Gülen SUNA, Nilgün SEREMET KÜRKLÜ, Hülya KAMARLI ALTUN

Diyetetik Birinci Sınıf Öğrencilerinde Sınav Stresi: Stres, Uyku kalitesi ve Beslenme Durumundaki Değişiklikler

Amaç: Stresli olmak, bireylerin yaşam tarzlarını etkileyerek, birçok aktivitede değişikliklere yol açmaktadır. Bu çalışma, Beslenme ve Diyetetik 1. sınıf öğrencilerinin eğitim ve sınav dönemlerindeki stres düzeylerini ve uyku kalitelerini belirlemeyi ve beslenme durumlarını, iştah ve yaşadıkları fiziksel değişiklikleri karşılaştırmayı amaçlamaktadır. Gereç ve Yöntem: Kesitsel olarak planlanan bu çalışmada, Beslenme ve Diyetetik birinci sınıf öğrencilerinin (n = 74; % 93’ü kadın) eğitim ve sınav dönemlerinde, Depresyon Anksiyete Stres Ölçeği-21 ile stres düzeyi ve Pittsburgh Uyku Kalitesi İndeksi ile uyku kaliteleri değerlendirilmiştir. Öğrencilerin besin alımları ve fiziksel aktiviteleri 24 saatlik geriye dönük hatırlama yöntemi kullanılarak değerlendirilmiştir. Bulgular: Sınav döneminde öğrencilerin stres, anksiyete ve depresyon düzeyleri daha yüksek bulunmuş ve uyku kalitelerinin daha kötü olduğu saptanmıştır (p

Anahtar Kelimeler:

Besin tüketimi, sınav stresi, birinci sınıf öğrenciler, uyku, beslenme ve diyetetik.

Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status

Objective: Feeling under stress affects the individuals’ lifestyles and leads to changes in their various activities. This study aims to determine the stress level and sleep quality of the nutrition and dietetics freshmen during the education and exam periods and compare their nutritional status with their appetite and physical changes. Material and Method: In this cross-sectional study, the stress level of the first-years of the nutrition and dietetics (n=74; 93% were female) was determined by the Depression Anxiety Stress Scale-21, and their sleep qualities were evaluated using the Pittsburgh Sleep Quality Index. The 24-hour recall method was used to evaluate students’ dietary intake and physical activity during education and exam periods. Results: In the exam period, the students experienced higher stress, anxiety, and depression levels, and they had a bad sleep quality (p

Keywords:

