Research Article
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Healthy Nutrition Attitude, Sleep Quality and Musculoskeletal Disorders in University Students During Covid-19 Pandemic

Year 2023, Volume: 14 Issue: 3, 314 - 326, 29.12.2023
https://doi.org/10.54141/psbd.1328460

Abstract

This study aims to college students' healthy nutrition attitude, sleep status, and musculoskeletal disorders during the COVID-19 pandemic.
In total, 165 university students participated in this research. The students filled out the Attitude Scale for Healthy Nutrition, Pittsburgh Sleep Quality Index (PSQI), and Cornell Musculoskeletal Discomfort Questionnaire. The attitude toward healthy eating of 34 (20.6%) students was found to be moderate, 100 (60.6%) high, and 31 (18.8%) very high. There was no meaningful difference between groups according to having COVID-19 disease (p>0.05). Among the participants, 43 (26.06%) students were found to be good and 122 (73.94%) to be poor in terms of sleep quality. The global PSQI and sleep duration subgroup scores of those who had COVID-19 were statistically higher (p=0.010 and 0.043, respectively). The five regions with the most musculoskeletal symptoms were the upper back (78.18%), lower back (70.91%), neck (69.09%), right shoulder (55.76%) and left shoulder (49.09%). Significant differences were observed in the scores of the right wrist (p=0.009), left wrist (p=0.007), right lower leg (p=0.024), left lower leg (p=0.026), right foot (p=0.001), and left foot (p=0.009). The COVID-19 pandemic partially affected university students in terms of healthy eating attitudes and, to a greater extent, in terms of sleep and musculoskeletal disorders.

