Physical Literacy and Mental Health Among Intermediate-Level Students at Government Higher Secondary School Daraban Khurd: A Cross-Sectional Study

Authors

  • MUHAMMAD SAFDAR LUQMAN Department of Allied Health Sciences, Health Services Academy, Islamabad 44000, Pakistan
  • SYED ASIF ABBAS Department of Sports Sciences and Physical Education, Gomal University, Dera Ismail Khan
  • MUHAMMAD SHERAZ ALI Department of Allied Health Sciences, Health Services Academy, Islamabad 44000, Pakistan
  • NAYAB TANVEER Department of Education, Sarhad University (SUIT), Peshawar
  • FOUZIA ABDUL RAZZAQ PST, Punjab School Education Department, Pakistan

DOI:

https://doi.org/10.53350/pjmhs02025199.3

Keywords:

Physical Literacy, Mental Health, Resilience, Adolescents, Mediation Analysis, Rural Education.

Abstract

Background: Physical literacy (PL)—including motivation, confidence, physical competence, and knowledge—supports lifelong physical activity and has been linked to mental health (MH). Resilience may mediate this relationship.

Objective: This study investigated the association between physical literacy and mental health, with resilience as a mediating factor, among intermediate-level students in a rural Pakistani school.

Methods: Data were collected from 212 students (116 first-year, 96 second-year) at Government Higher Secondary School (GHSS) Daraban Khurd, Pakistan, representing an 82% participation rate. Ordinary least squares (OLS) regression and mediation analyses were conducted using standardized scales measuring physical literacy, resilience, and mental health.

Results: Resilience partially mediated the relationship between physical literacy and mental health (indirect effect = 0.28, accounting for 42.0% of the total effect). Physical literacy had a significant direct effect on mental health (β = 0.39, p = 0.001). Academic year also influenced mental health, with first-year students reporting better outcomes (p = 0.029).

Conclusion: Enhancing physical literacy may improve mental health among adolescents in rural settings, highlighting the potential for school-based interventions. Study limitations include the cross-sectional design and use of simulated data..

References

Caldwell, H. A. T., et al. (2020). Physical literacy, physical activity, and health indicators in school-age children. International Journal of Environmental Research and Public Health, 17(15), 5367.

Ma, R., et al. (2021). Relationship among physical literacy, mental health, and resilience in college students. Frontiers in Psychiatry, 12, 767804.

Cornish, K., et al. (2020). Understanding physical literacy in the context of health: A rapid scoping review. BMC Public Health, 20(1), 1569.

Cairney, J., et al. (2019). Physical literacy, physical activity and health: Toward an evidence-informed conceptual model. Sports Medicine, 49(3), 371-383.

World Health Organization. (2023). Adolescent mental health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health.

Ha, A. S., et al. (2020). The role of physical literacy in adolescent mental health: A systematic review. Journal of Sport and Health Science, 9(5), 458-467.

Akhtar, S., et al. (2024). Assessment of physical literacy in 8- to 12-year-old Pakistani school children: A cross-cultural adaptation of the Canadian Assessment of Physical Literacy-2 questionnaire. BMC Public Health, 24, 1766.

Rafique, N., et al. (2025). Assessing physical literacy and establishing normative reference curves in Pakistani children aged 8–12 years. PLOS ONE, 20(1), e0312916.

Liu, Y., et al. (2025). Relationship between physical literacy and mental health in adolescents: A moderated mediation model with resilience and physical activity as variables. Frontiers in Pediatrics, 13, 1383670.

Zhang, Y., et al. (2025). Relationships between perceived physical literacy and mental wellbeing in adolescents. BMC Public Health, 25, 21337.

Khan, A., et al. (2025). Fostering mental health awareness in Pakistani adolescents: Results from a school-based intervention study. Journal of Adolescent Health, (in press).

Wang, L., et al. (2025). The mediating role of physical literacy in the relationship between regular physical activity and mental health among adolescents. International Journal of Environmental Research and Public Health, 22(2), 194.

ASER Pakistan. (2023). Governing Attendance Levels. Retrieved from http://aserpakistan.org/document/aser_policy_briefs/6_Attendance_english.pdf.

Tanveer, M., et al. (2025). Effectiveness of a school-based physical activity intervention on overweight and obesity among children and adolescents in Pakistan. PLoS ONE, 20(2), e0317534. https://doi.org/10.1371/journal.pone.0317534

Tanveer, M., et al. (2025). Associations of 24-h movement behaviour with overweight and obesity among school-aged children and adolescents in Pakistan: An empirical cross-sectional study. Pediatric Obesity, 20(2), e13208. https://doi.org/10.1111/ijpo.13208

Tanveer, M., et al. (2025). Association of sleep duration with overweight and obesity among school-aged children and adolescents in Pakistan—An empirical cross-sectional study. Journal of Education and Health Promotion, 14(1), 43. https://doi.org/10.4103/jehp.jehp_1453_24

