Effectiveness of interventions targeting physical activity, nutrition and healthy weight for university and college students: a systematic review and meta-analysis

详细信息    查看全文

• 作者：Ronald C Plotnikoff (1) (2)
  Sarah A Costigan (1) (2)
  Rebecca L Williams (1) (3)
  Melinda J Hutchesson (1) (3)
  Sarah G Kennedy (1) (2)
  Sara L Robards (1) (2)
  Jennifer Allen (2)
  Clare E Collins (1) (3)
  Robin Callister (1) (4)
  John Germov (5)
  
  1. Priority Research Centre for Physical Activity and Nutrition ; University of Newcastle ; Callaghan Campus ; Newcastle ; NSW ; Australia
  2. School of Education ; Faculty of Education and Arts ; University of Newcastle ; Callaghan Campus ; Newcastle ; NSW ; Australia
  3. School of Health Sciences ; Faculty of Health ; University of Newcastle ; Callaghan Campus ; Newcastle ; NSW ; Australia
  4. School of Biomedical Sciences and Pharmacy ; Faculty of Health ; University of Newcastle ; Callaghan Campus ; Newcastle ; NSW ; Australia
  5. School of Humanities and Social Science ; Faculty of Education and Arts ; University of Newcastle ; Callaghan Campus ; Newcastle ; NSW ; Australia
  
• 关键词：University ; College ; Tertiary education institutions ; University students ; Health promotion ; Health behavior ; Healthy universities ; Physical activity ; Exercise ; Diet ; Nutrition ; Weight loss
• 刊名：International Journal of Behavioral Nutrition and Physical Activity
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：12
• 期：1
• 全文大小：1,257 KB
• 参考文献：1. Abu-Moghli, FA, Khalaf, IA, Barghoti, FF, Abu-Moghli, FA, Khalaf, IA, Barghoti, FF (2010) The influence of a health education programme on healthy lifestyles and practices among university students. Int J Nurs Pract 16: pp. 35-42 CrossRef
  Risk factors contributing to chronic disease. Book Risk factors contributing to chronic disease. AIHW, Canberra
  2. Reiner, M, Niermann, C, Jekauc, D, Woll, A (2013) Long-term health benefits of physical activity鈥揳 systematic review of longitudinal studies. BMC Public Health 13: pp. 813 CrossRef
  3. Bonevski, B, Guillaumier, A, Paul, C, Walsh, R (2014) The vocational education setting for health promotion: a survey of students鈥?health risk behaviours and preferences for help. Health Promot J Austr 24: pp. 185-91 CrossRef
  4. Grim, M, Hortz, B, Petosa, R, Grim, M, Hortz, B, Petosa, R (2011) Impact evaluation of a pilot web-based intervention to increase physical activity. Am J Health Promot 25: pp. 227-30 CrossRef
  5. Haase, A, Steptoe, A, Sallis, JF, Wardle, J (2004) Leisure-time physical activity in university students from 23 countries: associations with health beliefs, risk awareness, and national economic development. Prev Med 39: pp. 182-90 CrossRef
  6. Huang, TT-K, Harris, KJ, Lee, RE, Nazir, N, Born, W, Kaur, H (2003) Assessing overweight, obesity, diet, and physical activity in college students. J Am Coll Health 52: pp. 83-6 CrossRef
  7. Irwin, JD (2004) Prevalence of university students鈥?sufficient physical activity: a systematic review. Percept Mot Skills 98: pp. 927-43 CrossRef
  8. Weinstock, J (2010) A review of exercise as intervention for sedentary hazardous drinking college students: rationale and issues. J Am Coll Health 58: pp. 539-44 CrossRef
  Australian Health Survey: First Results. Book Australian Health Survey: First Results. ABS, Canberra
  9. Wirt, A, Collins, CE (2009) Diet quality鈥搘hat is it and does it matter?. Public Health Nutr 12: pp. 2473-92 CrossRef
  Australian Dietary Guidelines. Book Australian Dietary Guidelines. NHMRC, Canberra
  10. Davy, SR, Benes, BA, Driskell, JA (2006) Sex differences in dieting trends, eating habits, and nutrition beliefs of a group of midwestern college students. J Am Diet Assoc 106: pp. 1673-7 CrossRef
  11. Haberman, S, Luffey, D (1998) Weighing in college students鈥?diet and exercise behaviors. J Am Coll Health 46: pp. 189-91 CrossRef
  12. Bothmer, MI, Fridlund, B (2005) Gender differences in health habits and in motivation for a healthy lifestyle among Swedish university students. Nurs Health Sci 7: pp. 107-18 CrossRef
  13. McKinney, CE (2013) Assessment of dietary behaviors of college students participating in the health promotion program BUCS: live well.
