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Physical activity levels affect mental health and behavior in men

  • María Carreira-Míguez1
  • Vicente Javier Clemente-Suárez1,*,

1Faculty of Sports Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain

DOI: 10.22514/jomh.2023.048 Vol.19,Issue 7,July 2023 pp.45-56

Submitted: 17 December 2022 Accepted: 20 March 2023

Published: 30 July 2023

*Corresponding Author(s): Vicente Javier Clemente-Suárez E-mail:


Psychological, nutritional, oral health, and physical activity habits are behavioral factors previously linked to depression. The objective of this study was to analyze differences in behavioral patterns, in terms of psychological, nutritional, oral health, and physical activity habits, in a sample of men. Six hundred and five men (36.7 ± 15 years, 25.7± 4.3 kg/m2) were interviewed through an online questionnaire due to the pandemic. A compendium of factors related to psychological parameters, oral health, nutritional habits, and physical activity was analyzed through a set of online questionnaires. We found that participants with higher levels of both aerobic and self-loading physical activity generally demonstrated better nutritional habits, including higher water intake (p < 0.001; Effect Size (ES) = 0.62 and p < 0.001; ES = 0.69, respectively), higher weekly consumption of meat (p = 0.007; ES = 3.10 and p < 0.001; ES = 0.40, respectively), fish (p < 0.001; ES = 3.13 and p = 0.023; ES = 0.22, respectively), eggs (p = 0.002; ES = 2.80 and p = 0.002; ES = 0.30, respectively), greater vitality (p < 0.001; ES = 0.50 and p = 0.006; ES = 0.21, respectively), and lower alcohol consumption, including beer (p = 0.007; ES = 0.25 and p < 0.001; ES = 0.36, respectively) and wine (p = 0.001; ES = 0.30 and p < 0.001; ES = 0.50), among other healthy habits compared to participants with lower levels of physical activity. We also found that participants with higher self-loading physical activity reported higher perceived stress (p = 0.003; ES = 0.02) and conscientiousness (p < 0.001; ES = 1.86).


Depression; Anxiety; Nutritional habits; Exercise; Oral health; Questionnaire

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María Carreira-Míguez,Vicente Javier Clemente-Suárez. Physical activity levels affect mental health and behavior in men. Journal of Men's Health. 2023. 19(7);45-56.


[1] Sartorius N. The meanings of health and its promotion. Croatian Medical Journal. 2006; 47: 662–664.

[2] Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine. 2020; 54: 1451–1462.

[3] American College of Sports Medicine, Liguori G, Feito Y, Fountaine C, Roy B. ACSM’s guidelines for exercise testing and prescription. 11th edn. Wolters Kluwer Health: Philadelphia. 2021.

[4] Kercher VM, Kercher K, Levy P, Bennion T, Alexander C, Amaral P, et al. 2023 fitness trends from around the globe. ACSM’s Health & Fitness Journal. 2023; 27: 19–30.

[5] Batrakoulis A. European survey of fitness trends for 2020. ACSM’s Health & Fitness Journal. 2019; 23: 28–35.

[6] Institute of Health Metrics and Evaluation. Global health data exchange (GHDx). 2022. Available at: http://ghdx. (Accessed: 01 June 2022).

[7] World Health Organization. Depression. 2021. Available at: (Accessed: 15 June 2022).

[8] World Health Organization. COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. 2022. Available at: pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide (Accessed: 15 June 2022).

[9] COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet. 2021; 398: 1700–1712.

[10] Evans-Lacko S, Aguilar-Gaxiola S, Al-Hamzawi A, Alonso J, Benjet C, Bruffaerts R, et al. Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys. Psychological Medicine. 2018; 48: 1560–1571.

[11] Mariotti A. The effects of chronic stress on health: new insights into the molecular mechanisms of brain-body communication. Future Science OA. 2015; 1: FSO23.

[12] General Subdirectorate of Health Information. Mental health in data: prevalence of health problems and consumption of psychotropic drugs and related drugs from primary care clinical records. BDCAP Series 2. 2021. Available at: (Accessed: 15 July 2022).

[13] Lorenzo-Díaz JC, Diaz-Alfonso H. Life styles and quality of life: their association with depression in the 21st century. Journal of Medical Sciences of Pinar del Río. 2019; 23: 170–171.

[14] Redondo-Flórez L, Fernández-Lucas J, Clemente-Suárez VJ. Cultural differences in stress-related psychological, nutrition, physical activity and oral health factors of professors. Nutrients. 2020; 12: 3644.

[15] Alfermann D, Stoll O. Effects of physical exercise on self-concept and wellbeing. International Journal of Sport Psychology 2000; 31: 47–65.

[16] Salmon P. Effects of physical activity on anxiety, depression, and sensitivity to stress: a unifying theory. Clinical Psychology Review. 2001; 21: 33–61.