References

  • Ağargün, M. Y., Kara, H., & Anlar, O. (1996). Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi, 7(2), 107–115.
  • Alaca, N., Yıldız, A., Zeytin, Y., Karaca, M., & Dilek, B. (2022). Evaluation of Physical Activity, Sleep Quality and Time Management Skills of Physiotherapy and Rehabilitation Students During the Covid-19 Pandemic Process. Gevher Nesıbe Journal of Medıcal & Health Scıences, 7(16), 49–59. https://doi.org/10.46648/gnj.306
  • Altın, M. (2015). The Relation of Eating Habits with Obesity in University Students. Sportif Bakış: Spor ve Eğitim Bilimleri Dergisi, 2(2), 87–96. http://dx.doi.org/10.33468/sbsebd.17
  • Başaran, B., & Pekmezci Purut, H. (2021). The impact of the COVID-19 pandemic on the frequency of food consumption. Journal of Tourism and Gastronomy Studies, 9(1), 47–66. https://doi.org/10.21325/jotags.2021.776
  • Birben, G., & Karadeniz, D. (2010). Sleep Related Breathing Disorders: Obstructive Sleep Apnea Syndrome. Türkiye Klinikleri Journal of Neurol-Special Topics, 3, 27–40.
  • Buysse, D. J., Hall, M. L., Patrick, Strollo, J., Kamarck, T. W., Owens, J., Lee, L., Reis, S. E., & Matthews, K. A. (2008). Relationships Between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Clinical/Polysomnographic Measures in a Community Sample. Journal of Clinical Sleep Medicine, 4(6), 563–571. https://doi.org/10.5664/jcsm.27351
  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Cellini, N., Canale, N., Mioni, G., & Costa, S. (2020). Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy. Journal of Sleep Research, 29(4), e13074. https://doi.org/10.1111/jsr.13074
  • Cena, H., Fiechtner, L., Vincenti, A., Magenes, V. C., de Giuseppe, R., Manuelli, M., Zuccotti, G. V., & Calcaterra, V. (2021). COVID-19 pandemic as risk factors for excessive weight gain in pediatrics: the role of changes in nutrition behavior. A narrative review. Nutrients, 13(12), 4255. https://doi.org/10.3390/nu13124255
  • di Renzo, L., Gualtieri, P., Pivari, F., Soldati, L., Attinà, A., Cinelli, G., Leggeri, C., Caparello, G., Barrea, L., & Scerbo, F. (2020). Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. Journal of Translational Medicine, 18(1), 1–15. https://doi.org/10.1186/s12967-020-02399-5
  • Dilmen Bayar, B., Yaşar Can, S., Erten, M., & Ekmen, M. (2021). Determination of Depression and Stress Levels of University Students in the Covid-19 Pandemic Process. Paramedik ve Acil Sağlık Hizmetleri Dergisi, 2(1), 12–25.
  • Disser, N. P., de Micheli, A. J., Schonk, M. M., Konnaris, M. A., Piacentini, A. N., Edon, D. L., Toresdahl, B. G., Rodeo, S. A., Casey, E. K., & Mendias, C. L. (2020). Musculoskeletal Consequences of COVID-19. The Journal of Bone and Joint Surgery. American Volume, 102(14), 1197. https://doi.org/10.2106/JBJS.20.00847
  • Doyan, S., Alpat, İ., & Ersoy, G. (2021). A definitional study on nutrition and physical activity behaviors of nutrition and dietetics students during quarantine due to covid-19 pandemic. Zeugma Journal of Health Researches, 3(2–3), 94–103.
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: Cross-cultural adaptation and validation. Work, 39, 251–260. https://doi.org/10.3233/WOR-2011-1173
  • Güllü, M., & Küçükkömürler, S. (2020). An Investigation of BMI Values and Carbohydrate Consumption of University Students. Electronic Turkish Studies, 15(3). http://dx.doi.org/10.29228/TurkishStudies.43012
  • Gürsoy Coşkun, G., & Atmaca Demir, B. (2021). Evaluation of Undergraduate Students’ Healthy Eating Attitudes Related Social Media Addiction- A Case of a University in Istanbul. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, 1(3), 195–205.
  • Hasan, L. K., Deadwiler, B., Haratian, A., Bolia, I. K., Weber, A. E., & Petrigliano, F. A. (2021). Effects of COVID-19 on the Musculoskeletal System: Clinician’s Guide. Orthopedic Research and Reviews, 13, 141. https://doi.org/10.2147/ORR.S321884
  • Hedge, A., Morimoto, S., & Mccrobie, D. (1999). Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics, 42(10), 1333–1349. https://doi.org/10.1080/001401399184983
  • Huber, B. C., Steffen, J., Schlichtiger, J., & Brunner, S. (2021). Altered nutrition behavior during COVID-19 pandemic lockdown in young adults. European Journal of Nutrition, 60(5), 2593–2602. https://doi.org/10.1007/s00394-020-02435-6
