New Insights into childhood Exercise and Mental Health

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How Childhood Exercise Protects Mental Health: New Insights from a Swedish Study

At Heritage Physiotherapy & Co our Physiotherapists regularly read high-quality research, conducting journal reviews and reflecting on current research to guide future practice.

Article:

Impact of Physical Activity on the Incidence of Psychiatric Conditions During Childhood: A Longitudinal Swedish Birth Cohort Study Authors:

Oskar Lundgren, Hanna Tigerstrand, Andrea Lebena, Marie Löf, and Johnny LudvigssonJournal:

British Journal of Sports Medicine (Br J Sports Med)Published:

May 2025 (Accepted March 11, 2025)DOI:

10.1136/bjsports-2024-108148

We know physical activity is good for children’s bodies, but new research shows it may also protect their minds. A large Swedish study has found that children who stay active — especially those involved in organized sports — are less likely to develop psychiatric conditions during adolescence.

The Study

Researchers from Linköping University and Karolinska Institute followed more than 17,000 children from birth until age 18. Parents reported how much time their children spent moving, playing outside, and participating in organized sports at ages 5, 8, and 11. These records were then compared with national health registry data on psychiatric diagnoses such as depression, anxiety, and addiction.

What They Found

1. Activity levels dropped with age: On average, children went from 4+ hours of daily movement at age 5 to just 2.5 hours by age 11.
2. Physical activity at age 11 mattered most: More daily movement was linked with a lower risk of psychiatric conditions through adolescence.
3. Sports were especially protective: Kids involved in organized sports at 11 had significantly lower risks of depression (for boys), anxiety (both genders), and addiction (both genders).
4. Gender differences emerged: For boys, physical activity was strongly linked with reduced risks of depression, anxiety, and addiction. For girls, organized sports helped, but general daily activity showed weaker effects.
5. Time outdoors didn’t matter: Surprisingly, simply spending more hours outside wasn’t tied to better mental health outcomes.

Why It Matters

Childhood and adolescence are critical periods for mental health. Disorders such as anxiety and depression often first appear in the pre-teen years. This study suggests that keeping children active — particularly through structured, social activities like sports — may build resilience and reduce risks.

Takeaways for Parents

1. Encourage children to stay active, especially as they approach adolescence.
2. Support access to organized sports, regardless of gender or background.
3. Recognize that physical activity is more than just fitness — it’s also mental health care.

As mental health challenges continue to rise among young people worldwide, this research adds weight to a simple but powerful idea: movement matters. Investing in play, sports, and activity isn’t just about preventing obesity — it could help protect the next generation’s mental well-being.

How Physiotherapy with Heritage Physiotherapy & Co can help

At Heritage Physiotherapy & Co our children’s specialist physiotherapist Katie uses her experience and communication skills to work with children of all ages and abilities to encourage exercise and promote positive relationships with movement from a young age. Your child may have developmental delay or a neurological or musculoskeletal condition that makes exercise challenging, however Katie’s expertise enables her to build therapeutic relationships that will encourage a lifetime of engaging in movement for both functional independence and encourage group participation in exercise. This can help builds friendships and well as promote physical development. To find out more, please see our services page on our website.

Katie Specialist Children’s (paediatric) Physiotherapist
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Kayleigh McLauchlan profile pictureKayleigh McLauchlan
08:52 17 Nov 25
We saw Katie for a peadiatric review. My little boy was premature so I just wanted to check that he was developing as he should. Katie was lovely, she introduced herself and played with my little one for a bit before assessing him. She was able to show me how to develop his skills further and reassured me that he was working on his kills perfectly as he should be. We haven't needed to go back but if we did need paediatric physio in the future Katie would be our first choice
Ian Simpson profile pictureIan Simpson
19:30 25 Sep 25
Nikki is absolutely superb! From the very first session, she made me feel at ease with her professional, friendly, and caring approach. She takes the time to really listen, explains everything clearly, and tailors the treatment to suit individual needs. The progress I’ve made has been remarkable thanks to her expertise and encouragement. I couldn’t recommend Nikki and Heritage Physio highly enough – a first-class service!
Eamon Devlin profile pictureEamon Devlin
19:39 18 Sep 25
The Heritage team, including Nikki is outstanding. Expert diagnosis, effective treatment plans and service with a smile. Highly recommended.
Nina Humphreys profile pictureNina Humphreys
07:55 18 Sep 25
I have been seeing Nikki for an issue with my shoulder and neck area. She is knowledgeable and understanding, the sessions never feel rushed. Home exercises are available on an app which is great.
Sarah Tridgell profile pictureSarah Tridgell
07:10 17 Sep 25
Nikki is absolutely brilliant. I'd had recurring shoulder pain for a long time - Nikki got to the heart of the problem right away. She gave me lots of simple, easy to fit in exercises to help improve the movement in my shoulder. Nikki really knows her stuff and is lovely and friendly. I really enjoyed our sessions and my shoulder is so much better. I would highly recommend!
Paul profile picturePaul
14:48 16 Sep 25
I was recommended to Heritage Physio by my Personal Trainer due to shoulder problems becoming more prominent in gym sessions. Shannon was very helpful and positive in assessing and creating a plan to specifically address my shoulders, that did help in fixing one of them in the short duration I was her client.
Nick Penfold profile pictureNick Penfold
22:30 05 Sep 25
Fantastic experience over the last 18 months with Nikki, assisting in issues with IT bands, rotator cuffs niggles and lower leg injuries. Have always felt listened to as a person as well as a client. Would highly recommend!!
Neil Jervis profile pictureNeil Jervis
10:54 05 Sep 25
I have been seeing Nikki since I had an Achilles operation at the beginning of the year and have really appreciated the hands on approach which has mixed setting of appropriate exercises with massage and ultrasound of the muscles and tendons effected by the operation which has really aided my rehabilitation and given me confidence that I am on the right path to full recovery and getting back to all the things I used to do. I chose Nikki as she had previously worked with my daughter who was suffering various issues due competitive gymnastics, she is brilliant working with children and puts them at ease and explains in an easy to understand way.
Stephen Eatwell profile pictureStephen Eatwell
19:55 13 Aug 25
Nikki has been looking after me for the last couple of months since my MRI results for my ankle. She has been nothing but a positive influence on me physically and mentally with her bubbly personality and deep knowledge and understanding of what is needed to help aid my recovery. I have noticed a vast improvement already and look forward to my continued rehabilitation with her.
Pedro Jose profile picturePedro Jose
08:44 20 Jun 25
I’d been dealing with persistent knee pain for a few months and had seen a physiotherapist through my insurance, but with no real improvement. Several people had recommended Nikki to me, so I decided to give it a go — and I’m so glad I did!

