Effects of a 3-Month Combined Training Program (Endurance, Strength, and Flexibility) on Physical Fitness Levels and Students’ Attitudes Toward Exercise
Keywords:
Physical fitness, exercise attractiveness, program content, aerobic training, students’ attitudesAbstract
Promoting and sustaining physical fitness can be effectively achieved through regular complementary exercise routines. This study aimed to evaluate the impact of a 3-month combined training program, implemented over an academic semester, on selected physical fitness components and students’ attitudes toward physical activity and training modalities. A total of 263 students (mean age: 20 ± 2.8 years) participated and were assessed pre- and post-intervention, with results compared to a control group that did not perform regular physical activity. Data were analyzed using paired t-tests. The results revealed significant improvements (P < 0.05) in cardiovascular endurance, muscular strength, and endurance of the abdominal and shoulder girdle muscles following the intervention. However, no significant changes were observed in the explosive strength of the calf muscles (P > 0.05). Two training approaches were employed: (1) combined aerobic, strength, and flexibility exercises; and (2) the same protocol supplemented with rhythmic sports music. At the semester's end, students’ attitudes were assessed via a questionnaire covering five domains: sports performance, program content, exercise attractiveness, exercise variety, and appropriateness of exercise intensity. Significant positive differences (P < 0.05) were found in sports performance, program content, variety, and intensity appropriateness, whereas no significant difference was noted in exercise attractiveness (P > 0.05). In conclusion, the combined training program positively enhanced participants’ physical fitness levels, supporting its recommendation for improving fitness among young women. Additionally, students exhibited particularly favorable attitudes toward aerobic exercises incorporating sports music, especially regarding program content.
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1. Ara I, Vicente-Rodriguez G, Jimenez-Ramirez J, Dorado C, Serrano-Sanchez JA, Calbet JA. Regular participation in sports is associated with enhanced physical fitness and lower fat mass in prepubertal boys. International Journal of Obesity. 2004;28(12):1585-93. doi: 10.1038/sj.ijo.0802754.
2. Baquet GE, Guinhouya C, Dupont GR, Nourry C, Berthoin SE. Effects of a short-term interval training program on physical fitness in prepubertal children. The Journal of Strength & Conditioning Research. 2004;18(4):708-13. doi: 10.1519/00124278-200411000-00004.
3. Stubbe JH, de Moor MH, Boomsma DI, de Geus EJ. The association between exercise participation and well-being: a co-twin study. Preventive Medicine. 2007;44(2):148-52. doi: 10.1016/j.ypmed.2006.09.002.
4. Hallage T, Krause MP, Haile L, Miculis CP, Nagle EF, Reis RS, et al. The effects of 12 weeks of step aerobics training on functional fitness of elderly women. The Journal of Strength & Conditioning Research. 2010;24(8):2261-6. doi: 10.1519/JSC.0b013e3181ddacc6.
5. Dishman RK, Thom NJ, Puetz TW, O'Connor PJ, Clementz BA. Effects of cycling exercise on vigor, fatigue, and electroencephalographic activity among young adults who report persistent fatigue. Psychophysiology. 2010;47(6):1066-74. doi: 10.1111/j.1469-8986.2010.01014.x.
6. Puetz TW, Flowers SS, O'Connor PJ. A randomized controlled trial of the effect of aerobic exercise training on feelings of energy and fatigue in sedentary young adults with persistent fatigue. Psychotherapy and Psychosomatics. 2008;77(3):167-74. doi: 10.1159/000116610.
7. Mendonça G, Cheng LA, Mélo EN, de Farias Júnior JC. Physical activity and social support in adolescents: a systematic review. Health Education Research. 2014;29(5):822-39. doi: 10.1093/her/cyu017.
8. Spruijt-Metz D, Nguyen-Michel ST, Goran MI, Chou CP, Huang TT. Reducing sedentary behavior in minority girls via a theory-based, tailored classroom media intervention. International Journal of Pediatric Obesity. 2008;3(4):240-8. doi: 10.1080/17477160802113415.
9. Ajzen I, Fishbein M. Attitudes and the attitude-behavior relation: Reasoned and automatic processes. European Review of Social Psychology. 2000;11(1):1-33. doi: 10.1080/14792779943000116.
10. Dong FU. Investigation and Correlation Analysis on Sports Attitude and Physical Health of College Students. Journal of Beijing Sport University. 2014(6):76-9.
11. Cox AE, Smith AL, Williams L. Change in physical education motivation and physical activity behavior during middle school. Journal of Adolescent Health. 2008;43(5):506-13. doi: 10.1016/j.jadohealth.2008.04.020.
12. Weaver RG, Webster C, Egan C, Campos C, Michael RD, Crimarco A. Partnerships for active elementary schools: Physical education outcomes after 4 months of a 2-year pilot study. Health Education Journal. 2017;76(7):763-74. doi: 10.1177/0017896917713530.
13. Ho SS, Dhaliwal SS, Hills AP, Pal S. The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC Public Health. 2012;12:704. doi: 10.1186/1471-2458-12-704.
14. Jarraya M, Chtourou H, Aloui A, Hammouda O, Chamari K, Chaouachi A, et al. The effects of music on high-intensity short-term exercise in well trained athletes. Asian Journal of Sports Medicine. 2012;3(4):233. doi: 10.5812/asjsm.34543.
