A Meta-analysis on the effectiveness of multiple health education implementation forms on exercise behavior among college students

LI Zhen; WANG Chenyu; XIAO Tao; ZHEN Jie; HAN Yongqiang

doi:10.16835/j.cnki.1000-9817.2021.08.009

Volume 42 Issue 8

Aug. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(8): 1156-1161

LI Zhen, WANG Chenyu, XIAO Tao, ZHEN Jie, HAN Yongqiang. A Meta-analysis on the effectiveness of multiple health education implementation forms on exercise behavior among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1156-1161. doi: 10.16835/j.cnki.1000-9817.2021.08.009

Citation:

LI Zhen, WANG Chenyu, XIAO Tao, ZHEN Jie, HAN Yongqiang. A Meta-analysis on the effectiveness of multiple health education implementation forms on exercise behavior among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1156-1161. doi: 10.16835/j.cnki.1000-9817.2021.08.009

Citation:

LI Zhen, WANG Chenyu, XIAO Tao, ZHEN Jie, HAN Yongqiang. A Meta-analysis on the effectiveness of multiple health education implementation forms on exercise behavior among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1156-1161. doi: 10.16835/j.cnki.1000-9817.2021.08.009

PDF( 630 KB)

A Meta-analysis on the effectiveness of multiple health education implementation forms on exercise behavior among college students

doi: 10.16835/j.cnki.1000-9817.2021.08.009

LI Zhen^{1, 2},
WANG Chenyu¹,
XIAO Tao^{1, 2
,
,},
ZHEN Jie^{1, 2},
HAN Yongqiang³

1.
College of Physical Education, Zhengzhou University, Zhengzhou(450001), China

Received Date: 2021-02-01
Rev Recd Date: 2021-04-17

Available Online: 2021-08-20

Publish Date: 2021-08-25

Abstract

Abstract

Objective To compare the effectiveness of three forms of health education including classroom teaching, network teaching and after-class tutoring on exercise behavior among college students. Methods A literature search was performed using web of science, PubMed, ScienceDirect, Scopus, Cochrane Library, and CNKI database on randomized controlled trials of health education intervention on exercise behavior among college students. Literature filtering, data extraction, and assessment of the risks of bias were conducted by two independent researchers using Stata 16.0 software based on traditional Meta-analysis and network meta-analysis. Results A total of 23 literatures were included. The results showed that health education courses could effectively increase the weekly exercise time of college students(SMD=0.29), exercise frequency (SMD=0.25) and number of students participating in exercise(OR=1.33). Subgroup analysis revealed that the increase in classroom teaching and network teaching associated with increased weekly exercise time (SMD=0.45, 0.36), exercise frequency (SMD=0.22, 0.37) and exercise number (OR=1.36, 1.26)(all P < 0.05); The effect of after-class tutoring on the time and frequency of weekly exercise was not statistically significant(P>0.05). Indirect comparison showed that the effects of classroom teaching and network teaching on weekly exercise time, and exercise frequency were superior to that of extracurricular counselling(P < 0.05); There were no significant differences in the weekly exercise time, frequency and number of participants between the two groups(P>0.05). Based on SUCRA method and the effect size, health education in the form of classroom teaching may have the greatest effect on the weekly exercise time, frequency and the number of students participating in the exercise(SUCRA=91.5, 94.1, 87.1). Conclusion Health education in the form of classroom teaching and network teaching can positively influence exercise behavior of college students.It is suggested that health education courses should be carried out in college courses so as to better promote college students to participate in physical exercise.
- Health education,
- Exercise movement techniques,
- Meta-analysis,
- Behavior,
- Students

FullText(HTML)

References(42)

