DOI: https://doi.org/10.26758/16.1.9
(1) (2) Department of Pedagogy-Psychology, Faculty of Social Sciences, University of Tirana,
(1) gerda.sula@unitir.edu.al; https://orcid.org/0000-0001-7977-3249;
(2) pelarivitiola@gmail.com; https://orcid.org/0009-0002-4181-3924
Address correspondence to: Vitiola PELARI, Department of Pedagogy-Psychology, Faculty of Social Sciences, University of Tirana, Bulevardi Gjergj Fishta, 1016, Tirana; phone: Phone: +355 69 210 7209; email: pelarivitiola@gmail.com
Abstract
Objectives. This study aims to systematically examine the added value of physical education (PE) in higher education by analyzing its academic, psychological, and social effects on university students and by deriving evidence-based implications for curriculum design and institutional policy.
Material and methods. A structured, systematic literature review was conducted using two international databases: Scopus and Google Scholar. The search targeted peer-reviewed studies on physical education in higher education that involved university students aged 18–30. Following screening of 724 records, removal of duplicates, and application of predefined inclusion and exclusion criteria, 32 empirical studies were selected for final analysis. Of these, 12 employed longitudinal designs, 8 used mixed-methods approaches, and 7 were meta-analyses or systematic reviews; the remaining studies were cross-sectional quantitative or qualitative investigations. Study quality was assessed using the Critical Appraisal Skills Programme [CASP] checklist for qualitative studies and A Measurement Tool to Assess Systematic Reviews [AMSTAR] for systematic reviews and meta-analyses. Data were synthesized through qualitative thematic analysis and comparative synthesis of reported outcomes.
Results. The analyzed studies report associations between participation in physical education and improved academic engagement, concentration, and cognitive functioning. Psychological outcomes frequently included reduced stress, anxiety, and depressive symptoms, as well as increased self-esteem and emotional resilience. Social outcomes encompassed enhanced interpersonal relationships, teamwork, communication skills, and a stronger sense of belonging within the university community. Gender, institutional support, and facility availability were reported as moderating factors influencing these outcomes.
Conclusions. Physical education represents a multidimensional educational resource in higher education, contributing to academic engagement, mental health, and social development. The findings support the systematic integration of PE into university curricula and underscore the need for evidence-based institutional policies, particularly in contexts such as Albania, where implementation remains limited.
Keywords: physical education curriculum, higher education, student well-being, academic engagement, PRISMA-informed systematic review
Suggested citation (APA):
Sula, G., & Pelari, V. (2026). Analysis of the added value of physical education in higher education. Anthropological Researches and Studies, 16, 119–129. https://doi.org/10.26758/16.1.9
Introduction
Physical education (PE) is widely recognized as an educational process that contributes not only to physical development but also to cognitive, psychological, and social outcomes (Corbin et al., 2019). Contemporary approaches conceptualize PE as an integral component of holistic education, supporting student engagement, emotional regulation, and social interaction (Bailey et al., 2012; Keating et al., 2005).
Within higher education, increasing academic demands, sedentary lifestyles, and rising mental health concerns have renewed interest in the role of physical education as a supportive educational resource (European Commission, 2017). Research indicates that participation in physical activity during university studies is associated with academic engagement, stress management, and social integration; however, evidence remains fragmented across disciplines and study designs (Bondarenko et al., 2025).
Although a substantial body of research has examined physical education in primary and secondary education, fewer studies have systematically synthesized evidence focused specifically on higher education contexts. Existing reviews often address physical activity broadly rather than physical education as a curricular component embedded within university programs.
In Albania, the integration of physical education in higher education remains limited and uneven, with considerable variation in institutional policies, curricular implementation, and infrastructural support. This context highlights the need for evidence-based insights to inform educational planning and student well-being strategies.
Against this background, the present study systematically reviews empirical research on the academic, psychological, and social effects of physical education in higher education, with particular attention to moderating factors and implications for institutional policy and practice.
