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THE EFFECT OF PHYSICAL ACTIVITY AND SLEEP ON QUALITY OF LIFE AND DEPRESSION LEVEL IN 18- 25 YEARS OLD UNIVERSITY STUDENTS

Year 2025, Volume: 4 Issue: 2, 73 - 85
https://doi.org/10.63695/jhscr.1660360

Abstract

ABSTRACT
Aim:Physical activity,which involves movements exceeding basal energy levels, affects both physical and psychological health.This descriptive study examines the effects of physical activity and sleep on quality of life and depression in university students.
Methods:Sociodemographic data was collected using a form.Physical activity was assessed with the International Physical Activity Questionnaire short form (IPAQ), sleep quality with the Pittsburgh Sleep Quality Index (PSQI), depression levels with the Beck Depression Inventory, and quality of life with the Quality of Life Scale (SF-36).
Results:While there was no statistically significant correlation between PSQI,which was used to evaluate sleep duration and quality, and SF-36 sub-parameters Physical Function (r=-0.127;p=0.133) and Physical Role Difficulty (r= -0.155;p=0.066);There was a weak negative statistically significant relationship between the sub-parameters of Vitality (r=-0.281*;p=0.001),Social Functioning (r=-0.278*;p=0,001),Pain (r=-0.296*;p=0.000), General Health (r=-0.290*;p=0.000). A statistically significant relationship was found between PSQI and Emotional Role Difficulty (r=-0.300*;p=0.000), Mental Health (r=-0.409*;p=0.000) sub-parameters at a moderate negative level. There was also a statistically significant moderate positive correlation between the total scores of PSQI and Beck Depression Inventory (r=0.483*;p=0.000).
Conclusions:Adequate sleep and physical activity improve the quality of life and mood in university students,a critical life stage.Therefore, interventions to assess and improve physical activity levels and sleep quality are necessary. In this population, physical activity levels and sleep quality should be questioned and interventions to improve them are needed.