  14. Ansari, W, Stock, C, John, J, Deeny, P, Phillips, C, Snelgrove, S (2011) Health promoting behaviours and lifestyle characteristics of students at seven universities in the UK. Cent Eur J Public Health 19: pp. 197
  15. Kattelmann, KK, White, AA, Greene, GW, Byrd-Bredbenner, C, Hoerr, SL, Horacek, TM (2014) Development of Young Adults Eating and Active for Health (YEAH) internet-based intervention via a community-based participatory research model. J Nutr Educ Behav 46: pp. S10-25 CrossRef
  16. Cavallo, DN, Tate, DF, Ries, AV, Brown, JD, DeVellis, RF, Ammerman, AS (2012) A social media鈥揵ased physical activity intervention: a randomized controlled trial. Am J Prev Med 43: pp. 527-32 CrossRef
  17. Gropper, SS, Simmons, KP, Connell, LJ, Ulrich, PV (2012) Changes in body weight, composition, and shape: a 4-year study of college students. Appl Physiol Nutr Metab 37: pp. 1118-23 CrossRef
  18. Fedewa, MV, Das, BM, Evans, EM, Dishman, RK (2014) Change in weight and adiposity in college students: a systematic review and meta-analysis. Am J Prev Med 47: pp. 641-52 CrossRef
  19. Small, M, Bailey-Davis, L, Morgan, N, Maggs, J (2012) Changes in eating and physical activity behaviors across seven semesters of college living on or off campus matters. Health Educ Behav 134: pp. 885-91
  20. Buckworth, J, Nigg, C (2004) Physical activity, exercise, and sedentary behavior in college students. J Am Coll Health 53: pp. 28-34 CrossRef
  21. Nelson, MC, Kocos, R, Lytle, LA, Perry, CL (2009) Understanding the perceived determinants of weight-related behaviors in late adolescence: a qualitative analysis among college youth. J Nutr Educ Behav 41: pp. 287-92 CrossRef
  Trends in Global Higher Education: Tracking an Academic Revolution. Book Trends in Global Higher Education: Tracking an Academic Revolution. UNESCO, Paris
  22. Davis, DV, Mackintosh, B (2012) Making a Difference: Australian International Education. New South Publishing, Sydney
  23. Fredman P. Universities as role models for sustainable development. In European University Association Annual Conference: The Sustainability of European Universities. Warwick; 2012.
  24. Knight, A, Placa, V (2013) Healthy universities: taking the university of Greenwich healthy universities initiative forward. Int J Health Promot Educ 51: pp. 41-9 CrossRef
  25. Zins, JE (2004) Building academic success on social and emotional learning: What does the research say?: Teachers College Press.