[17] Zschucke E, Gaudlitz K, Ströhle A. Exercise and physical activity in mental disorders: clinical and experimental evidence. Journal of Preventive Medicine & Public Health. 2013; 46: S12–S21.

[18] Alexandratos K, Barnett F, Thomas Y. The impact of exercise on the mental health and quality of life of people with severe mental illness: a critical review. British Journal of Occupational Therapy. 2012; 75: 48–60.

[19] Azevedo Da Silva M, Singh-Manoux A, Brunner EJ, Kaffashian S, Shipley MJ, Kivimäki M, et al. Bidirectional association between physical activity and symptoms of anxiety and depression: the Whitehall II study. European Journal of Epidemiology. 2012; 27: 537–546.

[20] Patiño Villada FA, Arango Vélez EF, Baena LZ. Physical exercise and depression in the elderly : a systematic review. Colombian Journal of Psychiatry. 2013; 42: 198–211. (In Spanish)

[21] Thompson Coon J, Boddy K, Stein K, Whear R, Barton J, Depledge MH. Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review. Environmental Science & Technology. 2011; 45: 1761–1772.

[22] Delgado-Salazar CF, Mateus-Aguliera ET, Rincón-Bolivar LA, Villamil Parra WA. Effects of physical exercise on depression and anxiety. Colombian Magazine of Rehabilitation. 2019; 18: 128–145. (In Spanish)

[23] Ramón-Arbués E, Martínez Abadía B, Granada López JM, Echániz Serrano E, Pellicer García B, Juárez Vela R, et al. Eating behavior and relationships with stress, anxiety, depression and insomnia in university students. Hospital Nutrition. 2019; 36: 1339–1345. (In Spanish)

[24] Torales J, Barrios I, González I. Oral and dental health issues in people with mental disorders. Medwave. 2017; 17: e7045. (In Spanish)

[25] Carreira-Míguez M, Navarro-Jiménez E, Clemente-Suárez VJ. Behavioral patterns of depression patients and control population. International Journal of Environmental Research and Public Health. 2022; 19: 9506.

[26] Jahangir S, Adjepong D, Al-Shami HA, Malik BH. Is there an association between migraine and major depressive disorder? A narrative review. Cureus. 2020; 12: e8551.

[27] Leo RJ, Singh J. Migraine headache and bipolar disorder comorbidity: a systematic review of the literature and clinical implications. Scandinavian Journal of Pain. 2016; 11: 136–145.

[28] Blair SN, Connelly JC. How much physical activity should we do? The case for moderate amounts and intensities of physical activity. Research Quarterly for Exercise and Sport. 1996; 67: 193–205.

[29] Gordon-Larsen P, Adair LS, Popkin BM. Ethnic differences in physical activity and inactivity patterns and overweight status. Obesity Research. 2002; 10: 141–149.

[30] Carreira-Míguez M, Belinchón-deMiguel PP, Clemente-Suárez VJ. Behavioural, odontological and physical activity patterns of hypertense and control population. Physiology & Behavior. 2022; 252: 113841.

[31] Carreira-Míguez M, Ramos-Campo DJ, Clemente-Suárez VJ. Differ-ences in nutritional and psychological habits in hypertension patients. BioMed Research International. 2022; 2022: 1920996.

[32] Rammstedt B, John OP. Measuring personality in one minute or less: a 10- item short version of the big five inventory in English and German. Journal of Research in Personality. 2007; 41: 203–212.

[33] Spielberger CD, Gorsuch RR, Lushene RE. Validation of the Spanish version of the state trait anxiety scale (STAI). Associate Specialist Technicians (AST). 1982.

[34] Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy. 2011; 42: 676–688.

[35] Russell DW. UCLA loneliness scale (version 3): reliability, validity, and factor structure. Journal of Personality Assessment. 1996; 66: 20–40.

[36] Cohen S, Kamarck T, Mermelstein RA. Global measure of perceived stress. Journal of Health and Social Behaviour. 1993; 24: 385–396.

[37] Zung WWK. A self-rating depression scale. Archives of General Psychiatry. 1965; 12: 63–70.

[38] Belinchón-Demiguel P, Clemente-Suárez VJ. Nutrition, hydration and ergogenic aids strategies in ultraendurance mountain events. The Journal of Sports Medicine and Physical Fitness. 2019; 59: 791–797.

[39] Belinchón-deMiguel P, Tornero-Aguilera JF, Dalamitros AA, Nikolaidis PT, Rosemann T, Knechtle B, et al. Multidisciplinary analysis of differences between finisher and non-finisher ultra-endurance mountain athletes. Frontiers in Physiology. 2019; 10: 1507.

