Evidence map›Paper›PMID 42046056›Full record

ArticleBMC public health2026

Impact of two consecutive COVID-19 outbreaks on the physical fitness in college students: a five-year longitudinal study.

Qianqian Jiao, Jianzhong Sun, Xi Zhang, Yaru Guo, Hao Xue, Feng Li

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Qianqian Jiao *Department of Sports Science, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Jianzhong Sun *School of Physical Education, Chizhou University, Chizhou, Anhui, China.
Xi Zhang *School of Physical Education, Chizhou University, Chizhou, Anhui, China.
Yaru GuoSchool of Physical Education, Chizhou University, Chizhou, Anhui, China. yaru_guo3299@163.com.
Hao XueCollege of Sports Industry and Leisure, Nanjing Sport University, Nanjing, China. xuehao666@126.com.
Feng LiDepartment of Sports Science, Wenzhou Medical University, Wenzhou, Zhejiang, China. lifeng@wmu.edu.cn.

Funding

Chizhou University Quality Engineering Curriculum Construction Project 2023XHHKC01Chizhou University Scientific Research Institutions KYJG012the Key Project of University Scientific Research of Anhui Provincial Department of Education for 2025 2025AHGXSK30080the Ministry of Education Humanities and Social Sciences Research Youth Project Approval of 2023 23YJC890002
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has profoundly affected global public health, yet the long-term and compounded effects of consecutive outbreaks on university students’ physical fitness remain underexplored. This study investigates the multifaceted impact of two consecutive COVID-19 outbreaks—the initial global pandemic in late 2019 and a localized campus outbreak in late 2022—on college students’ physical fitness over five year.

methodsA longitudinal analysis was conducted using five consecutive years (2019–2023) of physical fitness test data from 74,394 undergraduate students at Chizhou University. Fitness indicators included body mass index (BMI), vital capacity, 50-m dash, standing long jump, sit-and-reach, pull-ups (male)/sit-ups (female), and 1000-m (male)/800-m (female) run. Non-parametric tests examined annual changes stratified by gender and BMI category.

resultsThe two outbreaks affected fitness components differently. Overweight and obesity rates increased significantly, especially in 2023. Endurance running and 50-m dash performance declined during both outbreak periods. Total fitness scores decreased during outbreaks but were significantly higher in 2023 than in 2020. Conversely, vital capacity, sit-and-reach, and pull-ups/sit-ups markedly improved in 2023. Gender-specific trends appeared across multiple indicators. Underweight and obesity students showed gradual total score improvements over time, while normal-weight and overweight groups experienced initial declines followed by recovery.

conclusionsTwo consecutive COVID-19 outbreaks exerted complex and divergent effects on college students’ physical fitness. Body weight and sprint performance were negatively impacted, but the second outbreak saw improvements in several indicators—likely due to more structured online physical education and increased exercise awareness. These findings underscore the need for adaptive, resilient physical education strategies and targeted health interventions in response to public health crises.

Indexed as

COVID-19Disease OutbreaksPhysical FitnessStudentsAdultBody Mass IndexFemaleHumansLongitudinal StudiesMaleUniversitiesYoung AdultCollege studentsPhysical fitnessProfound impactTwice COVID-19 epidemics

Identifiers

PMID42046056
PMCPMC13262370

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.