Longitudinal relationships among physical activity, internet gaming disorder, and insomnia: a cross-lagged panel analysis - Summary - MDSpire

Longitudinal relationships among physical activity, internet gaming disorder, and insomnia: a cross-lagged panel analysis

  • By

  • Huijie Wang

  • Tiantian Cao

  • Lin Luo

  • July 8, 2026

  • 0 min

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Objective:

To investigate the longitudinal bidirectional relationships among physical activity (PA), internet gaming disorder (IGD), and insomnia, with a specific focus on the mediating role of IGD between PA and insomnia.

Approach:
  • Study Design: A three-wave longitudinal study was conducted with 475 Chinese college students, assessing PA, IGD, and insomnia at 3-month intervals.
  • Data Analysis: A cross-lagged panel model (CLPM) was constructed, and mediation was tested using the bias-corrected Bootstrap method.
Key Findings:
  • PA was negatively correlated with subsequent IGD (T1→T2: β = −0.113, p < 0.001; T2→T3: β = −0.081, p = 0.029) and insomnia (T1→T2: β = −0.098, p = 0.003; T2→T3: β = −0.089, p = 0.003).
  • IGD was positively correlated with subsequent insomnia (T1→T2: β = 0.131, p = 0.010; T2→T3: β = 0.137, p = 0.005).
  • Insomnia was not significantly correlated with subsequent PA (T1→T2: β = −0.030, p = 0.408; T2→T3: β = −0.065, p = 0.151).
  • PA predicted lower insomnia both directly and indirectly via lower IGD (indirect effect = −0.005, 95% CI [−0.010, −0.002]).
Interpretation:

Longitudinal associations exist among PA, IGD, and insomnia, with PA acting as a protective factor and IGD mediating the relationship between PA and insomnia.

Limitations:
  • The study was limited to a specific population of Chinese college students, which may affect generalizability.
  • The reliance on self-reported measures may introduce bias.
Conclusion:

The findings highlight the role of PA in the relationships among IGD and insomnia.

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