ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Mental Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1599214
This article is part of the Research TopicYouth Mental Health, Particularly in Asian PopulationsView all 82 articles
Patterns of Lifestyle and Their Associations with Anxiety Symptoms among Adolescents in Liaoning Province, China: A Latent Class Analysis
Provisionally accepted
- 1China Medical University, Shenyang, Liaoning Province, China
- 2Shenyang Normal University, Shenyang, Liaoning Province, China
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Objective: To explore the latent categories of adolescents' lifestyles and analyze the relationship between these lifestyle categories and anxiety. Study Design: A cross-sectional survey. Methods: The questionnaire was designed to assess demographic characteristics, lifestyle behaviors, and anxiety. Sleep quality was measured by The Pittsburgh Sleep Quality Index (PSQI), anxiety symptoms were assessed by The Generalized Anxiety Disorder 7 (GAD-7), and and lifestyle behaviors were operationalized as dietary behavior, physical activity, and sedentary time. Data collection was conducted from January to March 2024, it was employed to select adolescents from 12 cities in Liaoning Province. The lifestyles were classified using Latent Class Analysis (LCA), and an unordered multinomial logistic regression was performed to analyze the impact of different types of adolescent lifestyles on anxiety. Results: A total of 11449 students were analyzed, and the prevalence of anxiety symptoms among adolescents is 32.62%. The participants were classified into three categories, High Sleep Diet - Low Activity (54.79%),Low Sleep Diet - Low Activity (9.01%), and High Sleep Diet - High Activity (36.20%). The results of unordered multinomial logistic regression showed that Age, gender, school location and lifestyle categories are significant factors influencing adolescent anxiety. Conclusion: Adolescents exhibit high levels of anxiety. Adolescents' lifestyles can be categorized into three distinct groups. Lifestyle plays an important role in influencing anxiety. Schools, families, and society collaborate to implement effective intervention strategies, promoting healthier lifestyles to prevent and alleviate anxiety.
Keywords: latent class analysis, adolescents, lifestyle, Anxiety, sleep quality
Received: 24 Mar 2025; Accepted: 23 Jun 2025.
Copyright: © 2025 Li, Chang, Li, Huang, Sun and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shuhua Zhang, China Medical University, Shenyang, 110122, Liaoning Province, China
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