Physical activity was negatively correlated with short-form video addiction among adolescents, with cognitive flexibility and anxiety serving as significant chain mediators accounting for 57.69% of the total indirect association.
Key Findings
Results
Physical activity was negatively correlated with short-form video addiction among adolescents.
The correlation coefficient was r = -0.274, p < 0.001.
Sample comprised 492 adolescents (236 male, 256 female) with a mean age of 15.36 years (SD = 0.54).
Data were collected via self-reported measures during the autumn term of 2023 from three secondary institutions in Hunan Province, China.
Convenience sampling was used; findings are correlational, not causal.
Results
Cognitive flexibility and anxiety together formed a significant chain (serial) mediating pathway between physical activity and short-form video addiction.
The serial indirect association had an effect size of -0.029 (SE = 0.009, 95% CI [-0.050, -0.013]).
This chain mediation pathway accounted for 13.94% of the total association.
The pathway direction suggests physical activity was associated with greater cognitive flexibility, which in turn was associated with lower anxiety, which was associated with lower short-form video addiction.
Mediation was tested using a mediation model with bootstrap confidence intervals.
Results
Cognitive flexibility alone was a significant single mediator in the association between physical activity and short-form video addiction.
The single-mediator indirect effect size for cognitive flexibility was -0.049 (95% CI [-0.088, -0.019]).
The confidence interval did not include zero, indicating statistical significance.
This represents one of three significant indirect pathways identified in the mediation analysis.
Results
Anxiety alone was a significant single mediator in the association between physical activity and short-form video addiction.
The single-mediator indirect effect size for anxiety was -0.041 (95% CI [-0.079, -0.010]).
The confidence interval did not include zero, indicating statistical significance.
Higher physical activity was associated with lower anxiety, which was in turn associated with lower short-form video addiction.
Results
The total indirect association of cognitive flexibility and anxiety together accounted for more than half of the overall association between physical activity and short-form video addiction.
The total indirect association (combining all mediator pathways) accounted for 57.69% of the overall association.
The remaining approximately 42% of the association was a direct association not explained by these two mediators.
Three indirect pathways were identified: cognitive flexibility alone, anxiety alone, and the chain pathway of cognitive flexibility followed by anxiety.
Methods
The study design was cross-sectional, limiting causal inference about the relationships observed.
The authors explicitly state findings 'should be interpreted as correlational evidence rather than proof of temporal or causal mechanisms.'
Data were collected at a single time point during the autumn term of 2023.
Convenience sampling from three institutions in Hunan Province, China limits generalizability.
All measures were self-reported.
What This Means
This study looked at whether teenagers who are more physically active are less likely to be addicted to short-form video apps (like TikTok or similar platforms), and tried to understand why that might be. Researchers surveyed 492 Chinese secondary school students about their physical activity levels, their ability to think flexibly, their anxiety levels, and their short-form video usage patterns. They found that students who were more physically active tended to show fewer signs of short-form video addiction.
The study also found that this relationship was not entirely direct — it was partly explained by two psychological factors. Physically active students tended to have better cognitive flexibility (the ability to shift thinking and adapt to new situations), and better cognitive flexibility was linked to lower anxiety, which in turn was linked to less short-form video addiction. These two factors together — cognitive flexibility and anxiety — explained about 58% of the statistical link between physical activity and reduced short-form video addiction.
This research suggests that physical activity may be associated with reduced problematic short-form video use among teenagers, and that improvements in mental flexibility and reductions in anxiety could be part of the reason why. However, because this was a one-time survey (cross-sectional study), it is not possible to determine whether physical activity actually causes these changes or whether other factors are involved. Future research using longer-term study designs would be needed to better understand the direction and nature of these relationships.
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Wen M, Wang N, Xiao H, Liu Y, Niu X. (2026). Physical activity and short-form video addiction among adolescents: the chain mediating role of cognitive flexibility and anxiety.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1854722