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Sport and Exercise Psychology Graduate Theses and Dissertations

Theses/dissertations from 2024 2024.

A Randomized Need-Supportive Intervention with U.S. Youth Hockey Coaches , Diane Benish

Multidisciplinary approach to injury rehabilitation: The D1 college athlete perspective , Lindsey Leatherman

Theses/Dissertations from 2023 2023

Living Your Best Life: The Mindful Pursuit of Student-Athlete Thriving , Andrew Augustus

Working with Community Partners in WV: Learning How to Frame Health Equity in Physical Activity Interventions , Karly Marie Casanave-Phillips

How do college student-athletes’ understanding and expectations of mindfulness and self-compassion change through an intervention? , Blake Costalupes

“Building the Roots”: A Delphi Study Examining the Aims of a Multicultural Competency Graduate Course in Sport and Exercise Psychology , Matthew Paul Gonzalez

Exploring the Conceptualizations and Utilizations of Learning Theories in Sport Settings , Kevin R. Lou

Drivers of Change in Mindfulness- and Acceptance-Based Interventions with Athletes: Investigating the Influence of Dosage, Readiness, and Attitudes , Thomas O. Minkler

Theses/Dissertations from 2022 2022

Short-Term International Sport for Development and Peace Programs: A Retrospective Analysis and Critique Informed by Stakeholders’ Perspectives in a Two-Year Follow-Up , Adam Hansell

Theses/Dissertations from 2021 2021

'Deporte y Cambio Social': Women's Empowerment SDP Program in Mexico , Sofia Espana Perez

A Qualitative Study of College Athletes’ Experiences of the COVID-19 Pandemic , Carra Johnson

Meeting the Mental Health Needs of Student-Athletes: A Descriptive Study of Practitioners and their Perspectives , William C. Way III

Theses/Dissertations from 2020 2020

A Phenomenological Photovoice Exploration of Female Exercisers’ Experiences of their Body in Fitness Center Environments , Katherine E. Fairhurst

Exploring the Relationship Between Hardiness and Performance in Collegiate Baseball Players , Kevin R. Lou

Using the social ecological model to build a path analysis model of physical activity in a sample of active US college students , Jonathan J. Stewart

"Yo, I Like Your Walk-Up Song": Music Integration in Professional Baseball Gamedays , Seth Swary

Theses/Dissertations from 2019 2019

Stigma, Attitudes, and Intentions to Seek Mental Health Services in College Student-Athletes , Robert C. Hilliard M.S.

Supporting The Injured Athlete: Coaches’ Perspectives On Providing Social Support , Stefanee Opal Maurice

Being Mindful of Perfectionism and Performance Among Athletes in a Judged Sport , Erika D. Van Dyke

Theses/Dissertations from 2018 2018

Competitive Aggressiveness, Anger, and the Experience of Provocation in Collegiate Athletes , Michael E. Berrebi

Functional Movement Screen Composite Scores for Collegiate Field Club Sport Athletes at One University , Daniel Camillone

Exploring the Use of Sport as a Platform for Health Promotion with Youth in Africa: A Scoping Review. , Adam H. Hansell

Use of Four Predictive Screening Variables for Determination of Sacroiliac Joint Dysfunction in Adolescent Soccer Athletes , Brian Hanson

Coaching life skills through sport: An application of the teaching personal and social responsibility model to youth sport in eSwatini , Zenzi Huysmans

Psychosocial Development of Junior Hockey Players , Alexander John Sturges

Theses/Dissertations from 2017 2017

Players' Responses to and Primary Caregivers' Perceptions of Authoritarian and Authoritative Coaching in the Inner-City , Renee Brown

Examining the Impact of a Short-Term Psychological Skills Training Program on Dancers' Coping Skills, Pain Appraisals, and Injuries , Leigh A. Bryant

Changes in Athletes' Anxiety, Anger, and Impulsiveness following Concussion , Megan Byrd

Development of Ethics Education Guidelines for Undergraduate Athletic Training Education Programs , Kaitlynn Cullen

Using a Multi-Omic Approach to Investigate a Diet Intervention in Young Adults at Risk of Disease , Oluremi Ariel Famodu

Approaches to Supervision in Sport Psychology and their Influences on Initial Supervisees' Professional Development , Janaina Lima Fogaca

High School Coaches' Experiences with Openly Lesbian, Gay, and Bisexual Athletes , Meghan K. Halbrook

#Physical Activity: Influencing Parent Behavior Change Through Social Media , Adam Keath

The Effects of an Exercise and Kinesiotape Intervention on Forward HeadRounded Shoulder Posture and Scapular Dyskinesis , Lucas Klawiter

Student-Athletes' Experiences with Racial Microaggressions in Sport: A Foucauldian Discourse Analysis , Sae-Mi Lee

The Effects of a Six Week Lumbopelvic Control and Balance Training Program in High School Basketball Players , Margaret Long

Thrombospondin-1 and Cd47 Mediate Peripheral Microvascular Dysfunction Following Pulmonary Exposure to Multi-Walled Carbon Nanotubes , W. Kyle Mandler

The Investigation of Motor Primitives During Human Reaching Movements and the Quantification of Post-Stroke Motor Impairment , Erienne Virginia Olesh

Theses/Dissertations from 2016 2016

The Effect of Lower Extremity Asymmetries on Low Back and Lower Extremity Pain with Pregnancy , Erica Casto

Do Physical Activity, Sedentary Behaviors, and Nutrition Affect Healthy Weight in Middle School Students in an Appalachian Community? Children's Health Opportunities Involving Coordinated Efforts in Schools (CHOICES) Project , Kibum Cho

How Far is Too Far? Understanding Identity and Overconformity in Collegiate Wrestlers , Ashley M. Coker-Cranney

An Examination of Collegiate Athletes', Undergraduate Sport Science Majors', and Athlete Majors' Intent to Pursue Collegiate Coaching as a Career , Lauren Deckelbaum

A preliminary exploration of the application of self-compassion within the context of sport injury , Zenzi Huysmans

Psychosocial Predictors of Resilience in a Military Sample , Anna-Marie C. Jaeschke

Evaluating the Efficacy of Various Modalities to Improve Arterial Stiffness , Corey Moore

The Influence Over Time of Abdominal Strength Changes on Gluteus Maximus Strength , Taylor M. Opperhauser

Use of a Functional Movement Screening Tool to Determine Injury Risk in Collegiate Acrobatics and Tumbling Athletes , Sara E. Spencer

Adherence to Sport Rehabilitation , Kjersti A. Traaen

Theses/Dissertations from 2015 2015

Surgery and Rehabilitation Treatment Options for Ulnar Collateral Ligament Injuries of the Elbow for Baseball Athletes: A Systematic Review , Amanda M. Damm

What elite men's collegiate tennis coaches look for in recruits and how they assess preferred player characteristics , Brandyn H. Fisher

The Influences of Participation in an Elite Paralympic Military Program on the Self-Identity of Active Duty Service Members with Acquired Disabilities , Lindsay M. Hammond

The Influence of Physical Activity on International Students' Cross-Cultural Adjustment: A Qualitative Longitudinal Study , Shuang Li

Becoming a Mindful Sport Psychology Consultant: Defining, Developing, and Integrating Mindfulness into Practice , Michelle M. McAlarnen

Theses/Dissertations from 2014 2014

Certified Athletic Trainers' Abilities to Identify and Refer Athletes with Psychological Symptoms , Marc L. Cormier

Usage of Evidence Based Medicine Resources in Clinically Practicing Athletic Trainers , Kenneth G. Faldetta

Division I College Student-Athlete Career Situation and Attitudes toward Career Counseling , Adrian J. Ferrera

An Evaluation of State Employees' Preferences for Worksite-based Physical Activity, Nutrition, and Stress Management Programs , Peter Kadushin

The use of joint mobilization on mechanical instability deficits for a lateral ankle sprain: A Systematic Review , Kathleen M. Kerecman

The Effect of a Six Week Functional Training Program on Performance Outcomes in Softball , Zachary M. Mohondro

Sport Psychology "App"lication: NCAA Coaches' Preferences for a Mental Training Mobile App , Raymond F. Prior

"It's not just your dad and it's not just your coach..." The dual-role relationship in female tennis players , Olivier N. Schmid

Stoking the Flames of Wellness: An Exploration of Factors that Influence West Virginia Firefighters' Health Behaviors , Chelsea B. Wooding

Theses/Dissertations from 2013 2013

The Influence of Gender on the Peer Leadership-Cohesion Relationship , Michael E. Berrebi

Stressors and Coping Behaviors of Female Peer Leaders Participating in College Club Sports , Leigh A. Bryant

An Exploration of Master's Degree Field Study and Teacher and Student Behavior in P.E , William J. Davis

An Exploratory Investigation of Baseball Coaches' Attitudes and Experiences With Sport Psychology , Jesse D. Michel

Theses/Dissertations from 2012 2012

Using Concept Mapping to Identify Action Steps for Physical Activity Promotion in Cancer Treatment , Sean J. Fitzpatrick

Theses/Dissertations from 2011 2011

At-Risk Student-Athletes and Academic Achievement: Experiences of Successful and Unsuccessful First Year Collegiate Football Players , Samantha J. Monda

A Survey of Bariatric Surgical Patients' Experiences with Behavioral and Psychological Services , Jessica C. Peacock

A tailored wellness intervention for college students using internet-based technology , Alessandro Quartiroli

Theses/Dissertations from 2010 2010

The effects of a walking intervention on self-efficacy for coping with cancer and quality of life among cancer patients during treatment , Sean J. Fitzpatrick

Validity and reliability of accelerometers for examining vertical jump performance , Ryan M. Ruben

Theses/Dissertations from 2009 2009

The evaluation of a nutrition education and fitness program with a contest component among college students using the RE-AIM framework , Michelle L. Bartlett

An individualized multimodal mental skills intervention for college athletes undergoing injury rehabilitation , Jamie L. Shapiro

The role of emotional intelligence on coach-athlete relationships and motivational climate , Eric E. Steege

Theses/Dissertations from 2008 2008

Effectiveness of an educational intervention on the attitudes toward sport psychology of athletic training students , Damien Clement

Impact of a physical activity intervention for weight loss: A qualitative analysis of participant perceptions and expectations , Jessica Anne Creasy

Leadership and organizational culture transformation in professional sport , Joe Frontiera

Motivation in sport: Bridging historical and contemporary theory through a qualitative approach , Daniel J. Leidl

Theses/Dissertations from 2007 2007

Impact of a tailored intervention on coaches' attitudes and use of sport psychology services , Rebecca Zakrajsek

Theses/Dissertations from 2006 2006

Does physical disability truly create impairment in adjustment to college life? , Jennifer R. Hurst

The transtheoretical model and psychological skills training: Application and implications with elite female athletes , Linda Ann Keeler

Theses/Dissertations from 2005 2005

The role of apoptosis in muscle remodeling , Parco Ming-fai Siu

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Home > Communities > College of Health Sciences > Exercise and Sport Science > ESS_ETD

Exercise and Sport Science Theses and Dissertations

Theses/dissertations from 2023 2023.

A Quantification Of The Metabolic Demand Wrought By Explosive Ordinance Disposal Load Carriage , Gage Cousineau

Theses/Dissertations from 2022 2022

The Effects Of External Load And Body Composition On The Sebt In Marching Band Performers , Alexander Alvarez

Theses/Dissertations from 2020 2020

Comparing Shoulder Manual Muscle Testing With Scapular Retraction And Core Activation , Kyrsten Henry

Efficacy of pain scales in athletic populations and paired with aglometric measurements , Elisabeth Anne Ohrnberger

Body Composition Assessment Results And Predicting Injury Patterns In Collegiate Musicians , Ellen Reinhold

Theses/Dissertations from 2019 2019

Athletic Identity, Need Satisfaction, and Burnout in Collegiate Athletes , Rachel Brooke Daniels

The Effects Of A 40-Minute Bout Of Aerobic Exercise On State Anxiety In College Age Individuals , Rachael Dozier

Effects Of Alpha-GPC and Huperzine-A On Short Term Memory, Anaerobic Power Output, Post Exhaustion Compared To Caffeine And Placebo In Healthy College Age Students , John P. Isaacs

The Small-Town NFL Player , BoDene Blare Pinz

Post Surgical Outcomes Following Limited-Open Carpal Tunnel Release or Endoscopic Carpal Tunnel Release , Keeley Shaye Smith

Theses/Dissertations from 2018 2018

The Acute Effects Of Alpha-Gpc On Hand Grip Strength, Jump Height, Power Output, Mood, And Reaction-Time In Recreationally Trained, College-Aged Individuals , Josey Lucas Cruse

Use Of Dual Energy X-Ray Absorptiometry Measurements To Evaluate Total Body Volume When Compared To Air Displacement Plethysmography For Evaluating Body Composition In A Four Compartment Model , Lee Doernte

The Link between Overweight, Obesity, and Perceived Exercise Benefits and Barriers among College Students , Alexandra Szarabajko

Theses/Dissertations from 2017 2017

The Effects Of Depth Jump Implementation Of Sprint Performance In Collegiate And Club Sport Athletes , Ryan Bean

The Effects Of Caffeine Supplementation When Manipulating The Time Of Ingestion Prior To Simulated Rugby Union Activity , Zachary William Bell

Locomotor Skill Development in Response to an Electronic Visual Exercise System in Children with Sensory Impairments , Sara Johnson

The Effect Of Practical Blood Flow Restriction Training On Body Composition And Muscular Strength In College-Aged Individuals , Zachary R. Salyers

Theses/Dissertations from 2015 2015

The Relationship Between Personality Type And Exercise Motivation , Kayla Michelle Bowman

The relationship between coaching environment and athlete attributional style , Una Britton

The Effects on Acute Power Production Enhancement and Maintenance due to Pre-workout Supplementation in Recreationally trained College Aged Males. , Mark Travis Byrd

Educational Professionals' Current Knowledge of Concussions And Return To Learn Implementation Practice , Michelle Kuzma

Effects Of A Six-Week Functional Training Program On Fitness And Body Composition Of Fire Science Majors , Kristen Anne LeBrun

Sedentary Behaviors and Physical Activity in Relation to Class Standing in University Students , Codie Monhollen

Theses/Dissertations from 2014 2014

The Effects of Active Recovery during High Intensity Resistance Training on Lactate Clearance in Collegiate Athletes , Christopher Alexander Perry

Physical, Emotional, and Competitive Aggression Tendencies in Contact and Non-Contact Collegiate Athletes , Samyra Rose Safraoui

Theses/Dissertations from 2013 2013

Relationship Between Personality And Exercise Motivation In Weight Loss , Leanna Beth Bowles

The Effects of Fatigue on a Dual-Task Postural Control Measure , Allisha R. Guzdial

Relationship Between a Proxy of Prenatal Testosterone (2D:4D) and Determinants of Endurance Running Performance , Simon D. Holzapfel

Perceptions Of Athletic Training Services Of Japanese Collegiate Student Athletes , Jun Matsuno

Theses/Dissertations from 2012 2012

An Eccentric Intervention of the Flexor-Pronator Mass To Impact Overhead Throwing Distance and Velocity , Ricker Stanton Adkins

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Home > USC Columbia > Public Health, Arnold School of > SPH_EXERCISE_SCIENCE > Exercise Science Theses and Dissertations

Exercise Science Theses and Dissertations

Theses/dissertations from 2023 2023.

