Abstract
In recent years, the sleep quality of college students has garnered increasing attention from scholars. Physical activity, as a healthy lifestyle, has been extensively investigated in relation to the sleep quality of college students. However, the psychological mechanisms underlying this relationship warrant further exploration. This study aimed to examine the internal relationship between physical activity and sleep quality among college students, with anxiety, depression and social media addiction serving as mediating variables. A total of 4101 college students (1,509 males, 2,592 females; mean age 19.05 ± 1.16 years) were included in this study. Data on physical activity, anxiety, depression, social media addiction, and sleep quality were collected through a cross-sectional subjective survey. The basic characteristics of the variables were described using SPSS, and correlation analyses were conducted. Finally, a chain mediation model was constructed using the PROCESS plugin. The study found a significant positive correlation between physical exercise and the sleep quality of college students, and significant negative correlations with anxiety, depression and social media addiction. Anxiety and depression were also significantly negatively correlated with sleep quality and significantly positively correlated with social media addiction. Ultimately, anxiety, depression and social media addiction were found to play a chain mediating role between physical exercise and the sleep quality of college students. This study further elucidates the mechanisms underlying the relationship between physical exercise and sleep quality among college students by incorporating psychological (anxiety and depression) and behavioral (social media addiction) variables. It is recommended that college students actively engage in physical exercise, which can help alleviate anxiety and depression, reduce social media addiction, and thereby improve sleep quality.
Keywords: College students, Emotional disturbance, Physical activity, Sleep quality, Social media addiction
Subject terms: Psychology, Psychology and behaviour
Introduction
Sleep quality is defined by four key elements: Sleep Latency (the time it takes to fall asleep), Awakenings (the number of times one wakes up during the night), Wake After Sleep Onset (the amount of time spent awake after first falling asleep), and Sleep Efficiency (the ratio of time asleep to time lying in bed). This definition was established by an expert panel led by the National Sleep Foundation (NSF) after an extensive review of 277 studies1. Chinese college students, having experienced the high-pressure environment of high school, enter the relatively more flexible and free university campus life, where they have greater control over their time and schedules2. This transition may lead them to indulge more freely, potentially neglecting healthy sleep habits. A recent cross-sectional survey involving 6284 college students revealed that over 30% had poor sleep quality3. Sleep quality is associated with individual depression4,5, academic performance6,7, and cardiovascular diseases8,9. Therefore, promoting good sleep quality among college students is an important research topic.
A recent review study on the determinants of sleep quality among college students identified physical activity as a significant factor10. Physical activity is typically defined as any bodily movement produced by skeletal muscles that requires energy expenditure11. During physical exercise, body temperature increases, and after the exercise ceases, the body cools down. This temperature regulation promotes better sleep quality12. A meta-analysis conducted in 2021 found a correlation between moderate-to-vigorous physical activity and higher sleep quality (N = 141,035; r = 0.18)13. Additionally, the meta-analysis found that physical activity increased total sleep time, delayed the onset of REM sleep (by 10 min), increased slow-wave sleep (SWS), and reduced REM sleep (by 2–5 min)14. The results of the cross-sectional study show that mindfulness and rumination have a chain mediating effect between physical activity and the sleep quality of college students15. In contrast, longitudinal studies found no causal relationship between physical exercise and sleep quality among college students, but suggested that emotional regulation mediates this relationship16.
Physical activity may enhance sleep quality among college students by alleviating negative emotions such as anxiety and depression, which are common during the transitional phase of life17. A recent meta-analysis that synthesized 64 primary studies found the prevalence of anxiety and depression among global college students to be 33.6% (95% CI: 29.3–37.8%) and 39% (95% CI: 34.6–43.4%), respectively18. Another meta-analysis conducted during the COVID-19 pandemic in China revealed the prevalence rates of anxiety and depression among college students to be 19% (95% CI: 15–24%) and 22% (95% CI: 19–25%), respectively19. An earlier review study found that depression appears to have a bidirectional predictive relationship with sleep quality among college students20. Strong evidence indicates that poor sleep quality, including sleep disorders and insomnia, is often correlated with depression and anxiety20–23. Numerous studies have also shown that physical exercise can alleviate negative emotions. A meta-analysis that included 14,170 participants found that physical exercise had a significant effect on depression24. Additionally, a randomized controlled meta-analysis involving 24 original studies demonstrated that physical exercise could significantly alleviate anxiety and depression in college students25. Moreover, a substantial body of research has identified a significant negative correlation between physical activity and both anxiety and depression in college students26–28.
Furthermore, physical activity may improve sleep quality among college students by reducing social media addiction. Social media addiction refers to a psychological and behavioral pattern where individuals become overly dependent on social media platforms, struggle to control their usage, and exhibit withdrawal reactions29. Although the DSM-530 and ICD-1131 do not include it as a diagnosable disease, it shares similar behavioral and psychological manifestations with substance addiction and is widely recognized. Additionally, Terms such as problematic social media use and social media dependence are often used interchangeably with social media addiction. Notably, social media addiction, along with problematic internet use and smartphone dependence, is collectively referred to as technological addiction due to their significant similarities32–35. A recent meta-analysis found that the detection rate of social media addiction among global college students was 18.4%, with the highest rate in Asia at 22.8%36. With the widespread popularity of smart electronic devices and wireless networks, college students often use their phones before sleep, affecting their sleep schedule management37. An early study found that poor sleep quality and daytime sleepiness among college students were largely due to their frequent use of electronic devices before sleep38. Moreover, the blue light emitted from social media use may suppress the secretion of melatonin39,40, thereby affecting sleep quality. Studies have also found a significant positive correlation between smartphone addiction and insomnia among medical students41. Additionally, an observational study of 2,661 college students found that social media addiction significantly predicted sleep quality42. According to the social bond theory43, physical activity can enhance social connections and support, alleviate negative emotions, and thereby reduce the degree of social media addiction among college students. Recent studies have found a significant negative correlation between physical activity and social media addiction44, and physical activity can negatively predict social media addiction among college students45. Considering the evidence, social media addiction may serve as a mediator between physical activity and sleep quality among college students for two reasons. First, it can displace time that could otherwise be spent on physical activity, which is a protective factor for sleep quality. This displacement can lead to poorer sleep quality. Conversely, when college students actively engage in physical activity instead of using social media, they may experience better sleep quality. Both scenarios align with the “Isotemporal Substitution Paradigm”46, which suggests that reallocating time from one activity to another can have significant health implications.
There is also a significant relationship between negative emotion and social media addiction. According to the compensatory internet use theory47, when individuals experience negative emotions, they tend to use virtual social networks to escape these feelings. In the university campus, students from all over the country gather together, with diverse cultural, economic backgrounds, and lifestyles. Therefore, they face many sources of anxiety and depression, including psychological, academic, economic factors, or romantic relationships48. As a result, social media plays an increasingly important role in their studies and lives. Studies have found a significant positive correlation between anxiety and social media addiction among college students49,50. Moreover, anxiety significantly predicts social media addiction among college students49,50. Additionally, studies have revealed a significant positive correlation between depression and social media addiction in college students51. A network analysis study involving 432 college students found that “depression” consistently serves as the most central node, playing a critical role in the network linking social media addiction with other variables52.
