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Abstract

This systematic review examined empirical literature regarding university students’ utilization of campus recreation programs (CRP) through the lens of the social-ecological model of health promotion. A comprehensive database search identified 22 articles published between 2004 and 2023, screened in accordance with PRISMA guidelines. Findings indicate that a range of intrapersonal (e.g., gender differences and knowledge deficits), interpersonal (e.g. peer networks and family influences), institutional (e.g. facility accessibility and adapted programming), and community (e.g. cultural norms around body ideals or disability) factors shape CRP utilization. Further, CRP utilization was associated with multiple benefits, including enhanced physical and mental health, social connectedness, and academic outcomes. Despite methodological limitations, including a predominance of U.S.-based studies and uneven study quality, results underscore CRPs’ potential to foster holistic well-being and student success in higher education contexts.

Keywords

colleges and universities physical activity disability minoritized students social-ecological model

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References

Al-Nawaiseh

H. K.

McIntosh

W. A.

McKyer

L. J.

(2022). An-m-health intervention using Smartphone app to improve physical activity in college students: A randomized controlled trial. International Journal of Environmental Research and Public Health, 19(12), 7228. https://doi.org/10.3390/ijerph19127228

American College Health Association. (2025). American college health association-national college health assessment III: Reference group executive summary fall 2024. https://www.acha.org/wp-content/uploads/NCHA-IIIb_FALL_2024_REFERENCE_GROUP_EXECUTIVE_SUMMARY.pdf

Armstrong

Wong

C. A.

Perrin

Page

Sibley

Skinner

(2018). Association of physical activity with income, race/ethnicity, and sex among adolescents and young adults in the United States: Findings from the National Health and Nutrition Examination Survey, 2007-2016. JAMA Pediatrics, 172(8), 732–740. https://doi.org/10.1001/jamapediatrics.2018.1273

Babaeer

Stylianou

Leveritt

Gomersall

(2022). Physical activity, sedentary behavior and educational outcomes in university students: A systematic review. Journal of American College Health, 70(7), 2184–2209. https://doi.org/10.1080/07448481.2020.1846047

Barney

Kensinger

Miller

Jordan

(2020). What barriers keep college-aged females from using the campus recreation center? 大學女生使用校園康樂設施的障礙. Asian Journal of Physical Education & Recreation, 16–28. https://doi.org/10.24112/ajper.251916

Bauman

A. E.

Reis

R. S.

Sallis

J. F.

Wells

J. C.

Loos

R. J. F.

Martin

B. W.

, & Lancet Physical Activity Series Working Group. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380(9838), 258–271. https://doi.org/10.1016/S0140-6736(12)60735-1

Beiter

Nash

McCrady

Rhoades

Linscomb

Clarahan

Sammut

(2015). The prevalence and correlates of depression, anxiety, and stress in a sample of college students. Journal of Affective Disorders, 173, 90–96. https://doi.org/10.1016/j.jad.2014.10.054

Belanger

N. M. S.

Patrick

J. H.

(2018). The influence of source and type of support on college students’ physical activity behavior. Journal of Physical Activity & Health, 15(3), 183–190. https://doi.org/10.1123/jpah.2017-0069

Brown

C. E. B.

Richardson

Halil-Pizzirani

Atkins

Yücel

Segrave

R. A.

(2024). Key influences on university students’ physical activity: A systematic review using the Theoretical Domains Framework and the COM-B model of human behaviour. BMC Public Health, 24(1), 418. https://doi.org/10.1186/s12889-023-17621-4

10.

Bull

F. C.

Al-Ansari

S. S.

Biddle

Borodulin

Buman

M. P.

Cardon

Carty

Chaput

J.-P.

Chastin

Chou

Dempsey

P. C.

DiPietro

Ekelund

Firth

Friedenreich

C. M.

Garcia

Gichu

Jago

Katzmarzyk

P. T.

… Willumsen

J. F.

(2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

11.

Cameron

N. O.

Muldrow

A. F.

Stefani

(2018). The weight of things: Understanding African American women’s perceptions of health, body image, and attractiveness. Qualitative Health Research, 28(8), 1242–1254. https://doi.org/10.1177/1049732317753588

12.

Carter-Francique

A. R.

(2011). Fit and phat: Black college women and their relationship with physical activity, obesity and campus recreation facilities. Sport, Education & Society, 16(5), 553–570. https://doi.org/10.1080/13573322.2011.601136

13.

