《中国康复理论与实践》

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (1): 38-47.doi: 10.3969/j.issn.1006-9771.2023.01.006

• 循证研究 • 上一篇    下一篇

大学生身体活动的心理行为健康和功能效果：基于ICF的系统综述

叶绿1, 王斌2, 邱服冰3,4()   

  1. 1.扬州大学体育学院，江苏扬州市 225100
    2.华中师范大学体育学院，湖北武汉市 430070
    3.深圳大学体育学院，广东深圳市 518060
    4.世界卫生组织国际健康分类家族合作中心，北京市 100068
  • 收稿日期:2022-09-23 修回日期:2022-09-28 出版日期:2023-01-25 发布日期:2023-02-17
  • 通讯作者: 邱服冰(1966-)，男，汉族，湖北公安县人，副教授，主要研究方向：体育与健康，康复心理学，运动与康复，E-mail： 13902932056@163.com。
  • 作者简介:叶绿(1987-)，男，汉族，河南信阳市人，博士，讲师，主要研究方向：运动健康促进、身体活动干预、康复心理学。
  • 基金资助:
    1.国家社会科学基金项目(18BGL119);2.扬州大学2020年校教改课题(YZUJX2020-D13);3.扬州大学人文社会科学基金项目(136020022)

Effects of physical activity on mental and behavioral health and functioning for college students: a systematic review using ICF

YE Lü1, WANG Bin2, QIU Fubing3,4()   

  1. 1. College of Physical Education, Yangzhou University, Yangzhou, Jiangsu 225100, China
    2. School of Physical Education, Central China Normal University, Wuhan, Hubei 430070, China
    3. School of Physical Education, Shenzhen University, Shenzhen, Guangdong 518060, China
    4. WHO-FIC Collaborating Center in China, Beijing 100068, China
  • Received:2022-09-23 Revised:2022-09-28 Published:2023-01-25 Online:2023-02-17
  • Contact: QIU Fubing, E-mail: 13902932056@163.com
  • Supported by:
    National Social Science Foundation Project(18BGL119);Yangzhou University Education Reform Project 2020(YZUJX2020-D13);Humanities and Social Science Foundation of Yangzhou University(136020022)

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摘要：

目的 基于《国际功能、残疾和健康分类》(ICF)构建具有心理行为健康和功能问题的大学生参与身体活动的干预效果范畴及架构。

方法 运用ICF对大学生常见心理行为健康及功能状况进行系统分析。检索PubMed、Web of Science、EBSCO、中国知网等数据库，收集建库至2022年8月20日公开发表的大学生参与身体活动的健康及功能结局的相关文献，进行系统综述。

结果 最终纳入英文文献10篇，来自7个国家，涉及10项随机对照试验848例被试，年龄15~34岁；主要来源于康复科学、运动康复、康复心理学和健康心理学等期刊，发表时间集中在2016年之后。大学生心理行为健康和功能问题主要集中于压力、焦虑、抑郁、睡眠障碍、学习疲劳、手机成瘾、饮酒障碍、久坐行为和身体活动不足。身体活动干预方式有生命舞蹈、哈他瑜伽、太极拳、篮球、八段锦、自行车、游泳、轮滑、棒球、伸展练习、技能训练、抗阻训练、有氧运动等。干预处方主要为长期(4~14周)的每周1~3次的高、中、低强度身体活动。健康结局涉及改善大学生的认知功能，缓解压力、焦虑、抑郁和学习疲劳，减少消极自动思维，增强正念，降低孤独感和缺陷感，提高睡眠质量，提高上肢肌肉耐力；促进运动习惯的培养，增加身体活动参与，提高活动表现和学业成绩，减少久坐行为、饮酒行为和问题性手机使用，增加社会交往；提高健康知觉和心理社会功能，丰富和改善娱乐休闲生活和校园生活，提高人际关系质量、生活质量和幸福感。

结论 基于ICF构建了心理行为健康和功能问题大学生参与身体活动的理论架构。大学生常见的心理行为健康和功能问题主要分为心理健康和功能问题、行为健康和功能问题。身体活动的干预类型分为体适能类、技能类、运动项目类、组合类。健康结局包括3个方面：身体和心理健康、活动和行为健康及整体功能和生活质量。

关键词: 国际功能、残疾和健康分类, 大学生, 身体活动, 心理行为问题, 健康, 功能, 康复, 系统综述

Abstract:

Objective To construct the physical activity intervention effect category and framework for college students with mental and behavioral health and functioning problems based on International Classification of Functioning, Disability, and Health (ICF).

Methods The typical mental and behavioral health and functioning condition of college students were systematically analyzed using ICF. Relevant literatures about the health and functioning outcomes of college students participating in physical activity were retrieved from the databases of PubMed, Web of Science, EBSCO, and CNKI, from the establishment to August 20th, 2022, and reviewed systematically.

Results Ten English literatures were included, involving ten randomized controlled trials with 848 participants aged 15 to 34 years from seven countries, mainly from the journals of rehabilitation science, sports rehabilitation, rehabilitation psychology and health psychology, and were mainly published after 2016. The typical mental and behavioral health and functioning problems of college students mainly focused on stress, anxiety, depression, sleep disorders, learning fatigue, mobile phone addiction, alcohol drinking disorder, sedentary behavior and physical inactivity. Physical activity interventions included Biodanza, Hatha Yoga, Tai Chi, basketball, Baduanjin, cycling, swimming, roller skating, baseball, skill training, stretching exercise, resistance training, and aerobic exercise, etc. The frequency of interventions was mainly a long-term (four to 14 weeks, one to three times per week) program of high-, moderate-, or low-intensity physical activity. The health outcomes included improving cognitive function, relieving stress, anxiety, depression and learning fatigue, reducing negative automatic thinking, enhancing mindfulness, reducing loneliness and deficiency, improving sleep quality, improving upper limb muscle endurance; promoting the development of exercise habits, increasing physical activity participation, improving activity performance and academic performance, reducing sedentary behavior, drinking behavior and problematic mobile phone use; increasing social interaction, improving health perception and psychosocial function, enriching and improving recreation and campus life, and improving the quality of interpersonal relationships, quality of life and well-being.

Conclusion A conceptual framework of physical activity participation of college students with mental and behavioral health and functioning problems is constructed using ICF. The typical mental and behavioral health and functioning problems of college students are mainly classified as mental health and functioning problems, behavioral health and functioning problems. The intervention types of physical activity are divided into physical fitness category, skill category, sports category and combination category. Health outcomes can be reflected in three dimensions: physical and mental health, activity and behavioral health, and overall functioning and quality of life.

Key words: International Classification of Functioning, Disability and Health, college student, physical activity, mental and behavioral problem, health, functioning, rehabilitation, systematic review

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