Universidad Metropolitana de Ciencias de la Educación
Metropolitana, Santiago Metropolitan, Chile
NCT Number: NCT06846918
Mental health among Chilean university students has steadily deteriorated since 2020. One of the factors associated with mental health is the academic workload that comes with transitioning from high school to higher education, which may lead to an increase in stress levels due to university life referred to as academic stress. Academic stress has been linked to multiple negative outcomes in university students, such as a lower quality of life, as well as cardiovascular risk markers, including body composition (e.g., higher fat percentage), muscle function, aerobic capacity, and physical activity levels. Academic stress affecting more than 50% of university students represents a health issue that needs to be addressed, not only because it can lead to chronic stress, but also because it increases cardiovascular risk in a Chilean population where more than 10,000,000 people are overweight, obese, or have insufficient physical activity levels.
Academic stress and its associated complications represent a prevalent health issue among university students. It is essential to implement interventions that help reduce academic stress while also counteracting its negative effects on quality of life, body composition, muscle function, aerobic capacity, and physical activity levels.
Cost-effective tools, both in terms of financial resources and time, are needed. From this perspective, physical exercise meets both requirements, as it is inexpensive to implement and there are various protocols such as high-intensity interval training and "exercise snacks" that can require less than 40 minutes per week while providing beneficial effects on academic stress, body composition muscle function, aerobic capacity, and physical activity levels in university students.
Expanding the body of evidence on these different training protocols would allow us to address multiple issues simultaneously. The primary one is academic stress and its related consequences, but also to generate new evidence on aspects not yet covered in the current literature, such as the impact on university students' quality of life, and to provide an accessible treatment tool for the future. Importantly, implementing these short-duration programs would also enable students to maintain their academic responsibilities, as the proposed protocols require no more than 40 minutes per week (<10 minutes per day). Finally, these programs could be implemented within university facilities, which, in the long term, could become a permanent tool for improving students' university experience.
Trial opening soon.
Get Notified18 year–30 year
All sexes
Interventional
Not applicable
Metropolitana, Santiago Metropolitan, Chile
he mental health of Chilean university students has deteriorated since the COVID-19 pandemic. Academic factors (e.g., workload pressure or fear of poor performance) play a significant role in the development of mental health disorders in university students. One of the most frequently mentioned conditions among Chilean university students is stress, with 56% of students experiencing some form of stress, ranging from mild to extreme. Importantly, academic stress can be a predictor of chronic stress in university students. Therefore, it is essential to manage students' stress levels, as stress is associated with various negative effects on quality of life, body composition, and physical activity levels.
Specifically, a systematic review study found a negative association between academic stress and quality of life in university students. Similarly, higher academic stress scores are associated with a higher body mass index and fat percentage. Likewise, university students with obesity exhibit higher levels of academic stress. Additionally, higher levels of academic stress are linked to lower levels of physical activity. Consequently, the presence of academic stress has a detrimental effect on quality of life, body composition, and physical activity levels. Interestingly, individuals who do not meet adequate physical activity levels also show poorer muscle function and aerobic capacity. Thus, academic stress is involved in both the mental and physical health of university students.
It has been shown that engaging in vigorous physical activity can reduce academic stress among university students. This presents an interesting opportunity to improve the previously mentioned aspects negatively affected by academic stress. Unfortunately, 75.1% of university students report that lack of time is the main reason for not engaging in physical activity. Therefore, it is crucial to propose time-efficient physical activity protocols. In this regard, high-intensity interval training (HIIT) and exercise snack protocols meet the criteria of high intensity and time efficiency. As a result, they could serve as an effective way to promote higher physical activity levels among university students, thereby reducing the negative effects of academic stress on both mental and physical health.
There is some evidence supporting the benefits of high-intensity interval training for reducing stress in university students. Additionally, HIIT protocols have demonstrated positive effects on body composition, leading to a reduction in body fat percentage and visceral adipose tissue, which is closely linked to the development of cardiovascular diseases. Therefore, this type of training protocol could contribute to improvements in cardiovascular risk among university students. Similarly, these training protocols enhance aerobic capacity and muscle function, variables that are also found to be altered in the university population. Interestingly, to the best of our knowledge, no concrete benefits of HIIT protocols on university students' quality of life have been reported. Therefore, this would be a significant aspect of our research, as quality of life is a variable that tends to decline in this population.
Exercise snacks are a more novel tool for achieving health goals in the population, with their main characteristic being the short duration of training intervals (<10 minutes per day in total). The primary goal of this type of training is to break sedentary behavior and increase daily physical activity levels in the population in which they are implemented. Given the high levels of sedentary behavior and low physical activity levels observed in university students, this type of training could serve as a strategy to reduce sedentary behavior and increase physical activity levels. Interestingly, there is evidence supporting the benefits of exercise snacks in improving aerobic capacity, muscle function, and body composition variables that, as previously mentioned, are or could be negatively affected by academic stress in university students. Therefore, implementing a training program of this nature would be beneficial for university students.
