Effects of a Physical Exercise Programme through Service-Learning Methodology on Physical Activity, Physical Fitness and Perception of Physical Fitness and Health in University Students from Spain: A Preliminary Study
Abstract
:1. Introduction
2. Method
2.1. Study Design
2.2. Ethical Aspects
2.3. Participants
2.4. Protocol
2.5. Intervention Programme
- Week 1: self-loads. 10 exercises, 3 sets, 12 (20) repetitions 1, plus 30′ of aerobic work at 40% of the reserve HR.
- Week 2: elastic bands. 10 exercises, 3 sets, 12 (18) repetitions, plus 30′ of aerobic work at 45% HR Reserve.
- Week 3: weight machines 10 exercises, 3 sets, 10 (16) repetitions, plus 30′ of aerobic work at 50% FC Reserve.
- Week 4; weight machines. 10 exercises, 3 sets, 8 (14) repetitions, plus 30′ of aerobic work at 55% HR Reserve.
- Week 5: weight machines. 10 exercises, 3 sets, 6 (10) repetitions, plus 30′ of aerobic work at 60% HR Reserve.
- Week 6: suspension training with TRX. 10 exercises, 3 sets, 12 (18) repetitions, plus 30′ of aerobic work at 65% HR Reserve.
- Week 7: suspension training with TRX. 10 exercises, 3 sets, 10 (16) repetitions, plus 30′ of aerobic work at 70% HR Reserve.
- Week 8: free weights. 10 exercises, 3 sets, 10 (16) repetitions, plus 30′ of aerobic work at 75% HR Reserve.
- Week 9: free weights. 10 exercises, 3 sets, 8 (14) repetitions, plus 30′ of aerobic work at 80% HR Reserve.
- Week 10: free weights. 10 exercises, 3 sets, 6 (10) repetitions, plus 30′ of aerobic work at 85% HR Reserve.
2.6. Instruments
2.7. Statistical Analysis
3. Results
3.1. Descriptive Statistics and Correlation Analysis
3.2. Sample Normality Test
3.3. Comparison of the Means between the Pre-Test and Post-Test
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Brugnara, L.; Murillo, S.; Novials, A.; Rojo-Martínez, G.; Soriguer, F.; Goday, A.; Calle-Pascual, A.; Castaño, L.; Gaztambide, S.; Valdés, S.; et al. Low Physical Activity and Its Association with Diabetes and Other Cardiovascular Risk Factors: A Nationwide, Population-Based Study. PLoS ONE 2016, 11, e0160959. [Google Scholar] [CrossRef] [Green Version]
- Alves, A.J.; Viana, J.L.; Cavalcante, S.L.; Oliveira, N.L.; Duarte, J.A.; Mota, J.; Oliveira, J.; Ribeiro, F. Physical activity in primary and secondary prevention of cardiovascular disease: Overview updated. World J. Cardiol. 2016, 8, 575. [Google Scholar] [CrossRef] [PubMed]
- Lwow, F.; Jedrzejuk, D.; Dunajska, K.; Milewicz, A.; Szmigiero, L. Cardiovascular disease risk factors associated with low level of physical activity in postmenopausal Polish women. Gynecol. Endocrinol. 2013, 29, 683–686. [Google Scholar] [CrossRef] [PubMed]
- Lee, D.H.; Kim, Y.M.; Jekal, Y.; Park, S.; Kim, K.-C.; Naruse, M.; Jeon, J.Y.; Kim, S.H.; Kim, S.-H.; Park, J.-H.; et al. Low Levels of Physical Activity Are Associated with Increased Metabolic Syndrome Risk Factors in Korean Adults. Diabetes Metab. J. 2013, 37, 132–139. [Google Scholar] [CrossRef] [Green Version]
- Ko, K.-J.; Kim, E.-H.; Baek, U.-H.; Gang, Z.; Kang, S.-J. The relationship between physical activity levels and metabolic syndrome in male white-collar workers. J. Phys. Ther. Sci. 2016, 28, 3041–3046. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Yoshiya, S. The effects of exercise and sports activities on bone and joint morbidities. Clin. Calcium 2017, 27, 39–43. [Google Scholar]
- Instituto Nacional de Estadística. Encuesta Europea de Salud en España EESE-2014; Instituto Nacional de Estadística: Madrid, Spain, 2014.