[40] Rodriguez-Besteiro S, Tornero-Aguilera JF, Fernández-Lucas J, Clemente-Suárez VJ. Gender differences in the COVID-19 pandemic risk perception, psychology, and behaviors of Spanish university students. International Journal of Environmental Research and Public Health. 2021; 18: 3908.

[41] Martín-Rodríguez A, Bustamante-Sánchez Á, Martínez-Guardado I, Navarro-Jiménez E, Plata-SanJuan E, Tornero-Aguilera JF, et al. Infancy dietary patterns, development, and health: an extensive narrative review. Children. 2022; 9: 1072.

[42] Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scandinavian Journal of Gastroenterology. 1997; 32: 920–924.

[43] Redondo-Flórez L, Fernández-Lucas J, Clemente-Suárez VJ. Cultural differences in stress-related psychological, nutrition, physical activity and oral health factors of professors. Nutrients. 2020; 12: 3644.

[44] Guerra-Santiesteban JR, Gutiérrez-Cruz M, Zavala-Plaza M, Álvarez JS, Campoverde DG, FrómetaI ER. Relationship between anxiety and physical exercise. Cuban Journal of Biomedical Research 2017; 36: 169–177.

[45] López-Walle J, Tristán J, Tomás I, Gallegos-Guajardo J, Gongora E, Hernández-Pozo MDR. Perceived stress and authentic happiness through the level of physical activity in young university students. Sports Psychology Notebooks. 2020; 20: 265–275.

[46] Rimer J, Dwan K, Lawlor DA, Greig CA, McMurdo M, Morley W, et al. Exercise for depression. The Cochrane Database of Systematic Reviews. 2012; CD004366.

[47] Anderson E, Shivakumar G. Effects of exercise and physical activity on anxiety. Frontiers in Psychiatry. 2013; 4: 27.

[48] Docherty S, Harley R, McAuley JJ, Crowe LAN, Pedret C, Kirwan PD, et al. The effect of exercise on cytokines: implications for musculoskeletal health: a narrative review. BMC Sports Science, Medicine and Rehabilitation. 2022; 14: 5.

[49] Vallejo AP, Zuleta KMP. Depression, Anxiety and physical activity in school children: comparative study. Ibero-American Journal of Diagnosis and Evaluation—e Valiaçao Psicologica. 2019; 52: 143–155.

[50] Anderson E, Shivakumar G. Effects of exercise and physical activity on anxiety. Frontiers in Psychiatry. 2013; 4: 27.

[51] Clemente-Suárez VJ. Multidisciplinary intervention in the treatment of mixed anxiety and depression disorder. Physiology & Behavior. 2020; 219: 112858.

[52] Sanchez-Aguadero N, Alonso-Dominguez R, Garcia-Ortiz L, Agudo-Conde C, Rodriguez-Martin C, de Cabo-Laso A, et al. Diet and physical activity in people with intermediate cardiovascular risk and their relationship with the health-related quality of life: results from the MARK study. Health and Quality of Life Outcomes. 2016; 14: 169.

[53] 10,000 Steps. Counting your steps. 2022. Available at: https://www. (Accessed: 10 July 2022).

[54] Lopez P, Radaelli R, Taaffe DR, Newton RU, Galvão DA, Trajano GS, et al. Resistance training load effects on muscle hypertrophy and strength gain: systematic review and network meta-analysis. Medicine & Science in Sports & Exercise. 2021; 53: 1206–1216.

[55] Batrakoulis A, Jamurtas AZ, Metsios GS, Perivoliotis K, Liguori G, Feito Y, et al. Comparative efficacy of five exercise types on cardiometabolic health in overweight and obese adults: a systematic review and network meta-analysis of randomized controlled trials. Circulation: Cardiovascular Quality and Outcomes. 2022; 15: e008243.

[56] Wernbom M, Augustsson J, Thomeé R. The influence of frequency, intensity, volume and mode of strength training on whole muscle cross-sectional area in humans. Sports Medicine. 2007; 37: 225–264.

[57] Agrawal S, Jawade R, Sharma L, Mahajani M, V Kurien VT, Mahitha MC. Awareness regarding impact of tobacco on oral health: an original study. Journal of Pharmacy and Bioallied Sciences. 2021; 13: S395–S397.

[58] Petrušić N, Posavec M, Sabol I, Mravak-Stipetić M. The effect of tobacco smoking on salivation. Croatian Stomatological Act. 2015; 49:309–315.(In Croatian)

[59] Lynge Pedersen AM, Belstrøm D. The role of natural salivary defences in maintaining a healthy oral microbiota. Journal of Dentistry. 2019; 80: S3–S12.

[60] Chinwong D, Mookmanee N, Chongpornchai J, Chinwong S. A comparison of gender differences in smoking behaviors, intention to quit, and nicotine dependence among Thai university students. Journal of Addiction. 2018; 2018: 8081670.