To sum up, despite the well-documented associations between sleep quality, negative emotions, social media addiction, and physical activity among college students, the complex interplay among these factors remains underexplored. While existing studies have identified the prevalence of sleep disorders, anxiety, depression, and social media addiction in college populations, few have examined the mediating roles of these factors in the relationship between physical activity and sleep quality. The unique transitional phase of college life, characterized by increased autonomy and potential neglect of healthy habits, further complicates this relationship. Moreover, the rapid evolution of digital technology and its pervasive use among young adults underscores the need to understand how social media addiction impacts sleep and mental health. This study aims to fill these critical gaps by providing a comprehensive analysis of the mediating pathways between physical activity, negative emotions, social media addiction, and sleep quality. By doing so, it will offer valuable insights for developing targeted interventions to improve sleep quality and mental health among college students, ultimately contributing to their overall well-being and academic success. Therefore the current study explores the chain-mediated model between physical exercise and sleep quality of college students with social media addiction as the center role, further enriching the relationship between physical activity and sleep quality among college students through psychological and behavioral variables, and providing a theoretical basis for improving sleep quality among college students. The hypothesized model is shown in Fig. 1.
Fig. 1.

Hypothetical model diagram.
Based on the aforementioned literature, the following hypotheses were formulated for this study:
There is a significant positive correlation between physical activity and sleep quality among college students.
Anxiety and depression significantly mediate the relationship between physical activity and sleep quality among college students.
Social media addiction significantly mediates the relationship between physical activity and sleep quality among college students.
Anxiety and depression, as well as social media addiction, significantly mediate the relationship between physical activity and sleep quality among college students in a chain-like manner.
Methods
Participants
This study employed a convenience sampling method to recruit university students from 6 provinces in China in October 2024. Prior to the commencement of the study, ethical approval was obtained from the ethics committee of the author’s institution. Online electronic questionnaires were distributed via class group chats, with an informed consent form placed on the first page of the questionnaire. Participants were required to read and click “agree” before proceeding with the survey. Data was collected only from participants who completed all items in the questionnaire. Thus, individuals who declined to participate or chose to exit during the survey were fully respected for their right to participate freely, and no adverse effects were incurred. The first page of the questionnaire outlined the purpose of the study, data anonymity, confidentiality, and usage. Participants typically completed the electronic questionnaire within 15 min. A total of 4,506 complete data samples were initially collected. Data was screened to exclude samples with extreme response times and those showing obvious patterned responses. The final analytical sample comprised 4,101 participants (effective response rate: 91.01%). The sample included 1,509 males, 2,592 females, with a mean age of 19.05 years (SD = 1.16). Additional demographic information is detailed in Table 1.
Table 1.
Basic information.
| Variables | N | Percent (%) | ||
|---|---|---|---|---|
| Grade | Freshman | 1851 | 45.1% | |
| Sophomore | 1951 | 47.6% | ||
| Junior | 279 | 6.8% | ||
| Senior | 20 | 0.5% | ||
| Only-child status | Only | 1026 | 25% | |
| Not only | 3075 | 75% | ||
| Parental education | Father | Unclear | 231 | 5.6% |
| Primary and below | 851 | 20.8% | ||
| Middle school | 2573 | 62.7% | ||
| Collegiate | 415 | 10.1% | ||
| Graduate student | 31 | 0.8% | ||
| Mother | Unclear | 245 | 6.0% | |
| Primary and below | 1121 | 27.3% | ||
| Middle school | 2326 | 56.7% | ||
| Collegiate | 383 | 9.3% | ||
| Graduate student | 26 | 0.6% | ||
Measurement tools
Considering the daily academic stress of participants and the instability of online questionnaires, as well as the desire to minimize disruption to the daily teaching schedules of participants and teachers, measurement tools with fewer items were selected. Simple measurement tools offer numerous advantages53,54, such as reduced cognitive and time costs for participants, decreased response bias, increased satisfaction, and lower subsequent data processing costs.
Physical activity
Physical activity was assessed using a single item: “In the past 7 days, how many days did you engage in at least 20 minutes of physical exercise or activity that made you sweat or breathe hard?” Response options ranged from 0 to 7 days55. This measurement question has been widely used in previous studies56–58.
Anxiety and depression
In this study, the Generalized Anxiety Disorder scale (GAD-2)59 and the Patient Health Questionnaire (PHQ-2)60 will be employed to assess the levels of anxiety and depression. Both scales consist of two items each and utilize a Likert-4 point scoring system, ranging from 1 (not at all) to 4 (nearly every day), with a total score ranging from 2 to 8. Higher total scores indicate more severe levels of anxiety and depression. The Cronbach’s α coefficients for anxiety and depression in the sample of this study are 0.861 and 0.789.
Social media addiction
Social media addiction was evaluated using the Bergen Social Media Addiction Scale (BSMAS)61. A 5-point Likert scale was adopted for scoring, with the range from 1 (rarely) to 5 (often). This scale contains 6 items, and the score range is from 6 to 30 points. A higher BSMAS score indicates a higher degree of addiction to social media. In the current study, the Cronbach’s α coefficient is 0.867.
Sleep quality
A single-item measure was used to assess the sleep quality of the sample in this study62. Participants were asked: “Kindly reflect upon your comprehensive sleep quality over the past seven-day period. This includes aspects such as the number of hours you slept, the ease with which you were able to fall asleep, the frequency of nocturnal awakenings (excluding those for bathroom visits), the incidence of waking up earlier than necessary in the morning, and the overall sense of refreshment upon waking. How would you evaluate your sleep quality during the past seven days?” This question was scored on a 10-point scale, where a higher score indicated better sleep quality. Notably, this measurement approach has been extensively utilized in prior research studies, attesting to its reliability and applicability in the assessment of sleep quality within the studied population63–66.
Covariates
In testing the mediation model, gender, age, and the demographic variables mentioned in Table 1 were controlled for.
Data analysis
Before analyzing the data, a common method bias (CMB) test was conducted. Following the recommendations of Podsakoff et al.67, a threshold of 40% was set to determine whether significant bias existed in the data. Secondly, the four main variables in this study were presented in terms of means and standard deviations (SD) and were subjected to descriptive and correlational analysis using SPSS 26.0. Additionally, the mediation model was tested using the PROCESS 4.0 macro in SPSS. Additionally, the mediation model was tested using the PROCESS 4.0 macro in SPSS. To assess potential multicollinearity among the variables, the variance inflation factor (VIF) was calculated. A VIF value less than 5 indicated that multicollinearity was not a concern in this study68. Prior to conducting the mediation analysis, the variables were standardized. Physical activity was set as the independent variable, sleep quality as the dependent variable, and anxiety, depression and social media addiction as the mediators, with demographic variables included as covariates in the chain mediation model (Model 80)69. To assess model fit and estimate 95% confidence intervals (95% CI), 5,000 bootstrap resampling iterations were performed, ensuring the robustness of the analysis70. The significance level was set at 0.05.
