{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:19:30Z","timestamp":1791566370457,"version":"4.3.4"},"reference-count":71,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Non-depressed college students with high perceived stress represent a distinct preclinical population at elevated risk for psychological deterioration. While Tai Chi is established as a mind\u2013body exercise for improving well-being in clinical and older populations, its targeted efficacy in this specific at-risk subgroup\u2014particularly regarding integrated physical and mental health benefits\u2014remains inadequately explored. This study aimed to investigate the effects of a 16-week Tai Chi program on comprehensive fitness outcomes in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eighty-eight non-depressed students with high perceived stress (Perceived Stress Scale scores between 38 and 56, Self-Rating Depression Scale scores below 50) were randomly assigned to a Tai Chi group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f47), which underwent a 16-week supervised program (3 sessions\/week, 90\u202fmin\/session), or a control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f41) that maintained usual activities. Assessments pre- and post-intervention covered health-related physical fitness and mental health status (Perceived Stress Scale, Self-Rating Depression Scale, Pittsburgh Sleep Quality Index, Fatigue Scale-14, Hamilton Anxiety Scale, and SF-36).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to controls, the Tai Chi group showed significant between-group improvements in lower-limb muscular endurance (squat test), perceived stress, sleep quality, somatic anxiety, role limitations due to physical health, and social functioning (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Significant enhancements were also observed in physical functioning, fatigue, and general mental health (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The 16-week Tai Chi intervention yielded concurrent benefits in physical and mental health among non-depressed college students with high perceived stress. These findings support Tai Chi as a feasible, multi-targeted preventive strategy against stress-related morbidity in this at-risk campus population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      Identifier ChiCTR2400089594,\n                      <jats:uri>http:\/\/www.chictr.org.cn\/index.html<\/jats:uri>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1613384","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T05:20:13Z","timestamp":1762924813000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Tai Chi as a preventive intervention for improving mental and physical health in non-depressed college students with high perceived stress"],"prefix":"10.3389","volume":"13","author":[{"given":"Jingyu","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rongji","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanfei","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Cicchella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.jvb.2014.11.002","article-title":"Working while studying at university: the relationship between work benefits and demands and engagement and 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