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Quality in Sport

The Impact of Physical Activity on Mental Health of Children and Adolescents: A Comprehensive Review of Current Research and Clinical Implications
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  4. Medical Sciences

The Impact of Physical Activity on Mental Health of Children and Adolescents

A Comprehensive Review of Current Research and Clinical Implications

Authors

  • Michał Świda University Clinical Hospital in Białystok https://orcid.org/0009-0003-6101-7324
  • Jakub Bazarewicz Autonomous Public Health Maintenance Organisation Jędrzej Śniadecki Voivodship Polyclinical Hospital in Białystok https://orcid.org/0009-0006-6137-4366
  • Cezary Kubuj Międzyleski Szpital Specjalistyczny w Warszawie https://orcid.org/0009-0006-1578-8541
  • Grzegorz Adaśko Autonomous Public Health Maintenance Organisation Jędrzej Śniadecki Voivodship Polyclinical Hospital in Białystok https://orcid.org/0009-0004-6426-8636
  • Urszula Mazur Pomeranian Hospitals LLC: Polish Red Cross Maritime Hospital https://orcid.org/0009-0006-1645-3479
  • Marcin Siwik 10. Military Clinical Hospital with Polyclinic in Bydgoszcz https://orcid.org/0009-0001-5621-1048
  • Daniel Dmowski Autonomous Public Health Maintenance Organisation Jędrzej Śniadecki Voivodship Polyclinical Hospital in Białystok https://orcid.org/0009-0004-2399-1342
  • Anna Teresa Michalska Autonomous Public Health Maintenance Organisation Jędrzej Śniadecki Voivodship Polyclinical Hospital in Białystok https://orcid.org/0009-0008-1806-7699
  • Paulina Ogonowska Pomeranian Hospitals LLC: St. Vincent’s de Paul Hospital https://orcid.org/0009-0001-3766-9985
  • Julia Waszak Pomeranian Hospitals LLC:Polish Red Cross Maritime Hospital https://orcid.org/0009-0001-8725-7049

DOI:

https://doi.org/10.12775/QS.2025.43.62379

Keywords

Physical Activity, Mental Health, Children, Adolescents, Depression, Anxiety, ADHD

Abstract

Background
Mental health disorders in children and adolescents, such as anxiety, depression, and ADHD, affect nearly 20% of this population and present major challenges to families, healthcare, and society [21, 29]. Standard treatments – psychotherapy and pharmacotherapy – while effective, face barriers like access, cost, side effects, and stigma [20, 24]. This has led to growing interest in alternatives, with physical activity (PA) recognized for its accessibility and mental health benefits.

Aim
This article reviews studies from 2018–2024 on the effects of physical activity on mental health in youth. It explores biological, psychological, and social mechanisms and considers implications for prevention and treatment strategies.

Material and Methods
A literature review was conducted using PubMed, Google Scholar, and Web of Science. Studies included systematic reviews, meta-analyses, RCTs, and high-quality observational research published between 2018–2024. Thirty key sources were selected.

Results

Evidence shows regular PA improves mental health in children and adolescents by reducing depression and anxiety, enhancing cognition and emotional regulation, and alleviating ADHD symptoms [1, 3, 4, 6, 8]. Biological mechanisms include increased BDNF, neurotransmitter modulation, reduced inflammation, and improved neuroplasticity [17, 14, 26]. PA also supports psychosocial well-being through improved self-esteem, peer relations, and coping skills. Effectiveness varies by activity type, intensity, age, gender, and psychosocial factors [25, 23, 28].

Conclusions
PA is a cost-effective and accessible tool for improving youth mental health. Integrating it into clinical, educational, and community settings can aid in prevention and treatment. Future research should focus on personalized approaches, mechanisms, and digital tools for wider application.

References

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2. Babiss, L. A., & Gangwisch, J. E. (2020). Sports participation and depression in adolescents. Sports Medicine and Health Science, 2(2), 56–64. https://doi.org/10.1016/j.smhs.2020.04.003

3. Bailey, A. P., Hetrick, S. E., Rosenbaum, S., Purcell, R., & Parker, A. G. (2020). Treating depression with physical activity in adolescents and young adults: A systematic review and meta-analysis of randomized controlled trials. Psychological Medicine, 50(12), 1952–1960. https://doi.org/10.1017/S0033291719003468

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13. Humphrey, N., Lendrum, A., & Wigelsworth, M. (2020). Promoting mental health and well-being in schools: The impact of physical activity and sport. Educational Psychology in Practice, 36(2), 191–207. https://doi.org/10.1080/02667363.2019.1694517

