Institute of Occupational, Social and Environmental Medicine, University Medical Centre of the University of Mainz, Mainz, Germany.
Department Sport Medicine, Rehabilitation and Disease Prevention, Institute of Sport Science, Johannes Gutenberg University, Mainz, Germany.
Front Public Health. 2020 Apr 28;8:137. doi: 10.3389/fpubh.2020.00137. eCollection 2020.
Universities represent an important setting for health promotion. The unique collective of university students is of particular relevance since they are the leaders, decision-makers, and parents of tomorrow. In this context, modifiable health influencing factors as well as interventions to prevent these, play a crucial role. Therefore, the present umbrella review aims to (i) provide an overview of review articles addressing epidemiological issues (prevalence and determinants) of modifiable health influencing factors in university students and (ii) to provide an overview of review articles addressing the evidence of interventions to promote/enhance modifiable health influencing factors in university students. A systematic literature search was performed in the databases PubMed, Cochrane Reviews Library und Web of Science according to the PRISMA guidelines. Only systematic reviews and meta-analyses were included. The AMSTAR-2-Tool was used for the quality assessment. The initial search resulted in 10,726 records of which 81 fulfilled the inclusion criteria, with a further distinction in articles with an epidemiological focus ( = 39) and in articles with interventional approaches ( = 42). Topics of the different review articles ranged from physical activity over mental health, substance use, sleep, diet and nutrition, and media consumption. Many review articles had a specific focus on medical and nursing students and originated from the U.S.A., U.K., or China. This umbrella review provides an overview of review articles on the epidemiology of modifiable health influencing factors and on the evidence of interventions targeting these factors among university students. Thereby, experts as well as stakeholders in the field could gain insights into crucial target points for health promotion. It identifies research gaps in terms of study region and groups of students.
高校是促进健康的重要场所。大学生这一独特群体是特别相关的，因为他们是未来的领导者、决策者和家长。在这种情况下，可改变的健康影响因素以及预防这些因素的干预措施至关重要。因此，本综述旨在：(i) 概述针对大学生可改变的健康影响因素的流行病学问题（流行率和决定因素）的综述文章；(ii) 概述针对促进/增强大学生可改变的健康影响因素的干预措施的证据的综述文章。根据 PRISMA 指南，在 PubMed、Cochrane Reviews Library 和 Web of Science 数据库中进行了系统的文献检索。仅纳入系统评价和荟萃分析。使用 AMSTAR-2 工具进行质量评估。初步搜索产生了 10726 条记录，其中 81 条符合纳入标准，进一步分为具有流行病学重点的文章（=39）和具有干预方法的文章（=42）。不同综述文章的主题从身体活动到心理健康、物质使用、睡眠、饮食和营养以及媒体消费等方面都有涉及。许多综述文章特别关注医学和护理学生，并且来自美国、英国或中国。本综述提供了对大学生可改变的健康影响因素的流行病学以及针对这些因素的干预措施的证据的综述文章的概述。通过这种方式，专家和利益相关者可以深入了解促进健康的关键目标。它确定了研究区域和学生群体方面的研究差距。