References

  • Thompson W, Gordon N, Pescatello LS. ACSM’s guidelines for exercise testing and prescription. 8th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2009:253-255.
  • Pate RR, Pratt M, Blair SN, et al. Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5):402-407. doi:10.1001/jama.273.5.402
  • American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Baltimore, MD: Williams & Wilkins; 1995.
  • Republic of Turkey Ministry of Health. National disease burden and cost-effectiveness project report. RSHBM Public Health School Directorate; Ankara: 2004.
  • Balboa-Castillo T, León-Muñoz LM, Graciani A, Rodríguez-Artalejo F, Guallar-Castillón P. Longitudinal association of physical activity and sedentary behavior during leisure time with healthrelated quality of life in community-dwelling older adults. Health Qual Life Outcomes. 2011;9:47. doi:10.1186/1477-7525-9-47
  • Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: A systematic review. Prev Med. 2007;45(6):401-415. doi:10.1016/j.ypmed.2007.08.007
  • Öztürk M. Validity and reliability of the International Physical Activity Questionnaire and determination of physical activity levels among university students [Master's thesis]. Hacettepe University Institute of Health Sciences; 2005.
  • Karadağ Ö. Evaluation of socio-demographic characteristics and physical activity levels in terms of psychological symptoms and quality of life among adolescents living in orphanages in Ankara. Ankara: Hacettepe University; 2008.
  • Hayden RM, Allen GJ. Relationship between aerobic exercise, anxiety, and depression: Convergent validation by knowledgeable informants. J Sports Med. 1984;24:69-74.
  • Wilson K, Stoohs RA, Mulrooney TF, et al. The snoring spectrum: Acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography. Chest. 1999;115:762-770. doi:10.1378/chest.115.3.762
  • Günaydın N. The impact of sleep quality on the general mental state of nurses working in a public hospital. J Psychiatr Nurs. 2014;5:33-40. doi:10.5505/phd.2014.63935
  • Roth T, Jaeger S, Jin R. Sleep problems, comorbid mental disorders, and role functioning in the National Comorbidity Survey Replication (NCS-R). Biol Psychiatry. 2006;60:1364-1371. doi:10.1016/j.biopsych.2006.05.039
  • Altıntaş H, Sevencan F, Aslan T, et al. Evaluation of sleep disorders and sleepiness levels of Hacettepe University Faculty of Medicine fourth-year students using the Epworth Sleepiness Scale. TTB J Contin Med Educ (STED). 2006;15:114-120.
  • Mayda AS, Kasap H, Yıldırım C, et al. Prevalence of sleep disorders among 4th, 5th, and 6th-year medical students. J Düzce Univ Inst Health Sci. 2012;2:8-11.
  • Aysan E, Karaköse S, Zaybak A, et al. Sleep quality and influencing factors among university students. DEUHYO ED. 2014;7:193-198.
  • Şenol V, Soyuer F, Pekşen RA, et al. Sleep quality and influencing factors in adolescents. Kocatepe Med J. 2012;14:93-102.
  • Breslau N, Roth T, Rosenthal L, et al. Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young adults. Biol Psychiatry. 1996;39:411-418. doi:10.1016/0006- 3223(95)00188-3
  • Nofzinger EA. Functional neuroimaging of sleep. Semin Neurol. 2005;25:9-18. doi:10.1055/s-2005- 867070
  • Kline CE, Irish LA, Krafty RT, et al. Consistently high sports/exercise activity is associated with better sleep quality, continuity, and depth in midlife women: The SWAN sleep study. Sleep. 2013;36:1279- 1288. doi:10.5665/sleep.2946
  • Richardson CR, Faulkner G, McDevitt J, et al. Integrating physical activity into mental health services for persons with serious mental illness. Psychiatr Serv. 2005;56:324-331. doi:10.1176/appi.ps.56.3.324
  • Thomas KS, Magal M. How does physical activity impact postural stability? J Nov Phys Ther. 2014;4:1-4. doi:10.4172/2165-7025.1000206
  • İyigün G, Angın E, Kırmızıgil B, et al. Relationship between sleep quality and mental health, physical health, and quality of life in university students. J Exerc Ther Rehabil. 2017;4(3):125-133.
  • Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381-1395. doi:10.1249/01.MSS.0000078924.61453.FB
  • Buysse DJ, Reynolds CF, Monk TH, et al. 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
  • Ağargün MY, Kara H, Anlar Ö. Validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7:107-115.
  • Arkar H, Şafak Öztürk C. Investigation of the dimensions of the Beck Depression Inventory in a clinical sample. Turk Psikoloji Derg. 2004;19(53):117-127.
  • Sirivatan Y, Dumronggittigule W, Limsrichamrern S. Quality of life among liver transplantation patients. Transplant Proc. 2011;43:1522-1525. doi:10.1016/j.transproceed.2011.12.056
  • Ural A, Kılıç İ. Scientific research process and data analysis with SPSS. Ankara: Detay Publishing; 2013:244.
  • Cengiz C, İnce ML, Çiçek Ş. Physical activity levels and preferences of university students. Gazi J Phys Educ Sport Sci. 2009;14(2):23-32.
  • Pirinççi ÇŞ, Cihan E, Yıldırım NÜ. The relationship of physical activity level with quality of life, chronic diseases, smoking habits, and academic success in university students. KTO Karatay Univ J Health Sci. 2020;1(1):15-23.
  • Brown T, Summerbell C, et al. Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: An update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obes Rev. 2009;10(2):110-121. doi:10.1111/j.1467-789X.2008.00585.x
  • Jansen A, Nederkoorn C, Roefs A, et al. The proof of the pudding is in the eating: Is the DEBQexternal eating scale a valid measure of external eating? Int J Eat Disord. 2011;44(2):164-168. doi:10.1002/eat.20799
  • Steptoe A, Tsuda A, Tanaka Y, Wardle J. Depressive symptoms, socio-economic background, sense of control, and cultural factors in university students from 23 countries. Int J Behav Med. 2007;14:97- 107. doi:10.1007/BF03004175
  • Rossen J, Yngve A, Hagströmer M, et al. Physical activity promotion in the primary care setting in pre- and type 2 diabetes—the Sophia step study, an RCT. BMC Public Health. 2015;12:647. doi:10.1186/s12889-015-1941-9
  • Ludwig VM, Bayley A, Cook DG, et al. Association between depressive symptoms and objectively measured daily step count in individuals at high risk of cardiovascular disease in South London, UK: A cross-sectional study. BMJ Open. 2020;10(1):e034073. doi:10.1136/bmjopen-2019-034073
  • Buchanan JL. Prevention of depression in the college student population: A review of the literature. Arch Psychiatr Nurs. 2012;26:21-42. doi:10.1016/j.apnu.2011.03.003
  • 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;9:117-126. doi:10.2147/NSS.S132078
  • Yıldırım İ, Özşevik K, Özer S, Canyurt E, Tortop Y. The relationship between physical activity and depression in university students. J Phys Educ Sport Sci. 2015;9(9):32-39.

