School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.
Department of Exercise Rehabilitation, Shanxi Medical University, Taiyuan, Shanxi, China.
Front Public Health. 2024 Jul 11;12:1348743. doi: 10.3389/fpubh.2024.1348743. eCollection 2024.
BACKGROUND/OBJECTIVE: While Physical Literacy has been highlighted as a determinant in health in recent study, there is a dearth of studies examining its effect on physical health, and there is a little in the way of empirical data linking Physical Literacy to health outcomes. Accordingly, further empirical research is needed to clarify the mechanisms by which Physical Literacy affects physical health. The purpose of this study was to verify the role of medical students' Physical Literacy on Health-related quality of life as well as to explore the chain mediating role of Physical Activity and Subjective Well-being in it.
This study utilized a cross-sectional study design. The Physical Literacy, Health-related Quality of Life, Physical Activity ratings, and Subjective Well-being of students at Shanxi Medical University were all measured using an online survey administered in September 2023. A total of 1968 valid questionnaires were returned. First, descriptive statistics and correlation analysis were performed using SPSS software. Second, PROCESS was used to test the mediating role. Finally, we used structural equation modeling (Amos) to test the model fit.
There is a significant correlation between all variables. After mediation effects analysis, we found that there were three indirect pathways of physical literacy on health-related quality of life: a single mediating effect of physical activity, a single mediating effect of subjective well-being, and a chained mediating effect of physical activity-subjective well-being.
The mediating role of physical activity and subjective well-being on the relationship between physical literacy and health-related quality of life has been confirmed. Our research results support the integration of physical literacy into physical education teaching and the modification of curriculum content by physical education teachers as part of efforts to enhance students' physical activity levels, subjective well-being levels, and overall health. This study provides a new perspective for intervention in improving the health of medical students.
背景/目的：虽然最近的研究强调了身体素养是健康的决定因素之一，但关于其对身体健康影响的研究还很少，实证数据将身体素养与健康结果联系起来的就更少了。因此，需要进一步的实证研究来阐明身体素养影响身体健康的机制。本研究旨在验证医学生的身体素养对健康相关生活质量的影响，并探讨身体活动和主观幸福感在其中的链式中介作用。
本研究采用横断面研究设计。2023 年 9 月，通过在线调查对山西医科大学学生的身体素养、健康相关生活质量、身体活动评分和主观幸福感进行了测量。共回收有效问卷 1968 份。首先，使用 SPSS 软件进行描述性统计和相关性分析。其次，使用 PROCESS 检验中介作用。最后，使用结构方程模型（Amos）检验模型拟合度。
所有变量之间均存在显著相关性。经过中介效应分析，我们发现身体素养对健康相关生活质量有三种间接路径：身体活动的单一中介效应、主观幸福感的单一中介效应、身体活动-主观幸福感的链式中介效应。
身体活动和主观幸福感在身体素养与健康相关生活质量之间的关系中起到了中介作用。我们的研究结果支持将身体素养纳入体育教学中，以及体育教师对课程内容进行修改，以提高学生的身体活动水平、主观幸福感水平和整体健康水平。本研究为改善医学生健康的干预提供了新视角。