References

[1]	季建林, 叶尘宇. 行为决定健康: 改变不良行为方式, 提高生活质量[J]. 中华行为医学与脑科学杂志, 2020, 29(9): 769-773. doi: 10.3760/cma.j.cn371468-20200811-01645 JI J L, YE C Y. Health is depended on the behavioral style: changing the unhealthy life habits and improving the quality of life[J]. Chin J Behav Med Brain Sci, 2020, 29(9): 769-773. doi: 10.3760/cma.j.cn371468-20200811-01645
[2]	李玉周, 尹继鑫, 张戈. "体质"到"健康促进": 我国学生体质研究的热点嬗变[J]. 沈阳体育学院学报, 2019, 38(1): 94-100. doi: 10.3969/j.issn.1004-0560.2019.01.015 LI Y Z, YIN J X, ZHANG G. From "Physique" to "Health Promotion": evolution of Hotspots in the Study of Students' Physique in China[J]. J Shenyang Sport Univ, 2019, 38(1): 94-100. doi: 10.3969/j.issn.1004-0560.2019.01.015
[3]	HAGER R, GEORGE J D, LECHEMINANT J D, et al. Evaluation of a university general education health and wellness course delivered by lecture or online[J]. Am J Health Promot, 2012, 26(5): 263-269. doi: 10.4278/ajhp.101020-QUAN-344
[4]	MARCO M, PHILIP B W, ERICA G, et al. Promoting physical activity among university students: a systematic review of controlled trials[J]. Am J Health Promot, 2018, 32(7): 1602-1612. doi: 10.1177/0890117117753798
[5]	彭玉林, 杨军, 闫建华. 国内外大学生生活方式与体质健康研究现状[J]. 中国学校卫生, 2020, 41(10): 1583-1587. doi: 10.16835/j.cnki.1000-9817.2020.10.040 PENG Y L, YANG J, YAN J H. Research status of college students' lifestyle and physical health at home and abroad[J]. Chin J Sch Health, 2020, 41(10): 1583-1587. doi: 10.16835/j.cnki.1000-9817.2020.10.040
[6]	ALESSANDRO L, ALTMAN D G. JENNIFER T, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration[J]. J Clin Epidemiol, 2009, 62(10): el-34.
[7]	韩文华, 苏煜, 高嵘. 体医融合健康促进教学模式对大学生健康行为和健康状况的影响[J]. 中国健康教育, 2019, 35(10): 881-884. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201910005.htm HAN W H, SU Y, GAO R. The influence of fusion of physical education and medicine health promotion teaching model on college students' health behavior and health condition[J]. Chin J Health Educ, 2019, 35(10): 881-884. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201910005.htm
[8]	LACHAUSSE R G. My student body: effects of an internet-based prevention program to decrease obesity among college students[J]. J Am Coll Health, 2012, 60(4): 324-330. doi: 10.1080/07448481.2011.623333
[9]	WRIGHT R R, NELSON R, GARCIA S, et al. Health behavior change in the classroom: a means to a healthy end?[J]. J Prim Prev, 2020, 41(5): 445-472. doi: 10.1007/s10935-020-00605-0
[10]	BUSCEMI J, YURASEK A M, DENNHARDT A A, et al. A randomized trial of a brief intervention for obesity in college students[J]. Clin Obes, 2011, 1(4/6): 131-140. http://europepmc.org/abstract/med/25585901
[11]	WERCH C E C, BIAN H, MOORE M J, et al. Brief multiple behavior interventions in a college student health care clinic[J]. J Adolesc Health, 2007, 41(6): 577-585. doi: 10.1016/j.jadohealth.2007.06.003
[12]	蔡云燕, 宁丽娟, 王拱彪, 等. 运动处方和手机APP健康教育对女大学生身体自尊及心理健康的影响[J]. 中国学校卫生, 2019, 40(10): 1503-1505. doi: 10.16835/j.cnki.1000-9817.2019.10.018 CAI Y Y, NING L J, WANG G B, et al. Effect of exercise prescription and mobile APP for health education on the physical self-esteem, and mental health among female college students[J]. Chin J Sch Health, 2019, 40(10): 1503-1505. doi: 10.16835/j.cnki.1000-9817.2019.10.018
[13]	HONG M Y, SHEPANSKI T L, GAYLIS J B. Majoring in nutrition influences BMI of female college students[J]. J Nutr Sci, 2016, 5. DOI: 10.1017/jns.2015.24.
[14]	JOSEPH R P, PEKMEZI D, DUTTON G R, et al. Results of a culturally adapted internet-enhanced physical activity pilot intervention for overweight and obese young adult african American women[J]. J Transcult Nur, 2016, 27(2): 136-146. doi: 10.1177/1043659614539176
[15]	MAGOC D, TOMAKA J, BRIDGES-ARZAGA A. Using the web to increase physical activity in college students[J]. Am J Health Behav, 2011, 35(2): 142-154.
