Research Article
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Determination of Physical Activity Levels and Musculoskeletal Disorders of Nursing Students Studying at a University in İstanbul during the COVID-19 Pandemic

Year 2023, Volume: 10 Issue: 1, 70 - 77, 31.03.2023
https://doi.org/10.31125/hunhemsire.1273101

Abstract

Aim: This study was carried out to examine the physical activity levels, musculoskeletal disorders, and the relationship between them in nursing students who received distance education during the COVID-19 pandemic.
Material and Methods: This descriptive and correlational study was conducted with 217 students between February and May 2021. Data were collected electronically with the “Individual Characteristics Form”, “Cornell Musculoskeletal Disorders Questionnaire” and “International Physical Activity Questionnaire (IPAQ) short form”. The data were analyzed with the Mann-Whitney U, Kruskal Wallis Test, Spearman Correlation Test, and descriptive statistics. The significance level was accepted as 0.05.
Results: The median score of students' International Physical Activity Questionnaire was 933.0; the median score of students' Cornell Musculoskeletal Disorders Questionnaire was 4.50. It was found that male students had a significantly higher IPAQ-high-intensity physical activity level than female students and students studying in the first year compared to students studying in the second year (p<0.05). It was also determined that the median score of female students' Cornell Musculoskeletal Disorders Questionnaire was significantly higher than male students (p<0.05). There was no significant relationship between students’ physical activity level and musculoskeletal disorders (p>0.05).
Conclusion: This study has indicated that students were minimally active during the pandemic, they did not experience a common musculoskeletal disorder and female students had more musculoskeletal disorders than male students.