  26. Liberati, A, Altman, DG, Tetzlaff, J, Mulrow, C, G酶tzsche, PC, Ioannidis, JPA (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6: pp. e1000100 CrossRef
  27. Livhits, M, Mercado, C, Yermilov, I, Parikh, JA, Dutson, E, Mehran, A (2011) Is social support associated with greater weight loss after bariatric surgery?: a systematic review. Obes Rev 12: pp. 142-8 CrossRef
  28. Sanders, L, Huang, J, Krumholz, HM, Olkin, I, Gardner, CD, Bravata, DM (2003) Efficacy and safety of Low-carbohydrate diets: a systematic review. J Am Med Assoc 289: pp. 1837-50 CrossRef
  29. Franz, MJ, VanWormer, JJ, Crain, AL, Boucher, JL, Histon, T, Caplan, W (2007) Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc 107: pp. 1755-67 CrossRef
  30. Weinheimer, EM, Sands, LP, Campbell, WW (2010) A systematic review of the separate and combined effects of energy restriction and exercise on fat-free mass in middle-aged and older adults: implications for sarcopenic obesity. Nutr Rev 68: pp. 375-88 CrossRef
  31. Evidence Analysis Manual: Steps in the Academy Evidence Analysis Process. [http://www.adaevidencelibrary.com/files/Docs/2012_Jan_EA_Manual.pdf]
  32. Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions: Version 4.2.5. The Cochrane Library: Wiley Blackwell; 2005.
  33. Bowden, RG, Lanning, BA, Doyle, EI, Slonaker, B, Johnston, HM, Scanes, G (2007) Systemic glucose level changes with a carbohydrate-restricted and higher protein diet combined with exercise. J Am Coll Health 56: pp. 147-52 CrossRef
  34. Boyle, J, Mattern, CO, Lassiter, JW, Ritzler, JA, Boyle, J, Mattern, CO (2011) Peer 2 peer: efficacy of a course-based peer education intervention to increase physical activity among college students. J Am Coll Health 59: pp. 519-29 CrossRef
  35. Brown, KN, Wengreen, HJ, Vitale, TS, Anderson, JB, Brown, KN, Wengreen, HJ (2011) Increased self-efficacy for vegetable preparation following an online, skill-based intervention and in-class tasting experience as a part of a general education college nutrition course. Am J Health Promot 26: pp. 14-20 CrossRef
  36. Buscemi, J, Yurasek, AM, Dennhardt, AA, Martens, MP, Murphy, JG (2011) A randomized trial of a brief intervention for obesity in college students. Clin Obes 1: pp. 131-40 CrossRef
  37. Cardinal, BJ, Jacques, KM, Levy, SS (2002) Evaluation of a university course aimed at promoting exercise behavior. J Sports Med Phys Fitness 42: pp. 113-9
  38. Chen, MS, Minton, JP, Adams, B (1989) Changing college students鈥?lifestyles in favor of cancer prevention: a case study. J Cancer Educ 4: pp. 49-54 CrossRef
  39. Claxton, D, Wells, GM, Claxton, D, Wells, GM (2009) The effect of physical activity homework on physical activity among college students. J Phys Act Health 6: pp. 203-10
  40. Evans, AE, Mary, KS, Evans, AE, Mary, KS-M (2002) The right bite program: a theory-based nutrition intervention at a minority college campus. J Am Diet Assoc 102: pp. S89-93 CrossRef
  41. Fischer, DV, Bryant, J, Fischer, DV, Bryant, J (2008) Effect of certified personal trainer services on stage of exercise behavior and exercise mediators in female college students. J Am Coll Health 56: pp. 369-76 CrossRef
  42. Gieck, DJ, Olsen, S, Gieck, DJ, Olsen, S (2007) Holistic wellness as a means to developing a lifestyle approach to health behavior among college students. J Am Coll Health 56: pp. 29-35 CrossRef
  43. Gow, RW, Trace, SE, Mazzeo, SE, Gow, RW, Trace, SE, Mazzeo, SE (2010) Preventing weight gain in first year college students: an online intervention to prevent the 鈥渇reshman fifteen鈥? Eat 11: pp. 33-9 CrossRef
  44. Gray, CH, Colome, JS, Curry-Daly, JR (1987) Elective cancer education: how effective from the public health viewpoint?. Am J Public Health 77: pp. 1207-9 CrossRef
