Inadequate Levels Of Physical Activity Research Articles

Eating attitudes, physical activity, and sleep quality levels of adolescents during the pandemic process

PurposeThe present study was conducted to determine the eating attitude, physical activity, and sleep quality levels of adolescents during the pandemic process. MethodThis descriptive study was completed by 987 adolescents. Data were collected by using the Adolescent Descriptive Characteristics Form, the Dutch Eating Behavior Questionnaire (DEBQ), the International Physical Activity Evaluation Questionnaire (IPAQ-Short Form), and the Pittsburgh Sleep Quality Index (PSQI). ResultsIt was found that the mean age of the adolescents who participated in the study was 16.30 ± 1.30 and 23.1 % of them were male. During the pandemic process, adolescents consumed pastries, sugary foods and beverages, french fries, chips, etc. consumption was found to increase (41.7 %, 42.2 %, 45.2 %, respectively). It was also found that the mean DEBQ score of the adolescents was 75.13 ± 19.65 and the mean PSQI score was 10.99 ± 4.22. In the IPAQ, 29.9 % of the adolescents were found to be inactive, 44.7 % minimally active, and 25.4 % very active. It was determined that BMI, PSQI, gender, pastry, and sugary food consumption were important predictors of eating behavior. When the increase in consumption of pastries and sugary foods was added, it was seen that BMI, PSQI, and gender explained 7 % of the change in DEBQ and when the increase in pastry and sugary foods was added, it explained 11 % of the change in DEBQ. It was found that BMI, PSQI (p < 0.001), and gender (p = 0.001) had significant effects on students' eating behavior scores. ConclusionAdolescents' eating out, emotional eating, and restrictive eating scores were found to be high during the COVID-19 pandemic. Adolescents were also found to have inadequate physical activity levels and poor sleep quality. It is recommended that projects and intervention studies be performed to help adolescents with these matters.

Internet use and its association with physical activity among adolescents in Beni Municipality, Myagdi, Nepal.

Adolescence is a critical phase marked by distinct health and developmental needs and rights. It represents a pivotal time for the acquisition of knowledge, skills, emotional regulations, and relationship management. However, a recent surge in internet usage among adolescents has been observed, leading to a concerning decline in physical activity. This study aims to evaluate the level of physical activity and its correlation with internet use among adolescents. A cross-sectional study, conducted within educational institutions in Beni, Nepal, utilized a self-structured questionnaire to collect data on physical activity levels and associated factors. The relationship between physical activity and independent variables was assessed through the chi-square test, and regression analysis was employed to quantify the strength of this association. The study revealed that 75.3% of adolescents (out of 385) exhibited inadequate physical activity levels. Notably, late adolescents were more susceptible to insufficient physical activity than their middle adolescent counterparts were. Adolescents from nuclear families (UOR = 2.689, C.I = 4.074-22.822), those with higher monthly family income (UOR = 3.318, C.I = 1.209-9.105), and individuals using Wi-Fi (UOR = 1.801, C.I = 1.117-2.904) demonstrated a higher likelihood of internet addiction. Moreover, these groups were more prone to engage in inadequate physical activity (UOR = 1.1740, C.I = 0.938-3.226) compared to their counterparts not addicted to the internet. The study concludes that over two-thirds of adolescents were addicted to the Internet, and three-fourths were inadequately physically active, with late adolescents being more affected than middle adolescents. Inadequate physical activity was associated with various factors, including family type, monthly family income, monthly pocket money, father's occupation, type of school, type of internet access, and Internet Addiction Test (IAT) score. Internet-addicted adolescents were found to be more likely to be physically inactive.

