Physical Activity, Mental Health, and Quality of Life among School Students in the Jazan Region of Saudi Arabia: A Cross-Sectional Survey When Returning to School after the COVID-19 Pandemic

Abstract

Increasing evidence suggests that Physical Activity (PA) can reduce depression and anxiety in adolescents. At the same time, Quality of life (QoL) is sensitive to both Mental Health and PA, but little is known about the mechanism between these three variables among adolescents. This study aimed to assess physical activity, mental health, and quality of life of school students when they returned to school after two years of distance learning in the Jazan region. This current investi-gation represents an observational cross-sectional survey conducted in January 2022 among a random sample of 601 students from intermediate and high schools in the Jazan region, Saudi Arabia. Three standardized questionnaires were used for data collection; the Arabic version of the Pediatric Quality of Life Inventory (PedsQL), Depression Anxiety Stress Scales (DASS21) and the Fels PAQ for children. The analysis revealed a moderate level of physical activity, decreased HRQoL, and symptoms of mental health problems (anxiety, depression and stress) among the schools’ students when they returned to school following COVID-19 Lockdown. The overall pe-diatric Quality of Life mean score was (81.4 ± 16.4), which differs significantly according to gender, age groups, and grade levels (p < 0.05 for all). There was a negative correlation between overall quality of life and mental health domains. Sport is negatively correlated with mental illness symptoms and positively correlated (p < 0.05) with pediatric Quality of Life. The regression models revealed that stress is a significant predictor for the quality of life of male and female adolescents [β = −0.30, (95% CI (−0.59) to (−0.02), p < 0.05) and [β = −0.40, (95% CI (−0.70) to (−0.01), p < 0.05), respectively. The analysis revealed a moderate level of physical activity among the schools’ stu-dents when they returned to school following COVID-19 Lockdown. Children’s involvement in physical activity was associated with improved Quality of Life and mental health. The results call for the need to develop appropriate intervention programs to increase school students’ physical activity levels.