References

  • Constandt B, Thibaut E, De Bosscher V, Scheerder J, Ricour M, Willem A. Exercising in times of lockdown: An analysis of the impact of COVID-19 on levels and patterns of exercise among adults in Belgium. Int J Environ Res Public Health. 2020;17(11):4144.
  • Leirós-Rodríguez R, Rodríguez-Nogueira Ó, Pinto-Carral A, Álvarez-Álvarez M, Galán-Martín MÁ, Montero-Cuadrado F, et al. Musculoskeletal pain and non-classroom teaching in times of the COVID-19 pandemic: Analysis of the impact on students from two Spanish Universities. J Clin Med. 2020;9(12):4053.
  • López-Valenciano A, Suárez-Iglesias D, Sanchez-Lastra MA, Ayan C. Impact of COVID-19 pandemic on university students’ physical activity levels: An early systematic review. Front Psychology. 2020;11:3787.
  • Vikipedi. Türkiye’de COVID-19 pandemisi [İnternet]. 2020 [Erişim Tarihi 22 Ocak 2021]. Erişim adresi: https://tr.m.wikipedia.org/wiki/T%C3%BCrkiye%27de_COVID-19_pandemisi
  • Yükseköğretim Kurulu (YÖK). Yükseköğretim kurumlarımızdaki 2020-2021 eğitim ve öğretim dönemine yönelik açıklama [İnternet]. 2020 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://covid19.yok.gov.tr/Documents/alinan-kararlar/28-yuksekogretim-kurumlari-2020-2021-egitim-ve-ogretim-donemine-yonelik-aciklama.pdf
  • Fowler JH, Hill SJ, Obradovich N, Levin R. The effect of stay-at-home orders on COVID-19 cases and fatalities in the United States [İnternet]. 2020 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://www.medrxiv.org/content/10.1101/2020.04.13.20063628
  • Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis. 2020;7(2):85-90.
  • Rodríguez-Larrad A, Mañas A, Labayen I, González-Gross M, Espin A, Aznar S, et al. Impact of COVID-19 confinement on physical activity and sedentary behaviour in Spanish University students: Role of gender. Int J Environ Res Public Health. 2021;18(2):369.
  • Sklempe IK, Znika M, Brumnic V. Physical activity, health-related quality of life and musculoskeletal pain among students of physiotherapy and social sciences in Eastern Croatia-Cross-sectional survey. AAEM. 2019;26(1):182-90.
  • Gallè F, Sabella EA, Ferracuti S, De Giglio O, Caggiano G, Protano C, et al. Sedentary behaviors and physical activity of Italian undergraduate students during lockdown at the time of CoViD-19 pandemic. Int J Environ Res Public Health. 2020;17:6171.
  • World Health Organization (WHO). Global recommendations on physical activity for health [İnternet]. 2010 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://www.who.int/dietphysicalactivity/global-PA-recs-2010.pdf
  • López-Bueno R, Calatayud J, Ezzatvar Y, Casajús JA, Smith L, Andersen LL, et al. Association between current physical activity and current perceived anxiety and mood in the initial phase of COVID-19 confinement. Front Psychiatry. 2020;11:729.
  • Hendi OM, Abdulaziz AA, Althaqafi AM, Hindi AM, Khan SA, Atalla AA. Prevalence of musculoskeletal disorders and its correlation to physical activity among health specialty students. Int J Prev Med. 2019;10(1):48.
  • Luciano F, Cenacchi V, Vegro V, Pavei G. COVID-19 lockdown: Physical activity, sedentary behaviour and sleep in Italian medicine students. Eur J Sport Sci. 2020;1-10.
  • Srivastav AK, Sharma N, Samuel AJ. Impact of Coronavirus disease-19 (COVID-19) lockdown on physical activity and energy expenditure among physiotherapy professionals and students using web-based open E-survey sent through WhatsApp, Facebook and Instagram messengers. Clin Epidemiol Glob Health. 2021;9:78-84.
  • Özdinç S, Turan FN. Sağlık bilimleri fakültesi öğrencilerinde kas iskelet sistemi problemleri ile fiziksel aktivite ve stres düzeyi arasındaki ilişkinin incelenmesi. HSP. 2019;6(2):247-55.
  • Hedge A, Morimoto S, McCrobie D. Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics. 1999;42(10):1333-49.
  • Erdinç O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: Cross-cultural adaptation and validation. Work. 2011;39(3):251-60.
  • Hallal PC, Victora CG. Reliability and validity of the international physical activity questionnaire (IPAQ). Med Sci Sport Exerc. 2004;36(3):556.
  • Öztürk M. Üniversitede eğitim-öğretim gören öğrencilerde uluslararası fiziksel aktivite anketinin geçerliliği ve güvenirliği ve fiziksel aktivite düzeylerinin belirlenmesi [Yüksek Lisans Tezi]. Ankara: Hacettepe Üniversitesi; 2005.
  • IPAQ-L Research Committee. International Physical Activity Questionnaire (IPAQ-L) [İnternet]. 2005 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://sites.google.com/site/theipaq/
  • World Health Organization (WHO). Coronavirus Disease (COVID-19) technical guidance: Guidance for schools, workplaces and institutions [İnternet]. 2020 [Erişim Tarihi 22 Ocak 2021]. Erişim adresi: https://www.who.int/publications/i/item/considerations-for-school-related-public-health-measures-in-the-context-of-covid-19
  • Castro O, Bennie J, Vergeer I, Bosselut G, Biddle SJ. How sedentary are University students? A systematic review and meta-analysis. Prev Sci. 2020;21(3):332-43.
  • Yanık D, Yeşilçınar İ. COVID-19 pandemi sürecinde yaşanan sosyal izolasyonun hemşirelik öğrencileri üzerindeki etkileri: Niteliksel araştırma. Sağlık Akademisyenleri Dergisi. 2021;8(2):103-12.
  • Rodriguez-Besteiro S, Tornero-Aguilera JF, Fernández-Lucas J, Clemente-Suárez VJ. Gender differences in the COVID-19 pandemic risk perception, psychology and behaviors of Spanish University students. Int J Environ Res Public Health. 2021;18(8):3908.
  • Rebar AL, Dimmock JA, Jackson B, Rhodes RE, Kates A, Starling J, et al. A systematic review of the effects of non-conscious regulatory processes in physical activity. Health Psychol. Rev. 2016;10:395-407.
  • Thompson AE, Anisimowicz Y, Miedema B, Hogg W, Wodchis WP, Aubrey-Bassler K. The influence of gender and other patient characteristics on health care-seeking behaviour: A QUALICOPC study. BMC Fam. Pract. 2016;17:38.
  • Kühn M, Dudel C, Vogt T, Oksuzyan A. Trends in gender differences in health at working ages among west and east Germans. SSM Popul. Health. 2019;7:100326.
  • Backåberg S, Rask M, Brunt D, Gummesson C. Impact of musculoskeletal symptoms on general physical activity during nursing education. Nurse Educ Pract. 2014;14(4):385-90.
  • Bartley EJ, Fillingim RB. Sex differences in pain: A brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52-8.
  • Kirmizi M, Yalcinkaya G, Sengul YS. Gender differences in health anxiety and musculoskeletal symptoms during the COVID-19 pandemic. J Back Musculoskelet Rehabil. 2021;34(2):161-7.
  • Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Benítez-Andrades JA, Álvarez-Álvarez MJ., Marqués-Sánchez P, Pinto-Carral A. Musculoskeletal pain and teleworking in times of the COVID-19: Analysis of the impact on the workers at two Spanish Universities. Int J Environ Res Public Health. 2021;18:31.

