Effects of exercise interventions on Internet addiction among college students: A systematic review and meta-analysis of randomized controlled trials

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-09-17 DOI:10.1016/j.addbeh.2024.108159

Yan Yan , Xiangrong Qin , Liangru Liu , Weiyang Zhang , Bowen Li

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Abstract

Background

Internet addiction (IA) has gradually emerged as a significant public health concern, especially among college students. This study aims to systematically investigate and quantitatively analyze the effects of exercise interventions on IA among college students and provides an objective assessment of the available evidence. For this study, IA is defined as compulsive, excessive Internet use, including via mobile phones, that disrupts daily life and causes significant distress, and we combine Internet addiction and mobile phone addiction in our analysis to provide a comprehensive understanding of this phenomenon.

Methods

The search for eligible studies was conducted from inception until May 2024 across various databases including Web of Science, PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wan Fang. The risk of bias within the included studies was assessed utilizing the Cochrane Collaboration’s risk of bias tool, while methodological quality was evaluated using the modified Jadad Scale.

Findings

A meta-analysis of 19 pairwise comparisons showed that exercise interventions significantly reduced the total IA scores (g = −1.25). Furthermore, the interventions resulted in significant reductions in anxiety (g = −1.30), loneliness (g = −1.57), stress (g = −0.77), inadequacy (g = −1.77), mental health (g = −1.08), fatigue (g = −0.66), and depression (g = −0.56).

Conclusions

Exercise interventions showed efficacy in decreasing levels of IA and alleviating psychological symptoms in college students with IA. The optimal types of exercise for college students suffering from IA are open motor skill and the combination of both open and closed skill. However, future work is needed given the limited randomized controlled trials and the high heterogeneity of the included studies.

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运动干预对大学生网络成瘾的影响：随机对照试验的系统回顾和荟萃分析

背景网络成瘾（IA）已逐渐成为一个重要的公共健康问题，尤其是在大学生中。本研究旨在系统调查和定量分析运动干预对大学生网络成瘾的影响，并对现有证据进行客观评估。在本研究中，IA被定义为强迫性、过度使用互联网（包括通过手机），从而扰乱日常生活并造成严重困扰的行为，我们在分析中将网络成瘾和手机成瘾结合起来，以提供对这一现象的全面理解。方法从开始到2024年5月，我们在各种数据库（包括Web of Science、PubMed、Embase、Cochrane Library、中国国家知识基础设施（CNKI）和万方数据库）中对符合条件的研究进行了检索。纳入研究的偏倚风险采用 Cochrane 协作组织的偏倚风险工具进行评估，方法学质量则采用修改后的 Jadad 量表进行评估。研究结果对 19 项成对比较进行的荟萃分析表明，运动干预可显著降低 IA 总分（g =-1.25）。此外，干预措施还能显著降低焦虑（g =-1.30）、孤独（g =-1.57）、压力（g =-0.77）、不足（g =-1.77）、心理健康（g =-1.08）、疲劳（g =-0.66）和抑郁（g =-0.56）。对于患有 IA 的大学生来说，最佳的运动类型是开放性运动技能以及开放性和封闭性技能的结合。然而，由于随机对照试验有限，且纳入研究的异质性较高，因此未来的工作仍需努力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.