Results
Common method bias test
The results of the common method bias test in this study revealed the presence of 4 factors with eigenvalues greater than 1. The first factor accounted for 21.25% of the total variance, which is below the threshold of 40%. This indicates that there is no significant risk of common method bias in the current study.
Correlation analysis
The results presented in Table 2 show that physical activity was significantly negatively correlated with college student anxiety (r = -0.077, p < 0.001), depression (r = -0.087, p < 0.001) and social media addiction (r = -0.116, p < 0.001), and significantly positively correlated with sleep quality (r = 0.106, p < 0.001). Anxiety and depression was significantly positively correlated with social media addiction among college students (r = 0.371, p < 0.001; r = 0.366, p < 0.001) and significantly negatively correlated with sleep quality (r = -0.370, p < 0.001; r = -0.374, p < 0.001). Social media addiction was significantly negatively correlated with sleep quality among college students (r = -0.220, p < 0.001). The correlation between anxiety and depression was 0.782. Therefore, we examined the VIF levels. The results showed that the VIF values for all variables were less than 3, indicating that multicollinearity was not a concern.
Table 2.
Correlation analysis.
| Variables | Mean | Sd | VIF | 1 | 2 | 3 | 4 |
|---|---|---|---|---|---|---|---|
| 1 Physical activity | 3.09 | 2.16 | 1.08 | – | |||
| 2 Anxiety | 3.34 | 1.26 | 2.68 | −0.077*** | – | ||
| 3 Depression | 3.49 | 1.21 | 2.67 | −0.087*** | 0.782*** | – | |
| 4 Social media addiction | 15.35 | 4.59 | 1.20 | −0.116*** | 0.371*** | 0.366*** | – |
| 5 Sleep quality | 7.08 | 1.96 | 1.20 | 0.106*** | −0.370*** | −0.374*** | −0.220*** |
VIF variance inflation factor.
***p < 0.001.
Mediation model test
After controlling for demographic variables, the results shown in Table 3; Fig. 2 demonstrate a significant positive correlation between physical exercise and sleep quality among college students (β = 0.108, SE = 0.016, p < 0.001). When the mediating variables were incorporated into the analysis, this positive correlation remained significant (β = 0.068, SE = 0.015, p < 0.001). In addition, physical activity was found to be significantly negatively correlated with anxiety (β= -0.078, SE = 0.016, p < 0.001), depression (β= -0.089, SE = 0.016, p < 0.001) and social media addiction (β= -0.069, SE = 0.015, p < 0.001) in college students. Anxiety (β= -0.182, SE = 0.023, p < 0.001), depression (β= -0.200, SE = 0.023, p < 0.001) and social media addiction (β= -0.070, SE = 0.016, p < 0.001) were all significantly negatively correlated with sleep quality in college students. Finally, anxiety (β = 0.217, SE = 0.023, p < 0.001) and depression (β = 0.190, SE = 0.023, p < 0.001) were significantly positively correlated with social media addiction in college students. The proportion of the predictive path is detailed in Table 4.
Table 3.
Mediation model testing.
| Outcome variables | Predictor variables | β | SE | t | R² | F |
|---|---|---|---|---|---|---|
| Sleep quality | Physical activity | 0.108 | 0.016 | 6.738*** | 0.015 | 8.884*** |
| Gender | 0.021 | 0.016 | 1.307 | |||
| Age | 0.008 | 0.020 | 0.420 | |||
| Grade | −0.036 | 0.019 | −1.816 | |||
| Only-child status | −0.014 | 0.016 | −0.913 | |||
| Father’s educational background | 0.014 | 0.021 | −0.675 | |||
| Mother’s educational background | 0.029 | 0.021 | 1.359 | |||
| Anxiety | Physical activity | −0.078 | 0.016 | −4.886*** | 0.008 | 4.457*** |
| Gender | −0.004 | 0.016 | −0.236 | |||
| Age | 0.017 | 0.020 | 0.841 | |||
| Grade | −0.013 | 0.020 | −0.665 | |||
| Only-child status | −0.002 | 0.016 | −0.154 | |||
| Father’s educational background | 0.021 | 0.021 | 0.980 | |||
| Mother’s educational background | −0.049 | 0.021 | −2.307* | |||
| Depression | Physical activity | −0.090 | 0.016 | −5.583*** | 0.009 | 4.998*** |
| Gender | −0.008 | 0.016 | −0.513 | |||
| Age | 0.004 | 0.020 | 0.180 | |||
| Grade | −0.007 | 0.020 | −0.362 | |||
| Only-child status | 0.010 | 0.016 | 0.635 | |||
| Father’s educational background | 0.016 | 0.021 | 0.758 | |||
| Mother’s educational background | −0.034 | 0.021 | −0.592 | |||
| Social media addiction | Physical activity | −0.069 | 0.015 | −4.681*** | 0.163 | 88.713*** |
| Anxiety | 0.217 | 0.023 | 9.429*** | |||
| Depression | 0.190 | 0.023 | 8.250*** | |||
| Gender | 0.049 | 0.015 | 3.278** | |||
| Age | 0.011 | 0.018 | 0.610 | |||
| Grade | 0.039 | 0.018 | 2.152* | |||
| Only-child status | 0.001 | 0.015 | 0.074 | |||
| Father’s educational background | −0.007 | 0.019 | −0.340 | |||
| Mother’s educational background | −0.005 | 0.019 | −0.242 | |||
| Sleep quality | Physical activity | 0.068 | 0.015 | 4.619*** | 0.168 | 82.387*** |
| Anxiety | −0.182 | 0.023 | −7.836*** | |||
| Depression | −0.200 | 0.023 | −8.650*** | |||
| Social media addiction | −0.070 | 0.016 | −4.517*** | |||
| Gender | 0.022 | 0.015 | 1.480 | |||
| Age | 0.013 | 0.018 | 0.722 | |||
| Grade | −0.037 | 0.018 | −2.048* | |||
| Only-child status | −0.013 | 0.015 | −0.873 | |||
| Father’s educational background | 0.021 | 0.019 | 1.097 | |||
| Mother’s educational background | 0.012 | 0.019 | 0.594 |
***p < 0.001.
Fig. 2.
The chain mediation model (***: p<0.001).
Table 4.