- Ministerio de Cultura y Deporte. Encuesta de Hábitos Deportivos; Ministerio de Cultura y Deporte: Madrid, Spain, 2020.
- Castillo Viera, E.; Giménez Fuentes-Guerra, F.J. Hábitos de práctica de actividad física del alumnado de la Universidad de Huelva. Rev. Int. Med. Cienc. Act. Física Deport. 2011, 10, 127–144. [Google Scholar]
- Ram, A.K.; Summers, S.J.; Booth, J.; Gibbs, M.T.; Jones, M.D. Higher intensity exercise reduces disability more than lower intensity exercise in adults with chronic low back pain: A systematic review and meta-analysis. Musculoskelet. Care 2023, 1, 1–12. [Google Scholar] [CrossRef]
- Coates, A.M.; Millar, P.J.; Burr, J.F. Investigating the Roles of Exercise Intensity and Biological Sex on Post-Exercise Alterations in Cardiac Function. J. Appl. Physiol. 2023, 1. [Google Scholar] [CrossRef]
- Fernández, D.A.; Sánchez, Á.G.; Pino Juste, M. Health-related physical condition variables in university students. J. Hum. Sport Exerc. 2012, 7, 331–340. [Google Scholar] [CrossRef] [Green Version]
- García-Soidán, J.L.; Alonso Fernández, D. Valoración de la condición física saludable en universitarios gallegos. Rev. Int. Med. Cienc. Act. Física Deport. 2011, 11, 781–790. [Google Scholar]
- Martinez Ostos, L. Condicion Fisica y Nivel de Actividad Fisica en Estudiantes Universitarios. Teor. Prax. Investig. 2013, 3, 21–28. [Google Scholar]
- Pang, Z. Research of unbalanced difference model for evaluating physical condition of university students. In Proceedings of the 2011 IEEE International Symposium on IT in Medicine and Education, Guangzhou, China, 9–11 December 2011; pp. 571–574. [Google Scholar] [CrossRef]
- Musaiger, A.O.; Al-Khalifa, F.; Al-Mannai, M. Obesity, unhealthy dietary habits and sedentary behaviors among university students in Sudan: Growing risks for chronic diseases in a poor country. Environ. Health Prev. Med. 2016, 21, 224–230. [Google Scholar] [CrossRef] [PubMed]
- Nmor, J.; Nwaka, K.H.; Nmor, J.C.; Kehi, H.; Nwaka, J.; Christopher, N. Eating behaviours of university students in Southern Nigeria: An evaluation of sex differences. Sci. J. Public Health 2014, 2, 23–37. [Google Scholar] [CrossRef]
- Ratner, G.R.; Hernández, J.P.; Martel, A.J.; Atalah, S.E. Calidad de la alimentación y estado nutricional en estudiantes universitarios de 11 regiones de Chile. Rev. Med. Chil. 2012, 140, 1571–1579. [Google Scholar] [CrossRef]
- Salameh, P.; Jomaa, L.; Issa, C.; Farhat, G.; Salamé, J.; Zeidan, N.; Baldi, I. Assessment of dietary intake patterns and their correlates among university students in Lebanon. Front. Public Health 2014, 21, 185. [Google Scholar] [CrossRef] [Green Version]
- Salazar, C.M.; Feu, S.; Vizuete Carrizosa, M.; de la Cruz-Sánchez, E.; Feu, S.; Salazar, C.M.; Sánchez de la Cruz, E. IMC y actividad física de los estudiantes de la universidad de Colima. Rev. Int. Med. Cienc. Act. Física Deport. 2013, 13, 569–584. [Google Scholar]
- Yahia, N.; Achkar, A.; Abdallah, A.; Rizk, S. Eating habits and obesity among Lebanese university students. Nutr. J. 2008, 7, 32. [Google Scholar] [CrossRef] [Green Version]
- Michou, V.; Davioti, M.; Syrakou, N.; Liakopoulos, V.; Deligiannis, A.; Kouidi, E. Effects of a Combined Intradialytic Exercise Training Program on Functional Capacity and Body Composition in Kidney Transplant Candidates. J. Funct. Morphol. Kinesiol. 2023, 8, 9. [Google Scholar] [CrossRef]
- Bagherpour, F.; Arazi, H. Impacts of exercise training on the visceral adipose tissue among individuals with normal body mass index: A systematic review. J. Clin. Exerc. Physiol. 2023, 12, 1. [Google Scholar] [CrossRef]
- World Health Organization. Wellbeing Measures in Primary Health Care/The Depcare Project; WHO Regional Office for Europe: Copenhagen, Denmark, 1998.
