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Higher physical activity linked to better mental health and quality of life in German adolescentsMore Active Kids Had Better Mental Health During the Pandemic

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Key Takeaway
Consider physical activity as a potential supportive factor for adolescent mental well-being, noting evidence is observational.

A longitudinal cohort study in Germany followed 1,819 adolescents and young adults aged 11-21 across six waves during and after the COVID-19 pandemic (COPSY cohort). The study examined self-reported physical activity (PA), defined as days per week with at least 60 minutes of activity, comparing higher PA levels to low PA (0-2 days/week). Parent-reported outcomes included health-related quality of life (KIDSCREEN-10) and mental health problems (Strengths and Difficulties Questionnaire, SDQ).

The main results showed a dose-response association: higher levels of PA were linked to better health-related quality of life, with small to moderate improvements reported. Similarly, higher PA was associated with fewer mental health problems, showing small reductions. An interaction with age was noted, where the association between higher PA and fewer mental health problems was slightly stronger among older adolescents. The study did not report specific absolute numbers, p-values, or confidence intervals for these associations.

Safety and tolerability data were not reported. A key limitation noted is that longitudinal evidence jointly examining well-being and mental health problems in this context remains limited. The study's observational design means causality cannot be established. In practice, while these findings align with the view that ensuring accessible physical activity opportunities could be integral to youth mental health promotion, clinicians should interpret the links cautiously as associations, not proven effects.

The Question Every Parent Was Asking

If you have a child who struggled during the pandemic, you are not alone. School closures, lost friendships, and a world turned upside down hit young people hard. Youth anxiety and depression climbed in country after country. Parents were left scrambling, doing everything they could to help their kids stay emotionally afloat.

One thing many parents kept hearing: get your kids moving. But was that actually backed by evidence?

A study published in Frontiers in Medicine offers a real answer. And for once, the advice holds up.

Researchers in Germany followed 1,819 young people between the ages of 11 and 21 through six rounds of surveys spanning the pandemic and its aftermath. This was part of the COPSY study — one of the largest ongoing looks at youth mental health during COVID-19.

Families reported how many days per week their child got at least 60 minutes of physical activity. Researchers divided kids into three groups: low (0 to 2 days per week), medium (3 to 5 days), and high (6 to 7 days). They then tracked overall quality of life and mental health problems over time.

Collecting data repeatedly across years makes the findings more reliable than a single snapshot poll.

More Movement, Better Outcomes — at Every Level

The link between activity and mental health was dose-responsive. That means this wasn't a simple on/off switch. The more days per week a young person was active, the better their outcomes tended to be.

Kids in the high-activity group had better quality of life and fewer mental health problems than the medium group. The medium group did better than the low group. Each step up in activity was associated with a real, measurable benefit.

The improvements were described as "small to moderate" in size. This is not a dramatic overnight transformation. But consistent, real-world gains in youth mental health over years of crisis? That is meaningful.

This Isn't a Cure-All — and That's Okay

Physical activity is one lever parents can pull, not the only one.

Older teens showed a slightly stronger link between high activity and fewer mental health problems compared to younger kids. But across every age, every gender, and every background in the study, the pattern held: moving more was associated with doing better.

The effects were modest. Families dealing with serious depression or anxiety in their children should work with a healthcare provider. Exercise may support mental health, but it is not a replacement for professional care.

Why Does Moving Help?

Think of physical activity as a dial that turns down the body's stress response. When kids move — whether it's a sport, a walk, or pickup basketball — their brains release chemicals that lift mood and help regulate emotions. Regular activity also builds routine, which is stabilizing during chaotic times.

During the pandemic, many of those built-in movement opportunities vanished: no PE class, no after-school sports, no walking to school. Kids who maintained high activity levels despite those barriers may have had a real buffer against the mental health decline others experienced.

What Parents Can Actually Do With This

The research supports something practical and accessible: make it easier for young people to move regularly. That doesn't require a gym membership or competitive sports. A walk after dinner, a dance video in the living room, a bike ride on weekends — all of it counts.

The WHO recommends that children and teens get at least 60 minutes of moderate-to-vigorous activity every day. Getting close to that target — most days of the week — may be associated with real mental health benefits. Especially in difficult times.

This study is observational and cannot prove that exercise caused better mental health. Kids who are more active may differ in other ways — more supportive families, better access to green space — that also contribute to better outcomes. Physical activity and mental health outcomes were both based on self- or parent-reported data, which can be imprecise. Teens often hide how they're really feeling, so parent reports may miss the full picture. The sample came from Germany during a specific historical crisis, and findings may not apply equally in other countries or settings.

Researchers are calling for physical activity to be built into mental health promotion programs and into how communities plan for future crises. School policies, public parks, and after-school funding all shape whether kids have room to move. This study adds to growing evidence that those decisions carry mental health consequences. The next step is understanding which specific types of activity help most, for which kids, and how to reach the children who are currently moving the least.

  • How to Support a Child's Mental Health After the Pandemic
  • What the WHO Physical Activity Guidelines Mean for Your Family
  • Understanding Anxiety in Teens: Signs and When to Seek Help

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
The COVID-19 pandemic coincided with declines in youth mental health and health-related quality of life. Physical activity (PA) has been identified as a modifiable factor associated with better mental health outcomes, yet longitudinal evidence jointly examining well-being and mental health problems remains limited. Data stem from six waves of the German COPSY cohort of 11- to 21-year-olds (N = 1,819) surveyed during and after the COVID-19 pandemic. PA (self-reported days/week ≥60 min) was categorized as low (0–2 days), medium (3–5), high (6–7). Outcomes were health-related quality of life (KIDSCREEN-10, parent-report) and mental health problems (SDQ, parent-report). Linear mixed models with random intercepts and slopes included PA, time, age, gender, socioeconomic status, and current mental disorder. Two-way interactions between PA and covariates were tested, and sensitivity analyses used a WHO guideline indicator (≥60 min/day). Higher PA was dose-responsively associated with better health-related quality of life and fewer mental health problems across all waves. Compared to low PA, higher PA levels related to small to moderate improvements in health-related quality of life and small reductions in mental health problems. A small interaction indicated that the association between high PA and fewer mental health problems was slightly stronger among older adolescents; all other interactions were non-significant. Sensitivity analyses yielded comparable results. PA showed small to moderate associations with higher health-related quality of life and fewer mental health problems during and after the pandemic. Ensuring accessible opportunities for youth PA should be integral to mental health promotion and future crisis preparedness.
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