{"title":"School-based environment and physical activity in adolescents: A systematic review and meta-analysis.","authors":"Huihui Wang, Jian Pang, Xiaoguang Yang, Yuanyuan Jia, Xinru Huang, Laikang Yu, Xiao Hou","doi":"10.1016/j.ypmed.2025.108221","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of school environmental factors in promoting adolescents' physical activity.</p><p><strong>Methods: </strong>A systematic search of five databases (PubMed, Embase, Web of Science, EBSCO, and Cochrane Library) was conducted from the earliest available records up to September 2023. Meta-analyses were performed for each school environmental factor, provided that at least two studies reported on the association between that factor and adolescents' physical activity. The factors examined included seven school social environmental factors and six school physical environmental factors.</p><p><strong>Results: </strong>18 studies comprising 340,749 participants were included in the meta-analysis. A significant positive correlation was observed between the school environment and adolescents' physical activity. Specifically, the school social environment was positively associated with adolescents' physical activity. In particular, school-offered daily physical education, school-organized extracurricular physical activities, encouragement of using sports equipment or facilities, and outdoor obstacle course were all significantly positively correlated with adolescents' physical activity. While the overall school physical environment did not show a significant relationship with adolescents' physical activity, the number of school physical activity facilities demonstrated a significant positive correlation with adolescents' physical activity.</p><p><strong>Conclusions: </strong>This meta-analysis demonstrates the role of school environment in promoting adolescents' physical activity. School social environmental factors, including school-offered daily physical education, school-organized extracurricular physical activities, encouragement to use sports resources, and outdoor obstacle courses, are particularly effective in enhancing adolescents' physical activity. Among school physical environmental factors, the number of physical activity facilities was found to be a key factor in promoting adolescents' physical activity.</p>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"191 ","pages":"108221"},"PeriodicalIF":4.3000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Preventive medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ypmed.2025.108221","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/5 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aimed to evaluate the effectiveness of school environmental factors in promoting adolescents' physical activity.
Methods: A systematic search of five databases (PubMed, Embase, Web of Science, EBSCO, and Cochrane Library) was conducted from the earliest available records up to September 2023. Meta-analyses were performed for each school environmental factor, provided that at least two studies reported on the association between that factor and adolescents' physical activity. The factors examined included seven school social environmental factors and six school physical environmental factors.
Results: 18 studies comprising 340,749 participants were included in the meta-analysis. A significant positive correlation was observed between the school environment and adolescents' physical activity. Specifically, the school social environment was positively associated with adolescents' physical activity. In particular, school-offered daily physical education, school-organized extracurricular physical activities, encouragement of using sports equipment or facilities, and outdoor obstacle course were all significantly positively correlated with adolescents' physical activity. While the overall school physical environment did not show a significant relationship with adolescents' physical activity, the number of school physical activity facilities demonstrated a significant positive correlation with adolescents' physical activity.
Conclusions: This meta-analysis demonstrates the role of school environment in promoting adolescents' physical activity. School social environmental factors, including school-offered daily physical education, school-organized extracurricular physical activities, encouragement to use sports resources, and outdoor obstacle courses, are particularly effective in enhancing adolescents' physical activity. Among school physical environmental factors, the number of physical activity facilities was found to be a key factor in promoting adolescents' physical activity.
目的：探讨学校环境因素对青少年体育活动的促进作用。方法：系统检索PubMed、Embase、Web of Science、EBSCO、Cochrane Library等5个数据库，检索到2023年9月的最早文献。对每个学校环境因素进行荟萃分析，前提是至少有两项研究报告了该因素与青少年体育活动之间的关系。研究因素包括7个学校社会环境因素和6个学校物理环境因素。结果：18项研究包括340,749名参与者被纳入meta分析。学校环境与青少年体育活动呈显著正相关。具体而言，学校社会环境与青少年体育活动呈正相关。特别是学校提供的日常体育教育、学校组织的课外体育活动、鼓励使用体育器材或设施、户外障碍训练均与青少年的体育活动呈显著正相关。学校整体体育环境与青少年体育活动不存在显著相关，而学校体育活动设施数量与青少年体育活动存在显著正相关。结论：本荟萃分析证明了学校环境对青少年体育活动的促进作用。学校的社会环境因素，包括学校提供的日常体育教育、学校组织的课外体育活动、鼓励使用体育资源、户外障碍课程等，对促进青少年的体育活动尤为有效。在学校体育环境因素中，体育活动设施的数量是促进青少年体育活动的关键因素。
期刊介绍：
Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.
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