International Journal of Education
International Journal of Education. 2025; 7: (7) ; 10.12208/j.ije.20250246 .
总浏览量: 109
扬州大学体育学院 江苏扬州
*通讯作者: 王陈铖,单位:扬州大学体育学院 江苏扬州;
目的 本研究旨在通过网状Meta分析系统比较抗阻运动、有氧运动等8种运动方式对大学生心理健康的影响,填补现有研究中对运动类型差异化效果的空白通过网状Meta分析比较不同运动方式在缓解大学生抑郁、焦虑和压力方面的疗效,为临床决策提供依据。方法 系统检索PubMed、Embase、Cochrane Library、Web of Science等数据库,收集有关运动改善大学生抑郁、焦虑和压力的随机对照试验,检索截止日期为2024年7月1日。采用Cochrane偏倚风险评估工具2.0评估纳入研究的质量,使用R 4.3.2软件进行网状Meta分析。结果 共纳入11项研究,包括1024名大学生。与对照组相比,抗阻运动[MD=-10.76,95%CI(-14.79,-6.71)]、有氧运动[MD=-10.69,95%CI(-14.27,-7.1)]、太极[MD=-4.99,95%CI(-7.72,-2.25)]、Xbox[MD=-1.18,95%CI(-1.68,-0.68)]和八段锦[MD=-0.32,95%CI(-0.52,-0.12)]能显著降低抑郁水平。抗阻运动[MD=-10.7,95%CI(-16.02,-5.41)]、篮球[MD=-10.08,95%CI(-12.44,-7.72)]、Xbox[MD=-1.51,95%CI(-2.07,-0.95)]、高强度间歇训练[MD=-0.92,95%CI(-1.38,-0.45)]和八段锦[MD=-0.12,95%CI(-0.23,-0.02)]能显著降低焦虑水平。Xbox[MD=-1.39,95%CI(-2.14,-0.64)]能显著降低压力水平。累积排序曲线下面积(SUCRA)显示,在改善抑郁方面,抗阻运动(89%)效果最佳;在缓解焦虑方面,抗阻运动(94%)效果最佳;在缓解压力方面,高强度间歇训练(82.4%)效果最佳。结论 不同运动方式对改善大学生抑郁、焦虑和压力均有积极作用,其中抗阻运动在改善抑郁和焦虑方面,高强度间歇训练在缓解压力方面效果最佳。这为大学生心理健康干预提供了新的思路,但仍需更多高质量研究进一步验证。
Objective To compare the efficacy of different exercise modalities in relieving depression, anxiety and stress in college students through reticulated Meta-analysis, and to provide a basis for clinical decision-making. Methods A systematic search of PubMed, Embase, Cochrane Library, Web of Science and other databases was conducted to collect randomized controlled trials on exercise to improve depression, anxiety and stress in college students with a search deadline of July 1, 2024. The quality of the included studies was assessed using the Cochrane Risk of Bias Assessment Tool 2.0, and network meta-analysis was performed using R 4.3.2 software. Results A total of 11 studies were included, including 1024 university students. Compared with the control group, resistance exercise [MD=-10.76, 95% CI (-14.79, -6.71)], aerobic exercise [MD=-10.69, 95% CI (-14.27, -7.1)], tai chi [MD=-4.99, 95% CI (-7.72, -2.25)], and Xbox [MD=-1.18, 95% CI ( -1.68, -0.68)] and baduanjin [MD=-0.32, 95% CI (-0.52, -0.12)] significantly reduced depression levels. resistance exercise [MD=-10.7, 95% CI (-16.02, -5.41)], basketball [MD=-10.08, 95% CI (-12.44, -7.72)], xbox [MD=-1.51, 95% CI (-2.07, -0.95)], high-intensity interval training [MD=-0.92, 95% CI (- 1.38, -0.45)] and Baduanjin [MD=-0.12, 95% CI (-0.23, -0.02)] significantly reduced anxiety levels. xbox [MD=-1.39, 95% CI (-2.14, -0.64)] significantly reduced stress levels. The cumulative ranked area under the curve (SUCRA) showed that resistance exercise (89%) was the most effective in improving depression; resistance exercise (94%) was the most effective in relieving anxiety; and high-intensity interval training (82.4%) was the most effective in relieving stress. Conclusion Different exercise modalities have positive effects on improving depression, anxiety and stress among college students, with resistance exercise being the most effective in improving depression and anxiety, and high-intensity interval training being the most effective in relieving stress. This provides new ideas for mental health interventions for college students, but more high-quality studies are needed for further validation.
