Abstract

Physical activity (PA) has a positive effect on preventing risk on cardiovascular and metabolic syndrome, including obesity. Learning behavior that tends to be sedentary causes medical students to tend to be physically inactive. This present study aimed to associate the physical activity (PA) level with blood pressure, body mass index, and non-fasting blood glucose level (NFBG) among medical students. This cross-sectional study was conducted from February to March in 2019 on the first-year medical students at Sultan Agung Islamic University (UNISSULA). A total of 167 medical students (64.7% female and 35.3% male) were enrolled in this study. The international physical activity questionnaire (IPAQ)-short form was used to measure the PA level. The activity level was classified into low, moderate, and high. Blood pressure and glucose level were measured using a digital sphygmomanometer and NFBG dipstick. The association between PA level and Body Mass Index (BMI), Blood Pressure (BP), and NFBG level were analyzed using Spearman's correlation test. Chi square test was done to analyse the difference of PA level between male and female groups. The majority of the respondents had a low PA level (64.7%). A positive association was shown between PA level and BMI (p<0.05, r=0.192). Female medical students tend to be physically inactive than males (OR 2.004, 95% CI (1.038-3.8690)). Female students need to be encouraged to do more physical activity. The university's policies that promote physical outdoor activity need to be suggested. Â

Highlights

  • A low level of physical activity poses health problems that threaten future generations

  • This study aimed to explore the association between physical activity (PA) level and blood pressure, blood glucose level, and body mass index among medical students in Indonesia

  • None of the participants had any history of type 2 diabetes mellitus (T2DM) or suspicious symptoms of T2DM

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Summary

Introduction

A low level of physical activity poses health problems that threaten future generations. Several studies revealed an association between PA and hypertension, obesity, and diabetes. The studies presented a protective association of PA in reducing the risk of cardiovascular and metabolic diseases [5,6,7,8,9]. The tendency of increasing blood pressure in children and adolescents is not surprising. Increasing blood pressure in children and adolescents will multiply the risk of hypertension in adulthood [6,10]. Epidemiological data showed that reducing physical activity along with a sedentary lifestyle correlates with the risk of obesity and type 2 diabetes mellitus (T2DM) in children and adolescents [11,12]. The study demonstrated a positive association between body mass index (BMI) and blood pressure [13]

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