From the very first session, Nikki impressed me with her depth of knowledge and attention to detail. She quickly identified that the knee pain wasn’t the root issue at all — it was actually being caused by a muscle imbalance in the opposite leg, which was overloading the affected knee. Through a series of targeted tests, she was able to clearly pinpoint the problem and explain it in a way that made total sense.

She then built a tailored plan to address the imbalance, and within just a couple of weeks I felt a huge improvement. After months of frustration on the wrong treatment path, I finally felt like I was making real progress.

Nikki is not only highly skilled, but clearly passionate about what she does. She genuinely takes the time to understand your condition and your goals. I feel very lucky to have found her — thanks to her expertise, I’m now back on track with my training and moving forward pain-free.

Can’t recommend her highly enough.
JP Crilly profile pictureJP Crilly
15:57 11 Jun 25
Nikki has done a brilliant job on my back. I have felt such a difference over the past 6 months. My only regret is that I did not come here years ago!
Gaynor Hussey profile pictureGaynor Hussey
10:23 08 Apr 25
Shannon has been helping me to recover from a nasty knee injury, which followed an ongoing knee and back problem. She's been very thorough in her assessments and clear in her explanation about my issues and the rehab plan. She's very knowledgeable, patient and encouraging.
Ellie Challis profile pictureEllie Challis
20:22 13 Jan 25
Nikki is incredible! I am so pleased I found her after having my first baby, she is so knowledgeable, skilled and a very kind, personable person all at the same time. I would highly recommend her services for anyone in need of her expertise.
Archie Newman profile pictureArchie Newman
22:15 21 Nov 24
Nikki is really friendly with great advice
steve walton profile picturesteve walton
12:09 20 Sep 24
Excellent service provided by Nikki. Was was very professional & quickly established the best course of physio treatment. Nikki is extremely friendly and makes you feel welcome from the minute you meet her. Would highly recommend.
Rachel Johnson profile pictureRachel Johnson
12:12 22 Aug 24
Nikki was welcoming and friendly and put me at ease. She listened to my concerns and gave a thorough examination of my feet. She was very reassuring and patiently answered all my questions and explained things to me in an accessible way. I would return to Nikki for any future concerns 😊
Adam profile pictureAdam
20:04 11 Aug 24
Nikki has a wealth of knowledge in her profession, she's very knowledgeable and supportive. After the first consultation she knew straight away what was up, and how to help me overcome a previous reoccurring lower back injury. She gave me a clear and concise set of exercises which then greatly aided and helped me with the confidence to go to the gym without going back to square one.
Richard Liddle profile pictureRichard Liddle
05:12 04 Aug 24
Been using Nikki for the last couple months and would highly recommend her. Extremely knowledgeable and professional and always able to fit appointments around work and other commitments.
Anna Roohi profile pictureAnna Roohi
10:03 02 Aug 24
I cannot recommend Nikki enough! I had a recurring issue with my back, however since seeing Nikki, touch wood, the pain has not reappeared! She is so attentive and really understands and isolates not just the problem but also the reasons of what is causing the issue.
Emily Juffs profile pictureEmily Juffs
13:53 31 Jul 24
Nikki is amazing! She is super welcoming and professional and has given great advise and exercises to help improve my hip. I used to get regular flare ups and these have almost completely gone. I look forward to her sessions and can't thank her enough for how much she has improved my physical health. Highly recommend!
Mary Smith profile pictureMary Smith
09:05 18 Jul 24
I have been attending Mamma Cubs for a few months, and it is the highlight of my week. Nikki is able to tailor the exercise to the group each week so it never gets boring, and I really enjoy learning about the changes in physiology that come with the postpartum stage. Having Chloe in the class to look after my 5 month old has allowed me to regain some “me” time, which is such a bonus compared to any other mum and baby class I have tried. I love seeing him laugh at the silly faces Chloe is pulling whilst I’m doing my exercises! The app is fantastic, and really helps me as a reminder of exercises between classes.
Linda Hughes profile pictureLinda Hughes
10:16 13 Jul 24
My name is Michael Hughes. Following a fall, in February, I injured my shoulders and was in a great deal of pain.The symptons were getting worse and I was having to sleep sitting up. I contacted Nikki and at my first appointment she explained that with treatment and exercise I would improve. Nikki was right and I have little or no pain and am sleeping well. Being 77 years of age, I had my doubts that I would recover but I can't thank Nikki enough for her help and support.
J Dick profile pictureJ Dick
14:25 14 May 24
Nikki is very welcoming and puts you at ease. Her analysis of my shoulder problem was spot on and on her advice I sought the advice of a consultant. Having recently had a series of treatment with another physio I can confirm that Nikki's sessions are significantly better value for money. I can recommend without hesitation.