Table 3

Characteristics of included studies

Published literature
Authors
Country
Numbers of participantsParticipant
description
Intervention/comparisonWell-being outcomes and measures used
Measurement times
Study designLimitations (risk of bias)
Akandere and Demir45
Turkey
n=120Gender: 50% female
Age: 20–24 years
Ethnicity: NR
Dance training intervention
90+20 min warm-up and cool down 3x week for 12 weeks
Comparison: no intervention
  1. Depression (Beck Depression Scale)

Before and after 12 week dance intervention
RCT
  • Only one measure used

  • Small population

  • Sample already had dance knowledge

  • Participant details not clearly reported

  • Baseline levels of depression differ in groups

Amorose et al 52
USA
n=93Gender: female
Age: 13–18 years (M=15.78 years)
Ethnicity: mostly Caucasian (90.6%)
AI: members of a competitive club volleyball programme in Midwestern United States
Followed a cohort of female adolescent volleyball players through a season of competitive volleyball games. Approximately 4 months
Comparison: time (before vs after)
  1. Need satisfaction

    • Sport competence (5-item subscale of the Intrinsic Motivation Inventory)

    • Need for autonomy (6-item scale: Hollembeak and Amorose 2005)

    • Need for relatedeness (10-item Richer and Vallerand’s Feelings of Relatedeness Scale)

  2. Well-being

    • Self-esteem (10-item Rosenberg’s Self-Esteem Scale)

    • Burnout (15-item Athlete Burnout Questionnaire)

1–2 weeks before competitive season starts and postseason (1–2 weeks before the last official game/~4 m after start of season)
Cohort
  • Sample bias: one club in Western USA, one sport. All females. Mostly Caucasian

    • Selection bias: only those that agreed to volunteer. Dropout not reported

    • Study design: no control group. Only 2 time points looked at

  • Did not assess social contextual factors, eg, coaching behaviour

Kanojia et al 46
India
n=50Gender: female
Age: 18–20 years
Ethnicity: NR
AI: study conducted in the Department of Physiology, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi, India
Yoga
35–40 min 6x week for the duration of three menstrual cycles
Comparison: no intervention
  • Anger (16-item questionnaire)

  1. Trait anxiety (40-item questionnaire)

  2. Depression (10-item questionnaire)

  3. Subjective well-being (50-item questionnaire)

Questionnaires were developed by the Defense Institute of Physiology and Allied Sciences
At the beginning and after completion of three menstrual cycles
RCT
  • Dropout not reported

  • Recruitment methods not reported

  • Not possible to double blind

  • Consistent findings

Kim and Kim47
Korea
n=277Gender: 48% female
Age: 17–22 years (M=20.6 years)
Ethnicity: NR
AI: Korean high school (n=45) and undergraduate students (n=232) volunteers
One of four exercise sessions: aerobic exercise, body conditioning, hip-hop dancing and ice skating
One-off 40 min session+10 min warm-up and cool down
  1. Mood (Subjective Exercise Experiences Scale: measuring three dimensions; positive well-being, psychological distress and fatigue)

Before and after the exercise session
RCT
  • Data based on one session only

Li et al 48
China
n=222Gender: 82.5% female
Age: 18–25 years (M=20.78 years)
Ethnicity: NR
AI: college students recruited from college in China
Baduanjin exercise
1 hour 5x week for 12 weeks
Comparison: usual exercise
  1. Self-esteem (Self-esteem Scale (SES))

  2. Mood/mindfulness (Profile of Mood States (POMS) scale)

  3. QoL (WHOQOL-BREF)

  4. Stress (Chinese Perceived Stress Scale)

  5. Self-symptom intensity (SCL-90 scale)

Baseline (before start), at the end of the intervention (week 13), 12-week follow-up (week 25)
RCT
  • Not blinded

  • Participants recruited from one medical university

  • Greater proportion of female participants

  • Small effect size

  • Excellent protocol adherence

  • No significant loss to follow-up

Lindgren et al 49
Sweden
n=110Gender: female
Age: 13–19 years (average=15.3)
Ethnicity: NR
AI: physically inactive students from secondary schools in low socioeconomic status areas
Empowerment-based exercise intervention programme
45 min moderate exercise+15 min discussion (topics such as healthy lifestyles were addressed) 2x week for 6 months
Comparison: waiting list
  1. Self-efficacy (Swedish version of a 10-item General Self-efficacy Scale)

  2. Behaviour changes (Social Barriers to Exercise Self-efficacy Questionnaire)

Once at the start of the programme and once at end (6 months)
RCT
  • Small sample size

  • High dropout rate

Noggle et al 50
USA
n=51Gender: 61% female in Yoga group, 47% female in control
Age: average age 17 years (grades 11 and 12)
Ethnicity: 92.2% white, 3.5% Hispanic, 2.1% African-American, 1.4% multirace and 0.8% Asian
AI: students at a public high school in rural western Massachusetts.
A Kripalu-based yoga programme of physical postures, breathing exercises, relaxation and meditation
30 min 2–3x week for 10 weeks (28 yoga sessions total)
Comparison: physical education as usual
30–40 min 2–3x week for 10 weeks
  1. Mood (POMS-Short Form)

  2. Affect (Positive and Negative Affect Schedule for Children)

  3. Stress (Perceived Stress Scale)

  4. Positive psychology (Inventory of Positive Psychological Attitudes)

  5. Resilience (Resilience Scale)

  6. Anger (State Trait Anger Expression Inventory-2TM)

  7. Mindfulness (Child Acceptance Mindfulness Measure)

One week before and after
RCT
  • Small sample size.

  • Would have been ideal to randomise individually but being in a school setting required allocation at the classroom level

  • Moderate attendance at the yoga classes

Staiano et al 51
USA
n=54Gender: 55.6% female
Age: 15–19 years
Ethnicity: African-American
AI: overweight and obese students from an urban public high school
Exergame (EG) intervention—students encouraged to play the Nintendo Wii Active game. Two EG groups: cooperative EG worked with a peer to expend calories and earn points together; competitive EG participants competed against a peer
30–60 min per school day in a lunch-time or after-school programme for 20 weeks
Comparison: regular daily activities
  1. Self-efficacy (Exercise Confidence Survey)

  2. Self-esteem (Rosenberg Self-Esteem Scale)

  3. Peer support (Friendship Quality Questionnaire)

Baseline, T2 (10 weeks), T3 (20 weeks)
RCT
  • Sample bias: small sample from one school and some attrition