  • İde, D., & Gündüz, T. (2021). Investigation of Relationship Between University Students’ Fatigue Level and Musculokeletal Disorders in Terms Of Some Variables During the Coronavirus Shutdown (Restriction) Period. Ergonomi, 4(2), 107–118. https://doi.org/10.33439/ergonomi.935728
  • Kutlutürk, S., & Yıkılmaz, İ. (2021). Investigation of Academicians' Job Stress, Burnout, Physical Activity and Musculoskeletal Pain During the Covid-19 Pandemic Remote Working Period. H.Ü. Sağlık Bilimleri Fakültesi Dergisi, 8(2), 297–313. https://dx.doi.org/10.21020/husbfd.877088
  • Lange, T., Dimitrov, S., & Born, J. (2010). Effects of sleep and circadian rhythm on the human immune system. Annals of the New York Academy of Sciences, 1193(1), 48–59. https://doi.org/10.1111/j.1749-6632.2009.05300.x
  • Murat, S., Dogruoz Karatekin, B., Icagasioglu, A., Ulasoglu, C., İçten, S., & Incealtin, O. (2021). Clinical presentations of pain in patients with COVID-19 infection. Irish Journal of Medical Science, 190(3), 913–917. https://doi.org/10.1007/S11845-020-02433-X/TABLES/3
  • Öztürk, N., Gerçek Öter, E., Abacıgil, F., Ersungur, E., & Korkut, M. (2022). The Relationship Between Levels of Anxiety, Sleep Quality and Musculoskeletal Pain of University Students during the Covid-19 Pandemic. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 13(1), 1–10. https://doi.org/10.22312/sdusbed.994767
  • Öztürk, O., & Özer Kaya, D. (2020). Effect of COVID-19 on Musculoskeletal System. İzmir Katip Çelebi University Faculty of Health Science Journal, 5(2), 179–182.
  • Roggio, F., Trovato, B., Ravalli, S., di Rosa, M., Maugeri, G., Bianco, A., Palma, A., & Musumeci, G. (2021). One year of COVID-19 pandemic in Italy: effect of sedentary behavior on physical activity levels and musculoskeletal pain among university students. International Journal of Environmental Research and Public Health, 18(16), 8680. https://doi.org/10.3390/ijerph18168680
  • Şahan, N., & Güler, M. A. (2022). The Effects of Internet-Based Distance Education on University Students During the COVID-19 Pandemic: Cross-Sectional Study. Turkiye Klinikleri Journal of Health Sciences, 7(2), 427–435. https://doi.org/10.5336/HEALTHSCI.2021-83936
  • Şengül, H., Bulut, A., & Adalan, M. A. (2020). Investigation of the change of lockdowns applied due to COVID-19 pandemic on musculoskeletal discomfort. Journal of Human Sciences, 17(4), 974–985. https://doi.org/10.14687/jhs.v17i4.6060
  • Souza, L. F. F. de, Paineiras-Domingos, L. L., Melo-Oliveira, M. E. de S., Pessanha-Freitas, J., Moreira-Marconi, E., Lacerda, A. C. R., Mendonça, V. A., Sá-Caputo, D. da C., & Bernardo-Filho, M. (2021). The impact of COVID-19 pandemic in the quality of sleep by Pittsburgh Sleep Quality Index: A systematic review. Ciência & Saúde Coletiva, 26, 1457–1466. https://doi.org/10.1590/1413-81232021264.45952020
  • Sümen, A., & Evgin, D. (2022). A cross-sectional study examining self-reported anthropometric measurements with adolescents’ nutrition attitudes, obesity awareness and diet quality indices during the pandemic. Journal of Pediatric Nursing. https://doi.org/10.1016/j.pedn.2022.01.018
  • Tekkurşun Demir, G., & Cicioğlu, H. I. (2019). Sağlıklı Beslenmeye İlişkin Tutum Ölçeği (SBİTÖ): Geçerlik ve Güvenirlik Çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(2), 256–274. https://doi.org/10.31680/GAUNJSS.559462
  • Timurtaş, E., Avcı, E. E., Ayberk, B., Demirbüken, İ., & Polat, M. G. (2022). Investigation of Physical Activity, Depression, Stress, Sleep and Quality of Life Levels of University Students During the COVID-19 Pandemic. Ergoterapi ve Rehabilitasyon Dergisi, 10(1), 17–26. https://doi.org/10.30720/ered.1039882
  • Toprak Celenay, S., Karaaslan, Y., Mete, O., & Ozer Kaya, D. (2020). Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int., 37(12), 1778–1785. https://doi.org/10.1080/07420528.2020.1815759
  • WHO. (2020). https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  • Yener, H. (2022). A Research on Home Workers’ Work-Related Musculoskeletal Disorders in Pandemic Period. Agathos An International Review of the Humanities & Social Sciences, 13(2), 163–175.
  • Zhao, A., Li, Z., Ke, Y., Huo, S., Ma, Y., Zhang, Y., Zhang, J., & Ren, Z. (2020). Dietary diversity among Chinese residents during the COVID-19 outbreak and its associated factors. Nutrients, 12(6), 1699. https://doi.org/10.3390/nu12061699
Year 2023, Volume: 14 Issue: 3, 314 - 326, 29.12.2023
https://doi.org/10.54141/psbd.1328460