14. Kandola, A., Ashdown-Franks, G., Hendrikse, J., Sabiston, C. M., & Stubbs, B. (2019). Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity. Neuroscience & Biobehavioral Reviews, 107, 525–539. https://doi.org/10.1016/j.neubiorev.2019.09.040

15. Liao, Y., Shonkoff, J. P., & Dunton, G. F. (2020). The influence of physical activity on mental health outcomes in youth: A systematic review. Preventive Medicine Reports, 18, 101099. https://doi.org/10.1016/j.pmedr.2020.101099

16. Lubans, D. R., Richards, J., Hillman, C. H., Faulkner, G., Beauchamp, M. R., Nilsson, M., & Biddle, S. J. (2016). Physical activity for cognitive and mental health in youth: A systematic review of mechanisms. Pediatrics, 138(3), e20161642. https://doi.org/10.1542/peds.2016-1642

17. Ludyga, S., Gerber, M., Pühse, U., Looser, V. N., & Kamijo, K. (2019). Systematic review and meta-analysis investigating moderators of long-term effects of exercise on cognition in healthy individuals. Nature Human Behaviour, 3(8), 768–777. https://doi.org/10.1038/s41562-019-0604-8

18. Marques, A., Peralta, M., Martins, J., & Loureiro, N. (2021). The role of physical activity in mental health promotion and prevention of mental disorders in young people: A systematic review. European Child & Adolescent Psychiatry, 30(10), 1415–1426. https://doi.org/10.1007/s00787-020-01674-2

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20. Pascoe, M. C., & Parker, A. G. (2019). Physical activity and exercise as a universal depression prevention in young people: A narrative review. Early Intervention in Psychiatry, 13(2), 292–299. https://doi.org/10.1111/eip.12645

21. Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2018). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345–365. https://doi.org/10.1111/jcpp.12381

22. Radovic, A., Gordon, E. A., & Melvin, G. A. (2022). Sport participation and adolescent mental health: A longitudinal study. Journal of Sport and Health Science, 11(1), 35–42. https://doi.org/10.1016/j.jshs.2021.04.004

23. Rodriguez-Ayllon, M., et al. (2019). Physical activity and mental health in children and adolescents: An updated review of systematic reviews and meta-analyses. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1–17. https://doi.org/10.1186/s12966-019-0820-5

24. Rosenbaum, S., & Stubbs, B. (2020). Exercise as a treatment for depression. Current Opinion in Psychology, 36, 29–34. https://doi.org/10.1016/j.copsyc.2020.01.003

25. Slater, A., & Tiggemann, M. (2018). Gender differences in adolescent sport participation and self-perceptions: Implications for mental health. Journal of Adolescence, 66, 61–70. https://doi.org/10.1016/j.adolescence.2018.04.006

26. Stillman, C. M., Cohen, J., Lehman, M. E., & Erickson, K. I. (2021). Mediators of physical activity on neurocognitive function: A review at multiple levels of analysis. Frontiers in Human Neuroscience, 15, 662137. https://doi.org/10.3389/fnhum.2021.662137

27. Vella, S. A., et al. (2021). Mental health in youth sport: A consensus statement. Journal of Science and Medicine in Sport, 24(4), 329–335. https://doi.org/10.1016/j.jsams.2020.11.014

28. Watson, A., Timperio, A., Brown, H., Best, K., & Hesketh, K. D. (2019). Effect of classroom-based physical activity interventions on academic and physical activity outcomes: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 54. https://doi.org/10.1186/s12966-019-0826-z

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Quality in Sport

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Published

2025-07-11

How to Cite

1.
ŚWIDA, Michał, BAZAREWICZ, Jakub, KUBUJ, Cezary, ADAŚKO, Grzegorz, MAZUR, Urszula, SIWIK, Marcin, DMOWSKI, Daniel, MICHALSKA, Anna Teresa, OGONOWSKA, Paulina and WASZAK, Julia. The Impact of Physical Activity on Mental Health of Children and Adolescents: A Comprehensive Review of Current Research and Clinical Implications. Quality in Sport. Online. 11 July 2025. Vol. 43, p. 62379. [Accessed 24 December 2025]. DOI 10.12775/QS.2025.43.62379.
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Vol. 43 (2025)

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Copyright (c) 2025 Michał Świda, Jakub Bazarewicz, Cezary Kubuj, Grzegorz Adaśko, Urszula Mazur, Marcin Siwik, Daniel Dmowski, Anna Teresa Michalska, Paulina Ogonowska, Julia Waszak

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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