[1] World Health Organization. (2013). Mental Health Action Plan 2013–2020. World Health Organization: Geneva.
[2] Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., & Arbuckle, M. R. (2017). Challenges and opportunities in global mental health: A research-to-practice perspective. Current Psychiatry Reports, 19(5), 28.
[3] GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789-1858.
[4] Teh, C. K., Ngo, C. W., Zulkifli, R. A. B., Vellasamy, R., & Suresh, K. (2015). Depression, anxiety and stress among undergraduate students: A cross sectional study. Open Journal of Epidemiology, 5(4), 260-268.
[5] Al-Naggar, R. A., & Al-Naggar, D. H. (2012). Prevalence and associated factors of emotional disorder among Malaysian university students. Public Health, 4, 11.
[6] Koc, M., & Polat, Ü. G. (2006). The mental health of university students. Journal of New Results in Science, 3.
[7] Bruffaerts, R., Mortier, P., Kiekens, G., Auerbach, R. P., Cuijpers, P., Demyttenaere, K., & Kessler, R. C. (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of Affective Disorders, 225, 97-103.
[8] Parthi, K., & Rohilla, S. (2017). A study of mental health, perceived stress, and self-esteem among students in higher education. International Journal of Indian Psychology, 4(4), DIP:18.01.016/20170404.
[9] Bruffaerts, R., Mortier, P., Kiekens, G., Auerbach, R. P., Cuijpers, P., Demyttenaere, K., & Kessler, R. C. (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of Affective Disorders, 225, 97-103.
[10] Hang, Z. (2010). On psychological health problems of college students and countermeasures. Journal of Hunan First Normal University.
[11] Jin-lin, W. (2004). A probe into the psychological health education in university students' community. Journal of Kunming University of Science and Technology.
[12] Schmitter, M., Spijker, J., Smit, F., Tendolkar, I., Donders, R., Eijsvogels, T., & Schene, A. H. (2020). Exercise enhances: study protocol of a randomized controlled trial on aerobic exercise as depression treatment augmentation. BMC Psychiatry, 20(1), 585.
[13] Morres, I. D., Hinton-Bayre, A., Motakis, E., Carter, T., & Callaghan, P. (2019). A pragmatic randomised controlled trial of preferred intensity exercise in depressed adult women in the United Kingdom: secondary analysis of individual variability of depression. BMC Public Health, 19(1), 941.
[14] Henriksson, M., Wall, A., Nyberg, J., Adiels, M., Lundin, K., Bergh, Y., & Åberg, M. (2022). Effects of exercise on symptoms of anxiety in primary care patients: A randomized controlled trial. Journal of Affective Disorders, 297, 26-34.
[15] Sharma, M., & Haider, T. (2015). Tai chi as an alternative and complementary therapy for anxiety: a systematic review. Journal of Evidence-Based Complementary & Alternative Medicine, 20(2), 143-153.
[16] Nel, K. A., & Tshikovhele, K. L. (2018). The influence of exercise on depression and psychological well-being amongst students at a tertiary education campus. Advances in Social Sciences Research Journal, 5(2).
[17] Deslandes, A. C. (2014). Exercise and mental health: what did we learn in the last 20 years. Frontiers in Psychiatry, 5, 66.
[18] Jiang, M. (2016). Differences research on physical exercises impacts on university student mood boosting. Journal of Residuals Science & Technology, 13.
[19] Grant, E. S., & Calderbank-Batista, T. (2013). Network meta-analysis for complex social interventions: Problems and potential. Journal of the Society for Social Work and Research, 4(4), 406-420.
[20] Noetel, M., Sanders, T., Gallardo-Gómez, D., et al. (2024). Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ, 384.
[21] Sterne, J. A., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., & Higgins, J. P. (2019). RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898.
[22] Sutton, A. J., & Abrams, K. R. (2001). Bayesian methods in meta-analysis and evidence synthesis. Statistical Methods in Medical Research, 10(4), 277-303.
[23] Salanti, G., Del Giovane, C., Chaimani, A., Caldwell, D. M., & Higgins, J. P. (2014). Evaluating the quality of evidence from a network meta-analysis. PloS One, 9(7), e99682.