Similarly, the application of exercise snack protocols has been associated with higher enjoyment compared to HIIT protocols, likely due to their shorter duration. Finally, to the best of our knowledge, there is limited evidence regarding the effects of exercise snack protocols on academic stress and quality of life in university students. Thus, generating evidence on these variables in university students is crucial.
Therefore, the objective of this study is to determine the effects of a high-intensity interval training protocol versus an exercise snack protocol on academic stress, quality of life, body composition, muscle function, and aerobic capacity in university students.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
The high-intensity interval training (HIIT) protocol will run for 12 weeks, with two weekly sessions, totaling 24 sessions. Each 20-minute session will follow a group-based circuit format with functional exercises (e.g., jogging, jumping jacks, step-ups). High-intensity phases will be performed at maximum effort, while moderate-intensity phases will be maintained at a Borg scale rating of 4-6.
Training will amount to 40 minutes per week. The intensity ratio will progress over time:
This progressive structure ensures gradual adaptation while maximizing effectiveness.
The exercise snack protocol will last for 12 weeks, with sessions held twice a week, totaling 24 sessions. The exercise snacks will amount to 40 minutes per week, divided across the five weekdays. Participants will be required to perform 4 minutes of functional exercises (e.g., jogging in place, jumping jacks in place, modified burpees in place, etc.) in both the morning (AM) and evening (PM), completing a total of 8 minutes per day. The exercises must be performed at high intensity, with a score of >8 on a modified Borg scale.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
It will be measured using the SISCO II questionnaire, validated in the Chilean population, with items rated on a Likert scale from 1 to 5. The questionnaire consists of five dimensions: stressors, physical and psychological reactions, social behavior reactions, coping strategies, and total reaction.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
It will be measured using the SF-36 questionnaire, which assesses eight dimensions: physical function, physical role, bodily pain, general health, vitality, social function, emotional role, and mental health. Scores are obtained through a Likert-type scale, which must be transformed to a 0-100 scale, where 0 represents the worst performance and 100 the best. The questionnaire has been validated in Spanish-speaking populations.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
The Global Physical Activity Questionnaire (GPAQ) assesses physical activity across three domains: work-related activity, transportation activity, and recreational activity. It also includes a section on sedentary behavior. The questionnaire measures the frequency and duration of moderate and vigorous physical activity in each domain, providing a comprehensive overview of an individual's physical activity levels. In the Chilean population, the GPAQ has been validated, with studies confirming its reliability in national health surveys.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training)
The Global Physical Activity Questionnaire (GPAQ) assesses physical activity across three domains: work-related activity, transportation activity, and recreational activity. It also includes a section on sedentary behavior. The questionnaire measures the frequency and duration of moderate and vigorous physical activity in each domain, providing a comprehensive overview of an individual's physical activity levels. In the Chilean population, the GPAQ has been validated, with studies confirming its reliability in national health surveys. Additionally, research has shown that the single-question measure of sedentary behavior within the GPAQ is a valid tool for assessing sedentary time in Chilean adults.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training)
A 10RM test will be conducted to assess upper limb strength (bench press). The Epley formula will be used to estimate 1RM from the 10RM test.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training)
A 10RM test will be conducted to assess lower limb strength (squat). The Epley formula will be used to estimate 1RM from the 10RM test
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
A maximal oxygen consumption test will be conducted to estimate the participants' aerobic capacity.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
Will be measured using a scale and stadiometer SECA ®.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
Will be measured using a scale and stadiometer SECA ®.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
Body mass index (BMI) will be calculated based on the weight and height values.
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
Waist circumference will be measured using a non-extensible SECA® tape
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
Will be calculated using the values of height and waist circumference
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
It will be assessed using a bioelectrical impedance analysis (BIA).
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
It will be assessed using a bioelectrical impedance analysis (BIA).
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
It will be assessed using a bioelectrical impedance analysis (BIA).
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
It will be assessed using a bioelectrical impedance analysis (BIA).
Time frame: T0 (before the training protocol) and T12 (after 12 weeks of training).
The Physical Activity Enjoyment Scale will be used to assess the enjoyment of the two different training programs. The questionnaire consists of 16 Likert-type questions and was validated in the Spanish language and presents a Cronbach's Alpha coefficient of 0.85, informing an internal consistency of the scale.
Contact information is provided by the study sponsor or research team.
Universidad Metropolitana de Ciencias de la Educacion
Other
HIIT Vs Snack Exercises on the Academic Stress of University Students: a Randomized Controlled Trial
Acronym: SHARP-Stress
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