Leveraging Church Environments to Promote Rural Physical Activity and Healthy Eating , Kelsey Rothera Day

The Role of Environmental Context in Supporting Children’s 24- Hour Movement Behaviors; A Positive Deviance Perspective , Roddrick Dugger

Effects of Caffeine on Measures of Clinical Outcome and Recovery Following Mild Traumatic Brain Injury in Adolescents , Jacob Michael Eade

Sleep, Physical Activity, and Sedentary Time in the First Year Postpartum , Erin Elizabeth Kishman

Mechanisms of Social Stress Susceptibility and Resilience in Female Rats , Brittany Sara Pate

Predictors of Driving Performance Post-Stroke , Halle Elise Prine

A Randomized, Placebo Controlled, Double-Blind, Crossover Study to Evaluate the Effects of Two Novel Hydration Beverage Formulas on Rehydration in Healthy Adults , Nathaniel David Rhoades

Effect of Action Selection Demands on the Execution of Goal-Directed Reaches , James Garrison Riedy

An Examination of Inter-Limb Functional Asymmetry After a Fatiguing Bout of Exercise in High Level Soccer Players , Nestor Urrea

Causes and Consequences of the Risk of Generalizability Biases in Health Behavioral Interventions , Lauren von Klinggraeff

Exercise and Mental Health Over the Course of a Semester , Jamie Alexis Whitney

Theses/Dissertations from 2022 2022

Molecular Architecture of Cardiometabolic Responses to Regular Exercise , Jacob L. Barber

Relationships Among Sleep, Physical Activity, and Weight Status in Children and Adolescents , Agnes Bucko

Self Reported Cardiovascular Health and Health Behaviors in Women Veterans , Seth Byland

Sports Nutrition- and Strength and Conditioning-based Interventions to Bolster Health and Human Performance in Male and Female Tactical Personnel , Harry Paul Cintineo

Psychophysiological Biomarkers of Concussion Recovery , Adam Todd Harrison

The Effects of Exercise Training on Cholesterol Efflux Capacity in the HERITAGE Family Study , Joshua Adam Hawkins

Physical Activity and Stress Between American Students and Asian International Students at the University of South Carolina , Hao Lei

Effects of Positive Social Comparative Feedback During Practice on Motor Sequence Learning, Performance Expectancies, and Resting State Connectivity , Allison Foster Lewis

Using a Multi-Direction Reaching Approach to Investigate Fitts’ Law and the Effect of Attentional Focus on Motor Learning , Charles R. Smith

Impact of a Novel Marine Algae Supplement on Inflammatory and Immune Response After High-Intensity Exercise , Caroline Sara Vincenty

Theses/Dissertations from 2021 2021

Clinical Determinants of VO 2 max Response to Endurance Training: HERITAGE Family Study , Emanuel Ayala

The Influence of ADHD on Concussion in NCAA College Athletes , Brett Steven Gunn

The Relationship of Structured Environments With Children’s Body Composition and Obesogenic Behaviors , Ethan T. Hunt

Racial Disparities in Gestational Weight Gain, Body Mass Index, And Physical Activity During Pregnancy and After Delivery , Marcey Acacia Jiles

Strengthening the Evidence-Base of Youth Nutrition Programs: A Three Part Approach , Rebecca Kyryliuk

Multiple Processes Predict Motor Learning and Impairments After a Stroke , Christopher Michael Perry

Physical Activity and Sedentary Behavior During and After Pregnancy and Postpartum Weight Retention , Kaitlyn Taylor Ramey

The Influence of Sport Participation on Physical Activity in Youth , Emily R. Shull

Examination of Energy Needs and Female Athlete Triad Components in Competitive Cheerleaders , Allison Smith

Performance of the Wrist-worn Actigraph GT3X + in Measuring Physical Activity in Older Women , Michal Talley Smith

Effects of Basketball Exercise Simulation Test (BEST) On Landing Mechanics in Active Females , Madison Treece

Theses/Dissertations from 2020 2020

The Association of Exercise Training Modalities with Circulating Branched Chain Amino Acid and Ketone Body levels in Patients with Type 2 Diabetes , Ryan Andrew Flynn

Examination of Daily Steps in People With Parkinson’s Disease & Stroke: Two Steps Forward , Reed Handlery

Examination of Emergency Medical Services Activations for Sport- Related Injuries , Rebecca Marie Hirschhorn

Sex-Based Differences in Concussion Outcomes Among Adolescents and Young Adults , Jacob James Michael Kay

Piloting a Smartphone-Based Sedentary Behavior Reduction Intervention for Adults With Overweight or Obesity: Take a STAND 4 Health , Chelsea Larsen

Integrating Survivors of Stroke Into Cardiac Rehabilitation , Elizabeth Wherley Regan

Lipoprotein Discordance: Associations With Diabetes, Metabolic Syndrome, and Response to Exercise , Jonathan Joseph Pulama Kupaianaha Ruiz-Ramie

Characterizing Patterns of Adherence to Physical Activity Goals in Behavioral Weight Control , Melissa Lee Stansbury

Mental Health Prevalence and Biofeedback Intervention for Student- Athletes , Samantha Rose Weber

Theses/Dissertations from 2019 2019

Leveraging For-Cause Physical Activity Events for Physical Activity Promotion: An Investigation Using Self-Determination Theory , John A. Bernhart

Effect of TRB3 on Skeletal Muscle Mass Regulation and Exercise-Induced Adaptation , Ran Hee Choi

The Role of AMPK in the Regulation of Skeletal Muscle Proteostasis During Cancer Cachexia , Dennis K. Fix

Identification of Factors Contributing to Musculoskeletal Injuries in Military Basic Trainees , Amy Fraley Hand

Effects of Spinal Manipulation on Brain Activation in Individuals with Chronic Low Back Pain , Max K. Jordon

The Effect of Patient Financial Liability on Physical Therapy Utilization and Patient Reported Outcomes for Patients With Low Back Pain: An Instrumental Variable Analysis , Adam D. Lutz

Physical Activity of Preschoolers with Developmental Disabilities and Delays , Michaela A. Schenkelberg

Reproducibility and The Effects of Exercise on The Endurance Index , Michael Dean Smith, JR.

Differential Cholinergic Modulation of Prelimbic and Thalamic Input to the Basolateral Amygdala , Sarah Catherine Tryon

Theses/Dissertations from 2018 2018

The Effects of Exercise Training on Cardiovascular-related Circulating MicroRNAs , Jacob Luther Barber

Neighborhood Socioeconomic Environment and Its Influence on Cardiorespiratory Fitness and Physical Activity in Youth , Morgan N. Clennin

Calibration of an Accelerometer for Measurement of Very Light Intensity Physical Activity in Children , Joseph S. Gorab

The Effects Of Exercise Mode And Intensity On Energy Expenditure During And After Exercise In Resistance Trained Males , George Lewis Grieve

Enhancing Dancing: Examining The Potency Of A Combined Action Observation And Brain Stimulation Intervention , Melissa B. Kolar

The Effects Of Modifiable Lifestyle Behaviors On Lipoprotein Particle Concentration And Size , Ryan R. Porter

Cortical Damage and Disconnection Contribute to Post-Stroke Sensorimotor Impairment , Shafagh Yazdani

Theses/Dissertations from 2017 2017

Patterns Of Participation And Performance In Youth Baseball Players , Amanda Arnold

The Effect of Energy-Matched Exercise Intensity on Brain-Derived Neurotrophic Factor and Motor Learning , Jessica F. Baird

The Role of Exercise Dose on Ghrelin Concentration in Postmenopausal Women , Kimberly Bowyer

Children’s Obesogenic Behaviors During Summer Versus School , Keith Brazendale

The Effects of a Game Simulation on Muscle Activation and Knee Kinematics in Females , Geoffrey Collins

The Regulation of Glycoprotein130 Dependent Inflammatory Cytokines one Basal and Mechanical Stimuli Induced Protein Synthesis in Myotubes and Skeletal Muscles , Song Gao

Muscle Inflammatory Signaling Regulates Eccentric Contraction-Induced Protein Synthesis during Cancer Cachexia , Justin Perry Hardee

The Addition Of A Concurrent Bimanual Task Influences Postural Sway And Walking Speed Performance And Prioritization Across All Ages , Derek Matthew Liuzzo

Maternal Physical Activity and Cardiorespiratory Fitness During Pregnancy and its Relation to Infant Size , Samantha M. McDonald

Identifying Associations between Religious Commitment and Preventive Health Behaviors in a Southeastern Rural County , Nathan A. Peters

The Association Of Changes In Cardiorespiratory Fitness With Changes In Cardiometabolic Risk Factors , Leanna Marie Ross

The Nutrition Assistance Landscape in Afterschool Programs: Understanding the Gap between Research, Policy, and Practice , Falon Elizabet Tilley

Theses/Dissertations from 2016 2016

The Effects Of Exercise On Sleep Parameters Among Older Women , Charity B. Breneman

Exploring Children’s Physical Activity Levels Through Structure and Measurement , Jessica L. Chandler

Comparison of the Effects of Energy Flux on Metabolic Conditions and Satiety in Young Adults , Molly Madison DeMello

Role Of Altered Gut Microbiota In Tumor Development, Mucus Production And Inflammation In APC MIN/+ Mouse Model , Kamaljeet Kaur

Exploratory Analysis Of PTSD Severity And Objective Measures Of Physical Activity Among Combat Veterans , Danny O. Sauceda

Theses/Dissertations from 2015 2015

Healthy Eating and Physical Activity Environmental and Policy Assessment – Measurement Issues and Implications , Rahma Jamea Yousef Ajja

Metabotropic Receptor Modulation of Kainate Receptors in the Hippocampus , C'iana Patrice Cooper

The Recovery of Gut Barrier Function With Selenium Rich Diet in Acute DSS-Induced Colitis , Sarah Depaepe

The Role of Ovarian Function in the Progression of Cachexia in the APC MIN/+ Mouse , Kimbell Louise Hetzler

Factors Influencing Level of Implementation of Physical Activity Interventions in Youth-Serving Organizations , Yuen Yan Lau

Correlations Between White Matter Integrity, Structural Connectivity, And Upper and Lower Extremity Motor Function in Individuals With Chronic Stroke , Denise M. Peters

Cardiorespiratory Fitness, Body Fatness Effect on Submaximal Systolic Blood Pressure and Cardiovascular Prognosis among Young Adults , Vivek Kumar Prasad

Adiponectin and Selenium Rich Diet can act as a Complimentary Medicine in the Treatment of Intestinal and Chronic Inflammation Induced Colon Cancer , Arpit Saxena

Novel Drug 2-benzoyl-3-phenyl 6,7-dichloroquinoxaline 1,4-dioxide Induces Colon Cancer Cell Apoptosis Through HIF-1α Pathway , Alexander-Jacques Theodore Sougiannis

Patterns of Sedentary Behavior and Association with Health Risks Among African American Adults , Tatiana Y. Warren-Jones

Patient and Provider Perceptions of Weight Gain, Physical Activity, and Nutrition in Pregnancy , Kara M. Whitaker

Theses/Dissertations from 2014 2014

The Effects of Exercise Training on Cognitive Reserve and Cognitive Function in Healthy Older Women , Katie Marie Becofsky

The Effects of Arthritis Foundation’s “Walk With Ease” Program on Cognitive Function , Ryan S. Falck

Weight-Gain and Energy Balance , Benjamin Thomas Gordon

ROLE OF CHRONIC INFLAMMATION ON LIVER FUNCTION DURING CACHEXIA PROGRESSION IN THE APC MIN/+ MOUSE MODEL , Aditi Narsale

Longitudinal Evaluations of Objectively Measured Physical Activity: Capturing the Full Spectrum of Duration and Intensity , Amanda E. Paluch

The Regulation of Skeletal Muscle Mass and Mitochondrial Biogenesis by gp130/STAT3 Signaling during Cancer Cachexia , Melissa Puppa

Theses/Dissertations from 2013 2013

The Mechanisms of Posterior Shoulder Tightness and Effectiveness of Manual Therapy , Lane Brooks Bailey

Optimal Cooperation In Joint Action Tasks , Scott Michael Blanchette

Measuring Organizational Member Involvement In Physical Activity Coalitions Across the United States , Daniel Benjamin Bornstein

Outsmarting the Brain: Augmenting Motor Training with Non-invasive Brain Stimulation in Order to Facilitate Plasticity-Dependent, Functional Improvement within the Motor Cortex , Raymond Joseph Butts

The Association of Physical Fitness With Psychological Health Outcomes In Soldiers During Army Basic Combat Training , Shannon K. Crowley

An Investigation into the Influence of Dietary Saturated Fat and Quercetin Supplementation on Adiposity, Macrophage Behavior, Inflammation, and Non-Alcoholic Fatty-Liver Disease , Reilly Enos

The Effect of Radiation on Myofiber Properties in Mouse Skeletal Muscle , Dennis K. Fix

Exploring the Role of Culture and Race In Stroke Rehabilitation Disparities , Jennifaye Verdina Greene

Classroom Exercise Breaks and Educational Outcomes in Elementary School Students , Erin Kaye Howie

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Physical Education and Exercise Science Theses and Dissertations

Theses/dissertations from 2021 2021.

Warming Up and Cooling Down: Perceptions and Behaviors Associated with Aerobic Exercise , Balea J. Schumacher

Theses/Dissertations from 2020 2020

An Examination of Changes in Muscle Thickness, Isometric Strength, and Body Water Throughout the Menstrual Cycle , Tayla E. Kuehne

Theses/Dissertations from 2019 2019

Psychological Responses to High-Intensity Interval Training Exercise: A Comparison of Ungraded Running and Graded Walking , Abby Fleming

Theses/Dissertations from 2018 2018

The Effects of Music Choice on Perceptual and Physiological Responses to Treadmill Exercise , Taylor A. Shimshock

Theses/Dissertations from 2016 2016

The Effect of Exercise Order on Body Fat Loss During Concurrent Training , Tonya Lee Davis-Miller

Anti-Fat Attitudes and Weight Bias Internalization: An Investigation of How BMI Impacts Perceptions, Opinions and Attitudes , Laurie Schrider

Theses/Dissertations from 2014 2014

The Effect of Music Cadence on Step Frequency in the Recreational Runner , Micaela A. Galosky

The Hypertrophic Effects of Practical Vascular Blood Flow Restriction Training , John Francis O'halloran

Theses/Dissertations from 2013 2013

The Effects of Exercise Modality on State Body Image , Elizabeth Anne Hubbard

Perceptual Responses to High-Intensity Interval Training in Overweight and Sedentary Individuals , Nicholas Martinez

Comparisons of acute neuromuscular fatigue and recovery after maximal effort strength training using powerlifts , Nicholas Todd Theilen

Theses/Dissertations from 2012 2012

The Impact of Continuous and Discontinuous Cycle Exercise on Affect: An Examination of the Dual-Mode Model , Sam Greeley

Systematic review of core muscle electromyographic activity during physical fitness exercises , Jason Martuscello

Theses/Dissertations from 2011 2011

The Effect of Unexpected Exercise Duration on Rating of Perceived Exertion in an Untrained, Sedentary Population , Lisa M. Giblin

The Effect of Various Carbohydrate Supplements on Postprandial Blood Glucose Response in Female Soccer Players , Nina Pannoni

Middle School Physical Education Programs: A Comparison of Moderate to Vigorous Physical Activity in Sports Game Play , Marcia Ann Patience

The Effects of Pre-Exercise Carbohydrate Supplementation on Resistance Training Performance During an Acute Resistance Training Session , Kelly Raposo

Theses/Dissertations from 2010 2010

Effects of Fat-Free and 2% Chocolate Milk on Strength and Body Composition Following Resistance Training , Ashley T. Forsyth