Path analysis of mediation model.
| Paths | Effect size | SE | Bootstrap 95% CI | Proportion of mediating effect |
|---|---|---|---|---|
| Total effect | 0.1077 | 0.0160 | 0.0763, 0.1390 | |
| Direct effect | 0.0683 | 0.0148 | 0.0393, 0.0973 | |
| Total indirect effect | 0.0394 | 0.0067 | 0.0268, 0.0527 | 36.11% |
| Physical activity→Depression→Sleep quality | 0.0179 | 0.0039 | 0.0108, 0.0261 | 16.67% |
| Physical activity→Anxiety→Sleep quality | 0.0142 | 0.0035 | 0.0079, 0.0215 | 12.96% |
| Physical activity→Social media addiction→Sleep quality | 0.0048 | 0.0017 | 0.0020, 0.0086 | 4.63% |
| Physical activity→Depression→Social media addiction→Sleep quality | 0.0012 | 0.0004 | 0.0054, 0.0021 | 0.93% |
| Physical activity→Anxiety→Social media addiction→Sleep quality | 0.0012 | 0.0004 | 0.0005, 0.0021 | 0.93% |
Discussion
This study further explored the psychological and behavioral mechanisms between physical activity and sleep quality among college students, revealing potential mediating variables. The findings indicate a significant positive correlation between physical activity and sleep quality among college students, which remained significant even after the introduction of mediating variables, albeit at a reduced level. Additionally, physical activity was found to be significantly negatively correlated with anxiety, depression and social media addiction. Anxiety, depression and social media addiction were also significantly negatively correlated with sleep quality among college students, acting as mediators in the relationship between physical activity and sleep quality.
Physical activity and sleep quality
The positive correlation between physical activity and sleep quality among college students aligns with our initial hypothesis (H1). Prior research suggests that physical activity can enhance interpersonal relationships71, alleviate negative emotions72, and increase subjective well-being73, thereby promoting better sleep quality. Moreover, physical activity can boost metabolism, leading to a stronger sense of fatigue before sleep74, facilitating easier onset of sleep, such as reducing sleep latency and extending deep sleep duration75,76. Furthermore, physical activity can lower cortisol levels77, promote the secretion of melatonin78, and increase the release of dopamine and serotonin79,80, all of which contribute to improved sleep quality. Numerous observational studies have also reported a negative correlation between physical activity and sleep quality among college students15,81,82, suggesting that further investigation into the factors influencing this relationship is warranted. A recent meta-analysis found that both acute and regular physical activity have small to medium effects on sleep efficiency, total sleep time, and sleep latency (Cohen’s d effect sizes = 0.18–0.35), while regular physical activity has a large effect on overall sleep quality (Cohen’s d = 0.73). These effects are relatively stable across different age groups of adults83. This stability may be related to the way exercise improves slow-wave sleep quality by increasing slow-wave stability84. Therefore, the relationship between physical activity and sleep quality among college students involves complex physiological and psychological mechanisms. The current study primarily explores this relationship through psychological mechanisms.
Emotional disturbance, physical activity and sleep quality
This study also found that anxiety and depression mediate the relationship between physical activity and sleep quality among college students, supporting our initial hypothesis (H2). Previous studies have shown that physical activity can foster better peer relationships85,86, increase social support87, and enhance self-efficacy and confidence88, significantly reducing anxiety and depression levels among college students. Additionally, physical activity can regulate the homeostasis of the HPA axis89, reduce stress90,91, and thereby alleviate anxiety and depression. As anxiety and depression levels decrease, sleep quality is expected to improve. Research has found that individuals with anxiety and depression are more prone to sleep disorders92–96. Studies have indicated that individuals with high levels of anxiety often have higher sleep reactivity97. Moreover, anxiety, depression, and pre-sleep rumination may affect vivid dreaming during rapid eye movement (REM) sleep98. Therefore, when anxiety and depression is mitigated, sleep quality among college students correspondingly improves. Besides improving sleep quality by alleviating negative emotions, physical activity can also enhance sleep quality by reducing social media addiction.
Physical activity, sleep quality and social media addiction
The study found that social media addiction mediates the relationship between physical activity and sleep quality among college students, confirming our hypothesis (H3). When college students actively engage in physical activities, their time spent on social media may be displaced and consequently reduced99. Moreover, physical activity can enhance social support among college students100, further alleviating negative emotions and reducing the tendency to immerse themselves in social media. Studies have found a significant negative correlation between physical activity and media addiction among college students and adolescents44,101. Furthermore, when social media addiction is reduced, the circadian rhythms of college students become more stable102,103, leading to further improvements in sleep quality104,105. Research indicates that higher levels of social media addiction are associated with poorer sleep quality among college students106, and a cohort study found that poor sleep quality due to social media use among college students may stem from “fear of missing out”107. Thus, social media addiction plays a mediating role between physical activity and sleep quality among college students.
Emotional disturbance, physical activity, sleep quality and social media addiction
Furthermore, anxiety and depression and social media addiction act as chain mediators between physical activity and sleep quality among college students, validating our final hypothesis (H4). When individuals experience high levels of anxiety and depression, they tend to use social networks as a means of relief47,108, which can lead to increased dependence on social media over time. Cross-sectional studies involving college student samples have consistently shown significant positive correlations between anxiety (0.47 < r < 0.49), depression (0.36 < r < 0.49), and problematic internet use27,109–111. Studies have found that social media seems to have a “sedative” effect on individuals with high levels of anxiety112. A previous study found that physical activity can enhance psychological well-being and alleviate negative emotions, thereby reducing smartphone addiction among college students113. According to the self-medication hypothesis114, individuals tend to use “substance abuse” to relieve or alter a range of painful emotional states, and social media addiction serves as an almost perfect substitute for this behavior. Therefore, college students who engaged in more physical activity tended to report lower levels of anxiety and depression, which were associated with less social media addiction and better sleep quality.
Research advantages, significance and implications
Based on a large cross-sectional survey of over 4,000 college students, this study collected self-reported data on physical activity, anxiety, depression, social media addiction, and sleep quality. It analyzed the interrelationships among these variables and constructed a chain mediation model with physical activity as the independent variable, sleep quality as the dependent variable, and anxiety, depression, and social media addiction as mediating variables. This model elucidates the underlying psychological and behavioral mechanisms between physical activity and sleep quality among college students, further expanding the theoretical foundation of this relationship.
The findings hold significant practical implications. By identifying anxiety, depression, and social media addiction as key mediators, this study provides actionable insights for targeted interventions. Promoting regular physical activity in college settings can serve as a powerful tool to mitigate anxiety and depression, thereby enhancing sleep quality. Universities can implement structured exercise programs, sports clubs, or fitness workshops tailored to students’ interests and schedules. These initiatives not only improve mental health but also foster a sense of community and social support, reducing reliance on social media for emotional fulfillment.
Addressing social media addiction is also crucial for improving sleep hygiene. Educating students about the negative impact of excessive social media use on sleep and mental health can encourage healthier digital habits. Implementing digital detox programs or promoting the use of apps that monitor and limit screen time before bedtime can help regulate circadian rhythms and improve sleep quality.
The chain mediating effect of anxiety, depression, and social media addiction underscores the need for a holistic approach. Integrating mental health services, counseling, and mindfulness programs alongside physical activity initiatives can create a supportive environment that addresses both psychological and behavioral factors influencing sleep. By leveraging these findings, universities can develop comprehensive strategies to enhance student well-being, ultimately contributing to better academic performance and overall quality of life.
