https://doi.org/10.4081/mw.2026.61
Associations between sedentary behavior, mental well-being, and sleep dysregulation: cross-sectional evidence from student populations
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Accepted: 22 June 2026
Published: 21 July 2026
This study investigates the prevalence of sedentary behavior and examines its association with mental well-being and sleep patterns. This cross-sectional study included 649 medical students. Participants completed a structured, closed-ended survey assessing demographic characteristics, mental well-being, and sleep-related variables. A high prevalence of sedentary behavior was identified among students (60.1%). Sedentary behavior was significantly associated with mental well-being (p=0.04), sleep patterns (p=0.01), and screen time (p<0.001). Multinomial regression analyses demonstrated that sedentary behavior significantly predicted poor mental health [odds ratio (OR)=1.66; 95% confidence interval (CI): 1.11-2.48; p=0.01] and screen time of 4 to 6 hours per day (OR=2.24; 95% CI: 1.19-4.21; p=0.01). The likelihood of exceeding 6 hours of screen time was even higher (OR=6.0; 95% CI: 3.23-11.12; p<0.001). Additionally, sedentary behavior was associated with a significantly increased odds of irregular sleep (OR=1.63; 95% CI: 1.16-2.29; p=0.005). The high prevalence of sedentary behavior and its strong association with sleep dysregulation highlight the urgent need for targeted interventions. Implementing strategies to reduce prolonged sitting and promote healthier sleep and mental health practices may provide significant benefits. Additional research utilizing longitudinal or experimental designs across diverse institutions is necessary to clarify causal mechanisms and inform the development of effective prevention strategies.
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de Rezende LF, Rodrigues Lopes M, Rey-López JP, et al. Sedentary behavior and health outcomes: an overview of systematic reviews. PLoS One 2014;9:e105620. DOI: https://doi.org/10.1371/journal.pone.0105620
Henson J, De Craemer M, Yates T. Sedentary behaviour and disease risk. BMC Public Health 2023;23:2048. DOI: https://doi.org/10.1186/s12889-023-16867-2
Martín-Martín J, Roldán-Jiménez C, De-Torres I, et al. Behavior change techniques and the effects associated with digital behavior change interventions in sedentary behavior in the clinical population: a systematic review. Front Digit Health 2021;3:620383. DOI: https://doi.org/10.3389/fdgth.2021.620383
Arippa F, Nguyen A, Pau M, Harris-Adamson C. Movement behavior and health outcomes among sedentary adults: a cross-sectional study. Int J Environ Res Public Health 2023;20:4668. DOI: https://doi.org/10.3390/ijerph20054668
Yang Z, Hotterbeex P, Marent PJ, et al. Physical activity, sedentary behaviour, and cognitive function among older adults: a bibliometric analysis from 2004 to 2024. Ageing Res Rev 2024;97:102283. DOI: https://doi.org/10.1016/j.arr.2024.102283
Xu L, Ji Y, Wen X. Associations of physical activity and sedentary behavior with mental health among university students: the mediating role of cardiorespiratory fitness and moderating role of gender. BMC Public Health 2025;25:3260. DOI: https://doi.org/10.1186/s12889-025-24528-9
Bao R, Chen ST, Wang Y, et al. Sedentary behavior research in the Chinese population: a systematic scoping review. Int J Environ Res Public Health 2020;17:3576. DOI: https://doi.org/10.3390/ijerph17103576
Alecu S, Onea GA, Badau D. The relationship between motivation for physical activity, physical activity level, and body mass index for university students. Sports 2025;13:96. DOI: https://doi.org/10.3390/sports13040096
