Nutritional status and frequency of overweight and physical activity behaviors of medical school students and factors affecting these variables

Adequate nutrition and physical activity are of great importance for the general health and school success of individual, and for preventing obesity, cardiovascular diseases, diabetes mellitus, and cancer. The aim of study is to reveal the dimensions of the nutrition and physical activity behaviors of students in the 1-6 years of our medical faculty. In this study, 670 people (58.6%) were reached. The dependent variables are physical activity, nutrition, and body mass index (BMI). 16.3% of the students were overweight or obese; only 37.7% had a physical exercise at least one day a week. 29.4% of the students skip meals very often, 30.7% made a diet in the last 12 months. Students BMI> 25 had less diet; use more addictive substances, less participate in organized activities; are members of the community to a lesser extent and personal beliefs were found to be weaker. The most important variables affecting BMI are body perception and participation in organized activities. Living in a family home or dormitory and having room are the factors that affect the nutrition behavior positively and at least one cigarette per day affects negatively. The most important factors affecting adequate physical activity are to pay attention to weight, to make a holiday, to meet with friends in the evening and to study less than 2 hours per day. Being upper grades, not participating in organized activities, and depressive mood are other factors cause physical inactivity. In conclusion, systemic exercise and eating habits are insufficient. Students' positive habits are gradually decreasing as the period progresses. Faculty administrations should take measures for health promotion activities and should concentrate on students who are in grades 4 and above.

___

1. Mukudi E. Nutrition status, education participation, and school achievement among Kenyan middle-school children. J Nutr. 2003;19:612-6.

2. Şanlıer N, Yabancı N. Okul çağında beslenme. 7-14 yaş Çocuk Gelişimi ve Eğitimi Dizisi. 1. Baskı. Morpa Kültür Yayınları, İstanbul, 2005;139-58.

3. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ. 2006;174:801-9.

4. The challenge of obesity in the WHO European region and the strategies for response, Ed. Francesco Branca, Haik Nikogosian ve Tim Lobstein, WHO, Denmark, 2007. https://www.euro.who.int/__data/assets/pdf_ file/0010/74746/E90711.pdf access date 6.11.2019

5. Bertsias G, Mammas I, Linardakis M, et al. Overweight and obesity in relation to cardiovascular disease risk factors among medical students in Crete, Greece. BMC Public Health. 2003;3:3.

6. Garibağaoğlu M, Budak N, Öner N, et al. Üç farklı üniversitede eğitim gören kız öğrencilerin beslenme durumları ve vücut ağırlıklarının değerlendirmesi. Saglik Bilim Derg. 2006;15:173-80.

7. Dülger H, Mayda AS. Bartın Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Öğrencilerinde Beslenme Alışkanlıkları ve Obezite Prevalansı. DÜ Sağlık Bil Enst Derg. 2016;6:173-7.

8. Acar ZÖ. Üniversite öğrencilerinde obezite ve yaşam davranışları. Uzmanlık Tezi. Ondokuz Mayıs Üniversitesi, Samsun, 2015.

9. Demirezen E, Coşansu G. Adölesan Çağı Öğrencilerde Beslenme Alışkanlıklarının Değerlendirilmesi. STED. 2005;14:174-8.

10. Türkiye Sağlık Araştırması, TUİK, 2016. http://tuikweb.tuik.gov.tr/ PreHaberBultenleri.do?id=24573# access date 31.05.2017

11. Neumark-Sztainer D, Story M, Perry C, et al. Factors influencing food choices of adolescents: Findings from focus-group discussions with adolescents. J Am Diet Assoc. 1999;99:929-37.

12. Gorin AA, Crane MM, Jelalian E, et al. The obesogenic environment, Handbook of Childhood and Adolescent Obesity. Springer Science, Business Media LLC, New York, USA. 2008:145-61.

13. Yousif MM, Kaddam LA, Humeda HS. Correlation between physical activity, eating behavior and obesity among Sudanese medical students Sudan. BMC Nutr. 2019;5:6.

14. Janković G, Stanojević Z, Mazić S, et al. Physical activity and dietary habits among second year students of the school of Medicine, University of Belgrad. J Phys Educ Sport. 2017;15:239-48.