Based on these findings, this study encourages college students to actively engage in physical activities. These initiatives may not only improve mental health but could also foster a sense of community and social support, contributing to reducing reliance on social media for emotional fulfillment. However, according to previous research, it is recommended that college students pay attention to the timing of their exercise. Engaging in physical activity 4 to 8 h before bedtime is often optimal, while exercising at other times may have the opposite effect115. Future research is recommended to incorporate additional psychological and behavioral variables, such as affective disorders and adverse childhood experiences116–119, to explore the relationship between physical activity and sleep quality among college students. This is particularly important when these variables have strong direct or indirect relationships with the variables examined in this study120. High-quality studies, such as randomized controlled trials or basic experimental research, are also suggested to investigate the underlying mechanisms, providing theoretical references and evidence to promote better sleep quality among college students.
Limitations & recommendations
Despite its strengths, this study has some limitations. First, the study relied on a cross-sectional subjective survey, which is insufficient for explaining the causal order and objective relationships between variables. Future studies should employ longitudinal tracking combined with objective measurements to strengthen the relationships between variables. Second, although the study considered research costs by using single-item measurement tools, this approach is inadequate for explaining the specific effects of internal dimensions of variables, preventing the exploration of deeper-level information. This also led to the situation where, in the context of a large sample (N = 4101), even though the variables were statistically significant (e.g., β = 0.12, p < 0.001 for the direct effect of physical activity on sleep quality), the findings may not be practically significant. This may be related to the low sensitivity of the simple measurement tools. For example, previous studies have found that when exploring the same theme, variables measured using single-item tools had lower correlations with other variables compared to those measured using multi-item tools58,121–123. Therefore, future studies should use multidimensional tools or objective measurement tools to explain the specific effects of variables. Alternatively, before using simple measurement tools, multi-dimensional tools or objective measurement tools could be used as calibration tools to test the reliability and validity of the simple measurement tools. Lastly, although the study examined a large sample, the convenience sampling method used introduces potential biases, such as selection bias and low external validity, in the sampling process. Future studies should employ stricter sampling methods, such as cluster or stratified sampling based on different cultural, dietary, and economic backgrounds, or a combination of both, and collect samples from more diverse cultural backgrounds to strengthen the relationships between variables.
Conclusion
This study found that physical activity is significantly negatively correlated with anxiety, depression and social media addiction among college students and significantly positively correlated with sleep quality. Anxiety, depression and social media addiction mediate the relationship between physical activity and sleep quality among college students. It is recommended that schools organize more activities conducive to physical activity for college students, improve facilities and policies related to physical exercise, and encourage active participation in physical activities to alleviate anxiety, depression and social media addiction and promote sleep quality.
Author contributions
Xusheng Che 12456, Zhitao Lu 1256, Yu Jin 1256.1 Conceptualization; 2 Methodology; 3 Data curation; 4 Writing - Original Draft; 5 Writing - Review & Editing; 6 Funding acquisition.
Data availability
The datasets generated and/or analysed during the current study are not publicly available due [our experimental team’s policy] but are available from the corresponding author on reasonable request.
Declarations
Competing interests
The authors declare no competing interests.
Ethics approval and consent to participate
The study was approved by the Nantong University before the initiation of the project (Research number: 2024−07−09). And informed consent was obtained from the participants before starting the program. We confirm that all the experiment is in accordance with the relevant guidelines and regulations such as the declaration of Helsinki.
Footnotes
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
- 1.Ohayon, M. et al. National sleep foundation’s sleep quality recommendations: first report. Sleep. Health J. Natl. Sleep. Found.3 (1), 6–19 (2017). [DOI] [PubMed] [Google Scholar]
- 2.Chen, Z. & Liu, Y. The state of leisure life situation and the meaning of leisure education for college students in China. Int. J. Educ. Res.102, 101613 (2020). [Google Scholar]
- 3.Li, Y. et al. Prevalence and correlates of poor sleep quality among college students: a cross-sectional survey. Health Qual. Life Out. 18 (1), 210 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.O’Leary, K., Bylsma, L. M. & Rottenberg, J. Why might poor sleep quality lead to depression? A role for emotion regulation. Cognit. Emot.31 (8), 1698–1706 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Yasugaki, S., Okamura, H., Kaneko, A. & Hayashi, Y. Bidirectional relationship between sleep and depression. Neuro Res. (2023). [DOI] [PubMed]
- 6.Hershner, S. Sleep and academic performance: measuring the impact of sleep. Curr. Opin. Behav. Sci.33, 51–56 (2020). [Google Scholar]
- 7.Okano, K., Kaczmarzyk, J. R., Dave, N., Gabrieli, J. D. E. & Grossman, J. C. Sleep quality, duration, and consistency are associated with better academic performance in college students. NPJ Sci. Learn.4 (1), 16 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Jaspan, V. N. et al. The role of sleep in cardiovascular disease. Curr. Atherscler. Rep.26 (7), 249–262 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Huang, B., Del Pozo Cruz, B., Teixeira-Pinto, A., Cistulli, P. A. & Stamatakis, E. Influence of poor sleep on cardiovascular disease-free life expectancy: a multi-resource-based population cohort study. BMC Med.21 (1), 75 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Wang, F. & Bíró, É. Determinants of sleep quality in college students: A literature review. Explore17 (2), 170–177 (2021). [DOI] [PubMed] [Google Scholar]
- 11.Caspersen, C. J., Powell, K. E. & Christenson, G. M. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep.100 (2), 126–131 (1985). [PMC free article] [PubMed] [Google Scholar]
- 12.Mendoza, K. C. & Griffin, J. D. Thermoregulation. In: Encyclopedia of Behavioral Neuroscience. Koob GF, Moal ML, Thompson RF (eds) Oxford: Academic Press, 400–404 (2010).