Impact of a multimorbidity-focused national general practice chronic disease programme on cardiovascular risks factors

Abstract Introduction Multimorbidity occurs in adults of all ages, but the number and complexity of comorbid conditions commonly increases with advancing age. Therefore cardiovascular disease (CVD) in older adults typically occurs in a context of multimorbidity. Current clinical practice and research mainly target single disease-specific care that does not embrace the complexities imposed by concurrent conditions. A national chronic disease programme focused on multimorbid patients was developed, with funding based on process rather than outcome measures. The conditions included were chronic coronary syndromes, heart failure, atrial fibrillation, transient ischaemic attacks, stroke, diabetes, COPD and asthma. This report focuses on the initial results of this programme. Methods The programme commenced in March 2020 and analysis occurred based on patients returned by January 2022. The programme involved general practice teams providing a maximum of two visits to eligible patients every 12 months. The visit structure was supported by adaptation of the electronic health record returns depending on the conditions involved. The programme was introduced on a phased basis so that only those over 65 years were included in this analysis. Among all programme participants who had three visits, data on risk factors such as smoking, alcohol, physical activity, weight, blood pressure (BP), and lipid control were collected. HbA1c was also collected in those with diabetes. Results 186,210 people were enrolled in the programme by January 2022. 13% of patients who were current smokers ceased smoking between first and third programme visits. In those who had inadequate physical activity levels at their first visit, almost 30% had achieved adequate physical activity levels by their third visit. Of those who had increased, high risk or harmful alcohol consumption patterns at visit one, 8.3% had become non-drinkers and 58.7% had normal drinking patterns by visit three. There was a population drop of a mean of 1mmHg in BP during the programme. Of those with elevated BP at visit one, 43.4% had a BP &amp;lt;140/90 mmHg at visit three. The mean LDL cholesterol of the cohort was 2.2 mmol/L. In those with diabetes and ischaemic heart disease, 49% had an LDL cholesterol &amp;lt;1.8mmol/l. By visit three, 23% of those with an LDL cholesterol initially above target subsequently had an LDL level &amp;lt;1.8 mmol/L. The mean HbA1c in people with diabetes was 53.5 mmol/mol. 40% of those with a HbA1c &amp;gt;64mmol/mol reduced this level between first and third visits. 81% of patients had received influenza vaccination. 75% of patients had received a pneumococcal vaccine. Conclusion Despite the COVID 19 pandemic a general practice based multimorbidity focused chronic disease management programme had significant impact on cardiovascular risk factors.

Prevalência dos componentes da sarcopenia e fatores socioeconômicos associados em idosos de uma população rural do estado do Ceará, Brasil

Abstract The aim is to determine the prevalence of sarcopenia components and associations with socioeconomic variables in older persons living in rural areas in the state of Ceará, Brazil. We conducted a cross-sectional study with 274 older adults. Muscle mass was assessed using muscle mass index (MMI), measured by bioelectrical impedance analysis and calf circumference. Muscle strength (MS) was assessed using the handgrip test. Physical performance was measured using the walk test to calculate gait speed (GS) and the timed up-and-go test. Probable sarcopenia was defined as the presence of low MS, while confirmed sarcopenia was defined as the presence of low MS and low MMI. Severe sarcopenia was defined as the presence of the latter two criteria and slow GS. We tested for associations between sociodemographic characteristics and lifestyle habits and the components of sarcopenia. The logistic regression produced the following results: i) prevalence of low MS was higher among men, individuals aged &gt;69 years, and in those not working at the time of the study; ii) the prevalence of low MMI was higher in individuals aged &gt;69 years, those not living with a spouse, and those with an inadequate level of physical activity; iii) the prevalence of slow GS was higher in individuals aged &gt;69 years, those who had lived in rural areas for less than 30 years, and those not working at the time of the study.

Balancing resource relief and critical health needs through reduced-risk product transition