COVID-19 Pandemi Sürecinde İstanbul’da Bir Üniversitede Öğrenim Gören Hemşirelik Öğrencilerinin Fiziksel Aktivite Düzeylerinin ve Kas-İskelet Sistemi Rahatsızlıklarının Belirlenmesi

Year 2023, Volume: 10 Issue: 1, 70 - 77, 31.03.2023
https://doi.org/10.31125/hunhemsire.1273101

Abstract

Amaç: Bu çalışma, COVID-19 pandemi sürecinde uzaktan öğretim gören hemşirelik öğrencilerinin fiziksel aktivite düzeylerini, kas-iskelet sistemi rahatsızlıklarını ve aralarındaki ilişkiyi incelemek amacıyla gerçekleştirildi.
Gereç ve Yöntem: Tanımlayıcı ve ilişki arayıcı tipteki bu çalışma, Şubat-Mayıs 2021 tarihleri arasında 217 öğrenci ile gerçekleştirildi. Veriler, elektronik ortamda “Bireysel Özellikler Formu”, “Cornell Kas İskelet Sistemi Rahatsızlıkları Anketi” ve “Uluslararası Fiziksel Aktivite Anketi (IPAQ) kısa formu” ile toplandı. Verilerin değerlendirilmesinde, tanımlayıcı istatistiksel yöntemlerin yanı sıra Mann-Whitney U, Kruskal Wallis Test ve Spearman Korelasyon Testi kullanıldı. Anlamlılık düzeyi 0.05 kabul edildi.
Bulgular: Öğrencilerin Uluslararası Fiziksel Aktivite Anketi medyan değerinin 933.0; Cornell Kas İskelet Sistemi Rahatsızlıkları Anketi medyan değerinin ise 4.50 olduğu saptandı. Erkek öğrencilerin kadın öğrencilere göre ve 1. sınıfta öğrenim gören öğrencilerin 2. sınıfta öğrenim gören öğrencilere göre IPAQ-yüksek şiddetli fiziksel aktivite düzeyinin anlamlı düzeyde daha yüksek olduğu bulundu (p<0.05). Kadın öğrencilerin Cornell Kas İskelet Sistemi Rahatsızlıkları Anketi medyan değerinin erkek öğrencilere göre anlamlı düzeyde daha yüksek olduğu belirlendi (p<0.05). Öğrencilerin fiziksel aktivite düzeyi ile kas-iskelet sistemi rahatsızlıkları arasında anlamlı bir ilişkinin olmadığı görüldü (p>0.05).
Sonuç: Bu çalışma, öğrencilerin pandemi sürecinde minimal düzeyde aktif olduğunu; yaygın bir kas-iskelet sistemi rahatsızlığı yaşamadığını; kadın öğrencilerin erkek öğrencilere göre daha çok kas-iskelet sistemi rahatsızlıklarının olduğunu gösterdi.

