Türk Tıp Öğrencilerinde Fiziksel Aktivite ve Biliş Arasındaki İlişki: Kesitsel Bir Çalışma
Yıl 2024,
Cilt: 8 Sayı: 1, 85 - 93, 29.04.2024
Seda Kocak
,
Hasan Çalışkan
,
Serdar Karakullukçu
,
Ferhat Pektaş
Öz
Amaç: Tıp Fakültesi eğitiminin zorluğu ve yoğunluğu nedeniyle tıp öğrencilerinde sedanter yaşam görülmektedir. Farklı metodolojik çalışmalarda görüldüğü gibi, fiziksel aktivite bilişsel işlevleri etkiler. Bu çalışmaların çok azı gençlikle ilgilidir. Bu nedenle tıp fakültesi öğrencilerinin fiziksel aktivite ve bilişsel parametrelerini ve birbirleri ile olan ilişkilerini kesitsel bir çalışmada analiz etmeyi amaçlandı.
Araçlar ve Yöntem: Çalışmaya bir tıp fakültesinin tüm sınıflarından 138 öğrenci dahil edildi. Tıp öğrencileri üç ölçeği tamamladı. Fiziksel aktivite IPAQ-SF ile belirlendi. Bilişsel değişkenler otonom öğrenme ve bilişsel esneklik ölçeği ile ölçüldü.
Bulgular: Sonuçlar, toplam, şiddetli ve orta düzeyde fiziksel aktivitenin kız ve erkek öğrenciler arasında önemli ölçüde farklılık gösterdiğini ortaya koydu. Benzer şekilde, öğrenmenin bağımsızlığı da doğumda atanan cinsiyetten etkilenmiştir. İlk üç sınıf öğrencilerinin bilişsel esneklik puanları son üç sınıf öğrencilerine göre daha yüksekti (p=0.001). Bilişsel esneklik tıpta yıllar içinde azaldı.
Sonuç: Korelasyon analizine göre fiziksel aktiviteler ile bilişsel işlevler arasında anlamlı bir ilişki olmadığı sonucuna varılmıştır. Tıp eğitimi ve fiziksel aktivitelerde etkinliği çok fazla araştırmaya konu olmayan otonom öğrenme ve bilişsel esneklik gibi bilişsel işlev çalışmaları gelecekte daha fazla araştırılmalıdır.
Kaynakça
- 1. Berkhout F, Hertin J. Impacts of information and com- munication technologies on environmental sustainabi- lity: Speculations and evidence. OECD: Brighton, UK, 2001.
- 2. González K, Fuentes J, Márquez JL. Physical inactivity, sedentary behavior and chronic diseases. Korean J Fam Med. 2017;38(3):111.
- 3. World Health Organization. The World health report: 2004: changing history, 2004.
- 4. Bakanlığı, TC Sağlık. Türkiye beslenme ve sağlık araştırması (TBSA) " Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu. 2019.
- 5. Bağcı TAB, Kanadıkırık A, Somyürek E, et al. Impact of COVID-19 on eating habits, sleeping behaviour and physical activity status of final-year medical students in Ankara, Turkey. Public Health Nutr. 2021;24(18): 6369-6376.
- 6. Ionescu T. Exploring the nature of cognitive flexibility. New Ideas Psychol. 2012;30(2):190-200.
- 7. Dajani DR, Uddin LQ. Demystifying cognitive flexibility: Implications for clinical and developmental neuroscience. Trends Neurosci. 2015;38(9):571-578.
- 8. Rhodes AE, Rozell TG. Cognitive flexibility and undergraduate physiology students: increasing advanced knowledge acquisition within an ill-structured domain. Adv Physiol Educ. 2017;41(3):375-382.
- 9. Tam M. Constructivism, instructional design, and technology: Implications for transforming distance learning. J Educ Techno Soc. 2000;3(2):50-60.
- 10. Ariebowo T. Autonomous learning during COVID-19 pandemic: Students’ objectives and preferences. J. Foreign Lang. Teach. 2021;6(1):56-77.