18- 25 YAŞ ARASI ÜNİVERSİTE ÖĞRENCİLERİNDE FİZİKSEL AKTİVİTE VE UYKUNUN YAŞAM KALİTESİ VE DEPRESYON DÜZEYİ ÜZERİNE ETKİSİ

Year 2025, Volume: 4 Issue: 2, 73 - 85
https://doi.org/10.63695/jhscr.1660360

Abstract

ÖZET
Amaç: Bazal enerji seviyesini aşan hareketleri içeren fiziksel aktivite, hem fiziksel hem de psikolojik sağlığı etkilemektedir. Bu tanımlayıcı araştırma, üniversite öğrencilerinde fiziksel aktivite ve uykunun yaşam kalitesi ve depresyon düzeyi üzerindeki etkilerini incelemeyi amaçlamaktadır.
Yöntemler: Çalışmada sosyodemografik veriler anket formu ile toplanmıştır. Fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi Kısa Formu (UFAA) ile, uyku kalitesi Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ile, depresyon düzeyi Beck Depresyon Envanteri ile ve yaşam kalitesi Yaşam Kalitesi Ölçeği (SF-36) ile değerlendirilmiştir.
Bulgular: Uyku süresi ve kalitesini değerlendiren PUKİ ile SF-36 alt parametrelerinden Fiziksel Fonksiyon (r=-0.127; p=0.133) ve Fiziksel Rol Güçlüğü (r=-0.155; p=0.066) arasında istatistiksel olarak anlamlı bir ilişki saptanmamıştır. Ancak, Canlılık (r=-0.281*; p=0.001), Sosyal Fonksiyon (r=-0.278*; p=0.001), Ağrı (r=-0.296*; p=0.000) ve Genel Sağlık (r=-0.290*; p=0.000) alt parametreleri ile PUKİ arasında zayıf düzeyde negatif yönde istatistiksel olarak anlamlı ilişkiler bulunmuştur. Ayrıca, PUKİ ile Duygusal Rol Güçlüğü (r=-0.300*; p=0.000) ve Ruh Sağlığı (r=-0.409*; p=0.000) alt parametreleri arasında orta düzeyde negatif yönde anlamlı bir ilişki saptanmıştır. PUKİ toplam puanı ile Beck Depresyon Envanteri toplam puanı arasında ise orta düzeyde pozitif yönde anlamlı bir korelasyon belirlenmiştir (r=0.483*; p=0.000).
Sonuçlar: Üniversite öğrencileri için kritik bir dönem olan genç yetişkinlik sürecinde, yeterli uyku ve fiziksel aktivitenin yaşam kalitesini ve ruh sağlığını olumlu yönde etkilediği görülmektedir. Bu nedenle, fiziksel aktivite düzeyi ve uyku kalitesinin değerlendirilmesi ve iyileştirilmesine yönelik müdahalelerin geliştirilmesi önem arz etmektedir. Bu popülasyonda fiziksel aktivite ve uyku kalitesi düzenli olarak değerlendirilerek, bu faktörleri iyileştirmeye yönelik stratejiler oluşturulmalıdır.

