Frequency and Associated Factors of Physical Activity and Sleep with Depression in College Going Students
DOI:
https://doi.org/10.36570/jduhs.2023.1.1745Keywords:
College Students, Depression, Insomnia, Physical ActivityAbstract
Objective: To determine the frequency and associated factors of physical activity and sleep with depression in college going students.
Methods: This cross-sectional study was conducted among students of various universities, colleges, and institutes of Delhi from April to July 2022. Students aged between 18-26 years, consisting of both males and females were included. Physical activity level was assessed by the International Physical Activity Questionnaire-Short Form (IPAQ-SF), depression level was assessed by the Center for Epidemiologic Studies Depression (CES-D) survey, and sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI).
Results: Of 120 participants, there were 48 (40.0%) males and 72 (60.0%) females. Most of the students had moderate/high physical activity 88 (73.3%), 63 (52.5%) had no symptoms of depression and 70 (58.3%) had no difficulty in sleep. A significant association of physical activity was found with gender (p-value 0.036), smoking (p-value 0.022), alcohol (p-value 0.033), pocket money (p-value 0.033), and depression (p-value 0.007). Sleep dysfunction was found higher in those students who had depression as compared to students who did not have depression i.e., 34 (59.6%) vs. 16 (25.4%) respectively (p-value <0.001).
Conclusion: Most students demonstrated sufficient physical activity, no symptoms of depression and difficulty in sleep. However, significant associations of physical activity and sleep were seen with depression. Students with symptoms of depression had higher prevalence of sleep dysfunction. The causal connections between levels of physical activity, sleep quality, and mental health require further research.
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Wang F, Biro E. Determinants of sleep quality in college students: A literature review. Explore 2021; 17:170-7. doi:10.1016/j.explore.2020.11.003
Li Y, Bai W, Zhu B, Duan R, Yu X, Xu W, et al. Prevalence and correlates of poor sleep quality among college students: a cross-sectional survey. Health Qual Life Outcomes 2020; 18:210. doi:10.1186/s12955-020-01465-2
Dinis J, Bragança M. Quality of sleep and depression in college students: a systematic review. Sleep Sci 2018; 11:290-301. doi:10.5935/1984-0063.20180045
Islam MA, Low WY, Tong WT, Yuen CW, Abdullah A. Factors associated with depression among university students in Malaysia: a cross-sectional study. KnE Life Sci 2018; 17:415-27. doi:10.18502/kls.v4i4.2302
Lei XY, Xiao LM, Liu YN, Li YM. Prevalence of depression among Chinese University students: a meta-analysis. PloS one 2016; 11:1-14. doi:10.1371/journal.pone.0153454
Kaur S, Deepti SS, Lal M. Prevalence and correlates of depression among college going students of district Amritsar, India. Int Res J Med Sci 2014; 2:5-9.
Van Berkel J, Proper KI, van Dam A, Boot CR, Bongers PM, van der Beek AJ. An exploratory study of associations of physical activity with mental health and work engagement. BMC Public Health 2013; 13:1-7. doi:10.1186/1471-2458-13-558
Kandola A, Ashdown-Franks G, Hendrikse J, Sabiston CM, Stubbs B. Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity. Neurosci Biobehav Rev 2019; 107:525-39. doi:10.1016/j.neubiorev.2019.09.040
Kalra S, Yadav J, Ajmera P, Sindhu B, Pal S. Impact of physical activity on physical and mental health of postmenopausal women: a systematic review. J Clin Diagnoc Res 2022; 16:1-8. doiI:10.7860/JCDR/2022/52302.15974
Kleppang AL, Hartz I, Thurston M, Hagquist C. The association between physical activity and symptoms of depression in different contexts–a cross-sectional study of Norwegian adolescents. BMC Public Health 2018; 18:1-12. doi:10.1186/s12889-018-6257-0
Craig CL, Marshall AL, Sjostrom M, Bauman A, Booth M L, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003, 35: 1381-95. doi:10.1249/01.MSS.0000078924.61453.FB