[16]	GRIM M, HORTZ B, PETOSA R. Impact evaluation of a pilot web-based intervention to increase physical activity[J]. Am J Health Promot, 2011, 25(4): 227-230. doi: 10.4278/ajhp.081216-ARB-307
[17]	WADSWORTH D D, HALLAM J S. Effect of a web site intervention on physical activity of college females[J]. Am J Health Behav, 2010, 34(1): 60-69. http://europepmc.org/abstract/MED/19663753
[18]	于梅子, 钮文异, 文湘田, 等. 北京某大学本科生运动行为综合干预效果评价[J]. 中国学校卫生, 2010, 31(6): 653-655. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201006006.htm YU M Z, NIU W Y, WEN X T, et al. Effect of integrated intervention on physical exercise practice among undergraduates of a university in Beijing[J]. Chin J Sch Health, 2010, 31(6): 653-655. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201006006.htm
[19]	ABU-MOGHLI F A, KHALAF I A, BARGHOTI F F. The influence of a health education programme on healthy lifestyles and practices among university students[J]. Int J Nur Pract, 2010, 16(1): 35-42. doi: 10.1111/j.1440-172X.2009.01801.x
[20]	WERCH C E, MOORE M J, BIAN H, et al. Efficacy of a brief image-based multiple-behavior intervention for college students[J]. Ann Behav Med, 2008, 36(2): 149-157. doi: 10.1007/s12160-008-9055-6
[21]	郭凌云, 吴凤彬. 多元化健康教育促进大学生体育锻炼行为的效果评价[J]. 中国学校卫生, 2021, 42(1): 50-53. doi: 10.16835/j.cnki.1000-9817.2021.01.012 GUO L Y, WU F B. Evaluation on the effect of diversified health education in promoting college students' physical exercise behavior[J]. Chin J Sch Health, 2021, 42(1): 50-53. doi: 10.16835/j.cnki.1000-9817.2021.01.012
[22]	李凤英, 汪晓琳. 大学生饮食与运动行为健康教育效果[J]. 中国学校卫生, 2014, 35(6): 822-825. http://www.cjsh.org.cn/article/id/zgxxws201406008 LI F Y, WANG X L. Effect of health education course intervention on diet and exercise behavior among college students[J]. Chin J Sch Health, 2014, 35(6): 822-825. http://www.cjsh.org.cn/article/id/zgxxws201406008
[23]	王拱彪, 余静, 宁丽娟, 等. 手机APP健康教育和运动处方锻炼对大学生体质及健康生活方式的影响[J]. 中国学校卫生, 2019, 40(8): 1232-1234. doi: 10.16835/j.cnki.1000-9817.2019.08.031 WANG G B, YU J, NING L J, et al. Effects of mobile APP health education and exercise prescription on college students' physique and healthy lifestyle[J]. Chin J Sch Health, 2019, 40(8): 1232-1234. doi: 10.16835/j.cnki.1000-9817.2019.08.031
[24]	何雯. 基于微信公众平台对大学生社会适应能力及健康生活方式的效果评价[J]. 中国健康教育, 2020, 36(9): 851-853. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202009019.htm HE W. Effect of social adaptability and healthy lifestyle among college students by wechat public platform[J]. Chin J Health Educ, 2020, 36(9): 851-853. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202009019.htm
[25]	YANG X, YU H, LIU M, et al. The impact of a health education intervention on health behaviors and mental health among Chinese college students[J]. J Am Coll Health, 2020, 68(6): 587-592. doi: 10.1080/07448481.2019.1583659
[26]	BU S. Transitional changes in energy intake, skeletal muscle content and nutritional behavior in college students during course-work based nutrition education[J]. Clin Nutr Res, 2013, 2(2): 125. doi: 10.7762/cnr.2013.2.2.125
[27]	张河川. 健康教育在促进学生体质中的作用[J]. 中国学校卫生, 2006, 27(8): 696-697. doi: 10.3969/j.issn.1000-9817.2006.08.018 ZHANG H C. The function of health education in promoting students' physique[J]. Chin J Sch Health, 2006, 27(8): 696-697. doi: 10.3969/j.issn.1000-9817.2006.08.018
[28]	何敏, 刘鑫, 白林. 健康教育课对大学生健康知识与行为的影响分析[J]. 中国学校卫生, 2011, 32(4): 426-427. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201104021.htm HE M, LIU X, BAI L. Effect of health education on health knowledge and behavior of university students[J]. Chin J Sch Health, 2011, 32(4): 426-427. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201104021.htm
