14.524 * | 1.792 |
| Student burnout | 29.75 (7.36) 0.75 | 16.69 (6.55) −0.71 | 17.427 * | 1.875 |
| Resilience | 24.62 (6.53) −0.53 | 38.61 (5.00) 0.51 | −9.833 * | 2.406 |
| Well-being | 8.26 (3.37) −0.49 | 11.50 (2.56) 0.47 | −8.821 * | 1.027 |
| N (percentage) | 129 (48.86%) | 135 (51.14%) |
| Variables | Cluster 1 n (%) | Cluster 2 n (%) | Chi-Square Tests |
|---|---|---|---|
| Sex | |||
| Male | 30 (46.2%) | 35 (53.8%) | χ2 = 0.253 p = 0.615 Phi = 0.031 |
| Female | 99 (49.7%) | 100 (50.3) | |
| Sporting status | |||
| No | 57 (60.0%) | 38 (40.0%) | χ2 = 7.366 p = 0.007 Phi = 0.167 |
| Yes | 72 (42.6%) | 97 (57.4%) | |
| Length of sporting time | |||
| <10 years | 100 (53.5%) | 87 (46.5%) | χ2 = 5.459 p = 0.019 Phi = 0.144 |
| ≥10 years | 29 (37.7%) | 48 (62.3) | |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Szabó, L.; Piko, B.F. Maintenance of Mental Health: The Role of Physical Activity Among Young Adults. Healthcare 2025, 13, 2901. https://doi.org/10.3390/healthcare13222901
Szabó L, Piko BF. Maintenance of Mental Health: The Role of Physical Activity Among Young Adults. Healthcare. 2025; 13(22):2901. https://doi.org/10.3390/healthcare13222901
Chicago/Turabian StyleSzabó, Luca, and Bettina F. Piko. 2025. "Maintenance of Mental Health: The Role of Physical Activity Among Young Adults" Healthcare 13, no. 22: 2901. https://doi.org/10.3390/healthcare13222901
APA StyleSzabó, L., & Piko, B. F. (2025). Maintenance of Mental Health: The Role of Physical Activity Among Young Adults. Healthcare, 13(22), 2901. https://doi.org/10.3390/healthcare13222901