  45. Ha, EJ, Caine-Bish, N, Ha, E-J, Caine-Bish, N (2009) Effect of nutrition intervention using a general nutrition course for promoting fruit and vegetable consumption among college students. J Nutr Educ Behav 41: pp. 103-9 CrossRef
  46. Hager, R, George, JD, LeCheminant, JD, Bailey, BW, Vincent, WJ, Hager, R (2012) Evaluation of a university general education health and wellness course delivered by lecture or online. Am J Health Promot 26: pp. 263-9 CrossRef
  47. Hekler, EB, Gardner, CD, Robinson, TN, Hekler, EB, Gardner, CD, Robinson, TN (2010) Effects of a college course about food and society on students鈥?eating behaviors. Am J Prev Med 38: pp. 543-7 CrossRef
  48. Harvey-Berino, J, Pope, L, Gold, BC, Leonard, H, Belliveau, C, Harvey-Berino, J (2012) Undergrad and overweight: an online behavioral weight management program for college students. J Nutr Educ Behav 44: pp. 604-8 CrossRef
  49. Kolodinsky, J, Green, J, Michahelles, M, Harvey-Berino, JR, Kolodinsky, J, Green, J (2008) The use of nutritional labels by college students in a food-court setting. J Am Coll Health 57: pp. 297-302 CrossRef
  50. Lachausse, RG, Lachausse, RG (2012) My student body: effects of an internet-based prevention program to decrease obesity among college students. J Am Coll Health 60: pp. 324-30 CrossRef
  51. LeCheminant, JD, Smith, JD, Covington, NK, Hardin-Renschen, T, Heden, T, LeCheminant, JD (2011) Pedometer use in university freshmen: a randomized controlled pilot study. Am J Health Behav 35: pp. 777-84 CrossRef
  52. McClary King, K, Ling, J, Ridner, SL, Jacks, DE, Newton, KS, Topp, RV (2013) Fit Into College II: physical activity and nutrition behavior effectiveness and programming recommendations. Recreation Sports J 37: pp. 29-41
  53. Magoc, D, Tomaka, J, Bridges-Arzaga, A, Magoc, D, Tomaka, J, Bridges-Arzaga, A (2011) Using the web to increase physical activity in college students. Am J Health Behav 35: pp. 142-54 CrossRef
  54. Martens, MP, Buscemi, J, Smith, AE, Murphy, JG, Martens, MP, Buscemi, J (2012) The short-term efficacy of a brief motivational intervention designed to increase physical activity among college students. J Phys Act Health 9: pp. 525-32
  55. Musgrave, KO, Thornbury, ME (1976) Weight control program for university students conducted by nutrition seniors. J Am Diet Assoc 68: pp. 462-6
  56. Pearman, SN, Valois, RF, Sargent, RG, Saunders, RP, Drane, JW, Macera, CA (1997) The impact of a required college health and physical education course on the health status of alumni. J Am Coll Health 46: pp. 77-85 CrossRef
  57. Peterson, S, Duncan, DP, Null, DB, Roth, SL, Gill, L, Peterson, S (2010) Positive changes in perceptions and selections of healthful foods by college students after a short-term point-of-selection intervention at a dining hall. J Am Coll Health 58: pp. 425-31 CrossRef
  58. Reed, JA, Powers, A, Greenwood, M, Smith, W, Underwood, R, Reed, JA (2011) Using 鈥減oint of decision鈥?messages to intervene on college students鈥?eating behaviors. Am J Health Promot 25: pp. 298-300 CrossRef
  59. Sallis, JF, Calfas, KJ, Nichols, JF, Sarkin, JA, Johnson, MF, Caparosa, S (1999) Evaluation of a university course to promote physical activity: project GRAD. Res Q Exerc Sport 70: pp. 1-10 CrossRef
  60. Wadsworth, DD, Hallam, JS, Wadsworth, DD, Hallam, JS (2010) Effect of a web site intervention on physical activity of college females. Am J Health Behav 34: pp. 60-9 CrossRef
  61. Werch, CE, Bian, H, Moore, MJ, Ames, S, DiClemente, CC, Weiler, RM (2007) Brief multiple behavior interventions in a college student health care clinic. J Adolesc Health 41: pp. 577-85 CrossRef