[29]	DUAN Y P, WIENERT J, HU C, et al. Web-based intervention for physical activity and fruit and vbgetable intake among Chinese university students: a randomized controlled Trial[J]. J Med Internet Res, 2017, 19(4): e106. doi: 10.2196/jmir.7152
[30]	王登峰. 新时代学校卫生与健康教育工作的价值与路径[J]. 中国学校卫生, 2020, 41(11): 1606-1609, 1613. doi: 10.16835/j.cnki.1000-9817.2020.11.002 WANG D F. The importance and pathways for school health and health education in the new era[J]. Chin J Sch Health, 2020, 41(11): 1606-1609, 1613. doi: 10.16835/j.cnki.1000-9817.2020.11.002
[31]	李小伟, 袁圣敏. 后疫情时期中国体育与健康教育的思考与发展策略研究[J]. 成都体育学院学报, 2020, 46(5): 15-20. https://www.cnki.com.cn/Article/CJFDTOTAL-SORT202005004.htm LI X W, YUAN S M. Thinking and development strategy on physical education and health education in post-epidemic period in China[J]. J Chengdu Sport Univ, 2020, 46(5): 15-20. https://www.cnki.com.cn/Article/CJFDTOTAL-SORT202005004.htm
[32]	WILSON O W A, BOPP C M, PAPALIA Z, et al. Freshman physical activity constraints are related to the current health behaviors and outcomes of college upperclassmen[J]. J Am Coll Health, 2020: 1-7. DOI: 10.1080/07448481.2020.1785475.
[33]	陈华卫, 吴雪萍. 体质健康知识促进青少年体力活动的角色、价值与路径[J]. 中国体育科技, 2020, 46(5): 1-8. CHEN H W, WU X P. Route of promotion of health-related fitness knowledge's role and value on physical activity[J]. Chin Sport Sci Technol, 2020, 46(5): 1-8.
[34]	CENGIZ C, INCE M L. Impact of social-ecologic intervention on physical activity knowledge and behaviors of rural students[J]. J Phys Act Health, 2014, 11(8): 1565-1572. doi: 10.1123/jpah.2013-0080
[35]	乔玉成. 青少年锻炼习惯的养成机制及影响因素[J]. 体育学刊, 2011, 18(3): 87-94. doi: 10.3969/j.issn.1006-7116.2011.03.018 QIAO Y C. Forming mechanism and affecting factors of exercising habits of teenagers[J]. J Phys Educ, 2011, 18(3): 87-94. doi: 10.3969/j.issn.1006-7116.2011.03.018
[36]	邱达明. 大学生锻炼行为和坚持性与自我管理能力对体育锻炼的影响[J]. 中国学校卫生, 2016, 37(3): 441-444. doi: 10.16835/j.cnki.1000-9817.2016.03.036 QIU D M. The influence of exercise behavior, persistence and self-management ability on physical exercise of college students[J]. Chin J Sch Health, 2016, 37(3): 441-444. doi: 10.16835/j.cnki.1000-9817.2016.03.036
[37]	BURCH G, HELLER J A, BURCH J J, et al. Web-based and face-to-face classes: are there unintended outcomes?[J]. J Manag Dev, 2016, 35(8): 1031-1044. doi: 10.1108/JMD-06-2015-0088
[38]	CATARINO E, CARVALHO N, CARDOSO M E, et al. Proceedings of the 3rd IPLeiria's international health congress: leiria, portugal. 6-7 May 2016[J]. BMC Health Serv Res, 2016, 16 (Suppl 3): 200. http://www.rdpc.uevora.pt/bitstream/10174/18646/1/1-Leira-ProceedingMaio2016.pdf
[39]	刘星亮, 陈义龙, 刘辉, 等. 青少年体质健康教育模式研究[J]. 武汉体育学院学报, 2012, 46(3): 74-78. doi: 10.3969/j.issn.1000-520X.2012.03.015 LIU X L, CHEN Y L, LIU H, et al. Adolescent health education mode[J]. J Wuhan Inst Phys Educ, 2012, 46(3): 74-78. doi: 10.3969/j.issn.1000-520X.2012.03.015
[40]	MANNOCCI A, D EGIDIO V, BACKHAUS I, et al. Are there effective interventions to increase physical activity in children and young people?An umbrella review[J]. Int J Environ Res Public Health, 2020, 17(10): 3528. doi: 10.3390/ijerph17103528
[41]	BELOGIANNI K, BALDWIN C. Types of interventions targeting dietary, physical activity, and weight-related outcomes among university students: a systematic review of systematic reviews[J]. Adv Nutr, 2019, 10(5): 848-863. doi: 10.1093/advances/nmz027
[42]	章建成, 平杰, 任杰, 等. 中、小学学生体质健康教育模式的构建及干预策略分析[J]. 体育科学, 2012, 32(12): 15-23. doi: 10.3969/j.issn.1000-677X.2012.12.003 ZHANG J C, PING J, REN J, et al. Construction of health and fitness educational model for school children and the analysis of educational intervention strategies[J]. Chin Sport Sci, 2012, 32(12): 15-23. doi: 10.3969/j.issn.1000-677X.2012.12.003