The Role of Sport in Promoting Mental Health Among Adolescents
DOI:
https://doi.org/10.17309/tmfv.2026.3.07Keywords:
adolescent, mental health, sport, physical activity, health promotionAbstract
Objective. Adolescence, a critical transitional phase of life, is characterised by biological, psychological, and social changes that may increase vulnerability to mental health problems. This review aims to provide an integrative synthesis of the role of sport and physical activity in promoting mental health among adolescents, with a specific focus on biological, psychological, and social mechanisms.
Materials and Methods. A narrative review was conducted using studies retrieved from major scientific databases, including PubMed, Scopus, and Web of Science. Relevant articles were selected based on their focus on adolescents (aged 10–24 years), physical activity or sport participation, and mental health outcomes. The evidence was analysed using a thematic approach to identify patterns, relationships, and inconsistencies across studies.
Results. The review identified four main domains: neurobiological, psychological, social, and contextual. Overall, the evidence indicates that physical activity contributes to adolescent mental health through multiple interconnected pathways, including neurobiological mechanisms (e.g., regulation of neurotransmitters such as serotonin and dopamine), psychological mechanisms (e.g., improved self-esteem), and social mechanisms (e.g., peer interaction). However, the magnitude and direction of these effects appear to be strongly moderated by contextual and environmental factors.
Conclusions. Sport represents a multidimensional factor in promoting mental health during adolescence. Its effects should be interpreted within an integrated framework in which biological, psychological, and social mechanisms interact dynamically. Rather than being universally beneficial, sport participation may produce both positive and negative outcomes depending on the quality of the environment and the level of competitiveness. Future research should focus on clarifying causal pathways and contextual moderators, as well as on developing context-sensitive and mechanism-informed interventions.
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References
World Health Organization. (2021). Guidelines on mental health promotive and preventive interventions for adolescents: helping adolescents thrive. Executive summary. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. https://www.who.int/publications/i/item/guidelines-on-mental-health-promotive-and-preventive-interventions-for-adolescents
Organisation for Economic Co-operation and Development. (2025). Mental health promotion and prevention. https://doi.org/10.1787/88bbe914-en DOI: https://doi.org/10.1787/88bbe914-en
World Health Organization. (2024). Mental health atlas 2024. Geneva: World Health Organization; 2025. Licence: CC BY-NC-SA 3.0 IGO. https://www.who.int/publications/i/item/9789240114487
Gallè, F., Grassi, F., Valeriani, F., Albertini, R., Angelillo, S., Caggiano, G., Bargellini, A., Bianco, A., Bianco, L., Dallolio, L., Della Polla, G., Di Giuseppe, G., Gioffrè, M. E., Laganà, P., Licata, F., Liguori, F., Lo Moro, G., Marchesi, I., Martella, M., Masini, A., … Protano, C. (2025). Sleep quality among Italian university students: The UnSleep multicenter study. Annali di Igiene, 37(1), 141–153. https://doi.org/10.7416/ai.2024.2655
CENSIS. (2026). Rapporto sulla salute mentale. https://www.censis.it/sanita-il-benessere-del-cervello-e-della-mente-come-dimensione-essenziale-della-salute/
Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., & Swendsen, J. (2010). Lifetime prevalence of mental disorders in U.S. adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.2010.05.017 DOI: https://doi.org/10.1016/j.jaac.2010.05.017
Masi, G., Favilla, L., Millepiedi, S., & Mucci, M. (2000). Somatic symptoms in children and adolescents. Psychiatry, 63(2), 140–149. https://doi.org/10.1080/00332747.2000.11024905 DOI: https://doi.org/10.1080/00332747.2000.11024905
