Journals / Journal of Medicine and Palliative Care / 2026 / Volume: 7 Issue: 5

Physical activity, depressive symptoms, and quality of life in remote-learning vocational health students: a cross-sectional study

Pages
—
Publication Date
2026-10-25
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The possible association between physical activity and mental HRQoL requires confirmation in longitudinal studies using more detailed or objective activity measures.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims: To examine associations of total physical activity volume with depressive symptom severity and health-related quality of life (HRQoL) among vocational health services students receiving fully remote education.
📊
Key Findings & Data:Methods: This cross-sectional survey included 332 associate-degree students.
💡
Conclusion & Impact:The possible association between physical activity and mental HRQoL requires confirmation in longitudinal studies using more detailed or objective activity measures.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Depressive symptoms · physical activity · health-related quality of life

Abstract

Aims: To examine associations of total physical activity volume with depressive symptom severity and health-related quality of life (HRQoL) among vocational health services students receiving fully remote education. Methods: This cross-sectional survey included 332 associate-degree students. Physical activity was measured with the Turkish International Physical Activity Questionnaire-Short Form (IPAQ-SF) as metabolic equivalent minutes per week (MET-min/week); depressive symptom severity with the Beck Depression Inventory-I (BDI-I); and physical/mental HRQoL as study specific 36-Item Short Form Health Survey (SF-36) subscale sums. Three two-step hierarchical linear regressions adjusted for age, gender, perceived economic status, chronic disease, and smoking status. Results: Total physical activity volume was not independently associated with BDI-I score (β=-0.033, p=0.527) or physical HRQoL (β=0.012, p=0.829). Its association with mental HRQoL was positive but did not reach conventional significance in the primary model (β=0.099, p=0.062) and was sensitive to model specification. Female gender, income lower than expenses, current smoking, and chronic disease were associated with less favorable outcomes in the fully adjusted models; income higher than expenses was associated with higher mental HRQoL. Exploratory Spearman analyses showed weak positive correlations of physical activity volume with physical functioning, vitality, and mental health after false-discovery-rate correction. Conclusion: In this remote-learning cohort, social and health-related vulnerabilities showed more consistent associations with depressive symptom severity and HRQoL than total weekly physical activity volume. The possible association between physical activity and mental HRQoL requires confirmation in longitudinal studies using more detailed or objective activity measures.

🔖

Cite This Article

Buğday, B., Adlı, H., Koca, G. Y., Gürbüz, P. (2026). Physical activity, depressive symptoms, and quality of life in remote-learning vocational health students: a cross-sectional study. Journal of Medicine and Palliative Care, Volume: 7 Issue: 5. https://ajindex.com/articles/1668109

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (34)