  62. Yakusheva, O, Kapinos, K, Weiss, M, Yakusheva, O, Kapinos, K, Weiss, M (2011) Peer effects and the freshman 15: evidence from a natural experiment. Econ Hum Biol 9: pp. 119-32 CrossRef
  63. Alpar, SE, Senturan, L, Karabacak, U, Sabuncu, N, Alpar, SE, Senturan, L (2008) Change in the health promoting lifestyle behaviour of Turkish University nursing students from beginning to end of nurse training. Nurse Educ Pract 8: pp. 382-8 CrossRef
  64. Ince, ML, Ince, ML (2008) Use of a social cognitive theory-based physical-activity intervention on health-promoting behaviors of university students. Percept Mot Skills 107: pp. 833-6
  65. Afifi Soweid, R, Kak, F, Major, S, Karam, D, Rouhana, A, Afifi Soweid, R (2003) Changes in health-related attitude and self-reported behaviour of undergraduate students at the American university of Beirut following a health awareness course. Educ Health 16: pp. 265-78 CrossRef
  66. Skar, S, Sniehotta, FF, Molloy, GJ, Prestwich, A, Araujo-Soares, V, Skar, S (2011) Do brief online planning interventions increase physical activity amongst university students? A randomised controlled trial. Psychol Health 26: pp. 399-417 CrossRef
  67. Tully, MA, Cupples, ME (2011) UNISTEP (university students exercise and physical activity) study: a pilot study of the effects of accumulating 10,000 steps on health and fitness among university students. J Phys Act Health 8: pp. 663-7
  68. Huang, SJ, Hung, WC, Chang, M, Chang, J, Huang, S-J, Hung, W-C (2009) The effect of an internet-based, stage-matched message intervention on young Taiwanese women鈥檚 physical activity. J Health Commun 14: pp. 210-27 CrossRef
  69. Werch, CE, Moore, MJ, Bian, H, DiClemente, CC, Ames, SC, Weiler, RM (2008) Efficacy of a brief image-based multiple-behavior intervention for college students. Ann Behav Med 36: pp. 149-57 CrossRef
  70. Ah, D, Ebert, S, Ngamvitroj, A, Park, N, Kang, DH (2004) Predictors of health behaviours in college students. J Adv Nurs 48: pp. 463-74 CrossRef
  71. Butler, SM, Black, DR, Blue, CL, Gretebeck, RJ (2004) Change in diet, physical activity, and body weight in female college freshman. Am J Health Behav 28: pp. 24-32 CrossRef
  72. Elfhag, K, R枚ssner, S (2005) Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev 6: pp. 67-85 CrossRef
  
• 刊物类别：Chemistry and Materials Science
• 刊物主题：Nutrition
  Behavioural Sciences
  Health Promotion and Disease Prevention
  
• 出版者：BioMed Central
• ISSN：1479-5868

文摘

To examine the effectiveness of interventions aimed at improving physical activity, diet, and/or weight-related behaviors amongst university/college students. Five online databases were searched (January 1970 to April 2014). Experimental study designs were eligible for inclusion. Data extraction was performed by one reviewer using a standardized form developed by the researchers and checked by a second reviewer. Data were described in a narrative synthesis and meta-analyses were conducted when appropriate. Study quality was also established. Forty-one studies were included; of these, 34 reported significant improvements in one of the key outcomes. Of the studies examining physical activity 18/29 yielded significant results, with meta-analysis demonstrating significant increases in moderate physical activity in intervention groups compared to control. Of the studies examining nutrition, 12/24 reported significantly improved outcomes; only 4/12 assessing weight loss outcomes found significant weight reduction. This appears to be the first systematic review of physical activity, diet and weight loss interventions targeting university and college students. Tertiary institutions are appropriate settings for implementing and evaluating lifestyle interventions, however more research is needed to improve such strategies.