Abstract

References

  • Ağargün, M. Y., Kara, H., & Anlar, O. (1996). Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi, 7(2), 107–115.
  • Alaca, N., Yıldız, A., Zeytin, Y., Karaca, M., & Dilek, B. (2022). Evaluation of Physical Activity, Sleep Quality and Time Management Skills of Physiotherapy and Rehabilitation Students During the Covid-19 Pandemic Process. Gevher Nesıbe Journal of Medıcal & Health Scıences, 7(16), 49–59. https://doi.org/10.46648/gnj.306
  • Altın, M. (2015). The Relation of Eating Habits with Obesity in University Students. Sportif Bakış: Spor ve Eğitim Bilimleri Dergisi, 2(2), 87–96. http://dx.doi.org/10.33468/sbsebd.17
  • Başaran, B., & Pekmezci Purut, H. (2021). The impact of the COVID-19 pandemic on the frequency of food consumption. Journal of Tourism and Gastronomy Studies, 9(1), 47–66. https://doi.org/10.21325/jotags.2021.776
  • Birben, G., & Karadeniz, D. (2010). Sleep Related Breathing Disorders: Obstructive Sleep Apnea Syndrome. Türkiye Klinikleri Journal of Neurol-Special Topics, 3, 27–40.
  • Buysse, D. J., Hall, M. L., Patrick, Strollo, J., Kamarck, T. W., Owens, J., Lee, L., Reis, S. E., & Matthews, K. A. (2008). Relationships Between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Clinical/Polysomnographic Measures in a Community Sample. Journal of Clinical Sleep Medicine, 4(6), 563–571. https://doi.org/10.5664/jcsm.27351
  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Cellini, N., Canale, N., Mioni, G., & Costa, S. (2020). Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy. Journal of Sleep Research, 29(4), e13074. https://doi.org/10.1111/jsr.13074
  • Cena, H., Fiechtner, L., Vincenti, A., Magenes, V. C., de Giuseppe, R., Manuelli, M., Zuccotti, G. V., & Calcaterra, V. (2021). COVID-19 pandemic as risk factors for excessive weight gain in pediatrics: the role of changes in nutrition behavior. A narrative review. Nutrients, 13(12), 4255. https://doi.org/10.3390/nu13124255
  • di Renzo, L., Gualtieri, P., Pivari, F., Soldati, L., Attinà, A., Cinelli, G., Leggeri, C., Caparello, G., Barrea, L., & Scerbo, F. (2020). Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. Journal of Translational Medicine, 18(1), 1–15. https://doi.org/10.1186/s12967-020-02399-5
  • Dilmen Bayar, B., Yaşar Can, S., Erten, M., & Ekmen, M. (2021). Determination of Depression and Stress Levels of University Students in the Covid-19 Pandemic Process. Paramedik ve Acil Sağlık Hizmetleri Dergisi, 2(1), 12–25.
  • Disser, N. P., de Micheli, A. J., Schonk, M. M., Konnaris, M. A., Piacentini, A. N., Edon, D. L., Toresdahl, B. G., Rodeo, S. A., Casey, E. K., & Mendias, C. L. (2020). Musculoskeletal Consequences of COVID-19. The Journal of Bone and Joint Surgery. American Volume, 102(14), 1197. https://doi.org/10.2106/JBJS.20.00847
  • Doyan, S., Alpat, İ., & Ersoy, G. (2021). A definitional study on nutrition and physical activity behaviors of nutrition and dietetics students during quarantine due to covid-19 pandemic. Zeugma Journal of Health Researches, 3(2–3), 94–103.
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: Cross-cultural adaptation and validation. Work, 39, 251–260. https://doi.org/10.3233/WOR-2011-1173
  • Güllü, M., & Küçükkömürler, S. (2020). An Investigation of BMI Values and Carbohydrate Consumption of University Students. Electronic Turkish Studies, 15(3). http://dx.doi.org/10.29228/TurkishStudies.43012
  • Gürsoy Coşkun, G., & Atmaca Demir, B. (2021). Evaluation of Undergraduate Students’ Healthy Eating Attitudes Related Social Media Addiction- A Case of a University in Istanbul. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, 1(3), 195–205.
  • Hasan, L. K., Deadwiler, B., Haratian, A., Bolia, I. K., Weber, A. E., & Petrigliano, F. A. (2021). Effects of COVID-19 on the Musculoskeletal System: Clinician’s Guide. Orthopedic Research and Reviews, 13, 141. https://doi.org/10.2147/ORR.S321884
  • Hedge, A., Morimoto, S., & Mccrobie, D. (1999). Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics, 42(10), 1333–1349. https://doi.org/10.1080/001401399184983
  • Huber, B. C., Steffen, J., Schlichtiger, J., & Brunner, S. (2021). Altered nutrition behavior during COVID-19 pandemic lockdown in young adults. European Journal of Nutrition, 60(5), 2593–2602. https://doi.org/10.1007/s00394-020-02435-6
  • İde, D., & Gündüz, T. (2021). Investigation of Relationship Between University Students’ Fatigue Level and Musculokeletal Disorders in Terms Of Some Variables During the Coronavirus Shutdown (Restriction) Period. Ergonomi, 4(2), 107–118. https://doi.org/10.33439/ergonomi.935728