[24] Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P., & Schünemann, H. J. (2008). GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 336(7650), 924-926.
[25] Dechamps, A., Quintard, B., & Lafont, L. (2008). Effets d’une intervention courte en tai-chi-chuan sur le sentiment d’efficacité, l’anxiété et les troubles émotionnels chez des étudiants ayant un style de vie sédentaire. European review of applied psychology, 58(2), 125-132.
[26] Xiao, T., Jiao, C., Yao, J., Yang, L., Zhang, Y., Liu, S., & Zhang, J. (2021). Effects of basketball and Baduanjin exercise interventions on problematic smartphone use and mental health among college students: a randomized controlled trial. Evidence‐Based Complementary and Alternative Medicine, 2021(1), 8880716.
[27] Li, K., Walczak-Kozłowska, T., Lipowski, M., Li, J., Krokosz, D., Su, Y., & Fan, H. (2022). The effect of the Baduanjin exercise on COVID-19-related anxiety, psychological well-being and lower back pain of college students during the pandemic. BMC Sports Science, Medicine and Rehabilitation, 14(1), 102.
[28] Zhang, J., Gao, T., Li, Y., Song, Z., Cui, M., Wei, Q., & Lyu, S. (2023). The effect of Bafa Wubu of Tai Chi on college students’ anxiety and depression: A randomized, controlled pilot study. Frontiers in Physiology, 14, 1036010.
[29] Zhang, Y., & Jiang, X. (2023). The effect of Baduanjin exercise on the physical and mental health of college students: a randomized controlled trial. Medicine, 102(34), e34897.
[30] Zhao, Y., Wang, W., Wang, M., Gao, F., Hu, C., Cui, B., & Ren, H. (2023). Personalized individual-based exercise prescriptions are effective in treating depressive symptoms of college students during the COVID-19: a randomized controlled trial in China. Frontiers in Psychiatry, 13, 1015725.
[31] Wan Yunus, F., Tan, X. Z., & Romli, M. H. (2020). Investigating the feasibility of exergame on sleep and emotion among university students. Games for health journal, 9(6), 415-424.
[32] Li, R., Yan, R., Cheng, W., & Ren, H. (2022). Effect of resistance training on heart rate variability of anxious female college students. Frontiers in Public Health, 10, 1050469.
[33] Huang, W. C., Chiu, P. C., & Ho, C. H. (2022). The sprint-interval exercise using a spinning bike improves physical fitness and ameliorates primary dysmenorrhea symptoms through hormone and inflammation modulations: a randomized controlled trial. Journal of Sports Science & Medicine, 21(4), 595.
[34] Philippot, A., Moulin, P., Charon, M. H., Balestra, C., Dubois, V., de Timary, P., & Lambrechts, K. (2022). Feasibility of online high-intensity interval training (HIIT) on psychological symptoms in students in lockdown during the COVID-19 pandemic: a randomized controlled trial. Frontiers in psychiatry, 13, 904283.
[35] Hülya Aşçı, F. (2009). Sex differences in psychological effects of exercise. International Journal of Psychology, 44(4), 313-320.
[36] Penninx, B. W., Rejeski, W. J., Pandya, J., Miller, M. E., Di Bari, M., Applegate, W. B., & Pahor, M. (2002). Exercise and depressive symptoms: a comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57(2), P124-P132.
[37] Strickland, J. C., & Smith, M. A. (2014). The anxiolytic effects of resistance exercise. Frontiers in Psychology, 5, 753.
[38] Gordon, B. R., McDowell, C. P., Hallgren, M., Meyer, J. D., Lyons, M., & Herring, M. P. (2018). Association of efficacy of resistance exercise training with depressive symptoms: meta-analysis and meta-regression analysis of randomized clinical trials. JAMA Psychiatry, 75(6), 566-576.
[39] Strickland, J. C., & Smith, M. A. (2014). The anxiolytic effects of resistance exercise. Frontiers in Psychology, 5, 753.
[40] Carek, P. J., Laibstain, S. E., & Carek, S. M. (2011). Exercise for the treatment of depression and anxiety. International Journal of Psychiatry in Medicine, 41(1), 15-28.