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The Lancet Child & Adolescent Health, 2(3), 223–228. https://doi.org/ 10.1016/S2352-4642(18)30022-1 DOI: https://doi.org/10.1016/S2352-4642(18)30022-1
Giedd, J. N., Blumenthal, J., Jeffries, N. O., Castellanos, F. X., Liu, H., Zijdenbos, A., Paus, T., Evans, A. C., & Rapoport, J. L. (1999). Brain development during childhood and adolescence. Nature Neuroscience, 2(10), 861–863. https://doi.org/10.1038/13158 DOI: https://doi.org/10.1038/13158
Andrews, J.L., Ahmed, S.P., & Blakemore, S.J. (2021). Navigating the social environment in adolescence: The role of social brain development. Biological Psychiatry, 89(2), 109–118. https://doi.org/10.1016/j.biopsych.2020.09.012 DOI: https://doi.org/10.1016/j.biopsych.2020.09.012
Lamblin, M., Murawski, C., Whittle, S., & Fornito, A. (2017). Social connectedness and the adolescent brain. Neuroscience & Biobehavioral Reviews, 80, 57–68. https://doi.org/10.1016/j.neubiorev.2017.05.010 DOI: https://doi.org/10.1016/j.neubiorev.2017.05.010
Schwartz-Mette, R. A., Shankman, J., Dueweke, A. R., Borowski, S., & Rose, A. J. (2020). Relations of friendship experiences with depressive symptoms and loneliness in childhood and adolescence: A meta-analytic review. Psychological bulletin, 146(8), 664–700. https://doi.org/10.1037/bul0000239 DOI: https://doi.org/10.1037/bul0000239
Egger, H.L., Costello, E.J., Angold, A. (2003). School refusal and psychiatric disorders: A community study. Journal of the American Academy of Child & Adolescent Psychiatry, 42(7), 797–807. https://doi.org/10.1097/01.CHI.0000046865.56865.79 DOI: https://doi.org/10.1097/01.CHI.0000046865.56865.79
Finning, K., Ukoumunne, O. C., Ford, T., Danielsson-Waters, E., Shaw, L., Romero De Jager, I., Stentiford, L., & Moore, D. A. (2019). The association between child and adolescent depression and poor attendance at school: A systematic review and meta-analysis. Journal of Affective Disorders, 245, 928–938. https://doi.org/10.1016/j.jad.2018.11.055 DOI: https://doi.org/10.1016/j.jad.2018.11.055
Ballarin, G., Gallè, F., Dinacci, L., Liberti, F., Liguori, F., Nisco, M. C., Cunti, A., & Valerio, G. (2023). Bullying victimization, real and perceived physical fitness, and self-perception profiles in middle-school students with overweight or obesity. Nutrients, 15(24), 5019. https://doi.org/10.3390/nu15245019 DOI: https://doi.org/10.3390/nu15245019
World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. https://www.who.int/publications/i/item/9789240015128
ISTAT. (2021). Sport, attività fisica, sedentarietà. https://www.istat.it/comunicato-stampa/sport-attivita-fisica-sedentarieta/
Janssen, I., & LeBlanc, A.G. (2010). Health benefits of physical activity in youth. International Journal of Behavioral Nutrition and Physical Activity, 7, 40. https://doi.org/10.1186/1479-5868-7-40. DOI: https://doi.org/10.1186/1479-5868-7-40
Calella, P., Di Dio, M., Pelullo, C. P., Di Giuseppe, G., Liguori, F., Paduano, G., Valerio, G., Liguori, G., & Gallè, F. (2024). Sedentary behaviors and eating habits in active and inactive individuals: A cross-sectional study in a population from Southern Italy. Behavioral Sciences, 14, 208. https://doi.org/10.3390/bs14030208 DOI: https://doi.org/10.3390/bs14030208
Gruppo di Coordinamento HBSC-Italia. (2022). Attività fisica e sedentarietà. https://www.epicentro.iss.it/hbsc/pdf/temi2022/attivita-fisica-2022.pdf
García-Ortiz, C., Lorenzo-González, M., Fernández-Sánchez, J., Solano-Lizcano, V., Del Coso, J., & Collado-Mateo, D. (2025). Recommendations for physical exercise as a strategy to reduce problematic use of the internet and digital devices: a perspective. International Journal of Environmental Research and Public Health, 22(5), 753. https://doi.org/10.3390/ijerph22050753 DOI: https://doi.org/10.3390/ijerph22050753
Cantoia, M., Crippa, M. C., Simoncelli, C., & Vagli, M. (Eds.). (2017). Vivere lo sport: Motivazione e benessere. New York: PsyPrint – Kindle Direct Publishing. ISBN 9781546536031. https://s949405d67a5e407c.jimcontent.com/download/version/1704297287/module/11169785697/name/Vivere%20lo%20sport.pdf