Chiu

Cho

Kim

(2025). The role of collegiate sport experience in social adjustment and quality of college life: Moderating role of the school year. Asia Pacific Journal of Education, 45(4), 1146–1162. https://doi.org/10.1080/02188791.2023.2268851

14.

Coen

S. E.

Rosenberg

M. W.

Davidson

(2018). “It’s gym, like g-y-m not J-i-m”: Exploring the role of place in the gendering of physical activity. Social Science & Medicine (1982), 196, 29–36. https://doi.org/10.1016/j.socscimed.2017.10.036

15.

Cowley

E. S.

Schneider

(2025). “I sometimes feel like I can’t win!”: An exploratory mixed-methods study of women’s body image and experiences of exercising in gym settings. PLoS ONE, 20(1), e0316756. https://doi.org/10.1371/journal.pone.0316756

16.

Deforche

Van Dyck

Deliens

De Bourdeaudhuij

(2015). Changes in weight, physical activity, sedentary behaviour and dietary intake during the transition to higher education: A prospective study. International Journal of Behavioral Nutrition and Physical Activity, 12(1), 16. https://doi.org/10.1186/s12966-015-0173-9

17.

Devine

M. A.

(2013). Group member or outsider: Perceptions of undergraduates with disabilities on leisure time physical activity. Journal of Postsecondary Education and Disability, 26(2), 119–133.

18.

Devine

M. A.

(2016). Leisure-time physical activity: Experiences of college students with disabilities. Adapted Physical Activity Quarterly, 33(2), 176–194. https://doi.org/10.1123/APAQ.2014-0241

19.

Donnelly

Penny

Kynn

(2024). The effectiveness of physical activity interventions in improving higher education students’ mental health: A systematic review. Health Promotion International, 39. https://academic.oup.com/heapro/article/doi/10.1093/heapro/daae027/7638907

20.

Espada

Romero-Parra

Bores-García

Delfa-De La Morena

J. M.

(2023). Gender differences in university students’ levels of physical activity and motivations to engage in physical activity. Education Sciences, 13(4), 340. https://doi.org/10.3390/educsci13040340

21.

Fisher

M. J. R.

Berbary

L. A.

Misener

K. E.

(2018). Narratives of negotiation and transformation: Women’s experiences within a mixed-gendered gym. Leisure Sciences, 40(6), 477–493. https://doi.org/10.1080/01490400.2016.1261744

22.

Forrester

(2006). An examination of the factors contributing to student satisfaction with their overall academic experience. SCHOLE A Journal of Leisure Studies and Recreation Education, 21(1), 21–33. https://doi.org/10.1080/1937156X.2006.11949563

23.

Forrester

(2014). The benefits of campus recreation. Corvallis, OR: NIRSA. https://www.mus.edu/board/meetings/2017/May2017/AdminBudget/175-2012-R0517_A5.pdf

24.

Gasiūnienė

Miežienė

(2021). The relationship between students’ physical activity and academic stress. Baltic Journal of Sport and Health Sciences, 4(123), 4–12. https://doi.org/10.33607/bjshs.v4i123.1142

25.

Giddens

(1984). The constitution of society: Outline of the theory of structuration. https://eli.johogo.com/Class/the_constitution_of_society.pdf

26.

Glasgow

T. E.

Mastrich

Z. H.

Geller

E. S.

(2023). The utility of university fitness facilities: Environmental vs. psychological determinants of their use. Journal of American College Health, 71(9), 2886–2893. https://doi.org/10.1080/07448481.2021.2002874

27.

Goodwin

D. L.

Ebert

(2018). Physical activity for disabled youth: Hidden parental labor. Adapted Physical Activity Quarterly, 35(4), 342–360. https://doi.org/10.1123/apaq.2017-0110

28.

Guan

S.-S. A.

Xie

Boyns

(2020). Sleep, stress, or social support? Exploring the mechanisms that explain the relationship between student recreation center use and well-being. Journal of American College Health, 68(2), 124–131. https://doi.org/10.1080/07448481.2018.1535493

29.

Guthold

Stevens

G. A.

Riley

L. M.

Bull

F. C.

(2018). Worldwide trends in insufficient physical activity from 2001 to 2016: A pooled analysis of 358 population-based surveys with 1·9 million participants. The Lancet Global Health, 6(10), e1077–e1086. https://doi.org/10.1016/S2214-109X(18)30357-7

30.