Relationship Between Muscular Strength Testing to Dynamic Muscular Performance in Division One American Football Players , Johnathan Fuentes

Effects of Ingesting Fat Free and Low Fat Chocolate Milk After Resistance Training on Exercise Performance , Breanna Myers

Theses/Dissertations from 2009 2009

Effects of a Commercially Available Energy Drink on Anaerobic Performance , Jason J. Downing

The Impact of Wearable Weights on the Cardiovascular and Metabolic Responses to Treadmill Walking , Kristine M. Fallon

Six Fifth Grade Students Experiences Participating in Active Gaming during Physical Eduction Classes , Lisa Witherspoon Hansen

The impact of wearable weights on perceptual responses to treadmill walking , Ashley T. Kuczynski

The Preference of Protein Powders Among Adult Males and Females: A Protein Powder Taste Study , Joshua Manter

Caloric Expenditure and Substrate Utilization in Underwater Treadmill Running Versus Land-Based Treadmill Running , Courtney Schaal

Theses/Dissertations from 2008 2008

A Survey of NCAA Division 1 Strength and Conditioning Coaches- Characteristics and Opinions , Jeremy Powers

Theses/Dissertations from 2007 2007

Perceptions of group exercise participants based on body type, appearance and attractiveness of the instructor , Jennifer Mears

Theses/Dissertations from 2006 2006

Be active! An examination of social support's role in individual vs. team competition in worksite health promotion , Lauren Kriz

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Sport Management Master’s Theses

sport thesis

Our students research a diverse array of issues and problems in sport:

  • Systematic review update
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  • Published: 21 June 2023

The impact of sports participation on mental health and social outcomes in adults: a systematic review and the ‘Mental Health through Sport’ conceptual model

  • Narelle Eather   ORCID: orcid.org/0000-0002-6320-4540 1 , 2 ,
  • Levi Wade   ORCID: orcid.org/0000-0002-4007-5336 1 , 3 ,
  • Aurélie Pankowiak   ORCID: orcid.org/0000-0003-0178-513X 4 &
  • Rochelle Eime   ORCID: orcid.org/0000-0002-8614-2813 4 , 5  

Systematic Reviews volume  12 , Article number:  102 ( 2023 ) Cite this article

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Sport is a subset of physical activity that can be particularly beneficial for short-and-long-term physical and mental health, and social outcomes in adults. This study presents the results of an updated systematic review of the mental health and social outcomes of community and elite-level sport participation for adults. The findings have informed the development of the ‘Mental Health through Sport’ conceptual model for adults.

Nine electronic databases were searched, with studies published between 2012 and March 2020 screened for inclusion. Eligible qualitative and quantitative studies reported on the relationship between sport participation and mental health and/or social outcomes in adult populations. Risk of bias (ROB) was determined using the Quality Assessment Tool (quantitative studies) or Critical Appraisal Skills Programme (qualitative studies).

The search strategy located 8528 articles, of which, 29 involving adults 18–84 years were included for analysis. Data was extracted for demographics, methodology, and study outcomes, and results presented according to study design. The evidence indicates that participation in sport (community and elite) is related to better mental health, including improved psychological well-being (for example, higher self-esteem and life satisfaction) and lower psychological ill-being (for example, reduced levels of depression, anxiety, and stress), and improved social outcomes (for example, improved self-control, pro-social behavior, interpersonal communication, and fostering a sense of belonging). Overall, adults participating in team sport had more favorable health outcomes than those participating in individual sport, and those participating in sports more often generally report the greatest benefits; however, some evidence suggests that adults in elite sport may experience higher levels of psychological distress. Low ROB was observed for qualitative studies, but quantitative studies demonstrated inconsistencies in methodological quality.

Conclusions

The findings of this review confirm that participation in sport of any form (team or individual) is beneficial for improving mental health and social outcomes amongst adults. Team sports, however, may provide more potent and additional benefits for mental and social outcomes across adulthood. This review also provides preliminary evidence for the Mental Health through Sport model, though further experimental and longitudinal evidence is needed to establish the mechanisms responsible for sports effect on mental health and moderators of intervention effects. Additional qualitative work is also required to gain a better understanding of the relationship between specific elements of the sporting environment and mental health and social outcomes in adult participants.

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Introduction

The organizational structure of sport and the performance demands characteristic of sport training and competition provide a unique opportunity for participants to engage in health-enhancing physical activity of varied intensity, duration, and mode; and the opportunity to do so with other people as part of a team and/or club. Participation in individual and team sports have shown to be beneficial to physical, social, psychological, and cognitive health outcomes [ 1 , 2 , 3 , 4 , 5 , 6 , 7 ]. Often, the social and mental health benefits facilitated through participation in sport exceed those achieved through participation in other leisure-time or recreational activities [ 8 , 9 , 10 ]. Notably, these benefits are observed across different sports and sub-populations (including youth, adults, older adults, males, and females) [ 11 ]. However, the evidence regarding sports participation at the elite level is limited, with available research indicating that elite athletes may be more susceptible to mental health problems, potentially due to the intense mental and physical demands placed on elite athletes [ 12 ].

Participation in sport varies across the lifespan, with children representing the largest cohort to engage in organized community sport [ 13 ]. Across adolescence and into young adulthood, dropout from organized sport is common, and especially for females [ 14 , 15 , 16 ], and adults are shifting from organized sports towards leisure and fitness activities, where individual activities (including swimming, walking, and cycling) are the most popular [ 13 , 17 , 18 , 19 ]. Despite the general decline in sport participation with age [ 13 ], the most recent (pre-COVID) global data highlights that a range of organized team sports (such as, basketball, netball volleyball, and tennis) continue to rank highly amongst adult sport participants, with soccer remaining a popular choice across all regions of the world [ 13 ]. It is encouraging many adults continue to participate in sport and physical activities throughout their lives; however, high rates of dropout in youth sport and non-participation amongst adults means that many individuals may be missing the opportunity to reap the potential health benefits associated with participation in sport.

According to the World Health Organization, mental health refers to a state of well-being and effective functioning in which an individual realizes his or her own abilities, is resilient to the stresses of life, and is able to make a positive contribution to his or her community [ 20 ]. Mental health covers three main components, including psychological, emotional and social health [ 21 ]. Further, psychological health has two distinct indicators, psychological well-being (e.g., self-esteem and quality of life) and psychological ill-being (e.g., pre-clinical psychological states such as psychological difficulties and high levels of stress) [ 22 ]. Emotional well-being describes how an individual feels about themselves (including life satisfaction, interest in life, loneliness, and happiness); and social well–being includes an individual’s contribution to, and integration in society [ 23 ].

Mental illnesses are common among adults and incidence rates have remained consistently high over the past 25 years (~ 10% of people affected globally) [ 24 ]. Recent statistics released by the World Health Organization indicate that depression and anxiety are the most common mental disorders, affecting an estimated 264 million people, ranking as one of the main causes of disability worldwide [ 25 , 26 ]. Specific elements of social health, including high levels of isolation and loneliness among adults, are now also considered a serious public health concern due to the strong connections with ill-health [ 27 ]. Participation in sport has shown to positively impact mental and social health status, with a previous systematic review by Eime et al. (2013) indicated that sports participation was associated with lower levels of perceived stress, and improved vitality, social functioning, mental health, and life satisfaction [ 1 ]. Based on their findings, the authors developed a conceptual model (health through sport) depicting the relationship between determinants of adult sports participation and physical, psychological, and social health benefits of participation. In support of Eime’s review findings, Malm and colleagues (2019) recently described how sport aids in preventing or alleviating mental illness, including depressive symptoms and anxiety or stress-related disease [ 7 ]. Andersen (2019) also highlighted that team sports participation is associated with decreased rates of depression and anxiety [ 11 ]. In general, these reviews report stronger effects for sports participation compared to other types of physical activity, and a dose–response relationship between sports participation and mental health outcomes (i.e., higher volume and/or intensity of participation being associated with greater health benefits) when adults participate in sports they enjoy and choose [ 1 , 7 ]. Sport is typically more social than other forms of physical activity, including enhanced social connectedness, social support, peer bonding, and club support, which may provide some explanation as to why sport appears to be especially beneficial to mental and social health [ 28 ].

Thoits (2011) proposed several potential mechanisms through which social relationships and social support improve physical and psychological well-being [ 29 ]; however, these mechanisms have yet to be explored in the context of sports participation at any level in adults. The identification of the mechanisms responsible for such effects may direct future research in this area and help inform future policy and practice in the delivery of sport to enhance mental health and social outcomes amongst adult participants. Therefore, the primary objective of this review was to examine and synthesize all research findings regarding the relationship between sports participation, mental health and social outcomes at the community and elite level in adults. Based on the review findings, the secondary objective was to develop the ‘Mental Health through Sport’ conceptual model.

This review has been registered in the PROSPERO systematic review database and assigned the identifier: CRD42020185412. The conduct and reporting of this systematic review also follows the Preferred Reporting for Systematic Reviews and Meta-Analyses (PRISMA) guidelines [ 30 ] (PRISMA flow diagram and PRISMA Checklist available in supplementary files ). This review is an update of a previous review of the same topic [ 31 ], published in 2012.

Identification of studies

Nine electronic databases (CINAHL, Cochrane Library, Google Scholar, Informit, Medline, PsychINFO, Psychology and Behavioural Sciences Collection, Scopus, and SPORTDiscus) were systematically searched for relevant records published from 2012 to March 10, 2020. The following key terms were developed by all members of the research team (and guided by previous reviews) and entered into these databases by author LW: sport* AND health AND value OR benefit* OR effect* OR outcome* OR impact* AND psych* OR depress* OR stress OR anxiety OR happiness OR mood OR ‘quality of life’ OR ‘social health’ OR ‘social relation*’ OR well* OR ‘social connect*’ OR ‘social functioning’ OR ‘life satisfac*’ OR ‘mental health’ OR social OR sociolog* OR affect* OR enjoy* OR fun. Where possible, Medical Subject Headings (MeSH) were also used.

Criteria for inclusion/exclusion

The titles of studies identified using this method were screened by LW. Abstract and full text of the articles were reviewed independently by LW and NE. To be included in the current review, each study needed to meet each of the following criteria: (1) published in English from 2012 to 2020; (2) full-text available online; (3) original research or report published in a peer-reviewed journal; (4) provides data on the psychological or social effects of participation in sport (with sport defined as a subset of exercise that can be undertaken individually or as a part of a team, where participants adhere to a common set of rules or expectations, and a defined goal exists); (5) the population of interest were adults (18 years and older) and were apparently healthy. All papers retrieved in the initial search were assessed for eligibility by title and abstract. In cases where a study could not be included or excluded via their title and abstract, the full text of the article was reviewed independently by two of the authors.

Data extraction

For the included studies, the following data was extracted independently by LW and checked by NE using a customized Google Docs spreadsheet: author name, year of publication, country, study design, aim, type of sport (e.g., tennis, hockey, team, individual), study conditions/comparisons, sample size, where participants were recruited from, mean age of participants, measure of sports participation, measure of physical activity, psychological and/or social outcome/s, measure of psychological and/or social outcome/s, statistical method of analysis, changes in physical activity or sports participation, and the psychological and/or social results.

Risk of bias (ROB) assessment

A risk of bias was performed by LW and AP independently using the ‘Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies’ OR the ‘Quality Assessment of Controlled Intervention Studies’ for the included quantitative studies, and the ‘Critical Appraisal Skills Programme (CASP) Checklist for the included qualitative studies [ 32 , 33 ]. Any discrepancies in the ROB assessments were discussed between the two reviewers, and a consensus reached.

The search yielded 8528 studies, with a total of 29 studies included in the systematic review (Fig.  1 ). Tables  1 and 2 provide a summary of the included studies. The research included adults from 18 to 84 years old, with most of the evidence coming from studies targeting young adults (18–25 years). Study samples ranged from 14 to 131, 962, with the most reported psychological outcomes being self-rated mental health ( n  = 5) and depression ( n  = 5). Most studies did not investigate or report the link between a particular sport and a specific mental health or social outcome; instead, the authors’ focused on comparing the impact of sport to physical activity, and/or individual sports compared to team sports. The results of this review are summarized in the following section, with findings presented by study design (cross-sectional, experimental, and longitudinal).

figure 1

Flow of studies through the review process

Effects of sports participation on psychological well-being, ill-being, and social outcomes

Cross-sectional evidence.

This review included 14 studies reporting on the cross-sectional relationship between sports participation and psychological and/or social outcomes. Sample sizes range from n  = 414 to n  = 131,962 with a total of n  = 239,394 adults included across the cross-sectional studies.

The cross-sectional evidence generally supports that participation in sport, and especially team sports, is associated with greater mental health and psychological wellbeing in adults compared to non-participants [ 36 , 59 ]; and that higher frequency of sports participation and/or sport played at a higher level of competition, are also linked to lower levels of mental distress in adults . This was not the case for one specific study involving ice hockey players aged 35 and over, with Kitchen and Chowhan (2016) Kitchen and Chowhan (2016) reporting no relationship between participation in ice hockey and either mental health, or perceived life stress [ 54 ]. There is also some evidence to support that previous participation in sports (e.g., during childhood or young adulthood) is linked to better mental health outcomes later in life, including improved mental well-being and lower mental distress [ 59 ], even after controlling for age and current physical activity.

Compared to published community data for adults, elite or high-performance adult athletes demonstrated higher levels of body satisfaction, self-esteem, and overall life satisfaction [ 39 ]; and reported reduced tendency to respond to distress with anger and depression. However, rates of psychological distress were higher in the elite sport cohort (compared to community norms), with nearly 1 in 5 athletes reporting ‘high to very high’ distress, and 1 in 3 reporting poor mental health symptoms at a level warranting treatment by a health professional in one study ( n  = 749) [ 39 ].

Four studies focused on the associations between physical activity and sports participation and mental health outcomes in older adults. Physical activity was associated with greater quality of life [ 56 ], with the relationship strongest for those participating in sport in middle age, and for those who cycled in later life (> 65) [ 56 ]. Group physical activities (e.g., walking groups) and sports (e.g., golf) were also significantly related to excellent self-rated health, low depressive symptoms, high health-related quality of life (HRQoL) and a high frequency of laughter in males and females [ 60 , 61 ]. No participation or irregular participation in sport was associated with symptoms of mild to severe depression in older adults [ 62 ].

Several cross-sectional studies examined whether the effects of physical activity varied by type (e.g., total physical activity vs. sports participation). In an analysis of 1446 young adults (mean age = 18), total physical activity, moderate-to-vigorous physical activity, and team sport were independently associated with mental health [ 46 ]. Relative to individual physical activity, after adjusting for covariates and moderate-to-vigorous physical activity (MVPA), only team sport was significantly associated with improved mental health. Similarly, in a cross-sectional analysis of Australian women, Eime, Harvey, Payne (2014) reported that women who engaged in club and team-based sports (tennis or netball) reported better mental health and life satisfaction than those who engaged in individual types of physical activity [ 47 ]. Interestingly, there was no relationship between the amount of physical activity and either of these outcomes, suggesting that other qualities of sports participation contribute to its relationship to mental health and life satisfaction. There was also some evidence to support a relationship between exercise type (ball sports, aerobic activity, weightlifting, and dancing), and mental health amongst young adults (mean age 22 years) [ 48 ], with ball sports and dancing related to fewer symptoms of depression in students with high stress; and weightlifting related to fewer depressive symptoms in weightlifters exhibiting low stress.

