Physiological Suboptimal Health Phenotypes among University Students within the SHS Framework and Their Association with Physical Activity

Xiaoyan Hou; Qianqian Chai

doi:10.62177/apjcmr.v1i4.600

Authors

Xiaoyan Hou Minxian County People’s Hospital
Qianqian Chai Minxian County People’s Hospital

DOI:

https://doi.org/10.62177/apjcmr.v1i4.600

Keywords:

Physical Exercise, Physical Activity, Suboptimal Health, Mental Health

Abstract

In recent years, insufficient physical activity has coincided with suboptimal health among university students. Drawing on the Suboptimal Health Status (SHS) framework, this study surveyed 314 students from multiple provinces/municipalities in China. Physical activity was assessed with a physical activity level scale, and health status with the Sub-Health Measurement Scale Version 1.0 (SHMS V1.0). Correlation and multiple regression analyses were used to test associations. Physical exercise was positively associated with overall health (r = 0.515, p < 0.001) and, after adjusting for sex, only-child status, and place of origin, remained a significant predictor of better health (β = 0.515, t = 10.512, p < 0.001). Sex was associated with exercise level, whereas other demographic variables showed no significant effects on health status. These findings suggest that promoting moderate-to-vigorous physical activity and campus sport participation may improve students’ physiological, psychological, and social adaptation, providing practical guidance for health promotion and exercise prescription in higher education.

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References

Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., ... & Kessler, R. C. (2018). WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders. Journal of abnormal psychology, 127(7), 623. https://doi.org/10.1037/abn0000362

Grasdalsmoen, M., Eriksen, H.R., Lønning, K.J. et al. Physical exercise, mental health problems, and suicide attempts in university students. BMC Psychiatry 20, 175 (2020). https://doi.org/10.1186/s12888-020-02583-3

Grad FP. The preamble of the constitution of the World Health Organization. Bull World Health Organ. 2002;80(12):981–4.

World Health Organization. Health systems strengthening glossary. http://www.who.int/healthsystems/Glossary_January2011.pdf. Accessed 1 Mar 2007.

Wang W, Yan Y. Suboptimal health: a new health dimension for translational medicine. Clin Transl Med. 2012;1(1):28. https://doi.org/10.1186/2001-1326-1-28.

Ma, C., Xu, W., Zhou, L. et al. Association between lifestyle factors and suboptimal health status among Chinese college freshmen: a cross-sectional study. BMC Public Health 18, 105 (2018). https://doi.org/10.1186/s12889-017-5002-4

Bi J, Huang Y, Xiao Y, et al Association of lifestyle factors and suboptimal health status: a cross-sectional study of Chinese students BMJ Open 2014;4:e005156. https://doi.org/10.1136/bmjopen-2014-005156

Liang, L., Ren, H., Cao, R., Hu, Y., Qin, Z., Li, C., et al. (2020). The effect of COVID-19 on youth mental health. Psychiatry Q. 91, 841–852. https:// doi.org/10.1007/ s11126-020-09744-3

Xu, Y. M., Pu, S. S., Li, Y., and Zhong, B. L. (2022). Possible avoidant personality disorder magnifies the association between bullying victimization and depressive symptoms among Chinese university freshmen. Front. Psych. 13:822185. https://doi.org/10.3389/fpsyt.2022.822185

Gao, X. X., & Zhang, J. F. (2025). Association between moderate-to-vigorous physical activity and weight-adjusted waist index with psychological sub-health among middle school students. Chinese Journal of School Health, 46(6).

Wang S, Niu Z, Xiong J, Chai G and Ye X (2024) The relationship between physical activity and psychological sub-health among high altitude region Tibetan college students. Front. Psychol. 15:1465845. https://doi..org/10.3389/fpsyg.2024.1465845

Liang, D. Q. (1994). Stress levels among college students and their relationship with physical exercise. Chinese Journal of Mental Health, 8(1), 5–6.

Xu, J., Wu, W. X., Cui, Z. G., Xie, J., Zhang, Y. N., & Zhang, X., et al. (2015). Establishment of norms for the Sub-health Measurement Scale among urban residents in three provinces of China. Chinese General Practice, 18(28), 3456–3464.