Purpose and objectives of the study
This study contributes to the literature by systematically analyzing the multidimensional roles and impacts of physical education in higher education, with a specific focus on academic, psychological, and social outcomes among university students.
Accordingly, the study addresses the following research questions:
(1) What outcomes of PE participation are reported for university students?
(2) What moderating factors influence these outcomes?
(3) What institutional implications emerge for higher education policy and practice?
Material and methods.
This study followed a PRISMA-informed systematic literature review design. Searches were conducted in Scopus and Google Scholar, yielding 724 records. After screening and application of the inclusion criteria, 32 studies were retained for analysis. Of these, 12 were longitudinal, 8 employed mixed-methods designs, and 7 were systematic reviews or meta-analyses; the remaining 5 studies were cross-sectional studies.
CASP was used as a guiding critical appraisal framework to assess clarity, relevance, and methodological transparency, rather than as a scoring instrument. AMSTAR was applied to systematic reviews and meta-analyses due to its established validity in evaluating methodological rigor and risk of bias.
Data source: CASP was used as a guiding critical appraisal framework to assess clarity, relevance, and methodological transparency, rather than as a scoring instrument. AMSTAR was applied to systematic reviews and meta-analyses due to its established validity in evaluating methodological rigor and risk of bias.
Search terms included physical education, higher education, academic performance, and well-being, combined using Boolean operators. Searches were conducted between January and March 2025, with no restrictions on year of publication.
Inclusion and exclusion criteria: Inclusion criteria targeted studies involving university students aged 18–30 and published in English. Conference abstracts without full texts and studies not focused on physical education within higher education were excluded. Given the scope of the retrieved literature, the review focused on longitudinal, mixed-methods, and synthesis studies to ensure analytical depth and relevance to higher education outcomes, allowing for a deeper understanding of the long-term effects of physical education on students’ academic and psychological outcomes. For identified articles, titles, and abstracts were analyzed, and duplicate data or studies that did not meet the criteria were eliminated. Finally, 32 articles were selected for full-text analysis based on the specified criteria (see Table 1 for study selection flow).
A qualitative thematic content analysis was conducted to synthesize findings across heterogeneous study designs. Extracted indicators included authorship, year, study design, sample characteristics, and reported academic, psychological, and social outcomes (Appendix 1).
Table 1
Study Selection Flow (to see Table 1, please click here)
Results
The final sample comprised 32 peer‑reviewed studies (2005–2025), including 12 longitudinal studies, 8 mixed‑methods or qualitative studies, 7 systematic reviews or meta‑analyses, and 5 cross‑sectional quantitative investigations. The studies were conducted across Europe, Asia, North America, and Australia, including one national study from Albania.
Across the reviewed studies, participation in physical education was associated with reported improvements in academic engagement, reductions in stress (reported in 82% of studies), and increased self-esteem (measured with validated scales in 12 studies). Gender and institutional support were reported as moderating variables in 16 studies.
Physical health and lifestyle-related outcomes
A substantial proportion of the reviewed studies reported data on physical activity levels, fitness indicators, body mass index, and health-related behaviors among university students. Several large-scale surveys documented associations between participation in physical education or structured physical activity and levels of physical fitness, body composition, and movement behaviors (Ding, 2025; Grasdalsmoen et al., 2019; Reiner et al., 2013; Keating et al., 2005).
Systematic reviews and longitudinal studies reported patterns of sustained physical activity engagement among students exposed to structured physical education or sport-based programs during university years (Zhang et al., 2025; Tin & Van Phat, 2025). Studies conducted within public health frameworks reported population-level distributions of activity, sedentary behavior, and exercise frequency in student samples (Bauman et al., 2012; World Health Organization [WHO], 2020; Delito, 2023).
Psychological and emotional dimensions
Multiple studies included measures of psychological well-being, self-esteem, stress, anxiety, and emotional regulation. Cross-sectional and longitudinal research documented differences in mental health indicators between students who participated in regular physical education activities and those who did not (Xia et al., 2025; Han et al., 2025a; Han et al., 2025b).