- 13.Memon, A. R. et al. Sleep and physical activity in university students: A systematic review and meta-analysis. Sleep. Med. Rev.58, 101482 (2021). [DOI] [PubMed] [Google Scholar]
- 14.Driver, H. S. & Taylor, S. R. Exercise and sleep. Sleep. Med. Rev.4 (4), 387–402 (2000). [DOI] [PubMed] [Google Scholar]
- 15.Ye, J., Jia, X., Zhang, J. & Guo, K. Effect of physical exercise on sleep quality of college students: chain intermediary effect of mindfulness and ruminative thinking. Front. Psychol.13, 987537 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Semplonius, T. & Willoughby, T. Long-Term links between physical activity and sleep quality. Med. Sci. Sport Exerc. 50 (12), 2418–2424 (2018). [DOI] [PubMed] [Google Scholar]
- 17.Basri, T., Radhakrishnan, K. & Rolin, D. Barriers to and facilitators of mental health Help-Seeking behaviors among South Asian American college students. J. Psychosoc. Nurs. Men. 60 (7), 32–38 (2022). [DOI] [PubMed] [Google Scholar]
- 18.Li, W., Zhao, Z., Chen, D., Peng, Y. & Lu, Z. Prevalence and associated factors of depression and anxiety symptoms among college students: a systematic review and meta-analysis. J. Child. Psychol. 63 (11), 1222–1230 (2022). [DOI] [PubMed] [Google Scholar]
- 19.Wang, C. et al. Anxiety, depression, and stress prevalence among college students during the COVID-19 pandemic: A systematic review and meta-analysis. J. Am. Coll. Health. 71 (7), 2123–2130 (2023). [DOI] [PubMed] [Google Scholar]
- 20.Dinis, J. & Bragança, M. Quality of sleep and depression in college students: A systematic review. Sleep. Sci.11 (04), 290–301 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Chellappa, S. L. & Aeschbach, D. Sleep and anxiety: from mechanisms to interventions. Sleep. Med. Rev.61, 101583 (2022). [DOI] [PubMed] [Google Scholar]
- 22.Palagini, L. & Bianchini, C. Pharmacotherapeutic management of insomnia and effects on sleep processes, neural plasticity, and brain systems modulating stress: A narrative review. Front. Neurosci. 16, 893015 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Wang, D., Dai, L. & Yin-Xin Relation of sleep quality to depression and anxiety in college students. Chin. Ment. Health J.30 (3), 226–230 (2016). [Google Scholar]
- 24.Noetel, M. et al. Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ Brit. Med. J.384, e75847 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Huang, X., Wang, Y. & Zhang, H. Effects of physical exercise intervention on depressive and anxious moods of college students: A meta-analysis of randomized controlled trials. Asian J. Sport Exerc. Psychol.3 (3), 206–221 (2023). [Google Scholar]
- 26.Qin, T., Chen, P., Wang, J., Dong, J. & Zhang, K. Impact of physical activity on anxiety among university students: a moderated mediation model. Front. Psychol.15, 1509201 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Peng, J. et al. Physical and emotional abuse with internet addiction and anxiety as a mediator and physical activity as a moderator. Sci. Rep. 15 (1), 2305 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Jia, W. et al. Physical exercise moderates the mediating effect of depression between physical and psychological abuse in childhood and social network addiction in college students. Sci. Rep. 15 (1), 17869 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Smith, T. Social media addiction. In: The Palgrave Handbook of Global Social Problems. Cham: Springer International Publishing, 1–22 (2021). [Google Scholar]
- 30.Association, A. P. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (Arlington, VA., 2013).
- 31.Organization, W. H. ICD-11 for Mortality and Morbidity Statistics. (2018).
- 32.Moretta, T., Buodo, G., Demetrovics, Z. & Potenza, M. N. Tracing 20 years of research on problematic use of the internet and social media: theoretical models, assessment tools, and an agenda for future work. Compr. Psychiat. 112, 152286 (2022). [DOI] [PubMed] [Google Scholar]
- 33.Carroll, L. S. L. A Comprehensive Definition of Technology from an Ethological Perspective. Soc. Sci. 6 (2017).
- 34.Grant, J. E. & Chamberlain, S. R. Expanding the definition of addiction: DSM-5 vs. ICD-11. CNS Spectr.21 (4), 300–303 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Sharma, M. K. & Palanichamy, T. S. Psychosocial interventions for technological addictions. Indian J. Psychiat. 60 (Suppl 4), S541–S545 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Salari, N. et al. The global prevalence of social media addiction among university students: a systematic review and meta-analysis. J. Public Health. 33 (1), 223–236 (2025). [Google Scholar]
- 37.Yuan, Y. et al. Problematic mobile phone use and time management disposition in Chinese college students: the chain mediating role of sleep quality and cognitive flexibility. BMC Psychol.11 (1), 440 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Hershner, S. D. & Chervin, R. D. Causes and consequences of sleepiness among college students. Nat. Sci. Sleep.6, 73–84 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.de Toledo, L. H. S. et al. Modeling the influence of nighttime light on melatonin suppression in humans: milestones and perspectives. J. Photochem. Photobiol. 16, 100199 (2023). [Google Scholar]
- 40.Höhn, C. et al. Effects of evening smartphone use on sleep and declarative memory consolidation in male adolescents and young adults. Brain Commun.6 (3), fcae173 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Li, F. The role of smartphone addiction as a mediator between psychological resilience and insomnia in medical students at a university. Psychiat. Clin. 34 (3), 238–244 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Zhuang, J. et al. A serial mediation model of social media addiction and college students’ academic engagement: the role of sleep quality and fatigue. BMC Psychiatry. 23 (1), 333 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Hirschi, T. Causes of Delinquency (Transaction, 2002).
- 44.Xu, J. & Tang, L. The relationship between physical exercise and problematic internet use in college students: the chain-mediated role of self-control and loneliness. BMC Public Health24 (1), 1719 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Zhihao, D., Tao, W., Yingjie, S. & Feng, Z. The influence of physical activity on internet addiction among Chinese college students: the mediating role of self-esteem and the moderating role of gender. BMC Public Health. 24 (1), 935 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Mekary, R. A., Willett, W. C., Hu, F. B. & Ding, E. L. Isotemporal substitution paradigm for physical activity epidemiology and weight change. Am. J. Epidemiol.170 (4), 519–527 (2009). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Kardefelt-Winther, D. A conceptual and methodological critique of internet addiction research: towards a model of compensatory internet use. Comput. Hum. Behav.31, 351–354 (2014). [Google Scholar]
- 48.Mofatteh, M. Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health. 8 (1), 36–65 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Mou, Q. et al. Social media addiction and academic engagement as serial mediators between social anxiety and academic performance among college students. BMC Psychol.12 (1), 190 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Mou, Q. et al. The relationship between social anxiety and academic engagement among Chinese college students: A serial mediation model. J. Affect. Disord. 311, 247–253 (2022). [DOI] [PubMed] [Google Scholar]
- 51.Haand, R. & Shuwang, Z. The relationship between social media addiction and depression: a quantitative study among university students in khost, Afghanistan. Int. J. Adolesc. Youth. 25 (1), 780–786 (2020). [Google Scholar]
- 52.Feng, T. et al. The Relationships between Mental Health and Social Media Addiction, and between Academic Burnout and Social Media Addiction among Chinese College Students: A Network Analysis. Heliyon e41869 (2025). [DOI] [PMC free article] [PubMed]
- 53.Allen, M. S., Iliescu, D. & Greiff, S. Single item measures in psychological science. Eur. J. Psychol. Assess. (2022).
- 54.Fisher, G. G., Matthews, R. A. & Gibbons, A. M. Developing and investigating the use of single-item measures in organizational research. In US: Educational Publishing Foundation 3–23 (2016). [DOI] [PubMed]
- 55.Health, A. California Healthy Kids Survey (Physical Health & Nutirtion Module. In., 2016).