References

  • Thompson W, Gordon N, Pescatello LS. ACSM’s guidelines for exercise testing and prescription. 8th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2009:253-255.
  • Pate RR, Pratt M, Blair SN, et al. Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273(5):402-407. doi:10.1001/jama.273.5.402
  • American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Baltimore, MD: Williams & Wilkins; 1995.
  • Republic of Turkey Ministry of Health. National disease burden and cost-effectiveness project report. RSHBM Public Health School Directorate; Ankara: 2004.
  • Balboa-Castillo T, León-Muñoz LM, Graciani A, Rodríguez-Artalejo F, Guallar-Castillón P. Longitudinal association of physical activity and sedentary behavior during leisure time with healthrelated quality of life in community-dwelling older adults. Health Qual Life Outcomes. 2011;9:47. doi:10.1186/1477-7525-9-47
  • Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: A systematic review. Prev Med. 2007;45(6):401-415. doi:10.1016/j.ypmed.2007.08.007
  • Öztürk M. Validity and reliability of the International Physical Activity Questionnaire and determination of physical activity levels among university students [Master's thesis]. Hacettepe University Institute of Health Sciences; 2005.
  • Karadağ Ö. Evaluation of socio-demographic characteristics and physical activity levels in terms of psychological symptoms and quality of life among adolescents living in orphanages in Ankara. Ankara: Hacettepe University; 2008.
  • Hayden RM, Allen GJ. Relationship between aerobic exercise, anxiety, and depression: Convergent validation by knowledgeable informants. J Sports Med. 1984;24:69-74.
  • Wilson K, Stoohs RA, Mulrooney TF, et al. The snoring spectrum: Acoustic assessment of snoring sound intensity in 1,139 individuals undergoing polysomnography. Chest. 1999;115:762-770. doi:10.1378/chest.115.3.762
  • Günaydın N. The impact of sleep quality on the general mental state of nurses working in a public hospital. J Psychiatr Nurs. 2014;5:33-40. doi:10.5505/phd.2014.63935
  • Roth T, Jaeger S, Jin R. Sleep problems, comorbid mental disorders, and role functioning in the National Comorbidity Survey Replication (NCS-R). Biol Psychiatry. 2006;60:1364-1371. doi:10.1016/j.biopsych.2006.05.039
  • Altıntaş H, Sevencan F, Aslan T, et al. Evaluation of sleep disorders and sleepiness levels of Hacettepe University Faculty of Medicine fourth-year students using the Epworth Sleepiness Scale. TTB J Contin Med Educ (STED). 2006;15:114-120.
  • Mayda AS, Kasap H, Yıldırım C, et al. Prevalence of sleep disorders among 4th, 5th, and 6th-year medical students. J Düzce Univ Inst Health Sci. 2012;2:8-11.
  • Aysan E, Karaköse S, Zaybak A, et al. Sleep quality and influencing factors among university students. DEUHYO ED. 2014;7:193-198.
  • Şenol V, Soyuer F, Pekşen RA, et al. Sleep quality and influencing factors in adolescents. Kocatepe Med J. 2012;14:93-102.
  • Breslau N, Roth T, Rosenthal L, et al. Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young adults. Biol Psychiatry. 1996;39:411-418. doi:10.1016/0006- 3223(95)00188-3
  • Nofzinger EA. Functional neuroimaging of sleep. Semin Neurol. 2005;25:9-18. doi:10.1055/s-2005- 867070
  • Kline CE, Irish LA, Krafty RT, et al. Consistently high sports/exercise activity is associated with better sleep quality, continuity, and depth in midlife women: The SWAN sleep study. Sleep. 2013;36:1279- 1288. doi:10.5665/sleep.2946
  • Richardson CR, Faulkner G, McDevitt J, et al. Integrating physical activity into mental health services for persons with serious mental illness. Psychiatr Serv. 2005;56:324-331. doi:10.1176/appi.ps.56.3.324