Systematic reviews reported psychological domains most frequently assessed, including self-confidence, mood states, perceived stress, and emotional balance (Eather et al., 2023; Zhang et al., 2023). Several studies disaggregated findings by gender, reporting variation in psychological indicators across male and female student groups (Arora & Wolbring, 2022; Wenyu et al., 2025).
Academic engagement and cognitive-related outcomes
A subset of studies examined academic engagement, concentration, motivation, and cognitive functioning in relation to physical education participation. Quantitative studies reported measured differences in attention, academic adjustment, and engagement scores across student cohorts (Bowman et al., 2019; Zhang et al., 2023).
Reviews focusing on cognitive outcomes catalogued types of cognitive indicators assessed, including executive functioning, learning engagement, and academic persistence (Reiner et al., 2013; Ferriz-Valero et al., 2020). No study reported direct academic performance indicators (e.g., GPA) as a primary outcome, though several included self-reported academic engagement measures.
Social integration and interpersonal development
Numerous studies reported social variables, including peer interaction, teamwork, communication skills, social cohesion, and sense of belonging. Intervention-based studies described observed changes in social participation and group interaction within structured physical education or sport-based settings (Kao, 2019; Novak et al., 2024; Li, 2024).
Qualitative studies documented student-reported experiences related to collaboration, inclusion, and social interaction during physical education courses (Corbin et al., 2019; Deliens et al., 2015). Several studies focused on inclusive or equity-oriented physical education models, reporting participation patterns among diverse student populations, including students with disabilities and multicultural cohorts (Arora & Wolbring, 2022; Elahi et al., 2025).
Moderating factors: gender and institutional context
Across the reviewed literature, gender, institutional policy, infrastructure availability, and curricular design were frequently reported as contextual variables. Studies that stratified data by gender reported differences in participation rates, preferred activity types, and reported outcomes (Wenyu et al., 2025; Han et al., 2025a; Kuralbayeva et al., 2025).
Institutional characteristics, such as mandatory versus elective physical education, availability of facilities, and integration within academic curricula, were documented as structural features of the educational context (Sallis et al., 2012; Cardinal et al., 2012; Hoxha, 2019). National and regional studies highlighted variations in policy implementation and curricular emphasis, including evidence from the Albanian higher education context (Hoxha, 2019).
Discussions
This PRISMA-informed systematic review synthesized evidence from 32 studies examining the academic, psychological, and social effects of physical education in higher education. The findings indicate consistent positive associations between PE participation and academic engagement, psychological well-being, and social integration, while also highlighting the moderating role of gender and institutional context.
Across the reviewed studies, participation in physical education was associated with higher levels of physical activity, improved fitness indicators, and healthier lifestyle behaviors among university students (Keating et al., 2005; Reiner et al., 2013; WHO, 2020). Physical education was frequently described as a structured opportunity to counteract sedentary patterns common in higher education and to support the establishment of regular exercise routines (Bauman et al., 2012; Zhang et al., 2025; Hills et al., 2015). Evidence further suggested that institutionalized PE contributes to the development of long-term health-oriented lifestyles by embedding physical activity within the university context, reinforcing its public health relevance (Reiner et al., 2013; Zhang et al., 2025; Kwan & Faulkner, 2011).
Several studies reported associations between physical education participation and academic engagement, concentration, and learning-related behaviors (Bowman et al., 2019; Han et al., 2025b). Evidence suggests that curricular integration of PE and supportive institutional environments may enhance these outcomes (Ding, 2025; Guo, 2023).
The reviewed studies consistently documented associations between PE participation and reduced stress, anxiety, and depressive symptoms, alongside improved emotional regulation and self-esteem. Structured physical activity appears to support psychological resilience during the transition to adulthood characteristic of higher education (Reiner et al., 2013; Eather et al., 2023).