- 56.Lin, L. et al. Internet addiction mediates the association between cyber victimization and psychological and physical symptoms:moderation by physical exercise. BMC Psychiatry20(1). (2020). [DOI] [PMC free article] [PubMed]
- 57.Waasdorp, T. E., Mehari, K. R., Milam, A. J. & Bradshaw, C. P. Health-related risks for involvement in bullying among middle and high school youth. J. Child. Fam. Stud.28 (9), 2606–2617 (2019). [Google Scholar]
- 58.Liu, Y. et al. Anxiety, inhibitory control, physical activity, and internet addiction in Chinese adolescents: a moderated mediation model. BMC Pediatr.24 (1), 663 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Byrd-Bredbenner, C., Eck, K. & Quick, V. GAD-7, GAD-2, and GAD-mini: psychometric properties and norms of university students in the united States. Gen. Hosp. Psychiat. 69, 61–66 (2021). [DOI] [PubMed] [Google Scholar]
- 60.Levis, B. et al. Accuracy of the PHQ-2 alone and in combination with the PHQ-9 for screening to detect major depression: systematic review and Meta-analysis. JAMA Med. Assoc.323 (22), 2290–2300 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Schou Andreassen, C. et al. The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: A large-scale cross-sectional study. Psychol. Addict. Behav.30 (2), 252–262 (2016). [DOI] [PubMed] [Google Scholar]
- 62.Snyder, E., Cai, B., DeMuro, C., Morrison, M. F. & Ball, W. A new Single-Item sleep quality scale: results of psychometric evaluation in patients with chronic primary insomnia and depression. J. Clin. Sleep. Med.14 (11), 1849–1857 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Weng, H. et al. Exploring the bidirectional relationships between night eating, loss of control eating, and sleep quality in Chinese adolescents: A four-wave cross-lagged study. Int. J. Eat. Disord. 55 (10), 1374–1383 (2022). [DOI] [PubMed] [Google Scholar]
- 64.Serlachius, A. et al. Pilot study of a well-being app to support new Zealand young people during the COVID-19 pandemic. Internet Interven.. 26, 100464 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Pastore, O. L. & Fortier, M. S. The mediating role of self-compassion in positive education for student mental health during COVID-19. Health Promot. Int.38(5). (2023). [DOI] [PubMed]
- 66.Labrague, L. J. Pandemic fatigue and clinical nurses’ mental health, sleep quality and job contentment during the covid-19 pandemic: the mediating role of resilience. J. Nurs. Manag.29 (7), 1992–2001 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 67.Podsakoff, P. M., MacKenzie, S. B., Lee, J. & Podsakoff, N. P. Common method biases in behavioral research: a critical review of the literature and recommended remedies. J. Appl. Psychol.88 (5), 879–903 (2003). [DOI] [PubMed] [Google Scholar]
- 68.James, G., Witten, D., Hastie, T. & Tibshirani, R. An Introduction To Statistical Learning With Applications in R (2013).
- 69.Hayes, A. F. Partial, conditional, and moderated moderated mediation: quantification, inference, and interpretation. Commun. Monogr.85 (1), 4–40 (2018). [Google Scholar]
- 70.Berkovits, I., Hancock, G. R. & Nevitt, J. Bootstrap resampling approaches for repeated measure designs: relative robustness to sphericity and normality violations. Educ. Psychol. Meas.60 (6), 877–892 (2000). [Google Scholar]
- 71.Liu, C. & Sun, Z. The relationship between physical activity and interpersonal distress in college students: the chain mediating role of self-control and mobile phone addiction. Psicol. Reflex. Crític. 36 (1), 18 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 72.Qin, G., Han, S., Zhang, Y., Ye, Y. & Xu, C. Effect of physical exercise on negative emotions in Chinese university students: the mediating effect of self-efficacy. Heliyon10 (17), e37194 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 73.Wang, K., Li, Y., Zhang, T. & Luo, J. The Relationship among College Students’ Physical Exercise, Self-Efficacy, Emotional Intelligence, and Subjective Well-Being. Int. J. Env. Res. Public Health.19(18) (2022). [DOI] [PMC free article] [PubMed]
- 74.Ament, W. & Verkerke, G. J. Exercise and fatigue. Sports Med.39 (5), 389–422 (2009). [DOI] [PubMed] [Google Scholar]
- 75.Dolezal, B. A., Neufeld, E. V., Boland, D. M., Martin, J. L. & Cooper, C. B. Interrelationship between sleep and exercise: A systematic review. Adv. Prev. Med.2017, 2017(1):1364387 . [DOI] [PMC free article] [PubMed]
- 76.Sherrill, D. L., Kotchou, K. & Quan, S. F. Association of physical activity and human sleep disorders. Arch. Intern. Med.158 (17), 1894–1898 (1998). [DOI] [PubMed] [Google Scholar]
- 77.De Nys, L. et al. The effects of physical activity on cortisol and sleep: A systematic review and meta-analysis. Psychoneuroendocrino143, 105843 (2022). [DOI] [PubMed] [Google Scholar]
- 78.Kruk, J., Aboul-Enein, B. H. & Duchnik, E. Exercise-induced oxidative stress and melatonin supplementation: current evidence. J. Physiol. Sci.71 (1), 27 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 79.Lin, T. & Kuo, Y. Exercise Benefits Brain Function: The Monoamine Connection. Brain Sci. 3, 39–53 (2013). [DOI] [PMC free article] [PubMed]
- 80.Basso JC, Suzuki WA: The Effects of Acute Exercise on Mood, Cognition, Neurophysiology, and Neurochemical Pathways: A Review. Brain Plastic. 2, 127–152 (2017). [DOI] [PMC free article] [PubMed]
- 81.Li, Y. & Guo, K. Research on the relationship between physical activity, sleep quality, psychological resilience, and social adaptation among Chinese college students: A cross-sectional study. Front. Psychol.14, 1104897 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 82.Li, J. The relationship between peer support and sleep quality among Chinese college students: the mediating role of physical exercise atmosphere and the moderating effect of eHealth literacy. Front. Psychol.15, 1422026 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 83.Kline, C. E. et al. Physical activity and sleep: an updated umbrella review of the 2018 physical activity guidelines advisory committee report. Sleep. Med. Rev.58, 101489 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 84.Park, I. et al. Exercise improves the quality of slow-wave sleep by increasing slow-wave stability. Sci. Rep. 11 (1), 4410 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 85.Smith, A. L. Peer relationships in physical activity contexts: a road less traveled in youth sport and exercise psychology research. Psychol. Sport Exerc.4 (1), 25–39 (2003). [Google Scholar]
- 86.Liao, Y., Cheng, X., Chen, W. & Peng, X. The influence of physical exercise on adolescent personality traits: the mediating role of peer relationship and the moderating role of Parent-Child relationship. Front. Psychol.13, 889758 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 87.Roessler, K. K. Chap. 21 - Emotional Experiences and Interpersonal Relations in Physical Activity as Health Prevention and Treatment—A Psychodynamic Group Approach. Sport Exerc. Psychol. Res. 461–485 (2016).