Longitudinal evidence

Eight studies examined the longitudinal relationship between sports participation and either mental health and/or social outcomes. Sample sizes range from n  = 113 to n  = 1679 with a total of n  = 7022 adults included across the longitudinal studies.

Five of the included longitudinal studies focused on the relationship between sports participation in childhood or adolescence and mental health in young adulthood. There is evidence that participation in sport in high-school is protective of future symptoms of anxiety (including panic disorder, generalised anxiety disorder, social phobia, and agoraphobia) [ 42 ]. Specifically, after controlling for covariates (including current physical activity), the number of years of sports participation in high school was shown to be protective of symptoms of panic and agoraphobia in young adulthood, but not protective of symptoms of social phobia or generalized anxiety disorder [ 42 ]. A comparison of individual or team sports participation also revealed that participation in either context was protective of panic disorder symptoms, while only team sport was protective of agoraphobia symptoms, and only individual sport was protective of social phobia symptoms. Furthermore, current and past sports team participation was shown to negatively relate to adult depressive symptoms [ 43 ]; drop out of sport was linked to higher depressive symptoms in adulthood compared to those with maintained participation [ 9 , 22 , 63 ]; and consistent participation in team sports (but not individual sport) in adolescence was linked to higher self-rated mental health, lower perceived stress and depressive symptoms, and lower depression scores in early adulthood [ 53 , 58 ].

Two longitudinal studies [ 35 , 55 ], also investigated the association between team and individual playing context and mental health. Dore and colleagues [ 35 ] reported that compared to individual activities, being active in informal groups (e.g., yoga, running groups) or team sports was associated with better mental health, fewer depressive symptoms and higher social connectedness – and that involvement in team sports was related to better mental health regardless of physical activity volume. Kim and James [ 55 ] discovered that sports participation led to both short and long-term improvements in positive affect and life satisfaction.

A study on social outcomes related to mixed martial-arts (MMA) and Brazilian jiu-jitsu (BJJ) showed that both sports improved practitioners’ self-control and pro-social behavior, with greater improvements seen in the BJJ group [ 62 ]. Notably, while BJJ reduced participants’ reported aggression, there was a slight increase in MMA practitioners, though it is worth mentioning that individuals who sought out MMA had higher levels of baseline aggression.

Experimental evidence

Six of the included studies were experimental or quasi-experimental. Sample sizes ranged from n  = 28 to n  = 55 with a total of n  = 239 adults included across six longitudinal studies. Three studies involved a form of martial arts (such as judo and karate) [ 45 , 51 , 52 ], one involved a variety of team sports (such as netball, soccer, and cricket) [ 34 ], and the remaining two focused on badminton [ 57 ] and handball [ 49 ].

Brinkley and colleagues [ 34 ] reported significant effects on interpersonal communication (but not vitality, social cohesion, quality of life, stress, or interpersonal relationships) for participants ( n  = 40) engaging in a 12-week workplace team sports intervention. Also using a 12-week intervention, Hornstrup et al. [ 49 ] reported a significant improvement in mental energy (but not well-being or anxiety) in young women (mean age = 24; n  = 28) playing in a handball program. Patterns et al. [ 57 ] showed that in comparison to no exercise, participation in an 8-week badminton or running program had no significant improvement on self-esteem, despite improvements in perceived and actual fitness levels.

Three studies examined the effect of martial arts on the mental health of older adults (mean ages 79 [ 52 ], 64 [ 51 ], and 70 [ 45 ] years). Participation in Karate-Do had positive effects on overall mental health, emotional wellbeing, depression and anxiety when compared to other activities (physical, cognitive, mindfulness) and a control group [ 51 , 52 ]. Ciaccioni et al. [ 45 ] found that a Judo program did not affect either the participants’ mental health or their body satisfaction, citing a small sample size, and the limited length of the intervention as possible contributors to the findings.

Qualitative evidence

Three studies interviewed current or former sports players regarding their experiences with sport. Chinkov and Holt [ 41 ] reported that jiu-jitsu practitioners (mean age 35 years) were more self-confident in their lives outside of the gym, including improved self-confidence in their interactions with others because of their training. McGraw and colleagues [ 37 ] interviewed former and current National Football League (NFL) players and their families about its impact on the emotional and mental health of the players. Most of the players reported that their NFL career provided them with social and emotional benefits, as well as improvements to their self-esteem even after retiring. Though, despite these benefits, almost all the players experienced at least one mental health challenge during their career, including depression, anxiety, or difficulty controlling their temper. Some of the players and their families reported that they felt socially isolated from people outside of the national football league.

Through a series of semi-structured interviews and focus groups, Thorpe, Anders [ 40 ] investigated the impact of an Aboriginal male community sporting team on the health of its players. The players reported they felt a sense of belonging when playing in the team, further noting that the social and community aspects were as important as the physical health benefits. Participating in the club strengthened the cultural identity of the players, enhancing their well-being. The players further noted that participation provided them with enjoyment, stress relief, a sense of purpose, peer support, and improved self-esteem. Though they also noted challenges, including the presence of racism, community conflict, and peer-pressure.

Quality of studies

Full details of our risk of bias (ROB) results are provided in Supplementary Material A . Of the three qualitative studies assessed using the Critical Appraisal Skills Program (CASP), all three were deemed to have utilised and reported appropriate methodological standards on at least 8 of the 10 criteria. Twenty studies were assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies, with all studies clearly reporting the research question/s or objective/s and study population. However, only four studies provided a justification for sample size, and less than half of the studies met quality criteria for items 6, 7, 9, or 10 (and items 12 and 13 were largely not applicable). Of concern, only four of the observational or cohort studies were deemed to have used clearly defined, valid, and reliable exposure measures (independent variables) and implemented them consistently across all study participants. Six studies were assessed using the Quality Assessment of Controlled Intervention Studies, with three studies described as a randomized trial (but none of the three reported a suitable method of randomization, concealment of treatment allocation, or blinding to treatment group assignment). Three studies showed evidence that study groups were similar at baseline for important characteristics and an overall drop-out rate from the study < 20%. Four studies reported high adherence to intervention protocols (with two not reporting) and five demonstrated that.study outcomes were assessed using valid and reliable measures and implemented consistently across all study participants. Importantly, researchers did not report or have access to validated instruments for assessing sport participation or physical activity amongst adults, though most studies provided psychometrics for their mental health outcome measure/s. Only one study reported that the sample size was sufficiently powered to detect a difference in the main outcome between groups (with ≥ 80% power) and that all participants were included in the analysis of results (intention-to-treat analysis). In general, the methodological quality of the six randomised studies was deemed low.

Initially, our discussion will focus on the review findings regarding sports participation and well-being, ill-being, and psychological health. However, the heterogeneity and methodological quality of the included research (especially controlled trials) should be considered during the interpretation of our results. Considering our findings, the Mental Health through Sport conceptual model for adults will then be presented and discussed and study limitations outlined.

Sports participation and psychological well-being

In summary, the evidence presented here indicates that for adults, sports participation is associated with better overall mental health [ 36 , 46 , 47 , 59 ], mood [ 56 ], higher life satisfaction [ 39 , 47 ], self-esteem [ 39 ], body satisfaction [ 39 ], HRQoL [ 60 ], self-rated health [ 61 ], and frequency of laughter [ 61 ]. Sports participation has also shown to be predictive of better psychological wellbeing over time [ 35 , 53 ], higher positive affect [ 55 ], and greater life satisfaction [ 55 ]. Furthermore, higher frequency of sports participation and/or sport played at a higher level of competition, have been linked to lower levels of mental distress, higher levels of body satisfaction, self-esteem, and overall life satisfaction in adults [ 39 ].

Despite considerable heterogeneity of sports type, cross-sectional and experimental research indicate that team-based sports participation, compared to individual sports and informal group physical activity, has a more positive effect on mental energy [ 49 ], physical self-perception [ 57 ], and overall psychological health and well-being in adults, regardless of physical activity volume [ 35 , 46 , 47 ]. And, karate-do benefits the subjective well-being of elderly practitioners [ 51 , 52 ]. Qualitative research in this area has queried participants’ experiences of jiu-jitsu, Australian football, and former and current American footballers. Participants in these sports reported that their participation was beneficial for psychological well-being [ 37 , 40 , 41 ], improved self-esteem [ 37 , 40 , 41 ], and enjoyment [ 37 ].

Sports participation and psychological ill-being

Of the included studies, n  = 19 examined the relationship between participating in sport and psychological ill-being. In summary, there is consistent evidence that sports participation is related to lower depression scores [ 43 , 48 , 61 , 62 ]. There were mixed findings regarding psychological stress, where participation in childhood (retrospectively assessed) was related to lower stress in young adulthood [ 41 ], but no relationship was identified between recreational hockey in adulthood and stress [ 54 ]. Concerning the potential impact of competing at an elite level, there is evidence of higher stress in elite athletes compared to community norms [ 39 ]. Further, there is qualitative evidence that many current or former national football league players experienced at least one mental health challenge, including depression, anxiety, difficulty controlling their temper, during their career [ 37 ].

Evidence from longitudinal research provided consistent evidence that participating in sport in adolescence is protective of symptoms of depression in young adulthood [ 43 , 53 , 58 , 63 ], and further evidence that participating in young adulthood is related to lower depressive symptoms over time (6 months) [ 35 ]. Participation in adolescence was also protective of manifestations of anxiety (panic disorder and agoraphobia) and stress in young adulthood [ 42 ], though participation in young adulthood was not related to a more general measure of anxiety [ 35 ] nor to changes in negative affect [ 55 ]). The findings from experimental research were mixed. Two studies examined the effect of karate-do on markers of psychological ill-being, demonstrating its capacity to reduce anxiety [ 52 ], with some evidence of its effectiveness on depression [ 51 ]. The other studies examined small-sided team-based games but showed no effect on stress or anxiety [ 34 , 49 ]. Most studies did not differentiate between team and individual sports, though one study found that adolescents who participated in team sports (not individual sports) in secondary school has lower depression scores in young adulthood [ 58 ].

Sports participation and social outcomes

Seven of the included studies examined the relationship between sports participation and social outcomes. However, very few studies examined social outcomes or tested a social outcome as a potential mediator of the relationship between sport and mental health. It should also be noted that this body of evidence comes from a wide range of sport types, including martial arts, professional football, and workplace team-sport, as well as different methodologies. Taken as a whole, the evidence shows that participating in sport is beneficial for several social outcomes, including self-control [ 50 ], pro-social behavior [ 50 ], interpersonal communication [ 34 ], and fostering a sense of belonging [ 40 ]. Further, there is evidence that group activity, for example team sport or informal group activity, is related to higher social connectedness over time, though analyses showed that social connectedness was not a mediator for mental health [ 35 ].

There were conflicting findings regarding social effects at the elite level, with current and former NFL players reporting that they felt socially isolated during their career [ 37 ], whilst another study reported no relationship between participation at the elite level and social dysfunction [ 39 ]. Conversely, interviews with a group of indigenous men revealed that they felt as though participating in an all-indigenous Australian football team provided them with a sense of purpose, and they felt as though the social aspect of the game was as important as the physical benefits it provides [ 40 ].

Mental health through sport conceptual model for adults

The ‘Health through Sport’ model provides a depiction of the determinants and benefits of sports participation [ 31 ]. The model recognises that the physical, mental, and social benefits of sports participation vary by the context of sport (e.g., individual vs. team, organized vs. informal). To identify the elements of sport which contribute to its effect on mental health outcomes, we describe the ‘Mental Health through Sport’ model (Fig.  2 ). The model proposes that the social and physical elements of sport each provide independent, and likely synergistic contributions to its overall influence on mental health.

figure 2

The Mental Health through Sport conceptual model

The model describes two key pathways through which sport may influence mental health: physical activity, and social relationships and support. Several likely moderators of this effect are also provided, including sport type, intensity, frequency, context (team vs. individual), environment (e.g., indoor vs. outdoor), as well as the level of competition (e.g., elite vs. amateur).

The means by which the physical activity component of sport may influence mental health stems from the work of Lubans et al., who propose three key groups of mechanisms: neurobiological, psychosocial, and behavioral [ 64 ]. Processes whereby physical activity may enhance psychological outcomes via changes in the structural and functional composition of the brain are referred to as neurobiological mechanisms [ 65 , 66 ]. Processes whereby physical activity provides opportunities for the development of self-efficacy, opportunity for mastery, changes in self-perceptions, the development of independence, and for interaction with the environment are considered psychosocial mechanisms. Lastly, processes by which physical activity may influence behaviors which ultimately affect psychological health, including changes in sleep duration, self-regulation, and coping skills, are described as behavioral mechanisms.

Playing sport offers the opportunity to form relationships and to develop a social support network, both of which are likely to influence mental health. Thoits [ 29 ] describes 7 key mechanisms by which social relationships and support may influence mental health: social influence/social comparison; social control; role-based purpose and meaning (mattering); self-esteem; sense of control; belonging and companionship; and perceived support availability [ 29 ]. These mechanisms and their presence within a sporting context are elaborated below.

Subjective to the attitudes and behaviors of individuals in a group, social influence and comparison may facilitate protective or harmful effects on mental health. Participants in individual or team sport will be influenced and perhaps steered by the behaviors, expectations, and norms of other players and teams. When individual’s compare their capabilities, attitudes, and values to those of other participants, their own behaviors and subsequent health outcomes may be affected. When others attempt to encourage or discourage an individual to adopt or reject certain health practices, social control is displayed [ 29 ]. This may evolve as strategies between players (or between players and coach) are discussion and implemented. Likewise, teammates may try to motivate each another during a match to work harder, or to engage in specific events or routines off-field (fitness programs, after game celebrations, attending club events) which may impact current and future physical and mental health.

Sport may also provide behavioral guidance, purpose, and meaning to its participants. Role identities (positions within a social structure that come with reciprocal obligations), often formed as a consequence of social ties formed through sport. Particularly in team sports, participants come to understand they form an integral part of the larger whole, and consequently, they hold certain responsibility in ensuring the team’s success. They have a commitment to the team to, train and play, communicate with the team and a potential responsibility to maintain a high level of health, perform to their capacity, and support other players. As a source of behavioral guidance and of purpose and meaning in life, these identities are likely to influence mental health outcomes amongst sport participants.

An individual’s level of self-esteem may be affected by the social relationships and social support provided through sport; with improved perceptions of capability (or value within a team) in the sporting domain likely to have positive impact on global self-esteem and sense of worth [ 64 ]. The unique opportunities provided through participation in sport, also allow individuals to develop new skills, overcome challenges, and develop their sense of self-control or mastery . Working towards and finding creative solutions to challenges in sport facilitates a sense of mastery in participants. This sense of mastery may translate to other areas of life, with individual’s developing the confidence to cope with varied life challenges. For example, developing a sense of mastery regarding capacity to formulate new / creative solutions when taking on an opponent in sport may result in greater confidence to be creative at work. Social relationships and social support provided through sport may also provide participants with a source of belonging and companionship. The development of connections (on and off the field) to others who share common interests, can build a sense of belonging that may mediate improvements in mental health outcomes. Social support is often provided emotionally during expressions of trust and care; instrumentally via tangible assistance; through information such as advice and suggestions; or as appraisal such feedback. All forms of social support provided on and off the field contribute to a more generalised sense of perceived support that may mediate the effect of social interaction on mental health outcomes.

