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Meta-Analysis
. 2024 Jun 1;39(3):daae054.
doi: 10.1093/heapro/daae054.

Effectiveness of physical activity interventions on undergraduate students' mental health: systematic review and meta-analysis

Kevin Huang  1 , Emma M Beckman  2 , Norman Ng  2 , Genevieve A Dingle  3 , Rong Han  3 , Kari James  3 , Elisabeth Winkler  2 , Michalis Stylianou  2 , Sjaan R Gomersall  1   4
Affiliations
Meta-Analysis

Effectiveness of physical activity interventions on undergraduate students' mental health: systematic review and meta-analysis

Kevin Huang et al. Health Promot Int. .

Abstract

This systematic review and meta-analysis assessed the effectiveness of physical activity interventions on undergraduate students' mental health. Seven databases were searched and a total of 59 studies were included. Studies with a comparable control group were meta-analysed, and remaining studies were narratively synthesized. The included studies scored very low GRADE and had a high risk of bias. Meta-analyses indicated physical activity interventions are effective in reducing symptoms of anxiety (n = 20, standardized mean difference (SMD) = -0.88, 95% CI [-1.23, -0.52]), depression (n = 14, SMD = -0.73, 95% CI [-1.00, -0.47]) and stress (n = 10, SMD = -0.61, 95% CI [-0.94, -0.28]); however, there was considerable heterogeneity (anxiety, I2 = 90.29%; depression I2 = 49.66%; stress I2 = 86.97%). The narrative synthesis had mixed findings. Only five studies reported being informed by a behavioural change theory and only 30 reported intervention fidelity. Our review provides evidence supporting the potential of physical activity interventions in enhancing the mental health of undergraduate students. More robust intervention design and implementation are required to better understand the effectiveness of PA interventions on mental health outcomes.

Keywords: health behaviours; mental health; physical activity; systematic review; university students.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1:
Fig. 1:
PRISMA Flowchart of study selection (Page et al., 2021).
Fig. 2:
Fig. 2:
(a) Forest Plot for Anxiety. (b) Forest Plot for Depression. (c) Forest Plot for Stress after removing Kim, (2014).
Fig. 2:
Fig. 2:
(a) Forest Plot for Anxiety. (b) Forest Plot for Depression. (c) Forest Plot for Stress after removing Kim, (2014).
See this image and copyright information in PMC

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