15. Grygiel-Górniak B, Tomczak A, Krulikowska N, et al. Physical activity, nutritional status, and dietary habits of students of a medical university. J Sport Health Sci. 2016;12:261-7.

16. Rao CR, Darshan B, Das N, et al. Practice of physical activity among future doctors: a cross sectional analysis. Int J Prev Med. 2012;3:365-9.

17. Savcı S, Öztürk M, Arıkan H, et al. Üniversite öğrencilerinin fiziksel aktivite düzeyleri. Turk Kardiyol Dern Ars. 2006;34:166-172.

18. Oğuz S, Çamcı G, Yılmaz RK. Üniversite öğrencilerinin fiziksel aktivite yapma durumu ve fiziksel aktivitenin kalp sağlığına etkisini bilme durumu. GUSBD. 2018;7:54-61.

19. Eyler AA. Personal, social, and environmental correlates of physical activity in rural Midwestern white women, Am J Prev Med. 2003;25:86-92.

20. Vanhees L, Lefevre J, Philippaerts R, et al. How to assess physical activity? How to assess physical fitness? Eur J Cardiov Prev R. 2005;12:102-14.

21. Gurel K, Aghayev A, Ipek H, et al. Trends and determinants of quality of life and self-rated health in the course of medical education among medical students. Int J Med Sci. 2020;9:118-27.

22. World Health Organization. Global recommendations on physical activity for health. World Health Organization. https://apps.who.int/iris/ handle/10665/44399 access date 17.01.2020

23. Saipanish R, Lotrakul M, Sumrithe S. Reliability and validity of the Thai version of the WHO-Five Well-Being Index in primary care patients. Psychiatry Clin Neurosci. 2009;63:141-6.

24. Bosi ML, Nogueira JA. Body image and eating behavior among medical students: eating disorders among medical students. Epidemiology (Sunnyvale). 2016;6(4).

25. Peltzer, K, Pengpid, S. The association of dietary behaviors and physical activity levels with general and central obesity among ASEAN University Students. AIMS Public Health. 2017;4:301-3.

26. Brehm B, Summer S, Khoury J, et al. Health status and lifestyle habits of us medical students: A longitudinal study. Ann Med Health Sci Res. 2016;6:341.

27. Al-Qahtani MH. Dietary Habits of Saudi Medical Students at University of Dammam. Int J Health Sci (Qassim). 2016;10:353–62.

28. Asghar A, Masood Shah A, Ali Hussain A, et al. Frequency of pre-obesity and obesity in medical students of karachi and the predisposing lifestyle habits. Cureus. 2019;11:e3948.

29. Asousi MA. Physical activity among preclinical medical students at the University of Malaya, Malaysia. JNHFS. 2016;4:1-8.

30. Najarkolaei FR, Talatappeh HD, Naghavi S. Physical activity and nutrition status in the university students: a mix method study. JHPSH. 2015;2:201-6.

31. Assir MK, Khan Z, Shafiq M, et al. High prevalence of preobesity and obesity among medical students of Lahore and its relation with dietary habits and physical activity. Indian J Endocr Metab. 2016;20:206.

32. Selçuk KT, Karataş S, Çetinkaya İE, et al. Celal Bayar Üniversitesi Tıp Fakültesi Dönem 1 öğrencilerinin bazı sağlık davranışları ve okul ortamından beklentilerinin değerlendirmesi. CBU-SBED. 2016;3:413-8.

33. Saranya SV, Rao CR, Kumar SC, et al. Dietary habits and physical activity among medical students of a teaching hospital in South India: A descriptive analysis. Trop J Med Res. 2016;19:172-7.

34. Bergeron N, Al-Saiegh S, Ip EJ. An analysis of california pharmacy and medical students' dietary and lifestyle practices. Am J Pharm Educ. 2017;81:5956.

35. Çetin G, Sarper F. Tıp fakültesi birinci ve son sınıfa devam eden öğrencilerin beslenme bilgi ve alışkanlıkları üzerine bir araştırma. 21. yüzyılda eğitim ve toplum. 2013;2:84-104.