Participation in sport may influence mental health via some combination of the social mechanisms identified by Thoits, and the neurobiological, psychosocial, and behavioral mechanisms stemming from physical activity identified by Lubans [ 29 , 64 ]. The exact mechanisms through which sport may confer psychological benefit is likely to vary between sports, as each sport varies in its physical and social requirements. One must also consider the social effects of sports participation both on and off the field. For instance, membership of a sporting team and/or club may provide a sense of identity and belonging—an effect that persists beyond the immediacy of playing the sport and may have a persistent effect on their psychological health. Furthermore, the potential for team-based activity to provide additional benefit to psychological outcomes may not just be attributable to the differences in social interactions, there are also physiological differences in the requirements for sport both within (team vs. team) and between (team vs. individual) categories that may elicit additional improvements in psychological outcomes. For example, evidence supports that exercise intensity moderates the relationship between physical activity and several psychological outcomes—supporting that sports performed at higher intensity will be more beneficial for psychological health.

Limitations and recommendations

There are several limitations of this review worthy of consideration. Firstly, amongst the included studies there was considerable heterogeneity in study outcomes and study methodology, and self-selection bias (especially in non-experimental studies) is likely to influence study findings and reduce the likelihood that study participants and results are representative of the overall population. Secondly, the predominately observational evidence included in this and Eime’s prior review enabled us to identify the positive relationship between sports participation and social and psychological health (and examine directionality)—but more experimental and longitudinal research is required to determine causality and explore potential mechanisms responsible for the effect of sports participation on participant outcomes. Additional qualitative work would also help researchers gain a better understanding of the relationship between specific elements of the sporting environment and mental health and social outcomes in adult participants. Thirdly, there were no studies identified in the literature where sports participation involved animals (such as equestrian sports) or guns (such as shooting sports). Such studies may present novel and important variables in the assessment of mental health benefits for participants when compared to non-participants or participants in sports not involving animals/guns—further research is needed in this area. Our proposed conceptual model also identifies several pathways through which sport may lead to improvements in mental health—but excludes some potentially negative influences (such as poor coaching behaviors and injury). And our model is not designed to capture all possible mechanisms, creating the likelihood that other mechanisms exist but are not included in this review. Additionally, an interrelationship exits between physical activity, mental health, and social relationships, whereby changes in one area may facilitate changes in the other/s; but for the purpose of this study, we have focused on how the physical and social elements of sport may mediate improvements in psychological outcomes. Consequently, our conceptual model is not all-encompassing, but designed to inform and guide future research investigating the impact of sport participation on mental health.

The findings of this review endorse that participation in sport is beneficial for psychological well-being, indicators of psychological ill-being, and social outcomes in adults. Furthermore, participation in team sports is associated with better psychological and social outcomes compared to individual sports or other physical activities. Our findings support and add to previous review findings [ 1 ]; and have informed the development of our ‘Mental Health through Sport’ conceptual model for adults which presents the potential mechanisms by which participation in sport may affect mental health.

Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

We would like to acknowledge the work of the original systematic review conducted by Eime, R. M., Young, J. A., Harvey, J. T., Charity, M. J., and Payne, W. R. (2013).

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Eather, N., Wade, L., Pankowiak, A. et al. The impact of sports participation on mental health and social outcomes in adults: a systematic review and the ‘Mental Health through Sport’ conceptual model. Syst Rev 12 , 102 (2023). https://doi.org/10.1186/s13643-023-02264-8

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SPORTS COMPLEX THESIS

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Physical Activity and Sports—Real Health Benefits: A Review with Insight into the Public Health of Sweden

Christer malm.

1 Sports Medicine Unit, Department of Community Medicine and Rehabilitation, Umeå University, 901 87 Umeå, Sweden; [email protected]

Johan Jakobsson

Andreas isaksson.

2 Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 77 Solna, Sweden; [email protected]

Positive effects from sports are achieved primarily through physical activity, but secondary effects bring health benefits such as psychosocial and personal development and less alcohol consumption. Negative effects, such as the risk of failure, injuries, eating disorders, and burnout, are also apparent. Because physical activity is increasingly conducted in an organized manner, sport’s role in society has become increasingly important over the years, not only for the individual but also for public health. In this paper, we intend to describe sport’s physiological and psychosocial health benefits, stemming both from physical activity and from sport participation per se. This narrative review summarizes research and presents health-related data from Swedish authorities. It is discussed that our daily lives are becoming less physically active, while organized exercise and training increases. Average energy intake is increasing, creating an energy surplus, and thus, we are seeing an increasing number of people who are overweight, which is a strong contributor to health problems. Physical activity and exercise have significant positive effects in preventing or alleviating mental illness, including depressive symptoms and anxiety- or stress-related disease. In conclusion, sports can be evolving, if personal capacities, social situation, and biological and psychological maturation are taken into account. Evidence suggests a dose–response relationship such that being active, even to a modest level, is superior to being inactive or sedentary. Recommendations for healthy sports are summarized.

1. Introduction

Sport is a double-edged sword regarding effects on health. Positive effects are achieved primarily through physical activity, which is the main part of most sports. Many secondary effects of sport also bring health benefits, such as psychosocial development of both young [ 1 ] and old [ 2 ], personal development [ 3 ], later onset, and less consumption of alcohol [ 4 , 5 ]. Finally, those who play sports have a higher level of physical activity later in life [ 6 ], and through sport, knowledge of nutrition, exercise, and health can be developed [ 7 ]. Negative effects include the risk of failure leading to poor mental health [ 8 , 9 ], risk of injury [ 10 , 11 ], eating disorders [ 12 ], burnout [ 13 ], and exercise-induced gastrointestinal tract discomfort [ 14 ]. In sport, there are unfortunately also reports of physical and psychological abuse [ 15 ]. Negative aspects are more common in elite-level sports, where there is a fine balance between maximum performance and negative health. A somewhat unexpected effect of sport participation is that people submitting to planned training in some cases perform less physical activity compared to those who are exercising without a set schedule. One explanation can be a reduced spontaneous physical activity in the latter group [ 16 ]. Because physical activity is increasingly executed in an organized manner [ 17 , 18 , 19 ], sport’s role in society has become increasingly important over the years, not only for the individual but also for public health.

In this paper, we describe the health effects of sport from a physiological and psychological perspective, related both to physical activity and added values of sport per se. Initially, brief definitions of various concepts related to physical activity and health are given. This is then followed by: (1) A brief description of how physical activity and training affect our body from a physiological perspective; (2) a report on the health effects of physical activity and training; and (3) sport’s specific influences on the various dimensions of health. We chose to discuss the subject from an age-related perspective, separating children/adolescents, adults, and the elderly, as well as separating for sex in each age group.

2. Definitions of Physical Activity, Exercise, Training, Sport, and Health

Definitions and terms are based on “Physical activity in the prevention and treatment of disease” (FYSS, www.fyss.se [Swedish] [ 20 ]), World Health Organization (WHO) [ 21 ] and the US Department of Human Services [ 22 ]. The definition of physical activity in FYSS is: “Physical activity is defined purely physiologically, as all body movement that increases energy use beyond resting levels”. Health is defined according to the World Health Organization (WHO) as: “[…] a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity” [ 21 ].

Physical activity can occur spontaneously (leisure/work/transport) or organized and be divided according to purpose: Physical exercise is aimed primarily at improving health and physical capacity. Physical training is aimed primarily at increasing the individual’s maximum physical capacity and performance [ 23 ]. Physical inactivity is described as the absence of body movement, when energy consumption approximates resting levels. People who do not meet recommendations for physical activity are considered physically inactive and are sometimes called “sedentary”. Sport can be organized by age, sex, level of ambition, weight or other groupings [ 24 ]. Sport can also be spontaneous [ 7 , 17 ] and defined as a subset of exercises undertaken individually or as a part of a team, where participants have a defined goal [ 7 ]. General recommendations for physical activity are found in Table 1 , not considering everyday activities. One can meet the daily recommendations for physical activity by brief, high-intensity exercise, and remaining physically inactive for the rest of the day, thereby creating a “polarization” of physical activity: Having a high dose of conscious physical training, despite having a low energy expenditure in normal life due to high volumes of sedentary time. Polarization of physical activity may lead to increased risk of poor health despite meeting the recommendations for physical activity [ 25 , 26 , 27 ]. During most of our lives, energy expenditure is greater in normal daily life than in sport, physical training, and exercise, with the exceptions of children and the elderly, where planned physical activity is more important [ 28 ].

Recommendations regarding physical activity for different target groups. Note that additional health effects can be achieved if, in addition to these recommendations, the amount of physical activity increases, either by increasing the intensity or duration or a combination of both.

Target GroupRecommendationsPurpose

All children and adolescents are recommended at least 60 minutes daily physical activity. Longer is better.
The physical activity should be primarily of aerobic nature and the intensity moderate (easy/medium pulse increase) to high (marked pulse increase).
Aerobic physical activity at high intensity at least 3 times a week.
Muscle-strengthening physical activity 3 times a week.
Weight-bearing activity, such as running and jumping, is positive for bone mineral density.
The physical activity level will gradually be adapted to the individual’s biological and psychosocial maturation.
Development of muscles and skeletal and nervous system.
Maintain a healthy weight and a good mental health.
Social development, integration, good self-esteem, and self-confidence.
Enhanced learning ability.
Recommendations are universal, but for individuals with illness, there may be special recommendations.

All adults from 18 years of age and above are recommended to be aerobically physically active at least 150 minutes a week at a moderate intensity (medium pulse increase), or at least 75 minutes per week at vigorous intensity (marked pulse increase).
The activities should be distributed over at least three separate days.
Muscle-strengthening physical activity at least twice a week should be performed.
Improvements in aerobic work capacity and muscle strength.
Recommendations are universal, but for individuals with illness, there may be special recommendations.
Profits from carrying out the activity are lower risk of disease, such as disturbed metabolism and certain cancers and bone fractures.

Same recommendations as adults.
Muscle strengthening exercises should be performed at a high velocity, if possible.
Balance training should be incorporated prior to aerobic and muscle strengthening training.
Individuals with impaired ability should perform as much exercise as possible.
Improvements in aerobic work capacity, muscle strength, and balance.
Recommendations are universal, but for individuals with illness, there may be special recommendations.
Medical advice may be required before exercise commences. Benefits of carrying out the activity are the same as for adults, and better functional health and independence.

Compiled from FYSS 2017 ( www.fyss.se ) and WHO 2017 ( www.who.int ).

3. Aerobic and Muscle-Strengthening Physical Activity

Physical activity is categorized according to FYSS as: (1) Aerobic physical activity and (2) muscle-strengthening physical activity. Physical activity in everyday life and exercise training is mainly an aerobic activity, where a majority of energy production occurs via oxygen-dependent pathways. Aerobic physical activity is the type of activity typically associated with stamina, fitness, and the biggest health benefits [ 29 , 30 , 31 ]. Muscle-strengthening physical activity is referred to in everyday language as “strength training” or “resistance training” and is a form of physical exercise/training that is primarily intended to maintain or improve various forms of muscle strength and increase or maintain muscle mass [ 32 ]. Sometimes, another category is defined: Muscle-enhancing physical activity, important for maintenance or improvement of coordination and balance, especially in the elderly [ 33 ]. According to these definitions, muscle-strengthening activities primarily involve the body’s anaerobic (without oxygen) energy systems, proportionally more as intensity increases.

Exercise intensity can be expressed in absolute or relative terms. Absolute intensity means the physical work (for example; Watts [W], kg, or metabolic equivalent [MET]), while relative intensity is measured against the person’s maximum capacity or physiology (for example; percentage of maximum heart rate (%HR), rate of perceived exhaustion (RPE), W·kg −1 or relative oxygen uptake in L·min −1 ·kg −1 (VO 2 )). In terms of recommendations to the public, as in Table 1 , the intensity is often described in subjective terms (“makes you breathe harder” for moderate intensity, and “makes you puff and pant” for vigorous intensity) [ 27 ]. While objective criteria such as heart rate and accelerometry will capture the intensity of activity, they may not distinguish between different types of physical activity behaviors [ 34 ]. FYSS defines low intensity as 20%–39% of VO 2 max, <40 %HR, 1.5–2.9 METs; moderate intensity as 40%–59% of VO 2 max, 60–74 %HR, 3.0–5.9 METs, and vigorous intensity as 60%–89% of VO 2 max, 75–94 %HR, 6.0–8.9 METs. Absolute intensity, however, can vary greatly between individuals where a patient with heart disease may have a maximal capacity of <3 MET, and an elite athlete >20 MET [ 35 ].

4. How does the Body Adapt to Physical Activity and Training?

Adaption to physical activity and training is a complex physiological process, but may, in the context of this paper, be simplified by a fundamental basic principle:” The general adaptation syndrome (GAS)” [ 36 , 37 , 38 ]. This principle assumes that physical activity disturbs the body’s physiological balance, which the body then seeks to restore, all in a dose-related response relationship. The overload principle states that if exercise intensity is too low, overload is not reached to induce desired physiological adaptations, whereas an intensity too high will result in fatigue and possibly overtraining. Thus, for adaptation to occur, greater than normal stress must be induced, interspersed with sufficient recovery periods for restoration of physiological balance [ 39 ]. During and immediately after physical exercise/training, functions of affected tissues and systems are impaired, manifested as temporarily decreased performance. You feel tired. In order to gradually improve performance capacity, repeated cycles of adequate overload and recovery are required [ 40 ]. In practice, positive effects can be seen after a relatively short period of a few weeks, but more substantial improvements if the training is maintained for a longer period.

As a rule of thumb, it is assumed that all people can adapt to physical activity and exercise, but the degree of adaptation depends on many factors, including age, heredity, the environment, and diet [ 41 , 42 , 43 , 44 ]. The hereditary factor (genetics) may be the most critical for adaptation [ 45 ]. The degree of adaptation also depends on how the person in question trained previously; a well-trained athlete usually does not have the same relative improvement as an untrained one. Even if training is thought to be specific to mode, intensity, and duration, there are some overlaps. For example, it has been found that strength training in some individuals contributes to a relatively large positive impact on health and endurance, effects previously associated primarily with aerobic exercise [ 46 , 47 ]. The overload principle may, if applied too vigorously in relation to a person’s individual adaptation ability, have detrimental effects, including reduced performance, injury, overtraining, and disease [ 10 ]. Training is a commodity that must be renewed; otherwise, you gradually lose achieved performance improvements [ 48 ], although some capacities, such as muscle memory, seem to persist for life [ 49 ].

General recommendations for health may be stated, but individual predispositions make general training schedules for specific performance effects unpredictable. All exercise training should be adjusted to individual purposes, goals, and circumstances.

5. Health Effects of Physical Activity and Training

Human biology requires a certain amount of physical activity to maintain good health and wellbeing. Biological adaption to life with less physical activity would take many generations. People living today have, more or less, the same requirements for physical activity as 40,000 years ago [ 50 , 51 ]. For an average man with a body weight of 70 kg, this corresponds to about 19 km daily walking in addition to everyday physical activity [ 52 ]. For most people, daily physical activity decreases, while planned, conscious exercise and training increases [ 19 , 53 ]. Unfortunately, average daily energy intake is increasing more than daily energy output, creating an energy surplus. This is one reason for the increasing number of overweight people, and a strong contributor to many health problems [ 54 ]. More sedentary living (not reaching recommended level of physical activity), combined with increased energy intake, impairs both physical and mental capabilities and increases the risk of disease. Despite this, Swedes (as an example) seemed to be as physically active and stressed but had better general health in 2015, compared to 2004 ( Figure 1 ). Compared to 2004–2007, the Swedish population in 2012–2015 reported better overall health (more county-dots are blue) and less fatigue (smaller county-dots) with similar level of physical activity (~65% indicated at least 30 min daily physical activity) and stress (~13% were stressed).