This paper explores regional disparities in avoidable mortalities and hospital discharges, influenced by factors associated with high-risk behaviors such as excessive alcohol consumption, smoking, and inadequate physical activity levels. We gathered data from various official sources (ISTAT and Eurostat) and conducted a comprehensive panel data regression analysis to investigate the intricate relationships between these variables. The study found that a higher prevalence of smokers is associated with increased avoidable mortality and hospital discharges. Specifically, a 1% decrease in the percentage of smokers led to an average reduction of 12.76 hospital discharges per 10,000 inhabitants. This reduction translated to an estimated total saving of approximately 331 million Euros across all regions in 2020. Similarly, excessive wine consumption was linked to higher rates of preventable mortality and hospital discharges. A one unit drop in the number of heavy drinkers per 1,000 inhabitants would result in a saving of about 60 million Euros. Furthermore, the variable indicating the prevalence of individuals aged 3 and above who never engage in sports was positively correlated with adverse health outcomes. A 1% decrease in the number of individuals in this category would lead to a saving of approximately 223 million Euros. In parallel, we analyzed pathologies associated with smoking, which include lung cancer, respiratory ailments, and cerebrovascular diseases. Moreover, we explored the potential benefits of transitioning from high-risk to reduced-risk products, aiming at alleviating the strain on the healthcare system while reallocating resources to address critical health needs. The results suggest that if 50 percent of smokers transitioned to reduced-risk products such as e-cigarettes and heat-not-burn tobacco, the NHS could potentially save 722 million Euros in terms of smoking-related illnesses. Among the healthcare systems examined, Lombardy stands to gain the most from this transition, with an estimated annual saving of approximately 140 million Euros. The findings indicate that there is potential for further savings in the National Health Service (Servizio Sanitario Nazionale, NHS) by advocating for a reduction in high-risk behaviors.

Temporal trends in cardiovascular risk factors, lifestyle and secondary preventive medication for patients with myocardial infarction attending cardiac rehabilitation in Sweden 2006–2019: a registry-based cohort study

ObjectivesRegistries have been highlighted as means to improve quality of care. Here, we describe temporal trends in risk factors, lifestyle and preventive medication for patients after myocardial infarction (MI) registered...

Experience of Physical Activity in Breast Cancer Survivors: A Qualitative Study.

Physical activity plays an important role in the recovery of breast cancer survivors. However, previous studies have shown that most breast cancer survivors have inadequate levels of physical activity. This study aimed to explore the influencing factors of physical activity in breast cancer survivors. Twelve participants aged 38 to 65 years who had completed surgery and related treatment for breast cancer were recruited from the outpatient service of a hospital in Daqing, China. The phenomenological method was used in this qualitative research. Semistructured interviews were conducted to explore the influencing factors of physical activity in breast cancer survivors. Colaizzi's 7-step analysis method was used to code the data and identify descriptive themes. Four themes affecting the daily physical activity of breast cancer patients were extracted: perception and motivation (knowledge about benefits, goals, and motivation for physical activity), symptom burden (psychological and physical symptoms), social support (support from oncology staff, family, and peers) and environmental resources (seasonal impact, community resources). The physical activity of breast cancer survivors is affected by many factors. Oncology providers need to strengthen assessment, identify barriers, and provide interventions to promote the patients' participation in physical activity and to improve their quality of life. It is necessary for providers to integrate medical and social support resources, use strategies to enhance motivation, and effectively solve barriers to increase physical activity in breast cancer survivors.

A longitudinal study of physical activity among Malaysian breast cancer survivors.

Regular physical activity (PA) after a breast cancer diagnosis is associated with reduced mortality and better quality of life. In this prospective cohort study, we aimed to explore the trends of PA among breast cancer survivors over three years and identify factors associated with low PA. Interviews on 133 breast cancer patients were conducted at baseline, one and three years after the diagnosis of breast cancer at University Malaya Medical Centre in Kuala Lumpur. Physical activity was measured by using the Global Physical Activity Questionnaire. PA was categorised as active (≥ 600 MET-min/week) and inactive (<600 MET-min/week). We used the generalised estimating equation method to examine PA levels and factors affecting PA longitudinally. The survivors' mean age was 56.89 (±10.56) years; half were Chinese (50.4%), and 70.7% were married. At baseline, 48.1% of the patients were active, but the proportion of active patients declined to 39.8% at one year and 35.3% in the third year. The mean total PA decreased significantly from 3503±6838.3 MET-min/week to 1494.0±2679.8 MET-min/week (one year) and 792.5±1364 MET-min/week (three years) (p<0.001). Three years after diagnosis (adjusted odds ratio [AOR]: 1.74, p = 0.021); Malay ethnicity (AOR: 1.86, p = 0.042) and being underweight (AOR: 3.43, p = 0.004) were significantly associated with inactivity. We demonstrated that breast cancer survivors in Malaysia had inadequate PA levels at diagnosis, which decreased over time. Thus, it is vital to communicate about the benefits of PA on cancer outcomes and continue to encourage breast cancer survivors to be physically active throughout the extended survivorship period, especially in the Malay ethnic group and underweight patients.

