Promoting physical activity to reduce anxiety in conflict-affected college students: gender-specific challenges and evidence-based public-health opportunities

Physical activity (PA) supports mental wellbeing, resilience, and overall health. However, maintaining adequate PA levels becomes particularly challenging during periods of societal instability. This study examined the relationships between physical activity, coping strategies, and state anxiety among 309 Israeli university students (aged 19–46 years) during an armed conflict in 2025, with the aim of identifying evidence-based opportunities to promote active lifestyles in high-stress environments. Data were analyzed using t-tests, ANOVA, MANOVA, correlational analyses, and Fisher’s Z comparisons. Higher levels of physical activity, particularly vigorous exercise, were associated with lower anxiety levels. In contrast, avoidant coping showed the strongest association with anxiety (η 2 = .149). Women reported higher anxiety levels and greater reliance on emotion-focused coping strategies than men (d = 0.43). These findings highlight the importance of physical activity and adaptive coping strategies as potential contributors to psychological resilience among university students during periods of armed conflict.

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Journal
BMC Public Health
Published
2026-09-21
DOI
https://doi.org/10.1186/s12889-026-29338-1
Primary Topic
COVID-19 and Mental Health
Type
article
Field-Weighted Citation Impact
0.00
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article

Promoting physical activity to reduce anxiety in conflict-affected college students: gender-specific challenges and evidence-based public-health opportunities

Sigal Ben Zaken, Mahmood Sindiani
BMC Public Health
COVID-19 and Mental Health
article

Promoting physical activity to reduce anxiety in conflict-affected college students: gender-specific challenges and evidence-based public-health opportunities

Sigal Ben Zaken, Mahmood Sindiani
article en

Abstract

Physical activity (PA) supports mental wellbeing, resilience, and overall health. However, maintaining adequate PA levels becomes particularly challenging during periods of societal instability. This study examined the relationships between physical activity, coping strategies, and state anxiety among 309 Israeli university students (aged 19–46 years) during an armed conflict in 2025, with the aim of identifying evidence-based opportunities to promote active lifestyles in high-stress environments. Data were analyzed using t-tests, ANOVA, MANOVA, correlational analyses, and Fisher’s Z comparisons. Higher levels of physical activity, particularly vigorous exercise, were associated with lower anxiety levels. In contrast, avoidant coping showed the strongest association with anxiety (η 2 = .149). Women reported higher anxiety levels and greater reliance on emotion-focused coping strategies than men (d = 0.43). These findings highlight the importance of physical activity and adaptive coping strategies as potential contributors to psychological resilience among university students during periods of armed conflict.

BMC Public Health
Academic College at Wingate (IL)
Gender equality
Openalex Percentile: Top 7%
COVID-19 and Mental Health
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Promoting physical activity to reduce anxiety in conflict-affected college students: gender-specific challenges and evidence-based public-health opportunities — Sigal Ben Zaken, Mahmood Sindiani · BMC Public Health (2026) | TGRS Research Map | TGRS