- Koelker, M.; Alkhatib, K.; Briggs, L.; Labban, M.; Meyer, C.P.; Dieli-Conwright, C.M.; Kang, D.W.; Steele, G.; Preston, M.A.; Clinton, T.N.; et al. Impact of exercise on physical health status in bladder cancer patients. Can. Urol. Assoc. J. 2023, 17, E8–E14. [Google Scholar] [CrossRef] [PubMed]
- An, J. Learning to teach students with disabilities through community service-learning: Physical education preservice teachers’ experiences. Int. J. Disabil. Dev. Educ. 2021, 68, 442–455. [Google Scholar] [CrossRef]
- Blanco Cano, E.; García Martín, J. El impacto del aprendizaje-servicio (ApS) en diversas variables psicoeducativas del alumnado universitario: Las actitudes cívicas, el pensamiento crítico, las habilidades de trabajo en grupo, la empatía y el autoconcepto. Una revisión sistemática. Rev. Complut. Educ. 2021, 32, 639–649. [Google Scholar] [CrossRef]
- Chiva-Bartoll, O.; Ruiz-Montero, P.J.; Martín-Moya, R.; Pérez López, I.; Giles Girela, J.; García-Suárez, J.; Rivera García, E. University service-learning in physical education and sport sciences: A systematic review. Rev. Complut. Educ. 2019, 30, 1147–1164. [Google Scholar] [CrossRef]
- Opazo, H.; Aramburuzabala, P.; García-Peinado, R. Service-learning methodology as a tool of ethical development: Reflections from the university experience. Irel. J. High. Educ. 2014, 6, 15316–15326. [Google Scholar]
- Aramburuzabala, P.; McIlrath, L.; Opazo, H. Embedding Service Learning in European Higher Education: Developing a Culture of Civic Engagement; Routledge: Oxfordshire, UK, 2019. [Google Scholar]
- Campos-Rius, J.; Franco-Sola, M.; Figueras, S.; Lleixà, T. Diseños de rúbricas de proyectos de aprendizaje-servicio en el ámbito de la actividad física y del deporte: Una revisión narrativa. RIDAS Rev. Iberoam. Aprendiz.-Serv. 2022, 13, 19–39. [Google Scholar] [CrossRef]
- Sevil, J.; Práxedes, A.; Abarca-Sos, A.; Del Villar, F.; García-González, L. Levels of physical activity, motivation and barriers to participation in university students. J. Sports Med. Phys. Fit. 2016, 56, 1239–1248. [Google Scholar]
- Jiménez Morgan, S.; Hernández-Elizondo, J. Actividad física y otros hábitos de vida saludables de estudiantes de medicina de la Universidad de Costa Rica. Pensar Mov. Rev. Cienc. Ejerc. Salud 2016, 14, 1. [Google Scholar] [CrossRef] [Green Version]
- Aránguiz, H.; García, V.; Rojas, S.; Salas, C.; Martínez, R.; Mac Millan, N. Estudio descriptivo, comparativo y correlacional del estado nutricional y condición cardiorrespiratoria en estudiantes universitarios de Chile. Rev. Chil. Nutr. 2010, 37, 70–78. [Google Scholar] [CrossRef]
- Musaiger, A.O.; Awadhalla, M.S.; Al-Mannai, M.; AlSawad, M.; Asokan, G.V. Dietary habits and sedentary behaviors among health science university students in Bahrain. Int. J. Adolesc. Med. Health 2015, 29, 86–91. [Google Scholar] [CrossRef]
- Telleria Aramburu, N.; Sánchez Padial, C.; Ansotegui Alday, L.; Rocandio Pablo, A.M.; Arroyo Izaga, M. Influencia de la práctica físico-deportiva sobre indicadores antropométricos y la satisfacción con el peso en hombres estudiantes universitarios: Estudio piloto. Nutr. Hosp. Organo Of. Soc. Española Nutr. Parenter. 2015, 31, 1225–1231. [Google Scholar]