Findings indicate that physical education contributes to teamwork, communication skills, and a sense of belonging. Intervention-based and qualitative studies highlight PE as a context for social participation and inclusion, particularly within diverse student populations (Kao, 2019; Novak et al., 2024).
Gender, institutional policies, and infrastructure availability were frequently reported as contextual moderators. Inclusive curricular design and adequate facilities were associated with broader participation and more consistent outcomes across student groups (Hills et al., 2015; Hoxha, 2019; Chau, 2023).
Conclusions
This systematic review demonstrates that physical education in higher education is consistently associated with positive academic, psychological, and social outcomes for university students. Participation in PE is linked to academic engagement, reduced psychological distress, enhanced self-esteem, and stronger social integration, supporting its role as a multidimensional educational resource.
These findings highlight the importance of institutional responsibility in supporting student well-being. In contexts such as Albania, where PE integration remains limited, systematic curricular inclusion and infrastructural investment represent important opportunities for improving student development.
Recommendations for policymaking and practice
- Curricular integration of physical education: Higher education institutions should integrate structured and inclusive physical education modules into university curricula, recognizing their association with academic engagement, psychological well-being, and social development.
- Institutional support and infrastructure: Universities should strengthen institutional commitment to physical education through adequate infrastructure, trained staff, and organizational support, ensuring equitable access for all students.
- Alignment with student well-being strategies: Physical education programs should be aligned with broader student well-being and mental health initiatives, particularly in contexts characterized by high academic stress.
- Future research and evaluation: Further research should employ longitudinal and mixed-methods designs to assess long-term outcomes of physical education in higher education and to support evidence-based policy development.
Limitations of the study
This review has several limitations that should be considered when interpreting the findings. First, only studies published in English were included, which may have resulted in the exclusion of relevant research published in other languages. Second, the included studies displayed considerable heterogeneity in terms of study design, outcome measures, and assessment tools, limiting direct comparison and precluding quantitative meta-analysis. Third, variations in institutional contexts and physical education program characteristics may influence the generalizability of the results. Despite these limitations, the review provides a comprehensive synthesis of current evidence on the role of physical education in higher education.
Ethical considerations and use of AI
This article was revised with the support of artificial intelligence tools used solely for language refinement and clarity, under full author supervision and responsibility for the content. Ethical approval was not required for this study, as it is a structured, systematic review based exclusively on previously published literature and does not involve human participants, personal data, or sensitive ethical issues.
Competing interests
The authors declare no competing interests.
References
- Arora, K., & Wolbring, G. (2022). Kinesiology, physical activity, physical education, and sports through an equity/equality, diversity, and inclusion (edi) lens: a scoping review. Sports, 10(4), 55. https://doi.org/10.3390/sports10040055
- Bailey, R., Hillman, C., Arent, S., & Petitpas, A. (2012). Physical activity as an investment in personal and social change: The human capital model. Journal of Physical Activity and Health, 9(8), 1053–1055. https://doi.org/10.1123/jpah.9.8.1053
- Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J. F., & Martin, B. W. (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
- Bondarenko, V., Sukach, O., Myakota, O., & Neusmekhova, I. (2025). Фізичне виховання як засіб соціально-психологічної адаптації студентів до навчального процесу у зво. [Physical education as a means of students’ socio-psychological adaptation to the educational process in higher education institutions], Витоки педагогічної майстерності, 35, 15–19. https://doi.org/
