RESEARCH PAPER
Association between leisure-time physical activity and mental and physical health among Iranian women: a cross-sectional study
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1
Faculty of Health Sciences, University of Pécs, Pécs, Hungary
2
Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
3
Ensana Thermal Margaret Island, Health Spa Hotel, Budapest, Hungary
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Graduate Faculty of Environment, University of Tehran, Teheran, Iran
Submission date: 2026-02-05
Final revision date: 2026-04-19
Acceptance date: 2026-05-26
Online publication date: 2026-06-17
Corresponding author
Sara Nasirimoghadam
Faculty of Health Sciences, University of Pécs, Vörösmarty str. 4, H-7621 Pécs, Hungary
KEYWORDS
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ABSTRACT
Background:
Women’s physical and mental health in Middle Eastern populations remains under researched. This study aimed to examine the association between physical activity and depression among women, considering sociodemographic and health-related factors.
Material and methods:
A cross-sectional study was conducted in Kerman, Iran, between June and December 2023 using an online questionnaire. A total of 105 women participated (mean age 36.01±13.25 years). Data included sociodemographic, health behaviors, depression, and physical activity. Statistical analysis included Spearman’s correlation and non-parametric tests.
Results:
A significant negative association was found between leisure-time physical activity and depression (r=-0.57, p<0.001). Physical activity levels differed according to education (p=0.003) and profession (p=0.020). Higher depression scores were observed among women with anemia (p=0.023). Multiple linear regression analysis showed that physical activity remained significantly associated with depression (β=-0.559, p<0.001). Fast-food and caffeine intake were associated with diet (p=0.019, p=0.033).
Conclusions:
Higher levels of physical activity were associated with lower levels of depression among women. These findings underscore the importance of physical activity in strategies to improve mental health.
REFERENCES (27)
1.
Wang Z, Qi K, Zhang P. Effect of physical activity interventions on physical and mental health of the elderly: a systematic review and meta-analysis. Aging Clin Exp Res. 2025; 37:169.
https://doi.org/10.1007/s40520....
2.
Rahmati M, Lee S, Yon DK, Lee SW, Udeh R, McEvoy M, et al. Physical activity and prevention of mental health complications: an umbrella review. Neurosci Biobehav Rev. 2024; 160: 105641.
https://doi.org/10.1016/j.neub....
3.
Banyard H, Edward KL, Garvey L, Stephenson J, Azevedo L, Benson AC. The effects of aerobic and resistance exercise on depression and anxiety: systematic review with meta-analysis. Int J Ment Health Nurs. 2025; 34(3): e70054.
https://doi.org/10.1111/inm.70....
4.
Casanova F, O’Loughlin J, Karageorgiou V, Beaumont RN, Bowden J, Wood AR, et al. Effects of physical activity and sedentary time on depression, anxiety and well-being: a bidirectional Mendelian randomisation study. BMC Med. 2023; 21: 501.
https://doi.org/10.1186/s12916....
5.
Yuan Y, Huang W, Hu C, Zhang W. The interaction of physical activity and sleep quality with depression and anxiety in older adults. Front Public Health. 2025; 13: 1674459.
https://doi.org/10.3389/fpubh.....
6.
De Nys L, Anderson K, Ofosu EF, Ryde GC, Connelly J, Whittaker AC. The effects of physical activity on cortisol and sleep: a systematic review and meta-analysis. Psychoneuroendocrinology. 2022; 143: 105843.
https://doi.org/10.1016/j.psyn....
7.
Pahlavani HA. Possible role of exercise therapy on depression: effector neurotransmitters as key players. Behav Brain Res. 2024; 459: 114791.
https://doi.org/10.1016/j.bbr.....
8.
VaezMousavi M, Nobari H, Shams A, Abbasi H, Shamsipour-Dehkordi P, Mohamadi F, et al. Assessing physical activity, mental health, and quality of life among older adults in Tehran, Iran: a cross-sectional study. PLoS One. 2025; 20(4): e0317337.
https://doi.org/10.1371/journa....
9.