  1. World Health Organization. Physical activity. Published June 26, 2024. Accessed October 19, 2026. https://www.who.int/news-room/fact-sheets/detail/physical-activity
  2. Castro O, Bennie J, Vergeer I, Bosselut G, Biddle SJH. How sedentary are university students? A systematic review and meta-analysis. Prev Sci. 2020;21(3):332-343. doi:10.1007/s11121-020-01093-8
  3. Hehir E, Zeller M, Luckhurst J, Chandler T. Developing student connectedness under remote learning using digital resources: a systematic review. Educ Inf Technol. 2021;26(5):6531-6548. doi:10.1007/s10639-021-10577-1
  4. Boraita RJ, González-García H, Pérez JG, et al. The impact of physical activity levels on mental health and sleep quality in university online students. J Public Health (Berl). 2025. doi:10.1007/s10389-025-02559-1
  5. Heumann E, Palacio Siebe AV, Stock C, Heinrichs K. Depressive symptoms among higher education students in Germany—a systematic review and meta-analysis. Public Health Rev. 2024;45:1606983. doi:10.3389/phrs.2024.1606983
  6. Abrantes LCS, de Souza de Morais N, Gonçalves VSS, et al. Physical activity and quality of life among college students without comorbidities for cardiometabolic diseases: systematic review and meta-analysis. Qual Life Res. 2022;31(7):1933-1962. doi:10.1007/s11136-021-03035-5
  7. Huang K, Beckman EM, Ng N, et al. Effectiveness of physical activity interventions on undergraduate students' mental health: systematic review and meta-analysis. Health Promot Int. 2024;39(3):daae054. doi:10.1093/heapro/daae054
  8. Guan N, Guariglia A, Moore P, Xu F, Al-Janabi H. Financial stress and depression in adults: a systematic review. PLoS One. 2022;17(2):e0264041. doi:10.1371/journal.pone.0264041
  9. Richardson T, Elliott P, Roberts R, Jansen M. A longitudinal study of financial difficulties and mental health in a national sample of British undergraduate students. Community Ment Health J. 2017;53(3):344-352. doi:10.1007/s10597-016-0052-0
  10. Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull. 2017;143(8):783-822. doi:10.1037/bul0000102
  11. Pacheco JPG, Silveira JB, Ferreira RPC, et al. Gender inequality and depression among medical students: a global meta-regression analysis. J Psychiatr Res. 2019;111:36-43. doi:10.1016/j.jpsychires.2019.01.013
  12. Milic M, Gazibara T, Pekmezovic T, et al. Tobacco smoking and health-related quality of life among university students: mediating effect of depression. PLoS One. 2020;15(1):e0227042. doi:10.1371/journal.pone.0227042
  13. Klemenc-Ketis Z, Kersnik J, Eder K, Colaric D. Factors associated with health-related quality of life among university students. Srp Arh Celok Lek. 2011;139(3-4):197-202. doi:10.2298/SARH1104197K
  14. Jensen CT, Heinze C, Andersen PK, Bauman A, Klinker CD. Mental health and physical activity in vocational education and training schools students: a population-based survey. Eur J Public Health. 2022;32(2): 233-238. doi:10.1093/eurpub/ckab202
  15. World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-2194. doi:10.1001/jama.2013.281053
  16. Yamane T. Statistics: An Introductory Analysis. 2nd ed. Harper & Row; 1967.
  17. Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-1395. doi:10.1249/01.MSS.0000078924.61453.FB
  18. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284. doi:10.2466/06.08.PMS.111.4.278-284
  19. IPAQ Research Committee. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ): Short and Long Forms. Revised November 2005. Accessed October 19, 2026. https://sites.google.com/view/ipaq/score
  20. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561-571. doi:10.1001/archpsyc.1961.01710120031004
  21. Hisli N. Beck Depresyon Envanteri'nin üniversite öğrencileri için geçerliği ve güvenirliği. Psikoloji Dergisi. 1989;7(23):3-13.
  22. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30(6):473-483. doi:10.1097/00005650-199206000-00002
  23. Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş AK. Kısa Form-36 (KF-36)'nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi. 1999;12(2):102-106.
  24. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Lawrence Erlbaum Associates; 1988.
  25. Fritz CO, Morris PE, Richler JJ. Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen. 2012;141(1):2-18. doi:10.1037/a0024338
  26. Donnelly S, Penny K, Kynn M. The effectiveness of physical activity interventions in improving higher education students' mental health: a systematic review. Health Promot Int. 2024;39(2):daae027. doi:10.1093/heapro/daae027
  27. Zhang H, Bin Hashim S, Huang D, Zhang B. The effect of physical exercise on depression among college students: a systematic review and meta-analysis. PeerJ. 2024;12:e18111. doi:10.7717/peerj.18111
  28. Li J, Zhou Z, Hao S, Zang L. Optimal intensity and dose of exercise to improve university students' mental health: a systematic review and network meta-analysis of 48 randomized controlled trials. Eur J Appl Physiol. 2025;125(5):1395-1410. doi:10.1007/s00421-024-05688-9
  29. Tao X, Wu X, Fu J, Xiao Y, Zhong T. Associations between physical activity and health-related quality of life among university students in Zhuhai, China. Sci Rep. 2025;15:31319. doi:10.1038/s41598-025-15822-y
  30. Champion KE, Mather M, Spring B, Kay-Lambkin F, Teesson M, Newton NC. Clustering of multiple risk behaviors among a sample of 18-year-old Australians and associations with mental health outcomes: a latent class analysis. Front Public Health. 2018;6:135. doi:10.3389/fpubh.2018.00135
  31. Coughenour C, Gakh M, Pharr JR, Bungum T, Jalene S. Changes in depression and physical activity among college students on a diverse campus after a COVID-19 stay-at-home order. J Community Health. 2021;46(4):758-766. doi:10.1007/s10900-020-00918-5
  32. Wilson OWA, Holland KE, Elliott LD, Duffey M, Bopp M. The impact of the COVID-19 pandemic on US college students' physical activity and mental health. J Phys Act Health. 2021;18(3):272-278. doi:10.1123/jpah.2020-0325
  33. Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form: a systematic review. Int J Behav Nutr Phys Act. 2011;8:115. doi:10.1186/1479-5868-8-115
  34. Volken T. Second-stage non-response in the Swiss health survey: determinants and bias in outcomes. BMC Public Health. 2013;13:167. doi:10.1186/1471-2458-13-167