Biddle, S.J.H., & Asare M. (2011). Physical activity and mental health in children and adolescents: A review of reviews. British Journal of Sports Medicine, 45(11), 886–895. https://doi.org/10.1136/bjsports-2011-090185. DOI: https://doi.org/10.1136/bjsports-2011-090185
Eime, R. M., Young, J. A., Harvey, J. T., Charity, M. J., & Payne, W. R. (2013). A systematic review of the psychological and social benefits of participation in sport for children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 10, 98. https://doi.org/10.1186/1479-5868-10-98 DOI: https://doi.org/10.1186/1479-5868-10-98
Eccles, J.S., & Barber, B.L. (1999). Student council, volunteering, basketball, or marching band: What kind of extracurricular involvement matters? Journal of Adolescent Research, 14(1), 10–43. https://doi.org/10.1177/074355849914100 DOI: https://doi.org/10.1177/0743558499141003
Fredericks, J.A., & Eccles, J.S. (2006). Is extracurricular participation associated with beneficial outcomes? Developmental Psychology, 42(4), 698–713. https://doi.org/10.1037/0012-1649.42.4.698 DOI: https://doi.org/10.1037/0012-1649.42.4.698
Francia, N., Borgi, M., Cirulli, F., Collacchi, B., & Calamandrei, G. (2023). Lo sport per la promozione della salute mentale negli adolescenti. Notiziario Istituto Superiore di Sanità, 36(7–8), 3–7. PublISS
Valeriani, F., Protano, C., De Giorgi, A., Mazzeo, E., Liguori, G., Romano Spica, V., Vitali, M., & Gallè, F. (2023). Analysing features of home-based physical activity during COVID-19. Public Health, 222, 100–114. https://doi.org/10.1016/j.puhe.2023.06.040 DOI: https://doi.org/10.1016/j.puhe.2023.06.040
Caffo, E., Scandroglio, F., & Asta, L. (2020). Debate: COVID-19 and psychological well-being of children and adolescents in Italy. Child and Adolescent Mental Health, 25(3), 167–168. https://doi.org/10.1111/camh.12405 DOI: https://doi.org/10.1111/camh.12405
Gallè, F., Sabella, E. A., Ferracuti, S., De Giglio, O., Caggiano, G., Protano, C., Valeriani, F., Parisi, E. A., Valerio, G., Liguori, G., Montagna, M. T., Romano Spica, V., Da Molin, G., Orsi, G. B., & Napoli, C. (2020). Sedentary behaviors and physical activity of Italian undergraduate students during lockdown. International Journal of Environmental Research and Public Health, 17, 6171. https://doi.org/10.3390/ijerph17176171 DOI: https://doi.org/10.3390/ijerph17176171
Orgilés, M., Morales, A., Delvecchio, E., Mazzeschi, C., & Espada, J. P. (2020). Immediate psychological effects of COVID-19 quarantine. Frontiers in Psychology, 11, 579038. https://doi.org/10.3389/fpsyg.2020.579038 DOI: https://doi.org/10.3389/fpsyg.2020.579038
Muzi, S., Sansò, A., & Pace, C. S. (2021). What’s happened to Italian adolescents during the COVID-19 Pandemic? A preliminary study on symptoms, problematic social media usage, and attachment: relationships and differences with pre-pandemic peers. Frontiers in Psychiatry, 12, 590543. https://doi.org/10.3389/fpsyt.2021.590543 DOI: https://doi.org/10.3389/fpsyt.2021.590543
Gallè, F., Sabella, E. A., Bianco, L., Maninchedda, M., Barchielli, B., Liguori, F., Da Molin, G., Liguori, G., Orsi, G. B., Ferracuti, S., & Napoli, C. (2022). How the COVID-19 pandemic has impacted daily life? Assessing the use of web resources for recreational activities in the Italian adult population. International Journal of Environmental Research and Public Health, 19, 15136. https://doi.org/10.3390/ijerph192215136 DOI: https://doi.org/10.3390/ijerph192215136
Medda, E., Gigantesco, A., Picardi, A., Carluccio, E., D’Ippolito, C., Ferri, M., Brescianini, S., Toccaceli, V., & Stazi, M.A. (2021). La pandemia da covid-19 in Italia: l’impatto sulla vita e la salute mentale. Rivista di Psichiatria, 56(4), 182–188. https://www.rivistadipsichiatria.it/archivio/3654/articoli/36345/ DOI: https://doi.org/10.1708/3654.36345
UNICEF. (2021). The state of the world’s children 2021. https://www.unicef.org/reports/state-worlds-children-2021
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