The Relationship Between a Sustainable Healthy Lifestyle and Depression, Stress, and Anxiety: A Structural Model on the Mediating Role of Physical Literacy

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dc.contributor.authorAkarsu, Mehmet
dc.contributor.authorIlbak, Ismail
dc.contributor.authorCavusoglu, Zeliha
dc.contributor.authorPavlovic, Ratko
dc.contributor.authorVulpe, Ana Maria
dc.contributor.authorSlicaru, Adina Camelia
dc.contributor.authorVoinea, Nicolae Lucian
dc.date.accessioned2026-04-04T13:31:08Z
dc.date.available2026-04-04T13:31:08Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractBackground: It is well established that healthy lifestyle behaviors have significant effects not only on physical health but also on psychological well-being; however, the underlying mechanisms of these effects have yet to be fully elucidated. In this context, the aim of this study is to examine the relationships between a sustainable healthy lifestyle and levels of depression, stress, and anxiety, and to test the mediating role of physical literacy in these associations. Methods: This cross-sectional study was conducted among university students in Malatya, T & uuml;rkiye, and a total of 652 voluntary participants were included. In the theoretical model of the study, a sustainable healthy lifestyle was positioned as the independent variable, depression, stress, and anxiety as dependent variables, and physical literacy as the mediating variable. Data were analyzed using structural equation modeling with bootstrapping to assess mediation effects. Results: Results obtained from the structural equation modeling indicate that a sustainable healthy lifestyle has significant and protective relationships with psychological well-being. Negative and significant relationships were identified between a sustainable healthy lifestyle and levels of depression, stress, and anxiety. Furthermore, higher levels of physical literacy were associated with lower levels of these psychological symptoms, with physical literacy playing a strong mediating role in these relationships. The model results revealed that lifestyle components such as regular physical activity, balanced nutrition, and sufficient sleep enhance individuals' physical competence and awareness. Physical literacy was also found to have a significant negative relationship with depression, stress, and anxiety. Conclusions: These results indicate that physical literacy is a key variable not only for physical functioning but also for psychological resilience and well-being. Moreover, the impact of a sustainable healthy lifestyle on psychological symptoms appears to be largely mediated through physical literacy.
dc.identifier.doi10.3390/healthcare13141646
dc.identifier.issn2227-9032
dc.identifier.issue14
dc.identifier.orcid0000-0002-9884-7466
dc.identifier.orcid0000-0002-4007-4595
dc.identifier.orcid0009-0006-6386-8837
dc.identifier.orcid0000-0002-8149-801X
dc.identifier.orcid0000-0001-7195-0060
dc.identifier.orcid0000-0002-3364-0990
dc.identifier.orcid0000-0001-7424-7741
dc.identifier.pmid40724671
dc.identifier.scopus2-s2.0-105011747414
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.3390/healthcare13141646
dc.identifier.urihttps://hdl.handle.net/11616/108585
dc.identifier.volume13
dc.identifier.wosWOS:001535320700001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofHealthcare
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectpsychological resilience
dc.subjectlifestyle behaviors
dc.subjectbody awareness
dc.subjecthealth psychology
dc.subjectself-regulation
dc.titleThe Relationship Between a Sustainable Healthy Lifestyle and Depression, Stress, and Anxiety: A Structural Model on the Mediating Role of Physical Literacy
dc.typeArticle

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