- Maureira Cid, F.; Véliz Véliz, C.; Flores Ferro, E.; Gálvez Mella, C. Efectos del ejercicio físico sobre la inhibición de respuestas automáticas en estudiantes universitarios. EmásF Rev. Digit. Educ. Física 2016, 38, 18–26. [Google Scholar]
- Campos Salazar, C.; Solera Herrera, A. The effect of different sport and physical activity courses on self- efficacy of Costa Rican university students. Rev. Actual. Investig. Educ. 2013, 13, 1–17. [Google Scholar]
- Barranco-Ruiz, Y.; Guerendiain, M.; Paz, S.; Sandoval, V.; Villa-González, E. Recomendaciones metodológicas para la implementación de intervenciones basadas en programas de actividad física y educación nutricional en un contexto laboral universitario. Habilid. Mot. Rev. Cienc. Act. Física Deporte 2016, 47, 8–16. [Google Scholar]
- Bredin, S.S.D.; Gledhill, N.; Jamnik, V.K.; Warburton, D.E.R. PAR-Q+ and ePARmed-X+: New risk stratification and physical activity clearance strategy for physicians and patients alike. Can. Fam. Physician 2013, 59, 273–277. [Google Scholar]
- Muñoz, J.; Delgado, M.; Carbonell, A. Guía Recomendaciones para la Promoción de Actividad Física; Consejería de Salud; Junta deAndalucía: Sevilla, Spain, 2010; pp. 1–72.
- Fernández Delagado, M.; Tercedor Sanchéz, P.; Soto Hermoso, V.M. Traducción de las Guías para el Procesamiento de Datos y Análisis del Cuestionario Internacional de Actividad Física (IPAQ); Versiones Corta y Larga; University of Granada, Junta deAndalucía: Granada, Spain, 2005.
- Rodríguez, F.; Gusi, N.; Valenzuela, S.; Nàcher, S.; Nogués, J.; Marina, M. Valoración de la condición física saludable en adultos I: Antecedentes y protocolos de la batería AFISAL-INEFC. Apunt. Med. Esport 1998, 52, 54–57. [Google Scholar]
- Wang, H.; Hai, S.; Cao, L.; Zhou, J.; Liu, P.; Dong, B.-R. Estimation of prevalence of sarcopenia by using a new bioelectrical impedance analysis in Chinese community-dwelling elderly people. BMC Geriatr. 2016, 16, 216. [Google Scholar] [CrossRef] [Green Version]
- Casimiro Andújar, A.J. Comparación, Evolución y Relación de Hábitos Saludables y Nivel de Condición Física Salud en Escolares, Entre Final de Educación Primaria (12 Años) y Final de Educación Secundaria Obligatoria (16 Años). Ph.D. Thesis, Universidad de Almería, Almería, Spain, 1999. [Google Scholar]
- Cohen, J. Statistical Power Analysis for the Behavioral Sciences; Routledge: Oxfordshire, UK, 1988. [Google Scholar]
- Fayazmilani, R.; Abbasi, A.; Hovanloo, F.; Rostami, S. The effect of TRX and bodyweight training on physical fitness and body composition in prepubescent soccer athletes. Sport Sci. Health 2022, 18, 1369–1377. [Google Scholar] [CrossRef]
- Lipecki, K.; Rutowicz, B. The impact of ten weeks of bodyweight training on the level of physical fitness and selected parameters of body composition in women aged 21–23 years. Pol. J. Sport Tour. 2015, 22, 64–68. [Google Scholar] [CrossRef] [Green Version]
- Nishii, K.; Aizu, N.; Yamada, K. Review of the health-promoting effects of exercise and the involvement of myokines. Fujita Med. J. 2023, 1–8. [Google Scholar] [CrossRef]