  • Thomas KS, Magal M. How does physical activity impact postural stability? J Nov Phys Ther. 2014;4:1-4. doi:10.4172/2165-7025.1000206
  • İyigün G, Angın E, Kırmızıgil B, et al. Relationship between sleep quality and mental health, physical health, and quality of life in university students. J Exerc Ther Rehabil. 2017;4(3):125-133.
  • Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381-1395. doi:10.1249/01.MSS.0000078924.61453.FB
  • Buysse DJ, Reynolds CF, Monk TH, et al. 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
  • Ağargün MY, Kara H, Anlar Ö. Validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7:107-115.
  • Arkar H, Şafak Öztürk C. Investigation of the dimensions of the Beck Depression Inventory in a clinical sample. Turk Psikoloji Derg. 2004;19(53):117-127.
  • Sirivatan Y, Dumronggittigule W, Limsrichamrern S. Quality of life among liver transplantation patients. Transplant Proc. 2011;43:1522-1525. doi:10.1016/j.transproceed.2011.12.056
  • Ural A, Kılıç İ. Scientific research process and data analysis with SPSS. Ankara: Detay Publishing; 2013:244.
  • Cengiz C, İnce ML, Çiçek Ş. Physical activity levels and preferences of university students. Gazi J Phys Educ Sport Sci. 2009;14(2):23-32.
  • Pirinççi ÇŞ, Cihan E, Yıldırım NÜ. The relationship of physical activity level with quality of life, chronic diseases, smoking habits, and academic success in university students. KTO Karatay Univ J Health Sci. 2020;1(1):15-23.
  • Brown T, Summerbell C, et al. Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: An update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obes Rev. 2009;10(2):110-121. doi:10.1111/j.1467-789X.2008.00585.x
  • Jansen A, Nederkoorn C, Roefs A, et al. The proof of the pudding is in the eating: Is the DEBQexternal eating scale a valid measure of external eating? Int J Eat Disord. 2011;44(2):164-168. doi:10.1002/eat.20799
  • Steptoe A, Tsuda A, Tanaka Y, Wardle J. Depressive symptoms, socio-economic background, sense of control, and cultural factors in university students from 23 countries. Int J Behav Med. 2007;14:97- 107. doi:10.1007/BF03004175
  • Rossen J, Yngve A, Hagströmer M, et al. Physical activity promotion in the primary care setting in pre- and type 2 diabetes—the Sophia step study, an RCT. BMC Public Health. 2015;12:647. doi:10.1186/s12889-015-1941-9
  • Ludwig VM, Bayley A, Cook DG, et al. Association between depressive symptoms and objectively measured daily step count in individuals at high risk of cardiovascular disease in South London, UK: A cross-sectional study. BMJ Open. 2020;10(1):e034073. doi:10.1136/bmjopen-2019-034073
  • Buchanan JL. Prevention of depression in the college student population: A review of the literature. Arch Psychiatr Nurs. 2012;26:21-42. doi:10.1016/j.apnu.2011.03.003
  • 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;9:117-126. doi:10.2147/NSS.S132078
  • Yıldırım İ, Özşevik K, Özer S, Canyurt E, Tortop Y. The relationship between physical activity and depression in university students. J Phys Educ Sport Sci. 2015;9(9):32-39.
There are 38 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Research Articles
Authors

Erdoğan Kavlak 0000-0002-6344-259X

Server Erdoğmuş 0000-0002-2550-7575

Gülay Yalçın 0000-0002-9191-5710

Early Pub Date August 22, 2025
Publication Date
Submission Date March 18, 2025
Acceptance Date May 26, 2025
Published in Issue Year 2025 Volume: 4 Issue: 2

Cite

Vancouver Kavlak E, Erdoğmuş S, Yalçın G. THE EFFECT OF PHYSICAL ACTIVITY AND SLEEP ON QUALITY OF LIFE AND DEPRESSION LEVEL IN 18- 25 YEARS OLD UNIVERSITY STUDENTS. Sağlık Bilimleri ve Klinik Araştırmaları Dergisi. 2025;4(2):73-85.