Physical Activity and Quality of Life in Malaysian Breast Cancer Survivors: A Longitudinal Study

PURPOSE Regular physical activity (PA) after a diagnosis of breast cancer(BC) is associated with reduced morbidity and a higher quality of life (QOL). Investigate the association of PA and QOL among Malaysian BC survivors in this prospective cohort study. METHODS A total of, 133 BC women were interviewed at baseline, one year, and three-year after diagnosis of BC in a tertiary referral center in Klang Valley. The Global Physical Activity Questionnaire and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire were used to measure PA and QOL of the survivors. A generalized estimating equation was performed to examine the association of PA and QOL longitudinally. RESULTS The mean age was 56.89 (± 10.56) years old, and the majority were Chinese (50.4%). At baseline, 48.1% of patients were active and it declined to 39.8% at one year, and 35.3% at third year. Three years after diagnosis (Adjusted Odds Ratio [AOR]: 1.74, P = .021), being underweight (AOR: 3.43, P = .004) and being Malay (AOR: 1.86, P = .042) were found to be significant associating factors with inactivity. Overall, the QOL was observed to decrease over the years. Global health status, physical and cognitive functioning had a significant declining trend from baseline to three years ( P = &lt; 0.001, P = &lt; 0.001 and P = .001 respectively). For symptom scales, patients experienced more fatigue over time too ( P = .006). When analysing the association of PA and QOL, being active significantly improve role functioning ( P = .022). At one year, being active also significantly reduced constipation symptoms ( P = .048). CONCLUSION The findings showed that BC survivors in Malaysia had inadequate PA levels at diagnosis and further decreased over time. Their QOL had a declining trend, but PA was found to improve constipation symptoms and role functioning. Thus, it is essential to promote PA throughout their follow-ups with more focus on Malay ethnicity.

Smoking, drinking, and physical activity among Korean adults before and during the COVID-19 pandemic: a special report of the 2020 Korea National Health and Nutrition Examination Survey.

OBJECTIVESThis study aimed to describe trends in health behaviours between 2011 and 2020 and compare the changes in these behaviours between the 2020 COVID-19 pandemic and previous periods according to socio-demographic variables.METHODSThis study used data from the 2011 to 2020 Korea National Health and Nutrition Examination Survey. Current cigarette smoking, high-risk drinking, and inadequate physical activity levels were used as health behaviour indicators. The age-standardized prevalence, differences in prevalence between the periods, and the annual percentage change (APC) were calculated.RESULTSCurrent cigarette smoking showed a decreasing trend (APC, -2.6), high-risk drinking remained unchanged, and inadequate physical activity levels increased (APC, 3.5) during 2011-2020. There were significant differences in high-risk drinking (3.1%p; 95% confidence interval [CI], 0.3 to 5.9) and inadequate physical activity levels (4.3%p; 95% CI, 0.4 to 8.1) between 2019 and 2020 in men. Among men, increased high-risk drinking was found in those aged 40-49 years, non-single households, urban residents, and the middle and highest income groups between 2019 and 2020. The low educational group and manual workers among men aged 30-59 years also showed an increased proportion of high-risk drinking. Inadequate physical activity levels also increased among men between 2019 and 2020 in those aged 30-39 years, non-single households, urban residents, and the upper-middle-income group.CONCLUSIONSIn the first year of the COVID-19 pandemic, Korean men’s high-risk drinking and inadequate physical activity levels increased. In addition to social efforts to reduce the spread of infectious diseases, active measures to positively change health behaviour are needed.