Ebrahimi S, Shiraseb F, Ladaninezhad M, Navaei N, Izadi A, Mirzaei K. The association between lifestyle risk score and mental health in Iranian overweight and obese women: a cross-sectional study. Front Nutr. 2025; 12: 1533453.
https://doi.org/10.3389/fnut.2....
10.
Nyberg ST, Frank P, Pentti J, Alfredsson L, Ervasti J, Goldberg M, et al. Health benefits of leisure-time physical activity by socioeconomic status, lifestyle risk, and mental health: a multicohort study. Lancet Public Health. 2025; 10(2): e124-e135.
https://doi.org/10.1016/S2468-....
12.
Molero P, De Lorenzi F, Gędek A, Strater C, Popescu E, Ortuño F, et al. Diet quality and depression risk: a systematic review and meta-analysis of prospective studies. J Affect Disord. 2025; 382: 154-166.
https://doi.org/10.1016/j.jad.....
14.
Benisi-Kohansal S, Kazeminejad S, Lotfi K, Monazzam MR, Imani H, Esmaillzadeh A. Patterns of nutrient intake in relation to depression, anxiety, and psychological distress among Iranian university employees: a cross-sectional study. J Health Popul Nutr. 2025; 44: 379.
https://doi.org/10.1186/s41043....
15.
Liu C, Zhou R, Peng X, Zhu T, Wei W, Hao X. Relationship between depressive symptoms and anemia among the middle-aged and elderly: a cohort study over 4-year period. BMC Psychiatry. 2023; 23: 572.
https://doi.org/10.1186/s12888....
16.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4(6): 561-571.
https://doi.org/10.1001/archps....
17.
Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck Depression Inventory-Second edition: BDI-II-PERSIAN. Depress Anxiety. 2005; 21(4): 185-192.
https://doi.org/10.1002/da.200....
18.
Fattahi MR, Noormohammadpour P, Ramezani M, Sahraian MA, Mansournia MA, Tabesh MR, et al. Translation and validation of the Persian version of Godin Leisure-Time Exercise Questionnaire in patients with multiple sclerosis. BMC Neurol. 2021; 21: 431.
https://doi.org/10.1186/s12883....
20.
Park JH, Prochnow T, Lee JM, Roh T. Impact of physical activity on smoking, sleep disorders, and depression among US adults. Health Educ Behav. 2026; 53(1): 72-84.
https://doi.org/10.1177/109019....
21.
Jin M, Swainson M, Wang C, Morris A. Systematic review: occupational sedentary behaviour and common mental health symptoms. Occup Med (Lond). 2025; 75(6): 275-281.
https://doi.org/10.1093/occmed....
22.
Park Y, An SY, Jeon JY, Lee DH. Occupational physical activity and depression risk: a systematic review and dose-response meta-analysis. J Affect Disord. 2025; 391: 119983.
https://doi.org/10.1016/j.jad.....
23.
Tavakoly R, Moosburner A, Anheyer D, Cramer H. Effect of different dietary patterns on patients with depressive disorders: a systematic review and meta-analysis of randomized controlled trials. Nutrients. 2025; 17(3): 563.
https://doi.org/10.3390/nu1703....
24.
de Lima Queiroga L, Kaufmann O, Mendes Ritti-Dias R, da Cunha PM, Minanni CA, Pitta RM, et al. Physical activity levels are associated with depressive symptoms: a cross-sectional study of 58,445 adults. J Affect Disord. 2025; 369: 298-302.
https://doi.org/10.1016/j.jad.....
25.
Bustamante EE, Brellenthin AG, Brown DR, O’Connor PJ. Up for debate: does regular physical activity really improve mental health?. Med Sci Sports Exerc. 2025; 57(5): 1056-1066.
https://doi.org/10.1249/MSS.00....
26.
Zhou H, Jiang F, Liu H, Wu Y, Tang YL. Dose-dependent association between physical activity and mental health, and mitigation effects on risk behaviors. iScience. 2025; 28(2): 111866.
https://doi.org/10.1016/j.isci....
27.
Notara V, Kelekian G, Kokkou S, Soultatou P, Laggas D, Barbouni A, et al. Grandparenting: impact on physical activity, dietary habits, and quality of life. Int J Aging Hum Dev. 2026; 102(1): 65-81.
https://doi.org/10.1177/009141....