- 88.Guo, Y. et al. Physical exercise can enhance meaning in life of college students: the chain mediating role of self-efficacy and life satisfaction. Front. Psychol.14, 1306257 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 89.Duclos, M. & Tabarin, A. Exercise and the Hypothalamo-Pituitary-Adrenal Axis. Front. Horm. Res.47, 12–26 (2016). [DOI] [PubMed] [Google Scholar]
- 90.Teuber, M., Leyhr, D. & Sudeck, G. Physical activity improves stress load, recovery, and academic performance-related parameters among university students: a longitudinal study on daily level. BMC Public Health. 24 (1), 598 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 91.Shen, Q. et al. The chain mediating effect of psychological inflexibility and stress between physical exercise and adolescent insomnia. Sci. Rep. 14 (1), 24348 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 92.Palagini, L. et al. Insomnia, anxiety and related disorders: a systematic review on clinical and therapeutic perspective with potential mechanisms underlying their complex link. Neurosci. Appl.3, 103936 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 93.Staner, L. Sleep and anxiety disorders. Dialogues Clin. Neuro. 5 (3), 249–258 (2003). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 94.Cox, R. C. & Olatunji, B. O. A systematic review of sleep disturbance in anxiety and related disorders. J. Anxiety Disord.37, 104–129 (2016). [DOI] [PubMed] [Google Scholar]
- 95.Joo, H. J., Kwon, K. A., Shin, J., Park, S. & Jang, S. Association between sleep quality and depressive symptoms. J. Affect. Disord. 310, 258–265 (2022). [DOI] [PubMed] [Google Scholar]
- 96.Bian, X. et al. Depression and sleep quality among Chinese college students: the roles of rumination and self-compassion. Curr. Psychol.41 (7), 4242–4251 (2022). [Google Scholar]
- 97.Kalmbach, D. A., Anderson, J. R. & Drake, C. L. The impact of stress on sleep: pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. J. Sleep. Res.27 (6), e12710 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 98.Mendoza Alvarez, M. et al. Systematic review: REM sleep, dysphoric Dreams and nightmares as transdiagnostic features of psychiatric disorders with emotion dysregulation - Clinical implications. Sleep. Med.127, 1–15 (2025). [DOI] [PubMed] [Google Scholar]
- 99.Tan, K. The effects of personal susceptibility and social support on internet addiction: an application of adler’s theory of individual psychology. Int. J. Ment. Health. 17 (4), 806–816 (2019). [Google Scholar]
- 100.Sui, X., Zhao, B., Na, D., Liu, J. & Zhang, Q. The relationship between physical exercise and sense of social fairness among college students: the chain-mediated role of perceived social support and life satisfaction. Front. Psychol.15, 1430492 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 101.Liu, Y. et al. Physical activity moderated the mediating effect of self-control between bullying victimization and mobile phone addiction among college students. Sci. Rep. 14 (1), 20855 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 102.Drăgoi, C. M. et al. Circadian Rhythms, Chrononutrition, Physical Training, and Redox Homeostasis—Molecular Mechanisms in Human Health. Cells. 13 (2024). [DOI] [PMC free article] [PubMed]
- 103.Weinert, D. & Gubin, D. The Impact of Physical Activity on the Circadian System: Benefits for Health, Performance and Wellbeing. Appl. Sci. 12 (2022).
- 104.Cable, J. et al. Sleep and circadian rhythms: pillars of health—a keystone Symposia report. Ann. N. Y. Acad. Sci.1506 (1), 18–34 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 105.Franken, P. & Dijk, D. Sleep and circadian rhythmicity as entangled processes serving homeostasis. Nat. Rev. Neurosci.25 (1), 43–59 (2024). [DOI] [PubMed] [Google Scholar]
- 106.Rathakrishnan, B. et al. Smartphone addiction and sleep quality on academic performance of university students: an exploratory research. Int. J. Environ. Res. Public Health.18 (2021). [DOI] [PMC free article] [PubMed]
- 107.Tandon, A., Kaur, P., Dhir, A. & Mäntymäki, M. Sleepless due to social media? Investigating problematic sleep due to social media and social media sleep hygiene. Comput. Hum. Behav.113, 106487 (2020). [Google Scholar]
- 108.McRae, K. & Gross, J. J. Emotion regulation. Emotion20 (1), 1–9 (2020). [DOI] [PubMed] [Google Scholar]
- 109.Yi, Z., Wang, W., Wang, N. & Liu, Y. The relationship between empirical avoidance, anxiety, difficulty describing feelings and internet addiction among college students: A moderated mediation model. J. Genet. Psychol. 1–17 (2025). [DOI] [PubMed]
- 110.Wang, J., Wang, N., Liu, Y. & Zhou, Z. Experiential avoidance, depression, and difficulty identifying emotions in social network site addiction among Chinese university students: a moderated mediation model. Behav. Inf. Technol. 1–14 (2025).
- 111.Liu, Y. et al. The mediating effect of social network sites addiction on the relationship between childhood psychological abuse and depression in college students and the moderating effect of psychological flexibility. Psychol. Psychother. (2025). [DOI] [PubMed]
- 112.Reed, P. et al. Differential physiological changes following internet exposure in higher and lower problematic internet users. PLos One. 12 (5), e178480 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 113.Zhao, Z., Zhao, S., Wang, Q., Zhang, Y. & Chen, C. Effects of physical exercise on mobile phone addiction in college students: the chain mediation effect of psychological resilience and perceived stress. In: Int. J. Environ. Res. Public Health. 19 (2022). [DOI] [PMC free article] [PubMed]
- 114.Khantzian, E. J. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harv. Rev. Psychiat. 4 (5), 231–244 (1997). [DOI] [PubMed] [Google Scholar]
- 115.Korkutata, A., Korkutata, M. & Lazarus, M. The impact of exercise on sleep and sleep disorders. Npj Biol. Timing Sleep.2 (1), 5 (2025). [Google Scholar]
- 116.Liu, Y. et al. The mediating effect of internet addiction and the moderating effect of physical activity on the relationship between alexithymia and depression. Sci. Rep. 14 (1), 9781 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 117.Liu, Y. et al. The relationship between childhood psychological abuse and depression in college students: a moderated mediation model. BMC Psychiatry. 24 (1), 410 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 118.Liu, Y., Duan, L., Shen, Q., Xu, L. & Zhang, T. The relationship between childhood psychological abuse and depression in college students: internet addiction as mediator, different dimensions of alexithymia as moderator. BMC Public Health. 24 (1), 2744 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 119.Liu, Y. et al. The chain mediating effect of anxiety and inhibitory control between bullying victimization and internet addiction in adolescents. Sci. Rep. 14 (1), 23350 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 120.Yang, L., Tao, Y., Wang, N., Zhang, Y. & Liu, Y. Child psychological maltreatment, depression, psychological inflexibility and difficulty in identifying feelings, a moderated mediation model. Sci. Rep. 15 (1), 8478 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 121.Liu, Y., Xiao, T., Zhang, W., Xu, L. & Zhang, T. The relationship between physical activity and internet addiction among adolescents in Western china: a chain mediating model of anxiety and inhibitory control. Psychol. Health Med.29 (9), 1602–1618 (2024). [DOI] [PubMed] [Google Scholar]
- 122.Liu, Y. et al. The relationship between family support and internet addiction among adolescents in Western china: the chain mediating effect of physical exercise and depression. BMC Pediatr.25 (1), 397 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 123.Wang, J., Xiao, T., Liu, Y., Guo, Z. & Yi, Z. The relationship between physical activity and social network site addiction among adolescents: the chain mediating role of anxiety and ego-depletion. BMC Psychol.13 (1), 477 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The datasets generated and/or analysed during the current study are not publicly available due [our experimental team’s policy] but are available from the corresponding author on reasonable request.