Ali H, Musa DH, Mohammed AH, et al. The association between irregular sleep patterns and learning outcomes: implications for students’ health in Iraq. Makara J Health Res 2025;29:87-94. DOI: https://doi.org/10.7454/msk.v29i2.1880
Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom 2015;84:167-76. DOI: https://doi.org/10.1159/000376585
Gao Y, Li Q, Yang L, et al. Causal Association between sedentary behaviors and health outcomes: a systematic review and meta-analysis of mendelian randomization studies. Sports Med 2024;54:3051-67. DOI: https://doi.org/10.1007/s40279-024-02090-5
He Q, Bennett AN, Fan B, et al. Assessment of bidirectional relationships between leisure sedentary behaviors and neuropsychiatric disorders: a two-sample Mendelian randomization study. Genes 2022;13:962. DOI: https://doi.org/10.3390/genes13060962
Hoare E, Milton K, Foster C, Allender S. The associations between sedentary behaviour and mental health among adolescents: a systematic review. Int J Behav Nutr Phys Act 2016;13:108. DOI: https://doi.org/10.1186/s12966-016-0432-4
Huang Y, Li L, Gan Y, et al. Sedentary behaviors and risk of depression: a meta-analysis of prospective studies. Transl Psychiatry 2020;10:26. DOI: https://doi.org/10.1038/s41398-020-0715-z
Rodriguez-Ayllon M, Cadenas-Sánchez C, Estévez-López F, et al. Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: a systematic review and meta-analysis. Sports Med 2019;49:1383-410. DOI: https://doi.org/10.1007/s40279-019-01099-5
Lee E, Kim Y. Effect of university students’ sedentary behavior on stress, anxiety, and depression. Perspect Psychiatr Care 2018;55:164-9. DOI: https://doi.org/10.1111/ppc.12296
Jiang L, Cao Y, Ni S, et al. Association of sedentary behavior with anxiety, depression, and suicide ideation in college students. Front Psychiatry 2020;11:566098. DOI: https://doi.org/10.3389/fpsyt.2020.566098
Päivärinne V, Lahti J, Salmela J, et al. Changes in leisure-time physical activity and sedentary time and their associations with psychological distress: an occupational cohort study. J Phys Act Health 2025;22:1-9. DOI: https://doi.org/10.1123/jpah.2024-0224
Jeong S, Jang B, Kim SH, et al. Association between sedentary time and sleep quality based on the Pittsburgh Sleep Quality Index among South Korean adults. BMC Public Health 2021;21:2290. DOI: https://doi.org/10.1186/s12889-021-12388-y
Yang Y, Shin J, Li D, An R. Sedentary behavior and sleep problems: a systematic review and meta-analysis. Int J Behav Med 2017;24:481-92. DOI: https://doi.org/10.1007/s12529-016-9609-0
Raj M, Roy F. The impact of sleep deprivation on desktop workers: exploring the link between sleep quality, physical activity, and sedentary lifestyles—a cross-sectional study. J Soc Indian Physiother 2024;9:47-54. DOI: https://doi.org/10.4103/jsip.jsip_35_24
You Y, Chen Y, Fang W, et al. The association between sedentary behavior, exercise, and sleep disturbance: a mediation analysis of inflammatory biomarkers. Front Immunol 2023;13:1080782. DOI: https://doi.org/10.3389/fimmu.2022.1080782
Koohsari MJ, Yasunaga A, McCormack GR, et al. Sedentary behaviour and sleep quality. Sci Rep 2023;13:1180. DOI: https://doi.org/10.1038/s41598-023-27882-z
Ju K, Liu N, Wu R, Shi X. The relationship between sedentary behavior, sleep duration, and sleep disorders: analysis of the 2007-2014 National Health and Nutrition Examination Survey. Front Neurol 2025;16:1488443. DOI: https://doi.org/10.3389/fneur.2025.1488443
Pinto AJ, Bergouignan A, Dempsey PC, et al. Physiology of sedentary behavior. Physiol Rev 2023;103:2561-622. DOI: https://doi.org/10.1152/physrev.00022.2022
Vancampfort D, Van Damme T, Stubbs B, et al. Sedentary behavior and anxiety-induced sleep disturbance among 181,093 adolescents from 67 countries: a global perspective. Sleep Med 2019;58:19-26 . DOI: https://doi.org/10.1016/j.sleep.2019.01.048
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