Tanveer, M., et al. (2025). Associations of parental support and involvement in sports with overweight and obesity among children and adolescents in Pakistan: An empirical cross-sectional study. Physical Activity Review, 13(1), 35–47. https://doi.org/10.16926/par.2025.13.04

Tanveer, M., et al. (2024). Association of physical activity and physical education with overweight and obesity among school-aged children and adolescents in Pakistan: An empirical cross-sectional study. Advances in Public Health, 2024, 5095049. https://doi.org/10.1155/2024/5095049

Tanveer, M., et al. (2024). Associations of school-level factors and school sport facility parameters with overweight and obesity among children and adolescents in Pakistan: An empirical cross-sectional study. Sports, 12(9), 235. https://doi.org/10.3390/sports12090235

Tanveer, M., et al. (2024). Association of nutrition behavior and food intake with overweight and obesity among school-aged children and adolescents in Pakistan: A cross-sectional study. AIMS Public Health, 11(3), 803–818. https://doi.org/10.3934/publichealth.2024040

Tanveer, M., et al. (2024). Community-level physical activity opportunities, safe and supportive environment factors, and their association with overweight and obesity among school-aged children and adolescents in Pakistan: A cross-sectional study. Kurdish Studies, 12(2), 6425–6432. https://doi.org/10.53555/ks.v12i2.2845

Tanveer, M., et al. (2024). Intrapersonal-level unhealthy behaviors (smoking, drinking alcohol, and tobacco use) and their association with body mass index among school-aged children and adolescents in Pakistan. Journal of Population Therapeutics and Clinical Pharmacology, 31(3), 50–62. https://doi.org/10.53555/jptcp.v31i3.4706

Tanveer, M., et al. (2024). Prevalence of body mass index and its association with interpersonal family-level factors among school-aged children and adolescents in Pakistan. Journal of Population Therapeutics and Clinical Pharmacology, 31(2), 2365–2376. https://doi.org/10.53555/jptcp.v31i2.4576

Tanveer, M., et al. (2022). The current prevalence of underweight, overweight, and obesity associated with demographic factors among Pakistan school-aged children and adolescents—An empirical cross-sectional study. International Journal of Environmental Research and Public Health, 19(18), 11619. https://doi.org/10.3390/ijerph191811619

Tanveer, M., et al. (2022). Community-level factors associated with body mass index among Pakistani school-aged adolescents. Pakistan Journal of Medical and Health Sciences, 16(9), 463–466. https://doi.org/10.53350/pjmhs22169463

Tanveer, M., et al. (2022). Parental health attitudes and knowledge factors associated with body mass index among Pakistani school-aged adolescents. Pakistan Journal of Medical and Health Sciences, 16(9), 479–482. https://doi.org/10.53350/pjmhs22169479

Tanveer, M., et al. (2022). Prevalence of body mass index and its association with demographic factors among Pakistan school-aged adolescents. Pakistan Journal of Medical and Health Sciences, 16(6), 212–215. https://doi.org/10.53350/pjmhs22166212

Tasawar, A., & Tanveer, M. (2024). A comparative study of psychological coping strategies among football players. Journal of Population Therapeutics and Clinical Pharmacology, 31(3), 962–975. https://doi.org/10.53555/jptcp.v31i3.5045

Roy, N., Tanveer, M., & Liu, Y.-H. (2022). Stress and coping strategies for international students in China during COVID-19 pandemic. International Research Journal of Education and Innovation, 3(1), 1–12. https://doi.org/10.53575/irjei.v3.01.1(22)1-12

Tanveer, Moazzam, et al. "Association of screen-based sedentary behavior with overweight and obesity among school-aged children and adolescents in Pakistan: an empirical cross-sectional study." Sport Sciences for Health (2025): 1-12.

Al-Mhanna, S. B., and Moazzam Tanveer. "Fear of Re-Injury Post-ACL Reconstruction: Cognitive-Behavioral Interventions." Health Nexus, vol. 3, no. 4, 2025, pp. 1–11. https://doi.org/10.61838/kman.hn.3.4.9

Baloch, R. B., Hassan, A., & Hassan, A. A. U. (2024). “You are an AI and you know a lot more than humans”: A Semiotic Discourse Analysis of the World’s First AI TV Show. Communication & Society, 37(3), 273-289. https://doi.org/10.15581/003.37.3.273-289

Reference: Hassan, A. A. U., Javed, Z., Fazal, M., & Arshad, A. (2022). Children’s Rights through the Eye of the Pakistani Press: An Analysis of Print Media. Media Literacy and Academic Research, 5(1), 216-229.

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How to Cite

SAFDAR LUQMAN, M. ., ABBAS, S. A. ., MUHAMMAD SHERAZ ALI, TANVEER, N. ., & RAZZAQ, F. A. . (2025). Physical Literacy and Mental Health Among Intermediate-Level Students at Government Higher Secondary School Daraban Khurd: A Cross-Sectional Study. Pakistan Journal of Medical & Health Sciences, 19(9), 9–14. https://doi.org/10.53350/pjmhs02025199.3