Hallal

P. C.

Andersen

L. B.

Bull

F. C.

Guthold

Haskell

Ekelund

, & Lancet Physical Activity Series Working Group. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247–257. https://doi.org/10.1016/S0140-6736(12)60646-1

31.

Hayes

S. M.

(2024). Establishing the feasibility of exercise breaks during university lectures. Frontiers in Sports and Active Living, 6, 1358564. https://doi.org/10.3389/fspor.2024.1358564

32.

Hong

Q. N.

Fàbregues

Bartlett

Boardman

Cargo

Dagenais

Gagnon

M.-P.

Griffiths

Nicolau

O’Cathain

Rousseau

M.-C.

Vedel

Pluye

(2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34(4), 285–291. https://doi.org/10.3233/EFI-180221

33.

Huesman

R. L.

Jr Brown

A. K.

Lee

Kellogg

J. P.

Radcliffe

P. M.

(2009). Gym bags and mortarboards: Is use of campus recreation facilities related to student success? NASPA Journal (National Association of Student Personnel Administrators, Inc.), 46(1), 50–71. https://doi.org/10.2202/1949-6605.5005

34.

Jan

(2015). ‘The invisibles’: Conceptualising the intersectional relationships between dyslexia, social exclusion and homelessness. In Disability research today (pp. 128–148). Routledge.

35.

Kampf

Teske

E. J.

(2013). Collegiate recreation participation and retention. Recreational Sports Journal, 37(2), 85–96. https://doi.org/10.1123/rsj.37.2.85

36.

Kwan

King-Dowling

Veldhuizen

Ceccacci

Cairney

(2021). Examining device-assessed physical activity during the transition into emerging adulthood: Results from the MovingU study. Journal of Adolescent Health, 69(3), 477–481. https://doi.org/10.1016/j.jadohealth.2021.01.005

37.

Lauruschkus

Nordmark

Hallström

(2017). Parents’ experiences of participation in physical activities for children with cerebral palsy—protecting and pushing towards independence. Disability and Rehabilitation, 39(8), 771–778. https://doi.org/10.3109/09638288.2016.1161841

38.

Leonard

Liu

H.-L.

(2022). College freshmen’s wellness center usage, physical activity, and symptoms of depression. Recreational Sports Journal, 46(2), 166–174. https://doi.org/10.1177/15588661221103554

39.

Lindsey

Sessoms

(2006). Assessment of a campus recreation program on student recruitment, retention, and frequency of participation across certain demographic variables. Recreational Sports Journal, 30(1), 30–39. https://doi.org/10.1123/rsj.30.1.30

40.

Lindsey

Sessoms

Willis

(2009). Impact of campus recreational sports facilities and programs on recruitment and retention among African American students: A pilot study. Recreational Sports Journal, 33(1), 25–34. https://doi.org/10.1123/rsj.33.1.25

41.

Litwiller

White

Hamilton-Hinch

Gilbert

(2022). The impacts of recreation programs on the mental health of postsecondary students in North America: An integrative review. Leisure Sciences, 44(1), 96–120. https://doi.org/10.1080/01490400.2018.1483851

42.

Makubuya

Kell

Maro

Wang

(2020). Campus wellness facility, student contentment and health. Recreational Sports Journal, 44(1), 60–66. https://doi.org/10.1177/1558866120927322

43.

Martin Ginis

K. A.

J. K.

Latimer-Cheung

A. E.

Rimmer

J. H.

(2016). A systematic review of review articles addressing factors related to physical activity participation among children and adults with physical disabilities. Health Psychology Review, 10(4), 478–494. https://doi.org/10.1080/17437199.2016.1198240

44.

Matsick

J. L.

Sullivan

J. T.

Todd

Kruk

Cook

J. E.

(2024). A social ecological approach to belonging in LGBTQ+ people. Nature Reviews Psychology, 3(3), 181–197. https://doi.org/10.1038/s44159-024-00280-6

45.

McGillivray

O’Donnell

McPherson

Misener

(2021). Repurposing the (super)crip: Media representations of disability at the Rio 2016 Paralympic games. Communication & Sport, 9(1), 3–32. https://doi.org/10.1177/2167479519853496

46.

McLeroy

K. R.

Bibeau

Steckler

Glanz

(1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377. https://doi.org/10.1177/109019818801500401

47.