- Prado, C.M.; Purcell, S.A.; Alish, C.; Pereira, S.L.; Deutz, N.E.; Heyland, D.K.; Goodpaster, B.H.; Tappenden, K.A.; Heymsfield, S.B. Implications of low muscle mass across the continuum of care: A narrative review. Ann. Med. 2018, 50, 675–693. [Google Scholar] [CrossRef] [Green Version]
- Hammami, M.; Gaamouri, N.; Cherni, Y.; Chelly, M.S.; Hill, L.; Knechtle, B. Effects of contrast strength training with elastic band program on sprint, jump, strength, balance and repeated change of direction in young female handball players. Int. J. Sports Sci. Coach. 2022, 17, 1147–1157. [Google Scholar] [CrossRef]
- Ye, X.; Liu, R. Intervention Effect of Aerobic Exercise on Physical Fitness, Emotional State and Mental Health of Drug Addicts: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2023, 20, 2272. [Google Scholar] [CrossRef]
- Goldschmidt, S.; Schmidt, M.E.; Steindorf, K. Long-term effects of exercise interventions on physical activity in breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Support. Care Cancer 2023, 31, 130. [Google Scholar] [CrossRef]
- Urrutia, S.; Azpillaga, I.; de Cos, G.L.; Muñoz, D. Relación entre la percepción de estado de salud con la práctica físicodeportiva y la imagen corporal en adolescentes. Cuad. Psicol. Deport. 2010, 10, 51–56. [Google Scholar]
- Jodra Jiménez, P.; Maté-Muñoz, J.L.; Domínguez Herrera, R. Percepción de salud, autoestima y autoconcepto físico en persones mayores en función de su actividad física. Rev. Psicol. Deport. 2019, 28, 127–134. [Google Scholar]
- Herrera, E.; Pablos, A.; Chiva-Bartoll, O.; Pablos, C. Efectos de la Actividad Física en la Salud Percibida y Condición Física de los Adultos Mayores. J. Sport Health Res. 2017, 9, 27–40. [Google Scholar]
- Granger, E.; Di Nardo, F.; Harrison, A.; Patterson, L.; Holmes, R.; Verma, A. A systematic review of the relationship of physical activity and health status in adolescents. Eur. J. Public Health 2017, 27, 100–1006. [Google Scholar] [CrossRef] [Green Version]
- Sevil-Serrano, J.; Aibar, A.; Abós, Á.; Generelo, E.; García-González, L. Improving motivation for physical activity and physical education through a school-based intervention. J. Exp. Educ. 2022, 90, 383–403. [Google Scholar] [CrossRef]
M | SD | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
---|---|---|---|---|---|---|---|---|---|---|---|
1. Lean W. | 26.14% | 5.60 | - | −0.46 *** | −0.14 | 0.05 | 0.86 *** | 0.86 *** | 0.68 *** | 0.45 *** | 0.56 *** |
2. Fat | 28.65% | 8.52 | - | 0.91 *** | −0.23 | −0.46 *** | −0.50 *** | −0.72 *** | −0.51 *** | −0.30 * | |
3. Visc. Fat | 7.93% | 4.19 | - | −0.22 | −0.21 | −0.23 | −0.55 *** | −0.38 ** | −0.09 | ||
4. Flex. | 1.51 cm | 7.29 | - | −0.02 | 0.02 | 0.12 | 0.05 | −0.02 | |||
5. Right H.P. | 32.50 kg | 9.78 | - | 0.94 *** | 0.70 *** | 0.55 *** | 0.46 *** | ||||
6. Left H.P. | 30.63 kg | 8.83 | - | 0.72 *** | 0.55 *** | 0.47 *** | |||||
7. Jump | 1.56 mts | 0.37 | - | 0.56 *** | 0.27 * | ||||||
8. Stabil. | 01:04.70 min:seg | 00:41.79 | - | 0.28 * | |||||||
9. I.P.A. | 1.96 Likert | 1.94 | - |