15. Satoh M, Ogawa J, Tokita Y, Nakaguchi N, Nakao K, Kida H, et al. The Effects of physical Exercise with music on cognitive Function of Elderly people: Mihama-riho project. Plos One. 2014;9(4):e95230. doi: 10.1371/journal.pone.0095230.
16. Atigh A, Akbarfahimi M, Alizadeh M, Rad MM. The effect of musical movement activities on the balance function of autistic children. Journal of Kermanshah University of Medical Sciences. 2013;17(8).
17. Lu Y, Yu K, Gan X. Effects of a SMART goal setting and 12-week core strength training intervention on physical fitness and exercise attitudes in adolescents: a randomized controlled trial. International Journal of Environmental Research and Public Health. 2022;19(13):7715. doi: 10.3390/ijerph19137715.
18. Zhou X. The Effect of Peer Relationships on College Students’ Behavioral Intentions to Be Physically Active: The Chain-Mediated Role of Social Support and Exercise Self-Efficacy. Plos One. 2025;20(5):e0320845. doi: 10.1371/journal.pone.0320845.
19. Ben Ezzdine L, Dhahbi W, Dergaa I, Ceylan HI, Guelmami N, Ben Saad H, et al. Physical activity and neuroplasticity in neurodegenerative disorders: a comprehensive review of exercise interventions, cognitive training, and AI applications. Frontiers in Neuroscience. 2025;19:1502417. doi: 10.3389/fnins.2025.1502417.
20. Gholami F, Mesrabadi J, Iranpour M, Donyaei A. Exercise training alters resting brain-derived neurotrophic factor concentration in older adults: A systematic review with meta-analysis of randomized-controlled trials. Exp Gerontol. 2025;199:112658. Epub 20241216. doi: 10.1016/j.exger.2024.112658. PubMed PMID: 39674562.
21. Lin JHT, Wu D-Y, Yang J-W. Let Us Sweat It Out in Virtual Reality: The Effects of Virtual Reality Exercise Contexts on Physical Activity Outcomes Through Social Presence and Audience Responses. Psychology of Popular Media. 2025;14(3):367-77. doi: 10.1037/ppm0000543.
22. Liu Y, Yan J, Li J. The relationship between physical education teachers’ competence suppo rt and middle school students’ participation in sports: A chain mediat ion model of perceived competence and exercise persistence. PLOS ONE. 2025;20(1):e0314338. doi: 10.1371/journal.pone.0314338.
23. Arabnejad N, Nojoomi SA, Yousefi MH, Addini RK. Comparison of anaerobic power between male and female with considering lean body mass. International Journal of Sport Studies. 2013;3(11):1190-5.
24. Bano-Qaderi F, Shabkhaiz F, Boland A. Comparison of the effect of two mixed training methods (aerobic and anaerobic) and aerobic on the attitude of female students of Tehran University to the physical education unit 1. Movement. 2001;9(3):141-54.
25. Salami F. Investigating the changes in physical and movement factors during the first semester in students of Tarbiat Moalem University. Journal of Sports Movement Sciences. 2013;1(4):47-60.
26. Al Saadoon M, Abuelgassim Eltayib RA, Alhaj AH, Chan MF, Aldhafri S, Al-Adawi S. The Perception and Roles of School Mental Health Professionals Regarding School Bullying (Suluk Audwani) in Oman: A Qualitative Study in an Urban Setting. International Journal of Environmental Research and Public Health. 2024;21(8):991. doi: 10.3390/ijerph21080991.
27. Lin H. A Review of Research on the Effects of Mindful Exercises on Emotion Regulation and Mental Health Among Adolescents. Studies in Sports Science and Physical Education. 2025;3(1):24-35. doi: 10.56397/ssspe.2025.03.03.
28. Zhang J, Liu H, Dai W. Physical Exercise and Positive Coping Styles of Chinese College Students: Psychological Resilience as a Mediator. Social Behavior and Personality an International Journal. 2024;52(5):13098E-106E. doi: 10.2224/sbp.13098.
29. Gu S, Liu S. A serial mediation model of physical exercise and loneliness: The role of frailty and depression. BMC Geriatrics. 2025;25:350. doi: 10.1186/s12877-025-05988-5.
30. Lei Z, Yuan K, Xu J, Miao Y, Dai Y, Wang J, et al. Effects of physical exercises on balance in children with down syndrome: a systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation. 2025;17(1):1-11.
31. Montalva-Valenzuela F, Andrades-Ramírez O, Ferrari G, Adsuar JC, Gorla JI, Farías-Valenzuela C, et al. Effects of exercise, physical activity and sports on physical fitness and body composition in children and adolescents with Down syndrome: a systematic review. Discover Social Science and Health. 2025;5(1):96.
32. Liu Y, Tong Y, Huang G, et al. Physical exercise moderates the mediating effect of depressive symptoms between sleep quality and suicidal ideation among college students. Scientific Reports. 2025;15:21925. doi: 10.1038/s41598-025-07767-z.
33. Doroodian F. Comparison of the Effects of Rapid, Moderate, and Slow Weight Loss Combined with a Low-Calorie Diet and Physical Activity on Inflammatory Factors in Obese Women. International Journal of Sport Studies for Health. 2025:1-12.
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