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Selected physical and mental health indicators of a Sweden cohort, in relation to the degree of physical activity for the period of years 2004–2007 ( N = 29,254) and years 2012–2015 ( N = 38,553). Surveyed subjects are age 16 to 84 years old, with data representing median scores of four years, not normalized for age. Y-axis: Percentage of subjects reporting “stressed”; X-axis: Percentage of subjects indicating physical active at least 30 minutes each day. Each dot represents one County (Län), dot-size indicates self-reported fatigue, and color self-reported healthiness of the County. If 70% of the population states they are having “Good/Very good” health, the dot is blue. If less than 70% states they are having good/very good health, the dot is red. The circle indicated with a black arrow corresponds to nation median. The black line connected to the nation circle represents the movement in the X–Y plane from the year 2004 to 2007, and from 2012 to 2015, respectively. Data retrieved from the Public Health Agency of Sweden 2019-04-22 ( www.folkhalsomyndigheten.se ).

Results in Figure 1 may in part be explained by a polarization of who is physically active: Some individuals are extremely active, others very inactive, giving a similar central tendency (mean/median). As physical activity and mental stress are not changed, but health is, the figure indicates that other factors must be more important to our overall health and fatigue. Recently, a national study of Swedish 11- to 15-year-olds concluded that this age group is inactive for most of their time awake, that is, sitting, standing or moving very little [ 55 ]. Time as inactive increased with age, from 67 percent for 11-year-olds to 75 percent for 15-year-olds. The study states that in all age groups, the inactive time is evenly distributed over the week, with school time, leisure time, and weekend. Further, those who feel school-related stress have more inactive time, both overall and during school hours, than those who have less school-related stress.

People active in sports have, in general, better health than those who do not participate in sports, because they are physically and mentally prepared for the challenges of sports, abilities that in many cases can be transferred to other parts of life [ 56 ].

However, there is a certain bias in this statement. Sport practitioners are already positively selected, because sickness and injury may prevent participation. As many health benefits of sport are related to the level of physical activity, separation of sport and physical exercise may be problematic. Regardless, societal benefits of these health effects can be seen in lower morbidity, healthier elderly, and lower medical costs [ 7 , 57 , 58 ].

Health effects of physical activity in many cases follow a dose–response relationship; dose of physical activity is in proportion to the effect on health [ 59 , 60 ]. Figure 2 depicts the relationship between risk of death and level of physical activity, in a Finnish twin cohort, adjusted for smoking, occupational group, and alcohol consumption [ 59 ]. Odds ratio (OR) for the risk of all-cause mortality in a larger sample in the same study was 0.80 for occasional exercisers ( p = 0.002, 95% CI = 0.69–0.91). This dose–response relationship between risk of all-cause mortality and physical activity is evident in several extensive studies [ 60 , 61 , 62 ]. The total dose is determined by the intensity (how strenuous), duration (duration), and frequency (how often). While Figure 2 shows sex differences in death rates, it is likely that sedentary behavior is equally hazardous for men and women, but inconsistent results sometime occur due to inadequate assessment measures, or low statistical power [ 59 , 63 ]. To obtain the best possible development due to physical exercise/training, both for prevention and treatment purposes, a basic understanding of how these variables affect the dose of activity is required, as well as understanding how they can be modified to suit individual requirements. A physically active population is important for the health of both the individual and society, with sport participation being one, increasingly important, motivator for exercise.

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Relative risk (odds ratio; OR) of premature death in relationship to level of physical activity, in 286 male and 148 female twin pairs, adjusted for smoking, occupational group, and use of alcohol [ 59 ].

There is strong scientific evidence supporting an association between physical exercise/training and good physical and mental health. For example: A reduction in musculoskeletal disorders and reduced disability due to chronic disease [ 27 , 64 ], better mental health with reduced anxiety [ 65 , 66 ], insomnia [ 67 ], depression [ 31 ], stress [ 68 ], and other psychological disorders [ 69 ]. Physical and mental health problems are related to an increased risk of developing a number of our major public health diseases and may contribute to premature death ( Table 2 ).

Health-related physiological effects of aerobic and muscle strengthening physical activity. Green circle indicates that the activity contributes with an effect, whereas a red circle indicates that the activity has no proven effect. Orange circle indicates that the activity may in some cases be effective.

Effects on the BodyHealth EffectsAerobic
Larger proportion slow-twitch fibers [ , ]Lower risk for metabolic syndrome with increased exchange of gases and nutrition [ , ]
Larger proportion slow-twitch [ ]Increased strength, coordination and balance in elderly [ ] and in sickness [ ], lower risk for fall [ ]
Formation of new capillaries [ ]Increased aerobic capacity [ ]
Improved endothelial function [ ]Lower risk for cardiovascular disease [ ], improved function in heart disease [ ]
Increased mitochondrial volume [ ]Increased aerobic capacity [ ]
Improved glucose transport [ ]Lower risk or metabolic syndrome/Type-2 diabetes [ ]
Improved insulin sensitivity [ ]Improved health in people with Type-2 diabetes [ ], prevention of Typ-2 diabetes [ ]
Increased heart capacity [ ]Lower risk for cardiovascular disease [ ], fewer depressions [ , ], also in children [ ]
Increased skeletal volume and mineral content [ ]Improved skeletal health [ , ]
Improved body composition [ ]Lower risk for metabolic syndrome [ ]
Improved blood pressure regulation [ , ]Lower risk for cardiopulmonary disease [ ]
Improved blood lipid profile [ ]Lower risk for cardiopulmonary disease in elderly [ , ] and Alzheimer’s [ ]
No effect on blood lipid profiles in children and adolescents [ ]
Improved peripheral nerve function [ ]Better coordination, balance and reaction [ , ], especially in children and elderly [ ]
Enhanced release of signaling substances [ , ]Better sleep [ ], less anxiety [ ], treatment of depression [ ]
Improved hippocampus function [ ]Improved cognition and memory [ ], less medication [ ]
Positive effects on mental capacity [ ]Counteract brain degeneration by diseases [ ] and age [ ]
Improved immune function [ ]Decreased overall risk for disease [ , ], anti-inflammatory effects [ , ]
Strengthening the connection between brain, metabolism and immune function [ ]Decreased risk for disease [ ], improved metabolism [ ], decreased risk for depression [ ]
Improved intestinal function [ , ]Improved health [ ], mitigated metabolic syndrome, obesity, liver disease, and some cancers [ ]

5.1. Effects on Physical Health

The effects of physical activity and exercise are both acute (during and immediately after) and long-lasting. Effects remaining after a long period of regular physical activity have far-reaching consequences for health and are described below. For example, some muscle enzymes’ activity can be quickly increased by physical exercise/training but just as quickly be lost when idle [ 118 ]. Other changes remain for months or years even if training ends—for instance, increased number and size of muscle fibers and blood vessels [ 49 , 119 , 120 ]. Good health, therefore, requires physical activity to be performed with both progression and continuity. Most of the conducted physical exercise/training is a combination of both aerobic and muscle strengthening exercise, and it can be difficult to distinguish between their health effects ( Table 2 ).

To describe ill-health, indicators of life expectancy, disease incidence (number), and prevalence (how often) are used [ 121 ]. In describing the relationship between physical activity and falling ill with certain diseases, the dose–response relationship, the effect size (the risk reduction that is shown in studies), and the recommended type and dose of physical activity are considered [ 122 ]. Table 3 shows the relative effects of regular physical activity ton the risk of various diseases (US Department of Human Services, 2009). The greatest health gains are for people who move from completely sedentary to moderately active lifestyles, with health effects seen before measurable improvements in physical performance. Previously, most scientific studies collected data only on aerobic physical activity. However, resistance exercise also shows promising health (mental and physical) and disease-prevention effects [ 123 , 124 , 125 , 126 , 127 ].

Disease prevention effects of regular physical activity.

Health ConditionRisk Reduction or Health Improvement Recommendations for Physical Activity Dose-Response RelationshipDifferences between Sex, Age, Ethnicity etc.
30% (44% elderly)General recommendationsYesNo
20%–35% General recommendationsYesInsufficient evidence
30%–40% General recommendationsYesNo
25%–42% General recommendations, data primarily on aerobic PAYesInsufficient evidence
Brain cancer: Limited evidence ; Breast cancer: 20%; Bladder cancer: 13%–15%; Colon cancer: 30%; Endometrial cancer: 17%–35%;
Esophageal cancer : 6%–21%; Gastric cancer: 19%; Head & neck cancers: 15%–22%, limited evidence; Hematological cancers: No-low effect, limited evidence ; Lung cancer: 13%–26%; Ovarian cancer: Limited/conflicting evidence; Pancreatic & prostate cancer: Limited evidence; Renal cancer: 11%–23%; Rectal cancer: No risk reduction, limited evidence; Thyroid cancer: No risk reduction
General recommendations, data primarily on aerobic PARenal & thyroid cancer: No.
Lung, hematological, head and neck cancers: Limited evidence.
Other; Yes.
Breast cancer: Weaker evidence for Hispanic and Black women.
Gastric cancer: Weaker evidence for women
Renal cancer: Weaker evidence for Asians
Lung cancer: Greater effect for women
Other: Limited evidence/No known difference
PA alone, without diet intervention only has an effect at large volumeGeneral recommendations, combined with diet interventionsYesNo
PA supports weight maintenanceGeneral recommendations, stronger evidence for aerobic PALimited evidenceInsufficient evidence
36%–68% for hip fracture
1%–2% increased bone density
General recommendations including muscle- strengthening physical activityYesHip fracture: Largest effect in elderly women
Bone density: Largest effect in women
Magnitude is highly variable and mode-dependentWeight bearing activityYesDecreased effect with age
30% increased chance to counteract or postpone a decrease in functional strength/capacity
30% lower risk of falls
General recommendations including muscle- and skeletal-strengthening physical activityFunctional health: Yes
Falls: No/unclear
Increased functional capacity mostly seen in older adults ages 65 or more.
20%–30% lowerGeneral recommendationsYesNo
Improved quality, sleep onset latency and total sleep timeGeneral recommendationsNoNo
20%–30% lowerGeneral recommendationsNoNo
20%–30% lowerGeneral recommendationsNoNo
Improved for preadolescent children and adults aged 50 years or olderGeneral recommendationsConflicting findingsInsufficient evidence for adolescents and adults. Ethnicity: No.

Compiled from US Department of Health and Human Service, https://health.gov/paguidelines/report/ [ 62 , 146 ] 1 : Risk reduction refers to the relative risk in physically active samples in comparison to a non-active sample, i.e., a risk reduction of 20% means that the physically active sample has a relative risk of 0.8, compared to the non-active sample, which has 1.0. 2 : In general, general recommendations for PA that are described and referred to herein apply to most conditions. However, in some cases, more specific recommendations exist, more in depth described by the US Department of Health and Human Service, amongst others [ 62 ]. 3 : Evidence is dependent on cancer subtype; refer to US Department of Health and Human Service [ 62 ] for in-depth guidance. PA = Physical.

Aerobic physical activity has been shown to benefit weight maintenance after prior weight loss, reduce the risk of metabolic syndrome, normalize blood lipids, and help with cancer/cancer-related side effects ( Table 2 and Table 3 ), while effects on chronic pain are not as clear [ 29 ].

Muscle-strengthening physical activity has, in contrast to aerobic exercise, been shown to reduce muscle atrophy [ 128 ], risk of falling [ 75 ], and osteoporosis [ 74 ] in the elderly. Among the elderly, both men and women adapt positively to strength training [ 129 ]. Strength training also prevents obesity [ 130 ], enhances cognitive performance if done alongside aerobic exercise [ 131 ], counteracts the development of neurodegenerative diseases [ 132 , 133 , 134 ], reduces the risk of metabolic syndrome [ 135 ], counteracts cancer/cancer-related side effects [ 135 , 136 ], reduces pain and disability in joint diseases [ 137 ], and enhances bone density [ 137 , 138 ]. The risk of falling increases markedly with age and is partly a result of reduced muscle mass, and reduced coordination and balance [ 76 , 139 , 140 ]. A strong correlation between physical performance, reduced risk of falls, and enhanced quality of life is therefore, not surprisingly, found in older people [ 141 ]. Deterioration in muscle strength, but not muscle mass, increases the risk of premature death [ 142 ] but can be counteracted by exercise as a dose–response relationship describes the strength improvement in the elderly [ 122 , 143 ]. Recommendations state high-intensity strength training (6–8 repetitions at 80% of 1-repetition maximum) as most effective [ 144 ]. Muscle strengthening physical activity for better health is recommended as a complement to aerobic physical activity [ 29 ]. Amongst the elderly, vibration training can be an alternative to increase strength [ 145 ].

5.2. Effects on Mental Health

Mental illness is a global problem affecting millions of people worldwide [ 147 ]. Headache, stress, insomnia, fatigue, and anxiety are all measures of mental ill health. The term “ ill health ” constitutes a collection of several mental health problems and symptoms with various levels of seriousness. Studies have compared expected health benefits from regular physical activity for improvement of mental health with other treatments, for example, medication. Most recent studies show that physical activity and exercise used as a primary, or secondary, processing method have significant positive effects in preventing or alleviating depressive symptoms [ 31 , 148 , 149 , 150 , 151 ] and have an antidepressant effect in people with neurological diseases [ 152 ]. Training and exercise improve the quality of life and coping with stress and strengthen self-esteem and social skills [ 69 , 153 ]. Training and exercise also lessen anxiety in people who are diagnosed with an anxiety- or stress-related disease [ 68 ], improve vocabulary learning [ 154 ], memory [ 155 , 156 ], and creative thinking [ 157 ].

The same Swedish data as used in Figure 1 show that between the years 2004–2007 and 2012–2015 anxiety, worry, and insomnia decreased but were not obviously correlated to the slightly increased level of physical activity in the population during the same period. Thus, in a multifactorial context, the importance of physical exercise alone cannot be demonstrated in this dataset.

Some of the suggested physiological explanations for improved mental health with physical activity and exercise are greater perfusion and increased brain volume [ 107 , 158 ], increased volume of the hippocampus [ 106 ], and the anti-inflammatory effects of physical activity, reducing brain inflammation in neurological diseases [ 159 ]. Physical exercise may also mediate resilience to stress-induced depression via skeletal muscle peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), enhancing kynurenine conversion to kynurenine acid, which in turn protects the brain and reduces the risk for stress-induced depression [ 153 ]. Further, increased release of growth factors, endorphins, and signaling molecules are other exercise-induced enhancers of mental health [ 69 ].

6. How Sport Affects Health

Sport’s main purposes are to promote physical activity and improve motor skills for health and performance and psychosocial development [ 56 ]. Participants also gain a chance to be part of a community, develop new social circles, and create social norms and attitudes. In healthy individuals, and patients with mental illness, sport participation has been shown to provide individuals with a sense of meaning, identity, and belonging [ 160 , 161 ]. Whether the sport movement exists or not, training and competition including physical activity will happen. Sport’s added values, in addition to the health benefits of physical activity, are therefore of interest. Some argue that it is doubtful, or at least not confirmed, that health development can come from sport, while others believe that healthy sport is something other than health, reviewed in depth by Coakley [ 162 ]. In a sporting context, health is defined as subjective (e.g., one feels good), biological (e.g., not being sick), functional (e.g., to perform), and social (e.g., to collaborate) [ 163 ]. Holt [ 56 ] argued that the environment for positive development in young people is distinctly different from an environment for performance, as the latter is based on being measured and assessed. That said, certain skills (goal setting, leadership, etc.) can be transferred from a sporting environment to other areas of life. The best way to transfer these abilities is, at the moment, unclear.