33989/2075-146x.2025.35.330947 - Bowman, N. A., Jarratt, L., Jang, N., & Bono, T. J. (2019). The unfolding of student adjustment during the first semester of college. Research in Higher Education, 60, 273–292. https://doi.org/10.1007/s11162-018-9535-x
- Cardinal, B. J., Sorensen, S. D., & Cardinal, M. K. (2012). Historical perspective and current status of the physical education graduation requirement at American four-year colleges and universities. Research Quarterly for Exercise and Sport, 83(4), 503–512. https://doi.org/10.1080/02701367.2012.10599139
- Chau, T. (2023). Enhancing physical education for students at university. International Journal of Humanities, Social Sciences and Education, 10(2), 113–116. https://doi.org/10.20431/2349-0381.1002011
- Coalter, F. (2015). Sport-for-change: Some thoughts from a sceptic. Social Inclusion, 3(3), 19–23. https://doi.org/10.17645/si.v3i3.222
- Corbin, C., Kulinna, P., & Yu, H. (2019). Conceptual physical education: A secondary innovation. Quest, 72, 33–56. https://doi.org/10.1080/00336297.2019.1602780
- Deliens, T., Deforche, B., De Bourdeaudhuij, I., & Clarys, P. (2015). Determinants of physical activity and sedentary behaviour in university students: A qualitative study using focus group discussions. BMC Public Health, 15(1), Article 201. https://doi.org/10.1186/s12889-015-1553-4
- Delito, E. (2023). Physical education and the importance of lifelong fitness habits. International Journal of Advanced Research in Science, Communication and Technology, 3(1), 708–714. https://doi.org/10.48175/ijarsct-11942
- Ding, K. (2025). A study on the promotive effects of physical education on college students’ lifelong exercise behavior: an analysis of the moderating role under the “Healthy China” strategy. Frontiers in Sport Research, 7(1), 9–14. https://doi.org/10.25236/
2025.070102 - Eather, N., Wade, L., Pankowiak, A., & Eime, R. (2023). The impact of sports participation on mental health and social outcomes in adults: A systematic review and the “Mental Health through Sport” conceptual model. Systematic Reviews, 12, 102. https://doi.org/
1186/s13643-023-02264-8 - Elahi, I., Ilahi, F., Yar, A., Manzoor, T., & Hamdani, J. (2025). Evaluating inclusive physical education programs to enhance physical literacy among physically disabled university students in Punjab, Pakistan. Physical Education, Health and Social Sciences, 3(1), 472–484. https://doi.org/10.63163/jpehss.v3i1.225
- European Commission: Directorate-General for Education, Youth, Sport and Culture, VDAB, Vrije Universiteit Brussel, Streetfootballworld & ENGSO Youth. (2017). Study on the contribution of sport to the employability of young people in the context of the Europe 2020 Strategy: final report. Publications Office. Retrieved May 12, 2025 from https://data.europa.eu/doi/10.2766/042453.
- Ferriz-Valero, A., Østerlie, O., Martínez, S., & García-Jaén, M. (2020). Gamification in physical education: Evaluation of impact on motivation and academic performance within higher education. International Journal of Environmental Research and Public Health, 17. https://doi.org/10.3390/ijerph17124465
- Grasdalsmoen, M., Eriksen, H. R., Lønning, K. J., & Sivertsen, B. (2019). Physical exercise and body-mass index in young adults: A national survey of Norwegian university students. BMC Public Health, 19(1), Article 1354. https://doi.org/10.1186/s12889-019-7650-z
- Guo, H. (2023). An innovative approach to teaching physical education integrating modern network technology. Applied Mathematics and Nonlinear Sciences, 9(2), 1–12. https://doi.org/10.2478/amns.2023.2.00433
- Han, X., Li, H., & Niu, L. (2025a). How does physical education influence university students’ psychological health? An analysis from the dual perspectives of social support and exercise behavior. Frontiers in Psychology, 16, 1457165. https://doi.org/10.3389/
2025.1457165 - Han, X., Li, H., Xiao, C., Wang, W., Gao, K., Yan, S., & Niu, L. (2025b). Physical activity enhances college students’ mental health through social adaptability and exercise behavior chain mediation. Scientific Reports, 15, 21127. https://doi.org/10.1038/s41598-025-07791-z
- Hills, A. P., Dengel, D. R., & Lubans, D. R. (2015). Supporting public health priorities: Recommendations for physical education and physical activity promotion in schools. Progress in Cardiovascular Diseases, 57(4), 368–374. https://doi.org/10.1016/
pcad.2014.09.010 - Hoxha, F. (2019). Roli i edukimit fizik në arsimin e lartë në Shqipëri: Sfidat dhe mundësitë [The role of physical education in higher education in Albania: Challenges and opportunities]. Revista Shkencore e Sportit, 1(1), 45–52.