Physical Activity in Pregnancy was Favorably Associated with Maternal And Offspring Health Indices

Regular physical activity (PA) in pregnancy can benefit the pregnant woman through a shorter birth and a shorter recovery period. The study aimed to investigate the effect of PA in pregnancy, on maternal and offspring health indicators. Population-based data were obtained from a national database that included anthropometric and physical fitness data of almost all Greek children 8 to 9 years. Α random sample of 5,125 dyads of mothers-children was evaluated. Telephone interviews were carried out with the use of a standardized questionnaire for the collection of maternal lifestyle factors. Children born to mothers who participated in the recommended PA levels had lower odds (OR=0.78, 95% CI: 0.69-0.95) to be overweight/obese in childhood. Adequate PA levels in pregnancy were found to be associated with lower odds of preterm birth by 61% (OR = 0.39, 95% CI: 0.17-0.87), and alcohol consumption in pregnancy by 62% (OR = 0.38, 95% CI: 0.27-0.56) as compared to the inadequate level of PA. Also, mothers with adequate PA in pregnancy had decreased odds for excessive GWG and final BMI by almost 40% in comparison to those with inadequate PA levels. PA in pregnancy does seem to be related to offspring health indicators (e.g. obesity at 8 years) and is associated with a more favorable maternal health profile.

Relationship Between Physical Activity Level and Characteristics of Patients with Cancer

Evidences have shown that Physical Activity (PA) can decrease side effects, such as fatigue and pain, as well as promote increase of muscular endurance, oxygen consumption and quality of life) of patients with different phases of cancer treatments. However, studies have demonstrated that patients with cancer diagnosis may show insufficient levels of PA. Therefore, it is necessary to check the profile of such patients. Thus, the aim of this study was to analyze PA level and the sociodemographic and clinical profile of patients with cancer. It is a field study that included 247 patients of both sex, above 18 years old any type of cancer. The International Physical Activity Questionnaire-IPAQ-Bref was used to measure PA and the clinical profile was assessed using a questionnaire. The breast cancer was most common type (32.4%), the mean age was 60.08 ± 13.12 and patients in general have inadequate levels of PA, independent of treatment phase. It was found negative association between age and time of PA (rho=-0.145, p&lt;0.05), years of diagnosis were associated with the level of PA: less than one year of diagnosis can be a significant predictor of low physical activity level (OR= 28.457; 95% CI 1.706 – 474.589; p= 0.020) and for moderate physical activity level (OR= 29.578; 95% CI 1.409 – 620.746; p= 0.029), Implementation of public policies to spread information and to offer PA programs to patients with cancer are needed, especially in the beginning of the treatment.

Features of lifestyle and physical activity of mature women with overweight

A modern woman’s lifestyle is extremely dynamic, which can be connected to high requirements regarding the undertaking of social and professional responsibilities in the context of added pressure of high standards of physical appearance and the need to maintain one’s physical health at a stable level, all of which causes additional stress resulting in the development of harmful lifestyle habits and, as a consequence, to the development of excess body weight.&#x0D; We have conducted a study of lifestyle particularities of mature-age women, the structure, character, and volume of physical activity as a leading determinant of health maintenance. Study results demonstrate that majority of women have inadequate level of physical activity, in particular, moderate physical activity or health-enhancing fitness activity 1-2 times per week, but report the ability to practice health-enhancing physical activity during 60-120 minutes 3-4 times per week. This leads to a conclusion that women do not attach significant importance to practicing rational physical activity as part of their lifestyle. With regard to the social lifestyle characteristics, it was determined that most women have a full family, but report regular occurrence of nervous breakdowns and food intake fluctuations; interestingly, harmful habits like tobacco smoking were reported in just 8% of cases; 64% of women reported fast onset of fatigue, breathlessness and overall heightened psycho-emotional strain.&#x0D; Among the main objectives of practicing health-enhancing and recreational physical activity women stated body mass normalization – 100%; health enhancement – 32%; self-esteem increase – 76%. As to the preferred format of practicing physical activity, 100% of women chose physical activity led by a personal trainer; 76% of women are willing to combine personal fitness training with group fitness classes. Collected data should be used as a justification basis for the development of a complex health- enhancement technology for overweight women according to the specific lifestyle characteristics.