[41] Kwok, J. Y., Kwan, J. C., Auyeung, M., Mok, V. C., Lau, C. K., Choi, K. C., & Chan, H. Y. (2019). Effects of mindfulness yoga vs stretching and resistance training exercises on anxiety and depression for people with Parkinson disease: a randomized clinical trial. JAMA Neurology, 76(7), 755-763.
[42] Eime, R. M., Young, J. A., Harvey, J. T., Charity, M. J., & Payne, W. R. (2013). A systematic review of the psychological and social benefits of participation in sport for adults: informing development of a conceptual model of health through sport. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 135.
[43] Wang, F., Lee, E. K. O., Wu, T., Benson, H., Fricchione, G., Wang, W., & Yeung, A. S. (2014). The effects of tai chi on depression, anxiety, and psychological well-being: a systematic review and meta-analysis. International Journal of Behavioral Medicine, 21(4), 605-617.
[44] Sharma, M., & Haider, T. (2015). Tai chi as an alternative and complementary therapy for anxiety: a systematic review. Journal of Evidence-Based Complementary & Alternative Medicine, 20(2), 143-153.
[45] Wang, C., Bannuru, R., Ramel, J., Kupelnick, B., Scott, T., & Schmid, C. H. (2010). Tai Chi on psychological well-being: systematic review and meta-analysis. BMC Complementary and Alternative Medicine, 10(1), 23.
[46] Zou, L., Yeung, A., Li, C., Wei, G. X., Chen, K. W., Kinser, P. A., & Ren, Z. (2018). Effects of meditative movements on major depressive disorder: A systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Medicine, 7(8), 195.
[47] Gerber, M., & Pühse, U. (2009). Do exercise and fitness protect against stress-induced health complaints? A review of the literature. Scandinavian Journal of Public Health, 37(8), 801-819.
[48] Martland, R., Mondelli, V., Gaughran, F., & Stubbs, B. (2020). Can high-intensity interval training improve physical and mental health outcomes? A meta-review of 33 systematic reviews across the lifespan. Journal of Sports Sciences, 38(4), 430-469.
[49] Werneck, A. O., Collings, P. J., Barboza, L. L., Stubbs, B., & Silva, D. R. (2019). Associations of sedentary behaviors and physical activity with social isolation in 100, 839 school students: The Brazilian Scholar Health Survey. General Hospital Psychiatry, 59, 7-13.
[50] Fleming, T. M., Bavin, L., Stasiak, K., Hermansson-Webb, E., Merry, S. N., Cheek, C., & Hetrick, S. (2017). Serious games and gamification for mental health: current status and promising directions. Frontiers in Psychiatry, 7, 215.
[51] Li, J., Theng, Y. L., & Foo, S. (2014). Game-based digital interventions for depression therapy: a systematic review and meta-analysis. Cyberpsychology, Behavior, and Social Networking, 17(8), 519-527.
[52] Russoniello, C. V., O'Brien, K., & Parks, J. M. (2009). The effectiveness of casual video games in improving mood and decreasing stress. Journal of CyberTherapy and Rehabilitation, 2(1), 53-66.
[53] Ekkekakis, P. (2017). People have feelings! Exercise psychology in paradigmatic transition. Current Opinion in Psychology, 16, 84-88.
[54] Parfitt, G., & Hughes, S. (2009). The exercise intensity-affect relationship: Evidence and implications for exercise behavior. Journal of Exercise Science & Fitness, 7(2 Suppl), S34-S41.
[55] Ekkekakis, P. (2003). Pleasure and displeasure from the body: Perspectives from exercise. Cognition and Emotion, 17(2), 213-239.
[56] Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gøtzsche, P. C., Devereaux, P. J., & Altman, D. G. (2010). CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ, 340, c869.
[57] Higgins, J. P., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., & Welch, V. A. (Eds.). (2021). Cochrane handbook for systematic reviews of interventions. John Wiley & Sons.
[58] Rebar, A. L., Stanton, R., Geard, D., Short, C., Duncan, M. J., & Vandelanotte, C. (2015). A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations. Health Psychology Review, 9(3), 366-378.
[59] Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., & Swain, D. P. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43(7), 1334-1359.
[60] Ekkekakis, P., Parfitt, G., & Petruzzello, S. J. (2011). The pleasure and displeasure people feel when they exercise at different intensities: decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Medicine, 41(8), 641-671.