Abstract

BackgroundPhysical inactivity and obesity pose a major public health challenge. The aim of this study was to describe the level of physical exercise and body-mass index in college and university students, as well as to examine potential changes from 2010 to 2018.MethodsData stem from the SHoT study, a national student health survey for higher education in Norway, conducted at 4-year intervals. The SHOT studies conducted so far in 2010, 2014 and 2018, included 6053, 13,525 and 50,054 fulltime students (aged 18–35), respectively. Exercise frequency (average number of times exercising each week) was assessed in all three waves, and was used for the trend analysis. The last wave in 2018 also assessed the average intensity and duration of the exercise.ResultsOverall, students exercised less in 2018 compared to 2014, but comparable to level in 2010. The prevalence of overweight increased substantially from 2010 to 2018, but especially in the last 4 years and among older female students. Less than one of four male, and one of five female students, met the recommended criteria for both exercise frequency, intensity and duration. As expected, the associations between exercise and overweight/obesity were in a dose-response manner, and strong across all three waves.ConclusionsOur findings show that the large majority of young adults fail to meet international recommendations on exercise, and that the proportion of overweight is increasing in both genders and across all age groups. We conclude that there is an urgent need for a broad approach to achieve a paradigm shift in supporting our college and university students to become more active.

Highlights

  • Research on overweight and obesity shows that the prevalence has increased substantially across the globe over the last decades

  • Despite public health efforts aimed at encouraging individuals to eat healthier and to exercise more, no country has yet been successful in reversing the obesity rates observed during the past 30 years

  • The US Centers for Disease Control and Prevention recommend that adults should get at Grasdalsmoen et al BMC Public Health (2019) 19:1354 least 30 min of moderate to vigorous physical activity (MVPA) at least 5 days per week [4]

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Summary

Introduction

Research on overweight and obesity shows that the prevalence has increased substantially across the globe over the last decades. Despite public health efforts aimed at encouraging individuals to eat healthier and to exercise more, no country has yet been successful in reversing the obesity rates observed during the past 30 years. Public health efforts regarding exercise have included establishing guidelines on the level of physical activity, and provided recommendations and guidance on both the frequency, duration, and intensity of physical activity. Recent evidence show that such efforts have largely been unsuccessful, with a report from the Global Burden of Disease (GBD) study showing that the world’s level of inactivity has not improved from 2001 to 2016 [6]. The aim of this study was to describe the level of physical exercise and body-mass index in college and university students, as well as to examine potential changes from 2010 to 2018

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