M | SD | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
---|---|---|---|---|---|---|---|---|---|---|---|
1. Lean W. | 26.55% | 5.57 | - | −0.48 *** | −0.14 | 0.05 | 0.89 *** | 0.87 *** | 0.67 *** | 0.25 | 0.39 ** |
2. Fat | 27.17% | 8.19 | - | 0.91 *** | −0.15 | −0.53 *** | −0.50 *** | −0.67 *** | −0.45 *** | −0.25 | |
3. Visc. Fat | 7.35% | 3.98 | - | −0.14 | −0.26 * | −0.24 | −0.47 *** | −0.39 ** | −0.11 | ||
4. Flex. | 3.28 cm | 6.73 | - | −0.02 | −0.02 | 0.06 | −0.13 | −0.022 | |||
5. Right H.P. | 34.39 kg | 9.75 | - | 0.92 *** | 0.75 *** | 0.41 ** | 0.31 * | ||||
6. Left H.P. | 32.81 kg | 9.47 | - | 0.77 *** | 0.48 *** | 0.31 * | |||||
7. Jump | 1.61 mts | 0.36 | - | 0.50 *** | 0.13 | ||||||
8. Stabil. | 01:28.13 min:seg | 00:50.48 | - | 0.20 | |||||||
9. I.P.A. | 3.16 Likert | 1.42 | - |
M1 | M2 | t | CI (95%) | fd | p | d | |
---|---|---|---|---|---|---|---|
1. Lean W. | 26.14% | 26.55 % | −3.621 | (−0.643 to −0.185) | 56 | 0.001 | −0.074 |
2. Fat | 28.65% | 27.17 % | 4.914 | (0.881 to 2.094) | 56 | 0.000 | 0.089 |
3. Visc. Fat | 7.93% | 7.35 % | 3.858 | (0.278 to 0.880) | 56 | 0.000 | 0.142 |
4. Flex. | 1.51 cm | 3.28 cm | −3.845 | (−2.699 to −0.849) | 56 | 0.000 | −0.252 |
5. Right H.P. | 32.50 kg | 34.39 kg | −3.842 | (−2.872 to −0.903) | 56 | 0.000 | −0.193 |
6. Left H.P. | 30.63 kg | 32.81 kg | −4.412 | (−3.179 to −1.193) | 56 | 0.000 | −0.239 |
7. Jump | 1.56 mts | 1.61 mts | −3.208 | (−0.079 to −0.018) | 56 | 0.002 | −0.187 |
8. Stabil. | 01:04.57 min:seg | 01:28.13 min:seg | −5.072 | (−32.86 to −14.25) | 56 | 0.000 | −0.508 |
9. I.P.A. | 1.96 Likert | 3.16 Likert | −6.289 | (−1.573 to −0.813) | 56 | 0.000 | −0.706 |
M1 | M2 | z | p | |
---|---|---|---|---|
Physical fitness perception | 2.95 | 3.37 | −3.870 | 0.000 |
Health perception | 3.65 | 3.89 | −2.746 | 0.006 |
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Casimiro-Andújar, A.J.; Artés-Rodríguez, E.; Díez-Fernández, D.M.; Lirola, M.-J. Effects of a Physical Exercise Programme through Service-Learning Methodology on Physical Activity, Physical Fitness and Perception of Physical Fitness and Health in University Students from Spain: A Preliminary Study. Int. J. Environ. Res. Public Health 2023, 20, 3377. https://doi.org/10.3390/ijerph20043377
Casimiro-Andújar AJ, Artés-Rodríguez E, Díez-Fernández DM, Lirola M-J. Effects of a Physical Exercise Programme through Service-Learning Methodology on Physical Activity, Physical Fitness and Perception of Physical Fitness and Health in University Students from Spain: A Preliminary Study. International Journal of Environmental Research and Public Health. 2023; 20(4):3377. https://doi.org/10.3390/ijerph20043377
Chicago/Turabian StyleCasimiro-Andújar, Antonio Jesús, Eva Artés-Rodríguez, David M. Díez-Fernández, and María-Jesús Lirola. 2023. "Effects of a Physical Exercise Programme through Service-Learning Methodology on Physical Activity, Physical Fitness and Perception of Physical Fitness and Health in University Students from Spain: A Preliminary Study" International Journal of Environmental Research and Public Health 20, no. 4: 3377. https://doi.org/10.3390/ijerph20043377