Cahuas A, He Z, Zhang Z, Chen W. Relationship of phy-sical activity and sleep with depression in college students. J Am Coll Health 2020; 68:557-64. doi:10.1080/07448481.2019.1583653
Radloff LS. A self-report depression scale for research in the general population. Appl Psychol Meas 1977; 1:385-401. doi:10.1177/01466216770010030
Conerly RC, Baker F, Dye J, Douglas CY, Zabora J. Measuring depression in African American cancer survivors: The reliability and validity of the center for epidemiologic study—depression (CES-D) scale. J Health Psychol 2002; 7:107-14. doi:10.1177/13591053020070016
Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kup-fer DJ. The pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28:193-213. doi:10.1016/0165-1781(89)90047-4
de la Vega R, Tome-Pires C, Sole E, Racine M, Castarle-nas E, Jensen MP, et al. The pittsburgh sleep quality index: Validity and factor structure in young people. Psychol Assess 2015; 27:e22-7. doi:10.1037/pas0000128
Rajappan R, Selvaganapathy K, Liew L. Physical activity level among university students: a cross sectional survey. Int J Physiother Res 2015; 3:1336-43. doi:10.16965/ijpr.2015.202
Bergier J, Kapka-Skrzypczak L, Bilinski P, Paprzycki P, Wojtyla A. Physical activity of Polish adolescents and young adults according to IPAQ: a population based study. Ann Agric Environ Med 2012; 19: 109-15.
Goje M, Salmiah MS, Ahmad Azuhairi A, Jusoff K. Phys-ical inactivity and its associated factors among university students. IOSR JDMS 2014; 13:119-30.
Papathanasiou G, Papandreou M, Galanos A, Kortianou E, Tsepis E, Kalfakakou V, et al. Smoking and physical activity interrelations in health science students. Is smoking associated with physical inactivity in young adults. Hellenic J Cardiol 2012; 53:17-25.
Badicu G, Zamani Sani SH, Fathirezaie Z. Predicting tobacco and alcohol consumption based on Physical Activity Level and demographic characteristics in Romanian students. Children 2020; 7:71. doi:10.3390/children7070071
Abdel-Salam D, Abdel-Khalek E. Pattern and barriers of physical activity among medical students of Al-Jouf University, Saudi Arabia. J High Inst Public Health 2016; 46:41-8.
Ghrouz AK, Noohu MM, Manzar D, Warren Spence D, BaHammam AS, Pandi-Perumal SR. Physical activity and sleep quality in relation to mental health among college students. Sleep Breath 2019; 23:627-34. doi:10.1007/s11325-019-01780-z
Schuch FB, Vancampfort D, Firth J, Rosenbaum S, Ward PB, Silva ES, et al. Physical activity and incident depression: a meta-analysis of prospective cohort studies. Am J Psychiatry 2018; 175:631-48. doi:10.1176/appi.ajp.2018.17111194
Pauley PM, Hesse C. The effects of social support, depression, and stress on drinking behaviors in a college student sample. Commun Stud 2009; 60:493-508. doi:10.1080/10510970903260335.
Hakim A, Tak H, Nagar S, Bhansali S. Assessment of prevalence of depression and anxiety and factors associated with them in undergraduate medical students of Dr. SN Medical College, Jodhpur. Int J Comm Med Public Health 2017; 4:3267-72. doi:10.18203/2394-6040.ijcmph20173826
Keith T. Depression and its negative effect on college students. Undergraduate Res J Human Sci 2010; 9.
Bouloukaki I, Stathakis G, Koloi A, Bakiri E, Moudatsaki M, Pouladaki E, et al. Prevalence and risk factors of poor sleep quality and fatigue during exam periods in university students. ERJ Open Res 2017; 3: 2. doi:10.1183/23120541.sleepandbreathing-2017.P2
Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nis-sen C, Voderholzer U, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord 2011; 135:10-9. doi:10.1016/j.jad.2011.01.011
Motivala SJ, Levin MJ, Oxman MN, Irwin MR. Impai-rments in health functioning and sleep quality in older adults with a history of depression. J Am Geriatr Soc 2006; 54:1184-91. doi:10.1111/j.1532-5415.2006.00819.x
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Copyright (c) 2023 Shahbaz Alam, Sheetal Kalra, Sadhu Charan Mohapatra, Richa Raii, Deepak Raghav
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