- Kao, C. (2019). Development of team cohesion and sustained collaboration skills with the sport education model. Sustainability, 11(8):2348. https://doi.org/10.3390/su11082348
- Keating, X. D., Guan, J., Piñero, J. C., & Bridges, D. M. (2005). A meta-analysis of college students’ physical activity behaviors. Journal of American College Health, 54(2), 116–126. https://doi.org/10.3200/JACH.54.2.116-126
- Kuralbayeva, A., Rysbayeva, A., Kabekeyeva, K., Pashtanov, S., Abdullina, G., & Aliyeva, A. (2025). Enhancing communicative competence of future athletes through the integration of international languages in team sports among multicultural students. Retos, 66, 585-598. https://doi.org/10.47197/retos.v66.113332
- Kwan, M. Y. W., & Faulkner, G. E. J. (2011). Perceptions and barriers to physical activity during the transition to university. American Journal of Health Studies, 26(2), 87–96.
- Li, R. (2024). Teamwork and leadership development in physical education. International Journal of Education and Humanities, 16(3), 12–15. https://doi.org/10.54097/2vfvez55
- Novak, D., Petrušič, T., Čule, M., Milinović, I., Kim, J., Kim, R., & Subramanian, S. (2024). Building social capital in university students: A physical education intervention program. Journal Of Physical Activity and Health, 22(2), 270–280. https://doi.org/10.1123/jpah.2024-0258
- Reiner, M., Niermann, C., Jekauc, D., & Woll, A. (2013). Long-term health benefits of physical activity: A systematic review of longitudinal studies. BMC Public Health, 13(1), Article 813. https://doi.org/10.1186/1471-2458-13-813
- Sallis, J. F., Floyd, M. F., Rodríguez, D. A., & Saelens, B. E. (2012). Role of built environments in physical activity, obesity, and cardiovascular disease. Circulation, 125(5), 729–737. https://doi.org/10.1161/CIRCULATIONAHA.110.969022
- Tin, P., & Van Phat, N. (2025). The roles and benefits of physical education in university settings: A comprehensive review. International Journal of Research and Review, 12(4), 285–291. https://doi.org/10.52403/ijrr.20250434
- Wenyu, Z., Hooi, L., Yao, H., Yan, G., Xiao, M., & Tingxiu, Z. (2025). Physical education environment on university students’ self-efficacy. Environment-Behaviour Proceedings Journal, 10(31), 127–133. https://doi.org/10.21834/e-bpj.v10i31.6497
- World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization, Geneva. Licence: CC BY-NC-SA 3.0 IGO. Retrieved May 12, 2025, from https://www.who.int/publications/i/item/9789240015128.
- Xia, Q., Xuan, S., Zhang, T., & Zong, B. (2025). How autonomy support sustains emotional engagement in college physical education: a longitudinal study. Behavioral Sciences, 15(6), 822. https://doi.org/10.3390/bs15060822
- Zhang, H., Qin, Y., Khalid, S., Tadesse, E., & Gao, C. (2023). A systematic review of the impact of physical activity on cognitive and noncognitive development in Chinese university students. Sustainability, 15(3), Article 2438. https://doi.org/10.3390/
su15032438 - Zhang, L., Zhong, T., & Dong, K. (2025). University-based physical education as a structured temporal and spatial opportunity for shaping health-oriented lifestyles. Frontiers in Public Health, 13, 1597480. https://doi.org/10.3389/fpubh.2025.1597480
Appendix 1
Characteristics of Included Studies (to see Appendix 1, please click here)