References

  • Constandt B, Thibaut E, De Bosscher V, Scheerder J, Ricour M, Willem A. Exercising in times of lockdown: An analysis of the impact of COVID-19 on levels and patterns of exercise among adults in Belgium. Int J Environ Res Public Health. 2020;17(11):4144.
  • Leirós-Rodríguez R, Rodríguez-Nogueira Ó, Pinto-Carral A, Álvarez-Álvarez M, Galán-Martín MÁ, Montero-Cuadrado F, et al. Musculoskeletal pain and non-classroom teaching in times of the COVID-19 pandemic: Analysis of the impact on students from two Spanish Universities. J Clin Med. 2020;9(12):4053.
  • López-Valenciano A, Suárez-Iglesias D, Sanchez-Lastra MA, Ayan C. Impact of COVID-19 pandemic on university students’ physical activity levels: An early systematic review. Front Psychology. 2020;11:3787.
  • Vikipedi. Türkiye’de COVID-19 pandemisi [İnternet]. 2020 [Erişim Tarihi 22 Ocak 2021]. Erişim adresi: https://tr.m.wikipedia.org/wiki/T%C3%BCrkiye%27de_COVID-19_pandemisi
  • Yükseköğretim Kurulu (YÖK). Yükseköğretim kurumlarımızdaki 2020-2021 eğitim ve öğretim dönemine yönelik açıklama [İnternet]. 2020 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://covid19.yok.gov.tr/Documents/alinan-kararlar/28-yuksekogretim-kurumlari-2020-2021-egitim-ve-ogretim-donemine-yonelik-aciklama.pdf
  • Fowler JH, Hill SJ, Obradovich N, Levin R. The effect of stay-at-home orders on COVID-19 cases and fatalities in the United States [İnternet]. 2020 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://www.medrxiv.org/content/10.1101/2020.04.13.20063628
  • Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 (COVID-19). Diagnosis. 2020;7(2):85-90.
  • Rodríguez-Larrad A, Mañas A, Labayen I, González-Gross M, Espin A, Aznar S, et al. Impact of COVID-19 confinement on physical activity and sedentary behaviour in Spanish University students: Role of gender. Int J Environ Res Public Health. 2021;18(2):369.
  • Sklempe IK, Znika M, Brumnic V. Physical activity, health-related quality of life and musculoskeletal pain among students of physiotherapy and social sciences in Eastern Croatia-Cross-sectional survey. AAEM. 2019;26(1):182-90.
  • Gallè F, Sabella EA, Ferracuti S, De Giglio O, Caggiano G, Protano C, et al. Sedentary behaviors and physical activity of Italian undergraduate students during lockdown at the time of CoViD-19 pandemic. Int J Environ Res Public Health. 2020;17:6171.
  • World Health Organization (WHO). Global recommendations on physical activity for health [İnternet]. 2010 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://www.who.int/dietphysicalactivity/global-PA-recs-2010.pdf
  • López-Bueno R, Calatayud J, Ezzatvar Y, Casajús JA, Smith L, Andersen LL, et al. Association between current physical activity and current perceived anxiety and mood in the initial phase of COVID-19 confinement. Front Psychiatry. 2020;11:729.
  • Hendi OM, Abdulaziz AA, Althaqafi AM, Hindi AM, Khan SA, Atalla AA. Prevalence of musculoskeletal disorders and its correlation to physical activity among health specialty students. Int J Prev Med. 2019;10(1):48.
  • Luciano F, Cenacchi V, Vegro V, Pavei G. COVID-19 lockdown: Physical activity, sedentary behaviour and sleep in Italian medicine students. Eur J Sport Sci. 2020;1-10.
  • Srivastav AK, Sharma N, Samuel AJ. Impact of Coronavirus disease-19 (COVID-19) lockdown on physical activity and energy expenditure among physiotherapy professionals and students using web-based open E-survey sent through WhatsApp, Facebook and Instagram messengers. Clin Epidemiol Glob Health. 2021;9:78-84.
  • Özdinç S, Turan FN. Sağlık bilimleri fakültesi öğrencilerinde kas iskelet sistemi problemleri ile fiziksel aktivite ve stres düzeyi arasındaki ilişkinin incelenmesi. HSP. 2019;6(2):247-55.