[61] Ruiz-Juan F, Isorna-Folgar M, Ruiz-Risueño J, Vaquero-Cristóbal R. Tobacco consumption among adults in Monterrey: relation to exercise regularly and family. Hospital Nutrition. 2015; 32: 808–816. (In Spanish)

[62] Jiang N, Lee YO, Ling PM. Association between tobacco and alcohol use among young adult bar patrons: a cross-sectional study in three cities. BMC Public Health. 2014; 14: 500.

[63] Gambaro E, Gramaglia C, Marangon D, Azzolina D, Probo M, Rudoni M, et al. The mediating role of gender, age, COVID-19 symptoms and changing of mansion on the mental health of healthcare workers operating in Italy during the first wave of the COVID-19 pandemic. International Journal of Environmental Research and Public Health. 2021; 18: 13083.

[64] Clemente-Suárez VJ, Bustamante-Sanchez Á, Tornero-Aguilera JF, Ruisoto P, Mielgo-Ayuso J. Inflammation in COVID-19 and the effects of non-pharmacological interventions during the pandemic: a review. International Journal of Molecular Sciences. 2022; 23: 15584.

[65] Clemente-Suárez VJ, Beltrán-Velasco AI, Ramos-Campo DJ, Mielgo-Ayuso J, Nikolaidis PA, Belando N, et al. Physical activity and COVID-19. the basis for an efficient intervention in times of COVID-19 pandemic. Physiology & Behavior. 2022; 244: 113667.

[66] García-Tascón M, Mendaña-Cuervo C, Sahelices-Pinto C, Magaz-González AM. Effects on quality of life, health and practice of physical activity of Covid-19 confinement in Spain. CHALLENGES New Trends in Physical Education, Sport and Recreation. 2021; 42: 684–695. (In Spanish)

[67] Clemente-Suárez VJ, Navarro-Jiménez E, Moreno-Luna L, Saavedra-Serrano MC, Jimenez M, Simón JA, et al. The impact of the COVID-19 pandemic on social, health, and economy. Sustainability. 2021; 13: 6314.

[68] Freeman A, Tyrovolas S, Koyanagi A, Chatterji S, Leonardi M, Ayuso-Mateos JL, et al. The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe). BMC Public Health. 2016; 16: 1098.

[69] Clemente-Suárez VJ, Navarro-Jiménez E, Jimenez M, Hormeño-Holgad A, Martinez-Gonzalez MB, Benitez-Agudelo JC, et al. Impact of COVID-19 pandemic in public mental health: an extensive narrative review. Sustainability. 2021; 13: 3221.

[70] Rodriguez-Besteiro S, Tornero-Aguilera JF, Fernández-Lucas J, Clemente-Suárez VJ. Gender differences in the COVID-19 pandemic risk perception, psychology, and behaviors of Spanish university students. International Journal of Environmental Research and Public Health. 2021; 18: 3908.

[71] Clemente-Suárez VJ. Multidisciplinary intervention in the treatment of mixed anxiety and depression disorder. Physiology & Behavior. 2020; 219: 112858.

[72] Clemente-Suárez VJ, Martínez-González MB, Benitez-Agudelo JC, Navarro-Jiménez E, Beltran-Velasco AI, Ruisoto P, et al. The impact of the COVID-19 pandemic on mental disorders. A critical review. International Journal of Environmental Research and Public Health. 2021; 18: 10041.

[73] Clemente-Suárez VJ, Ruisoto P, Isorna-Folgar M, Cancelo-Martínez J, Beltrán-Velasco AI, Tornero-Aguilera JF. Psychophysiological and psychosocial profile of patients attending drug addiction centers. Applied Psychophysiology and Biofeedback. 2022; 47: 77–84.

[74] Martín-Rodríguez A, Tornero-Aguilera JF, López-Pérez PJ, Clemente-Suárez VJ. The effect of loneliness in psychological and behavioral profile among high school students in Spain. Sustainability. 2022; 14: 168.

[75] Redondo-Flórez L, Fernández-Lucas J, Clemente-Suárez VJ. Cultural differences in stress-related psychological, nutrition, physical activity and oral health factors of professors. Nutrients. 2020; 12: 3644.

[76] Sato SN, Condes-Moreno E, Rico-Villanueva A, Miranda PO, Chiarella P, Tornero-Aguilera JF, et al. Cultural differences between university students in online learning quality and psychological profile during COVID-19. Journal of Risk and Financial Management. 2022; 15: 555.

[77] Rodriguez-Besteiro S, Valencia-Zapata G, Beltrán de la Rosa E, Clemente-Suárez VJ. Food consumption and COVID-19 risk perception of university students. Sustainability. 2022; 14: 1625.

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