# The effects of fitness self-testing with instant feedback on changes in health-related fitness among Chinese male college students

**Authors:** Yongshun Wang, Xiaofen D. Hamilton, Rulan Shangguan, Anlu Yang, Na Xiao, Chenhao Wu, Sizhe Liu, Ren Yang, Jiren Zhang, Mark F. Hamilton

PMC · DOI: 10.1371/journal.pone.0342089 · PLOS One · 2026-02-24

## TL;DR

Using fitness self-testing with instant feedback improved flexibility and aerobic fitness in Chinese male college students over 16 weeks.

## Contribution

Demonstrated that GAI feedback during self-testing can effectively enhance specific health-related fitness components in a university population.

## Key findings

- Significant improvement in sit and reach (flexibility) and one-mile run (aerobic fitness) in the intervention group.
- No significant changes in BMI or pull-ups test between the groups.
- Technology-supported self-testing showed promise for enhancing health-related fitness outcomes.

## Abstract

The decline in health-related physical fitness resulting from physical inactivity remains a critical global public health concern. Technology-supported fitness self-testing has the potential not only to improve students’ testing experiences but also to enhance their health-related fitness. However, the effectiveness of such approaches has not yet been systematically examined, and their validity within university populations remains largely unestablished.

A quasi-experimental research design with a control group (n = 45) and an experimental group (n = 44), incorporating pre- and post-tests, was employed in this study. The experimental group completed monthly self-testing sessions accompanied by GAI-generated instant feedback over a 16-week period, whereas the control group participated in general physical education classes that included multiple physical activities. Health-related fitness (HRF) was assessed using BMI, the one-mile run, pull-ups, and sit and reach tests. VO₂max was included as a covariate to control for baseline differences in HRF between the two groups. Repeated-measures multivariate analysis of covariance (RM-MANCOVA) was conducted to examine the effects of the intervention on HRF outcomes.

After controlling for baseline VO2max, RM-MANCOVA indicated significant time × group interaction for sit and reach (p < 0.001) and one-mile run (p < 0.05), with the intervention group demonstrating significant improvement in both tests. However, no significant differences were observed between groups for body mass index (BMI) and the pull-ups test.

These findings suggested that HRF self-testing with instant GAI feedback was an effective intervention for improving certain HRF components, particularly flexibility and aerobic fitness. Further research is necessary to explore the long-term effects of self-testing and its application across diverse populations.

## Full-text entities

- **Genes:** APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}
- **Diseases:** unhealthy weight gain (MESH:D015430), obesity (MESH:D009765), chronic diseases (MESH:D002908), cardiovascular, respiratory, or musculoskeletal conditions (MESH:D018376), HRF (MESH:D012640), physical (MESH:D059445), anxiety (MESH:D001007), insulin resistance (MESH:D007333), cardiovascular disease (MESH:D002318), COVID-19 (MESH:D000086382)
- **Chemicals:** oxygen (MESH:D010100)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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## References

69 references — full list in the complete paper: https://tomesphere.com/paper/PMC12931746/full.md

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Source: https://tomesphere.com/paper/PMC12931746