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

Y Yongshun Wang X Xiaofen D. Hamilton R Rulan Shangguan A Anlu Yang N Na Xiao C Chenhao Wu S Sizhe Liu R Ren Yang J Jiren Zhang M Mark F. Hamilton

Abstract

Background 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. Method 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. Results After controlling for baseline VO 2 max, 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. Conclusions 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.

Article Details

Journal PLoS ONE
Volume / Issue Vol. 21, Issue 2
Published February 24, 2026
Pages e0342089
ISSN 1932-6203
Publisher Public Library of Science

Journal Info

PLoS ONE

Public Library of Science

ISSN: 1932-6203 Open Access Health Sciences

Authors (10)

Y

Yongshun Wang

X

Xiaofen D. Hamilton

R

Rulan Shangguan

A

Anlu Yang

N

Na Xiao

C

Chenhao Wu

S

Sizhe Liu

R

Ren Yang

J

Jiren Zhang

M

Mark F. Hamilton