Miller

J. J.

Croft

J. C.

(2022). The influence of university recreation centers on student return and retention during COVID-19. Recreational Sports Journal, 46(2), 131–140. https://doi.org/10.1177/15588661221097701

48.

Miller

K. H.

Noland

Rayens

M. K.

Staten

(2008). Characteristics of users and nonusers of a campus recreation center. Recreational Sports Journal, 32(2), 87–96. https://doi.org/10.1123/rsj.32.2.87

49.

Moher

Liberati

Tetzlaff

Altman

D. G.

, & Prisma Group. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery, 8(5), 336–341. https://doi.org/10.1016/j.ijsu.2010.02.007

50.

Monforte

Úbeda-Colomer

Pans

Pérez-Samaniego

Devís-Devís

(2021). Environmental barriers and facilitators to physical activity among university students with physical disability—a qualitative study in Spain. International Journal of Environmental Research and Public Health, 18(2), 464. https://doi.org/10.3390/ijerph18020464

51.

Murphy

M. H.

Carlin

Woods

Nevill

MacDonncha

Ferguson

Murphy

(2018). Active students are healthier and happier than their inactive peers: The results of a large representative cross-sectional study of university students in Ireland. Journal of Physical Activity & Health, 15(10), 737–746. https://doi.org/10.1123/jpah.2017-0432

52.

Page

M. J.

McKenzie

J. E.

Bossuyt

P. M.

Boutron

Hoffmann

T. C.

Mulrow

C. D.

Shamseer

Tetzlaff

J. M.

Akl

E. A.

Brennan

S. E.

Chou

Glanville

Grimshaw

J. M.

Hróbjartsson

Lalu

M. M.

Loder

E. W.

Mayo-Wilson

McDonald

, ... Moher D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ (Clinical Research Ed.), 372, n71. https://doi.org/10.1136/bmj.n71

53.

Pengpid

Peltzer

Kassean

H. K.

Tsala Tsala

J. P.

Sychareun

Müller-Riemenschneider

(2015). Physical inactivity and associated factors among university students in 23 low-, middle- and high-income countries. International Journal of Public Health, 60(5), 539–549. https://doi.org/10.1007/s00038-015-0680-0

54.

Peterson

N. E.

Sirard

J. R.

Kulbok

P. A.

DeBoer

M. D.

Erickson

J. M.

(2018). Sedentary behavior and physical activity of young adult university students. Research in Nursing & Health, 41(1), 30–38. https://doi.org/10.1002/nur.21845

55.

Prochnow

Park

J.-H.

Patterson

M. S.

(2025). Intramural sports social networks and implications for college student physical activity, sense of community, and retention. Journal of American College Health, 73(3), 1183–1189. https://doi.org/10.1080/07448481.2023.2239367

56.

Richardson

E. V.

Smith

Papathomas

(2017). Disability and the gym: Experiences, barriers and facilitators of gym use for individuals with physical disabilities. Disability and Rehabilitation, 39(19), 1950–1957. https://doi.org/10.1080/09638288.2016.1213893

57.

Roddy

Pohle-Krauza

R. J.

Geltz

(2017). Recreation center utilization affects academic outcomes. Recreational Sports Journal, 41(1), 67–75. https://doi.org/10.1123/rsj.2016-0041

58.

Sallis

J. F.

Owen

Fisher

(2015). Ecological models of health behavior. Health Behavior: Theory, Research, and Practice, 5, 43–64. https://www.academia.edu/download/49289960/Health_Behavior___Health_Education_book_4th_Ed.pdf#page=503

59.

Sharon-David

Siekanska

Tenenbaum

(2021). Are gyms fit for all? A scoping review of the barriers and facilitators to gym-based exercise participation experienced by people with physical disabilities. Performance Enhancement & Health, 9(1), 100170. https://doi.org/10.1016/j.peh.2020.100170

60.

Shields

Synnot

A. J.

Barr

(2012). Perceived barriers and facilitators to physical activity for children with disability: A systematic review. British Journal of Sports Medicine, 46(14), 989–997. https://doi.org/10.1136/bjsports-2011-090236

61.

Small

Bailey-Davis

Morgan

Maggs

(2013). Changes in eating and physical activity behaviors across seven semesters of college: Living on or off campus matters: Living on or off campus matters. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 40(4), 435–441. https://doi.org/10.1177/1090198112467801

62.

