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促进大学生身体活动:对照试验的系统评价

Promoting Physical Activity Among University Students: A Systematic Review of Controlled Trials.

作者信息

Maselli Marco, Ward Philip B, Gobbi Erica, Carraro Attilio

机构信息

1 Department of Philosophy, Sociology, Pedagogy, and Applied Psychology, University of Padua, Padova, Italy.

2 School of Psychiatry, Schizophrenia Research Unit, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.

出版信息

Am J Health Promot. 2018 Sep;32(7):1602-1612. doi: 10.1177/0890117117753798. Epub 2018 Jan 24.

Abstract

OBJECTIVE

University study is often accompanied by a decline in physical activity (PA) levels but can offer the opportunity to promote a lifelong active lifestyle. This review aims to summarize controlled trials of interventions promoting PA among university students, describing the quality of the evidence, effective strategies, and deficiencies in the interventions employed, to provide directions for future research and for practical implementations.

DATA SOURCE

PubMed, PsychINFO, Cochrane Library, Education Source, and SPORTDiscus. Study Inclusion Criteria: Randomized or nonrandomized controlled trial, describing an intervention to promote PA in university students, where PA was one of the outcomes and results were published in English.

DATA EXTRACTION

Country, study design, participants' inclusion criteria, participation rate and characteristics, randomization, blinding, theoretical framework, intervention characteristics, participant retention rate and withdrawal reasons, measures employed, data analysis, PA results, and findings regarding PA correlates.

DATA SYNTHESIS

Data were synthetized considering study characteristics, strategies used, and outcomes.

RESULTS

Two thousand five hundred eighty-five articles were identified. Twenty-seven studies met the inclusion criteria. Sixteen studies reported an increase in PA levels.

CONCLUSION

Physical Activity promotion interventions should address a range of behavioral determinants. Personalized approaches and PA sessions should be considered in future studies. The high risk of bias of many studies (mainly due to attrition and poor reporting) and missing information about intervention components limit the strength of conclusions about the most effective strategies and the evidence of effectiveness, highlighting the need for further high-quality studies.

摘要

目的

大学学习往往伴随着身体活动(PA)水平的下降,但也提供了促进终身积极生活方式的机会。本综述旨在总结促进大学生身体活动的干预措施的对照试验,描述证据质量、有效策略以及所采用干预措施的不足之处,为未来研究和实际应用提供指导。

数据来源

PubMed、PsychINFO、Cochrane图书馆、教育资源库和体育科学数据库。研究纳入标准:随机或非随机对照试验,描述促进大学生身体活动的干预措施,其中身体活动是结果之一且研究结果以英文发表。

数据提取

国家、研究设计、参与者纳入标准、参与率及特征、随机化、盲法、理论框架、干预特征、参与者保留率及退出原因、所采用的测量方法、数据分析、身体活动结果以及身体活动相关因素的研究结果。

数据综合

根据研究特征、使用的策略和结果对数据进行综合分析。

结果

共识别出2585篇文章。27项研究符合纳入标准。16项研究报告身体活动水平有所提高。

结论

身体活动促进干预措施应针对一系列行为决定因素。未来研究应考虑个性化方法和身体活动课程。许多研究存在较高的偏倚风险(主要由于失访和报告不佳)以及干预组成部分的信息缺失,限制了关于最有效策略的结论强度和有效性证据,凸显了进一步开展高质量研究的必要性。

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