Having the goal to win at all costs can be detrimental to health. This is especially true for children and adolescents, as early engagement in elite sports increases the risk of injury, promotes one-dimensional functional development, leads to overtraining, creates distorted social norms, risks psychosocial disorders, and has the risk of physical and psychological abuse [ 15 , 164 ]. Of great importance, therefore, is sport’s goal of healthy performance development, starting at an early age. For older people, a strong motivating factor to conduct physical activity is sports club membership [ 165 ]. One can summarize these findings by stating sport’s utility at the transition between different stages of the life; from youth to adulthood and from adulthood to old age. There, sports can be a resource for good physical and mental health [ 166 ].

Today, a higher proportion of the population, compared to 50 years ago, is engaged in organized sports, and to a lesser extent performs spontaneous sports ( Figure 3 ), something that Engström showed in 2004 [ 17 ] and is confirmed by data from The Swedish Sports Confederation ( www.rf.se ). Of the surveyed individuals in 2001, 50%–60% of children and young people said they were active in a sports club. The trend has continued showing similar progression to 2011, with up to 70% of school students playing sports in a club. Furthermore, the study shows that those active in sport clubs also spontaneously do more sports [ 167 ]. Similar data from the years 2007–2018, compiled from open sources at The Swedish Sports Confederation, confirm the trend with an even higher share of youths participating in organized sports, compared to 1968 and 2001 ( Figure 4 ).

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Spontaneous sport has decreased over the last decades, to the advantage of organized sport. Data compiled from Engström, 2004, The Swedish Research Council for Sport Science.

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Data compiled from open sources report Sport Statistics (Idrotten i siffror) at The Swedish Sports Confederation for the year 2011 ( www.rf.se ).

Taking part in sports can be an important motivator for physical activity for older people [ 165 , 166 ]. With aging, both participation in sports ( Figure 4 ) and physical activity in everyday life [ 168 ] decreases. At the same time, the number of people who are physically active both in leisure and in organized sports increases (The Public Health Agency of Sweden 2017; www.folkhalsomyndigheten.se ). Consequently, among elderly people, a greater proportion of the physical activity occurs within the context of sport [ 8 , 28 ]. Together, research shows that organized sports, in clubs or companies, are more important for people’s overall physical activity than ever before. Groups that are usually less physically active can be motivated through sport—for example, elderly men in sport supporters’ clubs [ 169 ], people in rural areas [ 170 ], migrants [ 171 ], and people with alternative physical and mental functions [ 172 ]. No matter how you get your sporting interest, it is important to establish a physical foundation at an early age to live in good health when you get older ( Figure 5 ). As seen in Figure 5 , a greater sport habitus at age 15 results in higher physical activity at 53 years of age. Early training and exposure to various forms of sports are therefore of great importance. Participation creates an identity, setting the stage for a high degree of physical activity later in life [ 173 ].

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Odds ratio (OR) of physical activity at age 53 in relation to Sport habitus at age 15. Sport habitus (“the total physical capital"), including cultural capital, athletic diversity, and grades in physical education and health are, according to Engström [ 173 ], the factors most important for being physically active in later life. For a further discussion on sport habitus, the readers are referred to Engström, 2008 [ 173 ]. Numbers above bar show the 95% confidence interval. ** = significant difference from “Very low”, p < 0.01. *** = p < 0.001.

7. Sport’s Effects on the Health of Children and Young People

The effects of participation in organized sports for children and young people are directly linked to physical activity, with long term secondary effects; an active lifestyle at a young age fosters a more active lifestyle as an adult. As many diseases that are positively affected by physical activity/exercise appear later in life, continued participation in sport as an adult will reduce morbidity and mortality.

It must be emphasized that good physical and mental health of children and young people participating in sport requires knowledge and organization based on everyone’s participation. Early specialization counteracts, in all regards, both health and performance development [ 174 , 175 ].

7.1. Positive Aspects

According to several reviews, there is a correlation between high daily physical activity in children and a low risk for obesity, improved development of motor and cognitive skills, as well as a stronger skeleton [ 176 , 177 ]. Positive effects on lipidemia, blood pressure, oxygen consumption, body composition, metabolic syndrome, bone density and depression, increased muscle strength, and reduced damage to the skeleton and muscles are also described [ 178 , 179 ]. If many aspects are merged in a multidimensional analysis [ 8 , 173 ], the factors important for future good health are shown to be training in sports, broad exposure to different sports, high school grades, cultural capital, and that one takes part in sport throughout childhood ( Table 4 ).

Compiled health profiles for men and women at the age of 20 years, depending on participation in organized sports at the age of 5, 7, 8, 10, 14, and 17 years.

Physical Activity at Age 20 YearsGirlsBoys
Sport Participation as Young
ParticipateQuitNeverParticipateQuitBegan late
)

Classification with repeated latent class analysis creates three groups for girls and boys, respectively: Children who never participated (girls only), participated, quit prematurely, or began late (only boys) in sports. Arrows indicate whether participation in sports at young age has an effect on health at 20 years of age. Green up arrow is positive, red down arrow negative, and a horizontal black double arrow shows that sport had no significant effect. Modified from Howie et. al., 2016 [ 8 ].

Psychological benefits of sports participation of young people were compiled by Eime et al. [ 1 ], where the conclusion was that sporting children have better self-esteem, less depression, and better overall psychosocial health. One problem with most of these studies, though, is that they are cross-sectional studies, which means that no cause–effect relationship can be determined. As there is a bias for participating children towards coming from socially secure environments, the results may be somewhat skewed.

7.2. Negative Aspects

As Table 4 and Table 5 show, there are both positive and negative aspects of sports. Within children’s and youth sports, early specialization to a specific sport is a common phenomenon [ 175 ]. There is no scientific evidence that early specialization would have positive impact, neither for health nor for performance later in life [ 175 ]. No model or method including performance at a young age can predict elite performance as an adult. By contrast, specialization and competitiveness can lead to injury, overtraining, increased psychological stress, and reduced training motivation, just to mention a few amongst many negative aspects [ 174 , 175 ]. Another important aspect is that those who are excluded from sports feel mentally worse [ 8 ]. As there is a relationship between depressive episodes in adolescence, and depression as adults [ 116 ], early exclusion has far-reaching consequences. Therefore, sports for children and young people have future health benefits by reducing the risk of developing depression and depressive symptoms, as well as improved wellbeing throughout life.

Positive and negative aspects with sport (at young age).

AspectPositiveNegative
Better self-esteem
Better academic results
That endurance and hard work pay off
Independence and responsibility
Making wise decisions
Keep a positive attitude
Manage stress
Set clear goals
Higher assessment of skills
Higher working standards
Better discipline
Late alcohol store
Lower alcohol consumption (in most sports)
Less drugs
Greater social capital
Better relationships with adults
Uses TV/PC less
Lower risk of school dropout
Emotional fatigue
One-dimensional identity
Risk of abuse
Increased stress
Injuries
Temptation for doping
Fear of punishment
Fear of failure
Feeling pressure from the surroundings
Fear of disappointing surroundings
Risk of burnout
Risk of overtraining
Poor sleep
Decrepit
Repeated infections
Risk of self-sacrifice
Risk of self-injury
Increased risk of destructive decisions (doping, cheating etc.)
Risk of depression in case of rejection
The usefulness of teamwork
Good communication
Larger contributions to society later in life
Larger contributions to the family later in life
Lower crime
Opportunity in developing countries
Increased chance of being active in sports clubs as older
Easier to reach with education
Less integrated with the family
Social isolation from other society
Greater physical literacy
Abilities to live a healthy life as adult and elderly
Less smoking
Less drugs
Lower body fat
Larger muscle mass
Beneficial metabolism
Higher aerobic and anaerobic capacity
Lower risk for fractures as older
Reduced general disease risk
Physical fatigue
Increased injury risk
Risk of eating disorders
Overtraining
Temptation for doping
Risk of abuse (physical and mental)
Unilateral training and development
For Para athletes, injury can be a double handicap
Worse oral health

While some degree of sport specialization is necessary to develop elite-level athletes, research shows clear adverse health effects of early specialization and talent selection [ 180 ]. More children born during the fall and winter (September–December) are excluded [ 181 ], and as a group, they are less physically active than spring (January–April) children, both in sports and leisure ( Figure 6 ). In most sports and in most countries, there is a skewed distribution of participants when sorted by birth-date, and there are more spring children than fall children among those who are involved in sport [ 182 , 183 , 184 , 185 , 186 ]. Because a large part of the physical activity takes place in an organized form, this leads to lower levels of physical activity for late-born persons (Malm, Jakobsson, and Julin, unpublished data). Early orientation and training in physical activity and exercise will determine how active you are later in life. Greater attention must be given to stimulating as many children and young people as possible to participate in sport as long as possible, both in school and on their leisure time. According to statistics from the Swedish Sports Confederation in 2016, this relative-age effect persists throughout life, despite more starting than ending with sport each year [ 18 ].

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The figure shows the distribution of 7597 children aged 10 years and younger who in 2014 were registered as active in one particular, individual sport in Sweden (data compiled from the Swedish Sport Confederation, www.rf.se ). Spring, Summer, and Fall represent January–April, May–August, and September–December, respectively.

When summarize, the positive and negative aspects of sport at a young age can be divided into three categories: (1) Personal identification, (2) social competence, and (3) physiological capacity, briefly summarized in Table 5 . A comprehensive analysis of what is now popularly known as “physical literacy” has recently been published [ 187 ].

7.3. Relevance of Sports

Sports can make children and young people develop both physically and mentally and contribute with health benefits if planned and executed exercise/training considers the person’s own capacities, social situation, and biological as well as psychological maturation. In children and adolescents, it is especially important to prevent sports-related injuries and health problems, as a number of these problems are likely to remain long into adulthood, sometimes for life. Comprehensive training is recommended, which does not necessarily mean that you have to participate in various sports. What is required is diverse training within every sport and club. Research shows that participation in various sports simultaneously during childhood and adolescence is most favorable for healthy and lifelong participation [ 8 , 173 , 188 , 189 ].

8. Sport’s Effects on the Health of Adults and the Elderly

Adults who stop participating in sports reduce their physical activity and have health risks equal to people who have neither done sports nor been physical [ 190 , 191 ]. Lack of adherence to exercise programs is a significant hindrance in achieving health goals and general physical activity recommendations in adults and the elderly [ 192 ]. While several socioeconomic factors are related to exercise adherence, it is imperative that trainers and health care providers are informed about factors that can be modulated, such as intervention intensity (not to high), duration (not too long), and supervision, important for higher adherence, addressed more in depth by Rivera-Torres, Fahey and Rivera [ 192 ].

Healthy aging is dependent on many factors, such as the absence of disease, good physical and mental health, and social commitment (especially through team sports or group activities) [ 193 ]. Increased morbidity with age may be partly linked to decreased physical activity. Thus, remaining or becoming active later in life is strongly associated with healthy aging [ 194 ]. With increased age, there is less involvement in training and competition ( Figure 4 ), and only 20% of adults in Sweden are active, at least to some extent, in sports clubs, and the largest proportion of adults who exercise do it on their own. The following sections describes effects beyond what is already provided for children and youths.

8.1. Positive Aspects

Participation in sports, with or without competition, promotes healthy behavior and a better quality of life [ 166 ]. Exclusion from sports at a young age appears to have long-term consequences, as the previously described relative age effect ( Figure 6 ) remains even for master athletes (Malm, Jakobsson, and Julin, unpublished data). Because master athletes show better health than their peers [ 95 ], actions should be taken to include adults and elderly individuals who earlier in life were excluded from, or never started with sport [ 195 ]. As we age, physical activity at a health-enhancing intensity is not enough to maintain all functions. Higher intensity is required, best comprising competition-oriented training [ 196 , 197 ]. One should not assume that high-intensity exercise cannot be initiated by the elderly [ 198 ]. Competitive sports, or training like a competitive athlete as an adult, can be one important factor to counter the loss of physical ability with aging [ 199 ]. In this context, golf can be one example of a safe form of exercise with high adherence for older adults and the elderly, resulting in increased aerobic performance, metabolic function, and trunk strength [ 200 , 201 ].

8.2. Negative Aspects

Increased morbidity (e.g., cardiovascular disease) with aging is seen also among older athletes [ 202 ] and is associated with the same risk factors as in the general population [ 203 ]. An increased risk of cardiovascular disease among adults (master) compared to other populations has been found [ 204 ]. Unfortunately, the designs and interpretations of these studies have been criticized, and the incidence of cardiac arrest in older athletes is unclear [ 205 ]. In this context, the difference between competitive sports aiming to optimize performance and recreational sports has to be taken into account, where the former is more likely to induce negative effects due to high training loads and/or impacts during training and games. Although high-intensity training even for older athletes is positive for aerobic performance, it does not prevent the loss of motor units [ 206 ].

Quality of life is higher in sporting adults compared to those who do not play sports, but so is the risk of injury. When hit by injury, adults and young alike may suffer from psychological disorders such as depression [ 207 ], but with a longer recovery time in older individuals [ 208 ]. As with young athletes, secession of training at age 50 years and above reduces blood flow in the brain, including the hippocampus, possibly related to long-term decline in mental capacity [ 209 ].

8.3. Relevance of Sport

As for children and young people, many positive health aspects come through sport also for adults and the elderly [ 210 ]. Sport builds bridges between generations, a potential but not elucidated drive for adults’ motivation for physical activity. The percentage of adults participating in competitive sports has increased in Sweden since 2010, from about 20 percent to 30 percent of all of those who are physically active [ 18 ], a trend that most likely provides better health for the group in the 30–40 age group and generations to come.

9. Recommendations for Healthy Sport

  • 1. Plan exercise, rest, and social life. For health-promoting and healthy-aging physical activity, refer to general guidelines summarized in this paper: Aerobic exercise three times a week, muscle-strengthening exercise 2–3 times a week.
  • 2. Set long-term goals.
  • 3. Adopt a holistic performance development including physiological, medical, mental, and psychosocial aspects.
  • ○ a. Exercise load (time, intensity, volume);
  • ○ b. Recovery (sleep, resting heart rate, appetite, estimated fatigue, etc.);
  • ○ c. Sickness (when–where–how, type of infections, how long one is ill, etc.);
  • ○ d. Repeat type- and age-specific physical tests with relevant evaluation and feedback;
  • ○ e. Frequency of injuries and causes.
  • ○ a. Motivation for training, competition, and socializing;
  • ○ b. Personal perception of stress, anxiety, depression, alienation, and self-belief;
  • ○ c. Repeat type- and age-specific psychological tests with relevant evaluation and feedback.
  • 6. Register and interpret signs of overtraining, such as reduced performance over time, while maintaining or increasing exercise load.

Author Contributions

C.M. and A.J. conceived and designed the review. C.M., A.J., J.J. and interpreted the data and drafted the manuscript. J.J. edited the manuscript, tables, and figures. All authors approved the final version.

This work was supported by the Swedish Sports Confederation.

Conflicts of Interest

The authors declare no conflict of interest.

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Sports Dissertation Research Topics – Titles With Research Aim

Published by Grace Graffin at January 6th, 2023 , Revised On June 6, 2024

  The significance of a dissertation topic cannot be overlooked in the academic world. If your dissertation topic is unique, meaningful and intriguing, it is very likely that you will impress your readers and the supervisor. Your dissertation topic should be specific and focused so you address a real problem and contribute to the literature. Finding sports dissertation topics can be a little challenging because sports, unlike other academic subjects, is mostly based on physical activities even though it does involve sports sciences courses.