  • Hedge A, Morimoto S, McCrobie D. Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics. 1999;42(10):1333-49.
  • Erdinç O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: Cross-cultural adaptation and validation. Work. 2011;39(3):251-60.
  • Hallal PC, Victora CG. Reliability and validity of the international physical activity questionnaire (IPAQ). Med Sci Sport Exerc. 2004;36(3):556.
  • Öztürk M. Üniversitede eğitim-öğretim gören öğrencilerde uluslararası fiziksel aktivite anketinin geçerliliği ve güvenirliği ve fiziksel aktivite düzeylerinin belirlenmesi [Yüksek Lisans Tezi]. Ankara: Hacettepe Üniversitesi; 2005.
  • IPAQ-L Research Committee. International Physical Activity Questionnaire (IPAQ-L) [İnternet]. 2005 [Erişim Tarihi 21 Ocak 2021]. Erişim adresi: https://sites.google.com/site/theipaq/
  • World Health Organization (WHO). Coronavirus Disease (COVID-19) technical guidance: Guidance for schools, workplaces and institutions [İnternet]. 2020 [Erişim Tarihi 22 Ocak 2021]. Erişim adresi: https://www.who.int/publications/i/item/considerations-for-school-related-public-health-measures-in-the-context-of-covid-19
  • Castro O, Bennie J, Vergeer I, Bosselut G, Biddle SJ. How sedentary are University students? A systematic review and meta-analysis. Prev Sci. 2020;21(3):332-43.
  • Yanık D, Yeşilçınar İ. COVID-19 pandemi sürecinde yaşanan sosyal izolasyonun hemşirelik öğrencileri üzerindeki etkileri: Niteliksel araştırma. Sağlık Akademisyenleri Dergisi. 2021;8(2):103-12.
  • Rodriguez-Besteiro S, Tornero-Aguilera JF, Fernández-Lucas J, Clemente-Suárez VJ. Gender differences in the COVID-19 pandemic risk perception, psychology and behaviors of Spanish University students. Int J Environ Res Public Health. 2021;18(8):3908.
  • Rebar AL, Dimmock JA, Jackson B, Rhodes RE, Kates A, Starling J, et al. A systematic review of the effects of non-conscious regulatory processes in physical activity. Health Psychol. Rev. 2016;10:395-407.
  • Thompson AE, Anisimowicz Y, Miedema B, Hogg W, Wodchis WP, Aubrey-Bassler K. The influence of gender and other patient characteristics on health care-seeking behaviour: A QUALICOPC study. BMC Fam. Pract. 2016;17:38.
  • Kühn M, Dudel C, Vogt T, Oksuzyan A. Trends in gender differences in health at working ages among west and east Germans. SSM Popul. Health. 2019;7:100326.
  • Backåberg S, Rask M, Brunt D, Gummesson C. Impact of musculoskeletal symptoms on general physical activity during nursing education. Nurse Educ Pract. 2014;14(4):385-90.
  • Bartley EJ, Fillingim RB. Sex differences in pain: A brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52-8.
  • Kirmizi M, Yalcinkaya G, Sengul YS. Gender differences in health anxiety and musculoskeletal symptoms during the COVID-19 pandemic. J Back Musculoskelet Rehabil. 2021;34(2):161-7.
  • Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Benítez-Andrades JA, Álvarez-Álvarez MJ., Marqués-Sánchez P, Pinto-Carral A. Musculoskeletal pain and teleworking in times of the COVID-19: Analysis of the impact on the workers at two Spanish Universities. Int J Environ Res Public Health. 2021;18:31.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Didem Kandemir This is me 0000-0003-2690-2179

Tuğba Özdemir 0000-0002-8968-0684

Sebahat Ateş This is me 0000-0002-8300-8037

Publication Date March 31, 2023
Submission Date July 6, 2021
Published in Issue Year 2023 Volume: 10 Issue: 1

Cite

Vancouver Kandemir D, Özdemir T, Ateş S. COVID-19 Pandemi Sürecinde İstanbul’da Bir Üniversitede Öğrenim Gören Hemşirelik Öğrencilerinin Fiziksel Aktivite Düzeylerinin ve Kas-İskelet Sistemi Rahatsızlıklarının Belirlenmesi. JOHUFON. 2023;10(1):70-7.