Use of physical activity as a coping strategy mediates the association between adolescent team sports participation and emerging adult mental health

Abstract

PurposeWe explored how team sport participation during adolescence may have prepared emerging adults to use physical activity (PA) as a coping strategy during the COVID-19 pandemic and therefore protect their mental health. MethodsMATCH study participants reported their involvement in team sports from age 11 to 18. At age 20, in the context of the COVID-19 pandemic, they reported their level of positive mental health, strategies to cope with stress, and perception of how helpful these are. Mediation analyses were used to estimate the natural direct effect of number of years of team sport participation during adolescence on emerging adults’ mental health, and the natural indirect effect through using PA as a coping strategy. ResultsData from 454 participants were available. PA was the most prevalent coping strategy reported (51.5%) and 74% of those using this strategy reported it helped a lot. More years of team sport participation during adolescence was associated with higher odds of reporting PA as a coping strategy (OR [95% CI] = 1.012 [1.007; 1.017]) and with higher level of mental health during emerging adulthood (β [95% CI] = 0.059 [0.024; 0.095]). The natural indirect effect suggests that the use of PA as a coping strategy partially explained the association between team sport participation in adolescence and mental health in emerging adulthood (NIE [95% CI] = 0.038 [0.002;0.074]). DiscussionMore team sports participation during adolescence is associated with better mental health during emerging adulthood. This association may operate through using PA to cope with stress.