  • Kutlutürk, S., & Yıkılmaz, İ. (2021). Investigation of Academicians' Job Stress, Burnout, Physical Activity and Musculoskeletal Pain During the Covid-19 Pandemic Remote Working Period. H.Ü. Sağlık Bilimleri Fakültesi Dergisi, 8(2), 297–313. https://dx.doi.org/10.21020/husbfd.877088
  • Lange, T., Dimitrov, S., & Born, J. (2010). Effects of sleep and circadian rhythm on the human immune system. Annals of the New York Academy of Sciences, 1193(1), 48–59. https://doi.org/10.1111/j.1749-6632.2009.05300.x
  • Murat, S., Dogruoz Karatekin, B., Icagasioglu, A., Ulasoglu, C., İçten, S., & Incealtin, O. (2021). Clinical presentations of pain in patients with COVID-19 infection. Irish Journal of Medical Science, 190(3), 913–917. https://doi.org/10.1007/S11845-020-02433-X/TABLES/3
  • Öztürk, N., Gerçek Öter, E., Abacıgil, F., Ersungur, E., & Korkut, M. (2022). The Relationship Between Levels of Anxiety, Sleep Quality and Musculoskeletal Pain of University Students during the Covid-19 Pandemic. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 13(1), 1–10. https://doi.org/10.22312/sdusbed.994767
  • Öztürk, O., & Özer Kaya, D. (2020). Effect of COVID-19 on Musculoskeletal System. İzmir Katip Çelebi University Faculty of Health Science Journal, 5(2), 179–182.
  • Roggio, F., Trovato, B., Ravalli, S., di Rosa, M., Maugeri, G., Bianco, A., Palma, A., & Musumeci, G. (2021). One year of COVID-19 pandemic in Italy: effect of sedentary behavior on physical activity levels and musculoskeletal pain among university students. International Journal of Environmental Research and Public Health, 18(16), 8680. https://doi.org/10.3390/ijerph18168680
  • Şahan, N., & Güler, M. A. (2022). The Effects of Internet-Based Distance Education on University Students During the COVID-19 Pandemic: Cross-Sectional Study. Turkiye Klinikleri Journal of Health Sciences, 7(2), 427–435. https://doi.org/10.5336/HEALTHSCI.2021-83936
  • Şengül, H., Bulut, A., & Adalan, M. A. (2020). Investigation of the change of lockdowns applied due to COVID-19 pandemic on musculoskeletal discomfort. Journal of Human Sciences, 17(4), 974–985. https://doi.org/10.14687/jhs.v17i4.6060
  • Souza, L. F. F. de, Paineiras-Domingos, L. L., Melo-Oliveira, M. E. de S., Pessanha-Freitas, J., Moreira-Marconi, E., Lacerda, A. C. R., Mendonça, V. A., Sá-Caputo, D. da C., & Bernardo-Filho, M. (2021). The impact of COVID-19 pandemic in the quality of sleep by Pittsburgh Sleep Quality Index: A systematic review. Ciência & Saúde Coletiva, 26, 1457–1466. https://doi.org/10.1590/1413-81232021264.45952020
  • Sümen, A., & Evgin, D. (2022). A cross-sectional study examining self-reported anthropometric measurements with adolescents’ nutrition attitudes, obesity awareness and diet quality indices during the pandemic. Journal of Pediatric Nursing. https://doi.org/10.1016/j.pedn.2022.01.018
  • Tekkurşun Demir, G., & Cicioğlu, H. I. (2019). Sağlıklı Beslenmeye İlişkin Tutum Ölçeği (SBİTÖ): Geçerlik ve Güvenirlik Çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(2), 256–274. https://doi.org/10.31680/GAUNJSS.559462
  • Timurtaş, E., Avcı, E. E., Ayberk, B., Demirbüken, İ., & Polat, M. G. (2022). Investigation of Physical Activity, Depression, Stress, Sleep and Quality of Life Levels of University Students During the COVID-19 Pandemic. Ergoterapi ve Rehabilitasyon Dergisi, 10(1), 17–26. https://doi.org/10.30720/ered.1039882
  • Toprak Celenay, S., Karaaslan, Y., Mete, O., & Ozer Kaya, D. (2020). Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int., 37(12), 1778–1785. https://doi.org/10.1080/07420528.2020.1815759
  • WHO. (2020). https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  • Yener, H. (2022). A Research on Home Workers’ Work-Related Musculoskeletal Disorders in Pandemic Period. Agathos An International Review of the Humanities & Social Sciences, 13(2), 163–175.
  • Zhao, A., Li, Z., Ke, Y., Huo, S., Ma, Y., Zhang, Y., Zhang, J., & Ren, Z. (2020). Dietary diversity among Chinese residents during the COVID-19 outbreak and its associated factors. Nutrients, 12(6), 1699. https://doi.org/10.3390/nu12061699
There are 36 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health
Journal Section Physical Activity, Health & Exercise
Authors

Talar Cilacı 0000-0001-5383-6969

Başak Öney 0000-0003-2695-6978

Publication Date December 29, 2023
Published in Issue Year 2023 Volume: 14 Issue: 3

Cite

APA Cilacı, T., & Öney, B. (2023). Healthy Nutrition Attitude, Sleep Quality and Musculoskeletal Disorders in University Students During Covid-19 Pandemic. Pamukkale Journal of Sport Sciences, 14(3), 314-326. https://doi.org/10.54141/psbd.1328460