Nutritional intake, exam stress, freshmen, sleep, nutrition and dietetics.,

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Arslan SA, Daşkapan A, Çakır B. Üniversite öğrencilerinin beslenme ve fiziksel aktivite alışkanlıklarının belirlenmesi. TAF Prev Med Bull. 2016;15(3):171-80. doi: 10.5455/pmb.1-1436432564.
Robotham D, Julian C. Stress and the higher education student: a critical review of the literature. Journal of Further and Higher Education. 2006;30(02):107-17. doi: 10.1080/03098770600617513.
Ekpenyong CE, Daniel NE, Aribo E. Associations between academic stressors, reaction to stress, coping strategies and musculoskeletal disorders among college students. Ethiop J Health Sci. 2013;23(2):98- 112. PubMed Central PMCID: PMC23950626.
Zellner DA, Loaiza S, Gonzalez Z, Pita J, Morales J, Pecora D, et al. Food selection changes under stress. Physiol Behav. 2006;87(4):789- 93. doi: 10.1016/j.physbeh.2006.01.014.; PubMed Central PMCID: PMC16519909.
Gonzalez MJ, Miranda-Massari JR. Diet and Stress. Psychiatr Clin North Am. 2014;37(4):579-89. doi: 10.1016/j.psc.2014.08.004.; PubMed Central PMCID: PMC25455067.
Barclay NL, Eley TC, Rijsdijk FV, Gregory AM. Dependent negative life events and sleep quality: an examination of gene-environment interplay. Sleep Medicine. 2011;12(4):403-9. Epub 2011/03/12. doi: 10.1016/j.sleep.2010.09.009. PubMed PMID: 21393059.
Geiker NRW, Astrup A, Hjorth MF, Sjödin A, Pijls L, Markus CR. Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa? Obes Rev. 2018;19(1):81-97. doi: 10.1111/obr.12603. PubMed Central PMCID: PMC28849612.
Al-Dabal BK, Koura MR, Rasheed P, Al-Sowielem L, Makki SM. A Comparative Study of Perceived Stress among Female Medical and Non- Medical University Students in Dammam, Saudi Arabia. Sultan Qaboos University Medical Journal. 2010;10(2):231-40. Epub 2011/04/22. PubMed PMID: 21509235; PubMed Central PMCID: PMC21509235.
Saipanish R. Stress among medical students in a Thai medical school. Medical teacher. 2003;25(5):502-6. Epub 2003/10/03. doi: 10.1080/0142159031000136716. PubMed PMID: 14522672; PubMed Central PMCID: PMC14522672.
Kutluay Merdol T. Past, Present and Future of Nutrition and Dietetics Science. İzmir katip çelebi univ sağlık bilim derg. 2016;1(1):1-5.
Korinth A, Schiess S, Westenhoefer J. Eating behaviour and eating disorders in students of nutrition sciences. Public health nutrition. 2010;13(1):32-7. Epub 2009/05/13. doi: 10.1017/s1368980009005709. PubMed PMID: 19433007; PubMed Central PMCID: PMC19433007.
Rakıcıoğlu N, Acar Tek N, Ayaz A, Pekcan G. Yemek ve Besin Fotoğraf Kataloğu: Ölçü ve Miktarlar 3. ed. Ankara: Ata Ofset Matbaacılık; 2012.
BEBİS. Bebis Nutrition Data Base. The German Food Code and Nutrient Data Base (BLS II.3, 1999) with additions from USDA-sr and other sources, İstanbul, Turkey, 2004. . 2017.
Ministry of Health of Turkey. Turkey Dietary Guidelines (TUBER). Ankara: 2016 Contract No.: 1031.
FAO/WHO/UNU. Human Energy Requirements: Report of a Joint FAO/WHO/UNU Expert Consultation: Rome, 17-24 October 2001. 2004.
World Health Organization. Obesity: Preventing and Managing The Global Epidemic. Geneva: 2000 894.
Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43. Epub 1995/03/01. doi: 10.1016/0005- 7967(94)00075-u. PubMed PMID: 7726811.
Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. Br J Clin Psychol. 2005;44(2):227- 39. doi: 10.1348/014466505X29657. PubMed Central PMCID: PMC16004657.
Yılmaz Ö, Boz H, Arslan A. Depresyon Anksiyete Stres Ölçeğinin (DASS 21) Türkçe kisa formunun geçerlilik-güvenilirlik çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi. 2017;2(2):78-91.
Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4
Ağargün M, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7(2):107-15.
Papier K, Ahmed F, Lee P, Wiseman J. Stress and dietary behaviour among first-year university students in Australia: Sex differences. Nutrition. 2015;31(2):324-30. doi: 10.1016/j.nut.2014.08.004. . PubMed Central PMCID: PMC25442361.
Wong JGWS, Cheung EPT, Chan KKC, Ma KKM, Tang SW. Webbased survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Australian and New Zealand Journal of Psychiatry. 2006;40(9):777-82. doi: 10.1111/j.1440- 1614.2006.01883.x.
Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008;43(8):667-72. doi: 10.1007/s00127-008-0345-x. PubMed Central PMCID: PMC18398558.
Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr. 2013;6(4):318-23. Epub 2013/07/03. doi: 10.1016/j.ajp.2013.01.014. PubMed PMID: 23810140.
Pollard TM, Steptoe A, Canaan L, Davies GJ, Wardle J. Effects of academic examination stress on eating behavior and blood lipid levels. Int J Behav Med. 1995;2(4):299. doi: 10.1207/s15327558ijbm0204_2. PubMed Central PMCID: PMC16250770.
Singh R, Goyal M, Tiwari S, Ghildiyal A, Nattu SM, Das S. Effect of examination stress on mood, performance and cortisol levels in medical students. Indian J Physiol Pharmacol. 2012;56(1):48-55. PubMed Central PMCID: PMC23029964.
Wunsch K, Kasten N, Fuchs R. The effect of physical activity on sleep quality, well-being, and affect in academic stress periods. Nat Sci Sleep. 2017;9:117-26. doi: 10.2147/NSS.S132078. PubMed PMID: 28490911; PubMed Central PMCID: PMC28490911.
Zunhammer M, Eichhammer P, Busch V. Sleep Quality during Exam Stress: The Role of Alcohol, Caffeine and Nicotine. PLoS One. 2014;9(10):e109490. doi: 10.1371/journal.pone.0109490. PubMed Central PMCID: PMC25279939.
Liu C, Xie B, Chou CP, Koprowski C, Zhou D, Palmer P, et al. Perceived stress, depression and food consumption frequency in the college students of China Seven Cities. Physiol Behav. 2007;92(4):748-54. Epub 2007/06/26. doi: 10.1016/j. physbeh.2007.05.068. PubMed PMID: 17585967; PubMed Central PMCID: PMC17585967.
Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J. 2009;8(1):31. doi: 10.1186/1475-2891-8-31. PubMed Central PMCID: PMC19604384.
Šimić N, Manenica I. Exam experience and some reactions to exam stress. Fiziol Cheloveka. 2012;38(1):67-72. doi: 10.1134/ S0362119712010161. PubMed Central PMCID: PMC22567840.
Zunhammer M, Eberle H, Eichhammer P, Busch V. Somatic Symptoms Evoked by Exam Stress in University Students: The Role of Alexithymia, Neuroticism, Anxiety and Depression. PLoS One. 2013;8(12):e84911. doi: 10.1371/journal.pone.0084911. PubMed Central PMCID: PMC24367700.
Choi J. Impact of Stress Levels on Eating Behaviors among College Students. Nutrients. 2020;12(5):1241. doi: 10.3390/ nu12051241. PubMed PMID: doi:10.3390/nu12051241; PubMed Central PMCID: PMC32349338.
Rooney C, McKinley MC, Woodside JV. The potential role of fruit and vegetables in aspects of psychological well-being: a review of the literature and future directions. Proc Nutr Soc. 2013;72(4):420- 32. Epub 2013/09/12. doi: 10.1017/s0029665113003388. PubMed PMID: 24020691; PubMed Central PMCID: PMC24020691.
Barker ME, Blain RJ, Russell JM. The influence of academic examinations on energy and nutrient intake in male university students. Nutr J. 2015;14(1):98. doi: 10.1186/s12937-015-0088-y. PubMed Central PMCID: PMC26408322.
Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep Patterns and Predictors of Disturbed Sleep in a Large Population of CollegeStudents. J Adolesc Health. 2010;46(2):124-32. doi: 10.1016/j. jadohealth.2009.06.016.; PubMed Central PMCID: PMC20113918.
Araújo MFMd, Freitas RWJFd, Lima ACS, Pereira DCR, Zanetti ML, Damasceno MMC. Health indicators associated with poor sleep quality among university students. Revista da Escola de Enfermagem da USP. 2014;48(6):1085-92. doi: 10.1590/S0080- 623420140000700017. PubMed Central PMCID: PMC25626509
Campbell R, Soenens B, Beyers W, Vansteenkiste M. University students’ sleep during an exam period: the role of basic psychological needs and stress. Motiv Emot. 2018;42(5):671-81. doi: 10.1007/s11031-018-9699-x.
Aysan E, Karaköse S, Zaybak A, İsmailoğlu EG. Üniversite öğrencilerinde uyku kalitesi ve etkileyen faktörler. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2014;7(3):193- 8.
Gallego J, Aguilar-Parra JM, Cangas AJ, Langer ÁI, Mañas I. Effect of a Mindfulness Program on Stress, Anxiety and Depression in University Students. Span J Psychol. 2014;17:E109. Epub 2015/01/13. doi: 10.1017/sjp.2014.102. PubMed Central PMCID: PMC26055051.
Grammatikopoulou MG, Gkiouras K, Markaki A, Theodoridis X, Tsakiri V, Mavridis P, et al. Food addiction, orthorexia, and food-related stress among dietetics students. Eat Weight Disord.2018;23(4):459-67. doi: 10.1007/s40519-018-0514-1. PubMed Central PMCID: PMC29779146.
Rocks T, Pelly F, Slater G, Martin LA. Eating attitudes and behaviours of students enrolled in undergraduate nutrition and dietetics degrees. Nutr Diet. 2017;74(4):381-7. doi: 10.1111/1747- 0080.12298. PubMed Central PMCID: PMC28901702.