Investigation of the relationship between smart phone addiction and physical activity in university students

Background: The purpose of this research was to determine the university students’ characteristics regarding smartphone usage and physical activity and to investigate the relationship between smart phone addiction and the physical activity levels. Methods: A total of 288 (female=159 and male=129) students were involved in this observational study. Smartphone usage characteristics of the participants were recorded. The short form of the Smartphone Addiction Scale was used to assess their smartphone addiction, and the short form of the International Physical Activity Questionnaire (IPAQ) was used to assess their physical activity levels. Results: It was found that 37.7% of the females and 27.9% of the males were at risk of smartphone addiction. There was no difference between the males and females in terms of smartphone addiction (p&gt;0.05). There was no difference in the physical activity levels of the participants regardless of smartphone addiction (p&gt;0.05). A weak negative correlation was found between smartphone addiction and moderate physical activity score (r=-0.126, p=0.047). Conclusion: According to this study, the university students showed inadequate levels of physical activity and were at risk of smartphone addiction. Considering the negative correlation between smartphone addiction and moderate physical activity, access to physical activity facilities in universities should be facilitated, and awareness on this issue should be increased.

Increasing Physical Activity and Reducing Dementia Risk in Older African American Residents of Public Housing

Older African Americans—especially those with lower income and those living in urban public housing—have a greater risk of Alzheimer’s disease (AD) compared to the general population. Inadequate levels of physical activity and aerobic exercise are thought to be among the probable causes for increased AD risk. Based on our preliminary data, we hypothesize that a cluster-randomized multi-level intervention in low-income public housing, focused on heart and brain health, can produce participant-level increases in physical activity among participants enrolled in an aerobic exercise class after six months (primary outcome) that are maintained at one year, as well as housing-level changes in attitudes and beliefs about physical activity and exercise participation among housing residents, both exposed and not exposed to the participant-level intervention as well as participant-level improvements in cognition and brain health evincive of decreased risk for AD.

The Effect of Nordic Walking Training with Poles with an Integrated Resistance Shock Absorber on the Functional Fitness of Women over the Age of 60.

Inadequate levels of physical activity among older people lead to a gradual decline in self-reliance and consequent dependence on other people. The aim of the study was to evaluate the impact of Nordic walking training with poles with an integrated resistance shock absorber on the functional fitness of older women. Forty-two women (Mage = 64.7 ± 3.15 years) were randomly assigned into the experimental group—training with poles with an integrated resistance shock absorber, EG (n = 21) and the control active group—training with classic poles, CG (n = 21). Functional fitness was measured with the Senior Fitness Test before and after an intervention lasting for 8 weeks (2 training sessions × 75 minutes per week). Two-way ANOVA revealed statistically significant interaction effects for aerobic endurance (F = 14.47, p < 0.001) and upper body strength (F = 5.98, p < 0.05), indicating greater improvement in the experimental group. Nordic walking training both with classic poles and with poles with an integrated resistance shock absorber is beneficial for older people and improves functional fitness over a short time period. However, the poles with an integrated resistance shock absorber provide additional resistance effort during marching, which causes increased muscle activation and results in improved muscle strength and aerobic endurance. Based on these results, it can be concluded that this kind of training could be applied in the complex health programs of seniors.

The burden of chronic diseases among Australian cancer patients: Evidence from a longitudinal exploration, 2007-2017.

Cancer is a major public health concern in terms of morbidity and mortality worldwide. Several types of cancer patients suffer from chronic comorbid conditions that are a major clinical challenge for treatment and cancer management. The main objective of this study was to investigate the distribution of the burden of chronic comorbid conditions and associated predictors among cancer patients in Australia over the period of 2007-2017. The study employed a prospective longitudinal design using data from the Household, Income and Labour Dynamics in Australia survey. The number of chronic comorbid conditions was measured for each respondent. The longitudinal effect was captured using a fixed-effect negative binomial regression model, which predicted the potential factors that played a significant role in the occurrence of chronic comorbid conditions. Sixty-one percent of cancer patients experienced at least one chronic disease over the period, and 21% of patients experienced three or more chronic diseases. Age (>65 years old) (incidence rate ratio, IRR = 1.15; 95% confidence interval, CI: 1.05, 1.40), inadequate levels of physical activity (IRR = 1.25; 95% CI: 1.09, 1.59), patients who suffered from extreme health burden (IRR = 2.30; 95% CI: 1.73, 3.05) or moderate health burden (IRR = 1.90; 95% CI: 1.45, 2.48), and patients living in the poorest households (IRR = 1.21; 95% CI: 1.11, 1.29) were significant predictors associated with a higher risk of chronic comorbid conditions. A large number of cancer patients experience an extreme burden of chronic comorbid conditions and the different dimensions of these in cancer survivors have the potential to affect the trajectory of their cancer burden. It is also significant for health care providers, including physical therapists and oncologists, who must manage the unique problems that challenge this population and who should advocate for prevention and evidence-based interventions.