In this blog post, we have provided several sports dissertation topics to help you get started with your sports dissertation. These topics look at the significance and relevance of sports from different perspectives including nutrition, psychology, mental health, physiology and biomechanics. Without further ado, here are the best sports dissertation topics for you to consider for your research.

Also Read – Mental health dissertation topics , psychology dissertation ideas, physiotherapy dissertation topics , and healthcare dissertation topics .

List Of Latest Ideas For Your Sports Dissertation

  • What are the gender differences observed in the development of muscle strength among adolescent athletes?
  • What are the key nutritional considerations that can improve the physiology of football players?
  • How does vitamin D affect muscle function and performance in athletes?
  • How do strength training programs contribute to injury prevention in sports?
  • What are the effects of temperature regulation techniques on training outcomes in sports?
  • What is the optimal timing of nutrient intake to maximise sports performance?
  • What are the most effective rehabilitation strategies for athletes during the recovery process from sports injuries?
  • How does satellite cell therapy improve sports performance in the future?
  • How do sponsorship deals and athlete branding tactics affect the effectiveness of sports marketing?
  • What public health measures are useful in stopping infectious ailments during athletic occasions?

Sports Dissertation Research Topics & Ideas

Topic 1: the role of sports education in obesity prevention- a case of sports education at young age in british schools.

Research Aim: This research aims to find the role of sports education in obesity prevention. It will analyse the strategies and methods used by schools and other educational institutions to provide sports awareness to students of age to prevent them from obesity. It will find how much awareness level is necessary for young students to participate in sports activities. Lastly, it will recommend ways schools and other educational institutes can create an encouraging sports environment to make children more active from a young age.

Topic 2: Sports and Economy- The Role of Sports in Economic Growth and Human Development- A Case of Cricket in India

Research Aim: This study intends to analyse the role of sports in economic growth and human development. It will assess the role played by sports in a country’s gross domestic product (GDP), employment creation, investments, and human development index (HDI). It will use cricket in India as a case study. It will show how many households are associated with cricket. How much do they make and consume? What is the overall physical and online viewership of cricket? How does the cricket economy work in India?

Topic 3: Impact of Sports Psychology and Coaching on the Personality Development of the Athlete- An Exploratory Study Finding the Advantages and Disadvantages of Sports Psychology

Research Aim: This research finds the impact of sports psychology and coaching on the personality development of the athlete. It will find psychological factors which affect the athlete’s personality and performance. Moreover, it will show how sports psychology and coaching can improve these factors to improve athletes’ traits such as motivation level, confidence, performance, etc. Lastly, it will recommend enhancing athletes’ personalities through sports psychology and coaching in multiple ways.

Topic 4: The Role of Sports Diplomacy in Foreign Policymaking- A Case of Sports Relationship Between North and South Korea

Research Aim: This study sheds light on the role of sports diplomacy in foreign policymaking. It will show the importance of sports, global political economy, and international relations (IR) by analysing various IR and international sports theories. It will assess the role of sports in the diplomatic relationship between South and North Korea. It will show whether they incorporate sports diplomacy in their foreign policy to improve diplomatic ties with each other. Lastly, it will recommend lessons other countries learned from their relationship.

Topic 5: Are Sports Necessary or Business Making Ways? The Role of Sports Medicine in Enhancing Sports Performance- Assessing the Advantages and Disadvantages of Sports Medicine

Research Aim: This research assesses the role of sports medicine in enhancing sports performance. It will analyse the effects of these medicines on the health of athletes. Moreover, it will find the other advantages and disadvantages of these medicines. It will also show whether athletes need it or are just promoted by the businesses to increase their profits? Lastly, a clinical lens will recommend the correct use of these medicines.

Sports Dissertation Topics To Get You Started

Topic 1: physical exercise: a tool to develop the physical health of children.

Research Aim: This dissertation aims to analyse the benefits of regular physical exercise for children. It also focuses on how their physical health is developed through various exercises.

Topic 2: The Impact of Video Games upon Outdoor Games

Research Aim: This research paper will compare the technology-oriented virtual games and the traditional sports that are needed to play by engaging oneself physically. The negative impact of digital games on outdoor games is enormous as it ceases children’s physical development.

Topic 3: Chess: A Game to Enhance Intelligence Level

Research Aim: This topic aims to analyse the benefit of playing an indoor game like Chess, which develops a player’s intelligence level. Playing Chess needs high attention, which increases the genius level.

Topic 4: Yoga and Meditation: The New Dimensions in Sports

Research Aim: This dissertation intends to evaluate the importance of yoga and meditation as a physical and mental health coach. Generally, sports develop physical health and set the state of mind by increasing the attention level of the mind. Yoga and meditation are the parts of sports that make it possible.

Topic 5: The Relevance of Sports and Exercise with Biomedical Study

Research Aim: This research aims to determine the relevance of sports and exercise in a biomedical study. Sports act as a cure for human health. Biomedical research evaluates the importance of sports as medicine to human health.

Topic 6: Indoor Game vs Outdoor Game: A Comparative Study of Sports

Research Aim: The focus of this dissertation is to show a comparative study of indoor and outdoor games. Indoor games develop mental health and increase intelligence levels, whereas outdoor games are necessary for physical health.

Topic 7: Sports: As a Medium of Career Development

Research Aim: This research focuses on the importance of sports as a career developer. As many players are acquiring recognition at the national and international levels. It helps to drive their passion for their profession and also promotes sports worldwide.

Topic 8: Cricket: A Sport Establishes a Strong Bond Between Nations

Research Aim: This research paper aims to analyse the significance of cricket as a sport that creates a bond of mutual trust and friendship among different nations. It also shows the craze for sports within the public of a nation.

Topic 9: Sports: The Confidence Developer of Mind

Research Aim: This research paper focuses on the importance of sports as a confidence developer. Sports give mental pleasure and develop a kind of enthusiasm and confidence within the player’s mind. This rejuvenates a mind with the spirit of fighting and living life to its best.

Topic 10: Extracurricular Activities in School: The Relevance of Sports with Study

Research Aim: This research paper focuses on the importance of extracurricular activities and sports in education. In education, institutes, extracurricular activities, and sports are simultaneously needed with a good education. This helps in the all-around development of a student.

Topic 11: The Negative Impact of Social Media on Sports

Research Aim: This dissertation focuses on the negative impact of social media on sports. In this modern age, teenagers indulge in social media from a very young age, which diverts their minds from extracurricular activities, sports, and outdoor games. This creates an adverse impact as the necessary mental, and physical growth is disrupted.

Topic 12: Organising the Annual Sports Program in Schools: The Culture and its Benefit

Research Aim: This research paper aims to evaluate the importance of organising an annual sports program in schools. The culture of organising annual sports in schools makes the students understand the importance of sports and their benefits.

Topic 13: The Complementary Pairs: Sports and Nutrition

Research Aim: This research paper focuses on the relationship between sports and nutrition. Sports and nutrition are complementary parts as they help develop a healthy mind and body. Sports develop the human body, and nutrition gives the elements to the body for development.

Topic 14: Sports for Children with Disabilities

Research Aim: The dissertation focuses on the importance of sports in the lives of children with disabilities. The children who cannot use their body parts and minds appropriately are encouraged with various kinds of sports to not feel unequal and separated from the others. Sports give them mental strength and happiness.

Topic 15: Exercises for a Modern Techno-Oriented Generation: As a Reliever of Stress and Developer of Health

Research Aim: This research paper aims to analyse the benefits of exercise in this digital world for the modern generation. This modern generation passes its time mainly on technology, which gives much stress and hampers health. Exercises help to relieve stress and acts as a health developer.

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How to find sports dissertation topics.

To find sports dissertation topics:

  • Explore niche areas in sports.
  • Investigate emerging trends.
  • Examine sports science literature.
  • Consider ethical or social aspects.
  • Analyse athletes’ well-being or performance.
  • Opt for a topic aligning with your passion and research expertise.

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Ko, pep, or pg: which consumer goods stock is the best pick.

Consumer goods stocks like Coca-Cola (KO) , PepsiCo (PEP) , and Procter & Gamble (PG) tend to shine during periods of macroeconomic uncertainty due to their anti-cyclical and defensive nature. While I maintain a bullish stance on all these three industry giants, I will use TipRanks’ Stock Comparison Tool to explain why, based on a few key factors, I believe KO is currently the best pick among the trio.

Coca-Cola (KO)

Starting with Coca-Cola, my bullish thesis for the company highlights its counter-cyclical resilience, particularly during periods of economic uncertainty and high interest rates, such as those we are currently experiencing.

KO’s shares have performed exceptionally well throughout the year, rising more than 20%, particularly after the company reported its Q2 earnings in July. Coca-Cola surprised the market by reporting a 3% increase in Q2 revenue , contrary to expectations of a decline. The company also raised its annual guidance despite seemingly weak consumer spending trends and price hikes.

The iconic drink company reported a 9% growth in price/mix, indicating its success in either raising prices or selling a higher proportion of premium products. Coca-Cola now forecasts full-year organic sales growth of 9% to 10%, slightly above the previous forecast. Further, it expects adjusted profit growth of 5% to 6%, an increase from the earlier estimate of a 4% to 5% increase.

KO’s Valuation, Dividend, and Wall Street Consensus

Even near its all-time high, Coca-Cola’s premium valuation appears justifiable for the bullish outlook. Despite its historically high price levels, Coca-Cola stock is trading at a forward P/E ratio of 25x, about 40% above the industry average but only 3% above its own five-year historical average.

The company also remains a solid income play for long-term investors. Although the dividend yield is currently under 3% with a payout ratio of 67.7%, this isn’t necessarily a sign of weakness. In fact, KO stock has surged almost 40% since October 2023, which explains the inverse relationship between share price and dividend yield.

Moreover, KO stock holds a Moderate Buy consensus rating based on 12 out of 19 Buy recommendations from Wall Street analysts, with an average price target of $70.56 for the beverage company. Despite the optimism, this price target suggests a downside of 0.82% based on the latest share price.

PepsiCo (PEP)

Unlike its main rival Coca-Cola, PepsiCo has experienced more erratic performance this year. The snack food and beverage company is grappling with tough comparisons and the effects of weak consumer spending. A key point that has recently influenced PepsiCo’s defensive bullish thesis relates to its Q2 results, which fell short on the top line , particularly within the Frito-Lay segment.

The company reported a 4% volume drop in the North American snacking category, partly due to the emergence of GLP-1 drugs , which suppress appetite and may lead to reduced snack purchases.

Additionally, PepsiCo reported a 5% increase in effective net pricing across its product categories and geographies, which led to a 3% decrease in total organic volume. PepsiCo has been raising prices for over a year and a half now. With continuously increasing effective net pricing, consumers are now beginning to pull back. This shift represents a significant change this year.

PEP’s Valuation, Dividend, and Wall Street Consensus

The case for including PepsiCo in a portfolio becomes compelling when considering its current valuation. The stock trades at a forward P/E ratio of 21.7x, which represents a 10.4% discount compared to its five-year historical average.

As an income investment, PepsiCo’s dividend yield is slightly under 3% but about 7.5% higher than its five-year average. The company raised its dividend by 7% in Q1.

Lastly, Wall Street’s consensus on PepsiCo is a Moderate Buy. Analysts are somewhat divided, with nine Buys and eight Hold ratings. The average PEP stock price target of $186.35 implies a 4.50% upside potential from the current price.

Procter & Gamble Co (PG)

Last but not least, moving away from the beverage giants, Procter & Gamble enters the comparison with Coca-Cola and PepsiCo as a leader in consumer goods, known for its similar resilient profile through various economic cycles – a key positive point in its investment thesis.

Procter & Gamble’s latest figures show that Fiscal 2024 (ended June 30, 2024) marked its sixth consecutive year of at least a 4% organic sales growth. Results demonstrated significant strength despite headwinds from consumer spending and inflation, especially since the pandemic. PG stock is up nearly 20% year-to-date.

P&G saw a minimal revenue decline in Q4 . The quarter’s top line dropped by 0.1% year-over-year to $20.5 billion, slightly missing expectations and triggering a knee-jerk reaction. In fact, slow growth has been a recurring theme, with Fiscal 2024’s organic growth of 4% being the lowest in the last five years.

PG’s Valuation, Dividend, and Wall Street Consensus

A key point of concern in P&G’s bullish thesis is its high valuation, though this doesn’t mean it’s unjustified as a low-risk profile. The stock trades at a forward P/E of 25.2x, about 40% higher than the consumer goods industry average. But even near its all-time highs, P&G’s valuation is only 2.5% above its five-year average.

In terms of dividends, P&G offers a yield of 2.3% , which is lower than Coca-Cola and PepsiCo. Also, PG’s dividend yield is still almost 8% below the company’s five-year average.

Analysts also appear optimistic about P&G. The stock has a Moderate Buy consensus based on 13 Buys and six Hold ratings. However, the average PG stock price target of $176.50 indicates only a 0.43% increase from the most recent price.

Conclusion – KO Emerges as the Best Pick

Although I hold a bullish stance on KO, PEP, and PG for the long term and believe all three are worthwhile additions to a balanced portfolio, if I had to choose just one today, it would be KO.

Despite its premium valuation, I believe Coca-Cola’s stronger defensive appeal and product strategy justify a higher multiple, especially compared to PepsiCo. Recent results have shown that Coca-Cola has demonstrated greater resilience to weak consumer spending compared to PEP and PG.

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    2. Definitions of Physical Activity, Exercise, Training, Sport, and Health. Definitions and terms are based on "Physical activity in the prevention and treatment of disease" (FYSS, www.fyss.se [Swedish] []), World Health Organization (WHO) [] and the US Department of Human Services [].The definition of physical activity in FYSS is: "Physical activity is defined purely physiologically, as ...

  18. Stadium City: A Modern Re-Imagination and the Sports Complex

    This thesis re-imagines these venues as a multi-sport facility and introduces an initial planning strategy that is inviting to the inhabitants of the city. Located in Toronto, this stadium acts as a node within a multifunctional "world of sport" which is open to the public and promotes healthy activities and civic belonging. The thesis ...

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    The major goal of this thesis is to create a platform where citizens of the Hazara region may demonstrate their sporting prowess and talent to the the globe.

  20. PDF Examining the Impact of Sports on Secondary Education Students' Life Skills

    Sport is a science of action that supports the physical, psychological and social development of individuals (Tel and Köksalan, 2008). Participation in physical education and sports in the education process from preschool to university provides important contributions to the social, emotional, mental and physical development of children.

  21. Latest Sports Dissertation Research Topics

    Sports Dissertation Topics To Get You Started. Topic 1: Physical Exercise: A Tool to Develop the Physical Health of Children. Topic 2: The Impact of Video Games upon Outdoor Games. Topic 3: Chess: A Game to Enhance Intelligence Level. Topic 4: Yoga and Meditation: The New Dimensions in Sports.

  22. Physical Education and Sport in Schools: A Review of ...

    Abstract and Figures. This paper explores the scientific evidence that has been gathered on the contributions and benefits of physical education and sport (PES) in schools for both children and ...

  23. What Is Sport?

    Due to what is known in the philosophy of sport as the incompatibility thesis—the idea that you cannot break a constitutive rule of a sport and at the same time play that sport (see the next footnote for a further discussion and elaboration)—one finds philosophers of sport who insist that when we find rule-breaking in sport, the rules that ...

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