{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:45:11Z","timestamp":1787028311685,"version":"build-2736575974"},"reference-count":41,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T00:00:00Z","timestamp":1592524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: The aim of this study was to assess the relationship between physical activity (PA) levels and mental health in individuals with spinal cord injury (SCI). Methods: Three hospitals in the Seoul metropolitan area were invited to recruit patients with SCI (n = 103). PA levels were measured by the Leisure Score Index of the Godin Leisure-Time Exercise Questionnaire (GLTEQ). The Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, and Multidimensional Scale of Perceived Social Support (MSPSS) were used to assess mental health. Results: Compared to the least physically active participants (1st tertile, 44.09 \u00b1 52.74 min\/week), the most physically active participants (3rd tertile, 670.86 \u00b1 354.97 min\/week) scored significantly lower on PHQ-9 (17.03 \u00b1 5.70 vs. 12.49 \u00b1 4.01, p &lt; 0.001), GAD-7 (13.24 \u00b1 4.78 vs. 9.86 \u00b1 3.15, p &lt; 0.001), while significantly higher MSPSS (51.24 \u00b1 10.17 vs. 61.37 \u00b1 11.90, p &lt; 0.001) after the results were adjusted for age, gender, American Spinal Cord Injury Association impairment scale, and impaired spinal cord levels. Multivariate linear regression analysis showed that the PA was a significant predictor of depression (\u03b2 = \u22121.50, p = 0.01), anxiety (\u03b2 = \u22121.12, p = 0.02), and social support (\u03b2 = 4.04, p = 0.01). Conclusion: Higher PA participation was associated with lower depression, anxiety, and higher social support scores.<\/jats:p>","DOI":"10.3390\/ijerph17124423","type":"journal-article","created":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T10:43:58Z","timestamp":1592563438000},"page":"4423","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The Relationship between Physical Activity Levels and Mental Health in Individuals with Spinal Cord Injury in South Korea"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4434-799X","authenticated-orcid":false,"given":"Dong-il","family":"Kim","sequence":"first","affiliation":[{"name":"Division of Health and Kinesiology, Incheon National University, Incheon 22012, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeongmin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Sport Industry Studies, Exercise Medicine and Rehabilitation Laboratory, Yonsei University, Seoul 03722, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyuna","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Sport Industry Studies, Exercise Medicine and Rehabilitation Laboratory, Yonsei University, Seoul 03722, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7978-4271","authenticated-orcid":false,"given":"Justin Y.","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Sport Industry Studies, Exercise Medicine and Rehabilitation Laboratory, Yonsei University, Seoul 03722, Korea"},{"name":"Exercise Medicine Center for Diabetes and Cancer Patients, ICONS, Yonsei University, Seoul 03722, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,19]]},"reference":[{"key":"ref_1","first-page":"258","article-title":"Spinal cord injury: Insights into life expectancy after spinal cord injury","volume":"13","author":"Ridler","year":"2017","journal-title":"Nat. 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