Abstract: Background　With the continuous deepening of people's understanding of health-related fitness concepts，the individual fitness assessment should not only be limited to one aspect of physical（physiological） fitness，but also include the aspects of mental fitness and social fitness.Therefore，to enrich and improve the connotation and extension of health-related fitness，as well as construct an index system for health-related fitness assessment from various aspects of physical，mental and social fitness has become a research hotspot in academia.Objective　To reevaluate the health-related fitness assessment indicators previously selected by Delphi expert consultation，in order to guarantee the scientificity，reliability and representativeness of the indicators.Methods　An Healthy Fitness Measurement Scale was designed and used to conduct an epidemiological survey in Guangzhou from July to August in 2019 using the convenience sampling method.The item analysis method（critical ratio method），item selection method〔coefficient of variation method，correlation coefficient method between indicators（index collinearity analysis），correlation coefficient method between indicators and dimensions，factor analysis，principal component analysis and internal consistency coefficient method（Cronbach's α coefficient method）〕were applied to analyze and reevaluate the health-related fitness indicators.Results　Of the 600 distributed questionnaires，581 questionnaires were collected totally，and 553 valid questionnaires were received with an effective recovery rate of 92.2%.The item analysis method indicated that there were significant differences between items in high score group and low score group in the scale，and all items were retained.According to the item selection method，14，11 and 9 items were selected for three sub-scales of physical，mental，and social fitness，respectively.Together with 4 overall assessment items，a total of 38 items constituted the health-related fitness assessment index system.Conclusion　This study has initially constructed a health-related fitness assessment index system involving physical，mental and social fitness，which reflects the true connotation and extension of health-related fitness comprehensively，accurately and specifically.The comprehensive analysis and reevaluation of the health-related fitness assessment indicators using a variety of methods effectively guarantees the scientificity，reliability and representativeness of the indicators，and provides a scientific basis for the compilation of Healthy Fitness Measurement Scale.

Key words: Health-related fitness, Measurement scale, Item analysis, Index screening, Reliability, Validity, Scale

摘要： 背景　随着人们对体适能、健康体适能概念认识的不断深入，对于个体健康适能的测量不应仅局限于躯体（生理）适能一个方面，还应包括心理、社会适能等方面的评价。因此，对“体适能”概念的内涵和外延进行充实和完善，从生理适能、心理适能、社会适能等多个方面构建健康适能评价指标体系，已成为学术界的研究热点。目的　对前期课题组通过Delphi专家征询遴选出的健康适能评价指标进行再评价，保证评价指标的科学性、可靠性与代表性。方法　设计《健康适能评定量表测试版》，采用便利抽样法，于2019年7—8月在广州市开展流行病学调查。应用条目分析法（临界比值法）、条目筛选法〔变异系数法、指标间相关性系数法（指标共线性分析法）、指标与维度间相关性系数法、因子分析法、主成分分析法以及内部一致性系数法（Cronbach's α系数法）〕对健康适能评价指标进行分析评价。结果　共发放问卷600份，回收问卷581份，有效问卷553份，有效回收率为92.2%。经条目分析法，量表所有条目高分组与低分组之间的得分均存在显著性差异，保留所有条目。经条目筛选法，最终确定生理适能、心理适能、社会适能3个子量表分别有14个、11个、9个条目入选，加上4个总体评价条目，共计38个条目构成健康适能评价指标体系。结论　本研究初步形成包括生理适能、心理适能、社会适能三个方面的健康适能评价指标体系，综合运用多种方法进行健康适能评价指标的分析与再评价，有效保证了指标的科学性、可靠性与代表性，比较全面、准确和具体地反映出健康适能的真正内涵和外延，为编制《健康适能评定量表V1.0》提供科学依据。

关键词: 健康适能, 评定量表, 条目分析, 指标筛选, 信度, 效度, 量表