Self-reported prevalence of sleep disorders among medical and nursing students.

Sleep disorders are highly prevalent among university students. In particular, the symptoms of sleep disorders are more prevalent among healthcare students. To assess the prevalence of risk factors of insomnia and sleep disorders and to examine the correlations between them among nursing and medical students. We also compared the effects of shift work during internship. The sample was 417 healthcare students; 202 of them were nursing students, and the remaining 215 were medical students. We used a self-administered questionnaire to assess the risk factors for insomnia (i.e. age, BMI, tobacco consumption, physical activity and perceived stress, using the General Health Questionnaire-12). We also used the Sleep and Daytime Habits Questionnaire and Epworth Sleepiness Scale to assess the prevalence of sleep disorders and daytime sleepiness. A higher percentage of nursing students than medical students were aged 25 years or older, engaged in inadequate levels of physical activity and consumed tobacco. With the exception of tobacco consumption among nursing students, high scores on the GHQ-12 were the only risk factor associated with daytime and nighttime symptoms and poor sleep quality. There was no significant association between the symptoms of sleep disorders and shift work including night shifts. Since sleep disorders are highly prevalent among healthcare students, early detection and management is recommended. This will decrease the risk of harm to students and patients, due to medical mistakes.

EVALUATION OF INTERACTIVE PHYSICAL ACTIVITY EDUCATION PROGRAM (IPAEP): A PRELIMINARY STUDY

The purpose of this study was to evaluate changes in physical activity knowledge among university students after exposure to Interactive Physical Activity Education Program (IPAEP). In current globalization, physical inactivity or sedentary lifestyle becomes a major underlying cause of chronic diseases worldwide. There is a growing concern of inadequate physical activity levels among young adult especially university students. The acquisition and dissemination of physical activity recommendations through physical activity program are essential in the delivery of an adequate level of physical activity knowledge among university students Materials and Methods: A quasi-experimental study design was conducted, and data were collected using a questionnaire among students (n=116) of Universiti Malaysia Kelantan, to evaluate the changes of physical activity knowledge after exposure to IPAEP intervention. All of them participated in 10 weeks of IPAEP intervention. In the IPAEP intervention, students were exposed to interactive lectures and various online activities related to types, risks, benefits, and key recommendations of physical activity. Pre- and post-intervention surveys were taking place before and after the program to evaluate the same measure, which is the physical activity knowledge. Data were analyzed using IBM SPSS version 25.0. Paired-sample t-tests were used to evaluate the differences between pre- and post-intervention of the physical activity knowledge scores. Result: The present study showed a significant increment in physical activity knowledge score (P-value &lt;0.001) among university students after participating in IPAEP intervention. Conclusion: Since the present study emphasized physical activity education for university students, the IPAEP could contribute to better physical activity knowledge which eventually beneficial for their active lifestyle in the future.

Physical activity level and lifestyle perception in prebariatric surgery patients.

Objective To determine sociodemographic characteristics, lifestyle perception and physical activity levels in obese prebariatric surgery patients.Methods A quantitative, cross-sectional study. The sample comprised 96 male and female morbidly obese prebariatric surgery patients. Questionnaires addressing sociodemographic profile, lifestyle perception and physical activity levels were applied.Results Patients were aged 40.3±11.45 years. Inadequate levels of physical activity were reported by 47.8% of patients; most respondents (79.2%) attributed scores defined as inadequate to the physical activity domain of the lifestyle questionnaire. Time spent on physical activity practice per week differed significantly between patients reporting being physically active or physically inactive in adolescence (p=0.046).Conclusion Most obese prebariatric surgery patients perceive their lifestyle as inadequate, in spite of eligibility for bariatric surgery. Results also indicate that physical activity practice and nutrition are the domains with greatest impacts on patient lifestyle, and that physical activity practice in adolescence may contribute to adoption of a more active behavior in adulthood, which may represent a vital tool for health promotion in patients undergoing bariatric surgery.