Stankowski

C. L.

Trauntvein

N. E.

Hall

S. L.

(2017). I use the student recreation center, but I would use it more if … : Understanding male and female constraints to student recreation center use. Recreational Sports Journal, 41(1), 55–66. https://doi.org/10.1123/rsj.2015-0026

63.

Stokols

(1992). Establishing and maintaining healthy environments. Toward a social ecology of health promotion. American Psychologist, 47(1), 6–22. https://doi.org/10.1037/0003-066X.47.1.6

64.

Todd

M. K.

Czyszczon

Carr

J. W.

Pratt

(2009). Comparison of health and academic indices between campus recreation facility users and nonusers. Recreational Sports Journal, 33(1), 43–53. https://doi.org/10.1123/rsj.33.1.43

65.

Turnock

L. A.

(2021). ‘There’s a difference between tolerance and acceptance’: Exploring women’s experiences of barriers to access in UK gyms. Wellbeing, Space and Society, 2, 100049. https://doi.org/10.1016/j.wss.2021.100049

66.

Van Luchene

Delens

(2021). The influence of social support specific to physical activity on physical activity among college and university students: A systematic review. Journal of Physical Activity & Health, 18(6), 737–747. https://doi.org/10.1123/jpah.2020-0713

67.

Vasold

K. L.

Kosowski

L. E.

Pivarnik

J. M.

(2019). Academic success and 1 year of intramural sports participation by freshmen students. Journal of College Student Retention: Research, Theory & Practice, 23(2), 383–392. https://doi.org/10.1177/1521025119833000

68.

Watson

J. C.

II Ayers

S. F.

Zizzi

Naoi

(2006). Student recreation centers: A comparison of users and non-users on psychosocial variables. Recreational Sports Journal, 30(1), 9–19. https://doi.org/10.1123/rsj.30.1.9

69.

Wilson

O. W. A.

Bhuiyan

Bopp

(2023). Factors contributing to gender inequities in physical activity and campus recreation facility use. Journal of American College Health, 71(7), 2225–2233. https://doi.org/10.1080/07448481.2021.1965150

70.

World Health Organization. (2020). Guidelines on physical activity and sedentary behaviour. World Health Organization.

71.

Wunsch

Fiedler

Bachert

Woll

(2021). The tridirectional relationship among physical activity, stress, and academic performance in university students: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(2), 739. https://doi.org/10.3390/ijerph18020739

72.

Xia

Luo

Liu

Fan

Tang

Zhang

(2025). The influence of college students’ exercise participation on feelings of self-deficiency: The mediating effect of social support. Frontiers in Psychology, 16, 1560859. https://doi.org/10.3389/fpsyg.2025.1560859

73.

Xie

Guan

S.-S. A.

Boyns

(2018). Use of a student recreation center, self-determination needs satisfaction, and subjective vitality: A structural model. Recreational Sports Journal, 42(2), 116–129. https://doi.org/10.1123/rsj.2018-0016

74.

Yin

Zhang

Lian

Zhang

(2025). A systematic review and meta-analysis of the effectiveness of high-intensity interval training for physical fitness in university students. BMC Public Health, 25(1), 1601. https://doi.org/10.1186/s12889-025-22829-7

75.

Yoh

Mohr

Gordon

(2008). Assessing satisfaction with campus recreation facilities among college students with physical disabilities. Recreational Sports Journal, 32(2), 106–113. https://doi.org/10.1123/rsj.32.2.106

76.

Zhang

Yang

Jia

(2022a). Cultivating resilience during the COVID-19 pandemic: A socioecological perspective. Annual Review of Psychology, 73(1), 575–598. https://doi.org/10.1146/annurev-psych-030221-031857

77.

Zhang

Lee

Zhang

(2022b). Social-ecological factors predict college students’ physical activities and sedentary behavior. Sustainability, 14(19), 12873. https://doi.org/10.3390/su141912873

78.

Zhao

Sun

Xue

Dong

(2024). A chain-mediated model of the effect of physical exercise on loneliness. Scientific Reports, 14(1), 30798. https://doi.org/10.1038/s41598-024-81059-w

79.

Zizzi

Ayers

S. F.

Watson

J. C.

II Keeler

L. A.

(2004). Assessing the impact of new student campus recreation centers. Journal of Student Affairs Research and Practice, 41(4), 588–630. https://doi.org/10.2202/1949-6605.1390

Utilization of Campus Recreation Programs Among University Students: A Systematic Review

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