- 11. Maru MG, Pikirang CC, Setiawan S, Oroh EZ, Pelenkahu N. The internet use for autonomous learning during COVID-19 pandemic and its hindrances. Int. J. Interact. Mob. Technol. 2021;15(18):65-79.
- 12. Ruet A, Brochet B. Cognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools. Ann. Phys. Rehabil. Med. 2020;63(2):154-158.
- 13. Chan AS, Shum D, Cheung RW. Recent development of cognitive and neuropsychological assessment in Asian countries. Psychol. Assess. 2003;15(3):257.
- 14. Ruiz-Hermosa A, Álvarez-Bueno C, Cavero-Redondo I, Martínez-Vizcaíno V, Redondo-Tébar A, Sánchez-López M. Active commuting to and from school, cognitive performance, and academic achievement in children and adolescents: A systematic review and meta-analysis of observational studies. Int. J. Environ. Res. Public Health. 2019;16(10):1839.
- 15. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept. Mot. Skills. 2010;111(1):278-284.
- 16. Yurdakul C. An investigation of the relationship between autonomous learning and lifelong learning. Int. J. Educ. Res. 2017;2(1):15-20.
- 17. elikkaleli Ö. The Validity and Reliability of the Cog- nitive Flexibility Scale. Education & Science. 2014;176(3):339-346.
- 18. Schlickmann DW, Kock KS. Level of Physical Activity Knowledge of Medical Students in a Brazilian University. J Lifestyle Med. 2022;12(1):47-55.
- 19. Byrd-Bredbenner C, Quick V, Koenings M, Martin-Biggers J, Kattelmann KK. Relationships of cognitive load on eating and weight-related behaviors of young adults. Eat. Behav. 2016;21:89-94.
- 20. Dikmen AU, Altunsoy M, Koç AK, Eda K, Özkan S. Physical activity level of medical students: Is there a family effect? Arch. Med. Res. 2022;3(2):63-73.
- 21. Oğuzhan A, Girit Ç, Şennur K, Necdet S, Vardar SA. The relationship between chronotypes and physical activity in healthy young medical students. Turk. Med. Stud. J. 2018;5(2):24-27.
- 22. Edwards ES, Sackett SC. Psychosocial Variables Related to Why Women are Less Active than Men and Related Health Implications. Clin Med Insights Womens Health. 2016;9(1):47-56.
- 23. Meyerson SL, Odell DD, Zwischenberger JB, et al. The effect of gender on operative autonomy in general surgery residents. Surgery. 2019;166(5):738-743.
- 24. Coulson RL, Feltovich PJ, Spiro RJ. Cognitive Flexibility in Medicine: An Application to the Recognition and Understanding of Hypertension. Adv Health Sci Educ Theory Pract. 1997;2(2):141-161.
- 25. Houser MM, Worzella G, Burchsted S, Marquez C, Domack T, Acevedo Y. Wellness skills for medical le- arners and teachers: Perspective taking and cognitive flexibility. MedEdPORTAL. 2018;14:10674.
- 26. Derrick M, Rovai A, Ponton M, Confessore G, Carr P. An examination of the relationship of gender, marital status, and prior educational attainment and learner autonomy. Educ. Res. Rev. 2007;2(1):1-8.
- 27. Pirmohamed S, Boduszek D. Gender Differences in the Presence and Extent of Academic Motivational Attributes, Independent Study, and the Predictive Va-lue on Achievement amongst University Students. Proceedings of International Academic Conferences.IISES.2015:2704648.
- 28. Crone EA, Dahl RE. Understanding adolescence as a period of social–affective engagement and goal flexibility. Nat. Rev. Neurosci. 2012;13(9):636-650.
- 29. Richard’s MM, Krzemien D, Valentina V, et al. Cognitive flexibility in adulthood and advanced age: Evidence of internal and external validity. Applied Neuropsychology: Adult. 2021;28(4):464-478.
- 30. Wilson CG, Nusbaum AT, Whitney P, Hinson JM. Age-differences in cognitive flexibility when overcoming a preexisting bias through feedback. J Clin Exp Neuropsychol. 2018;40(6):586-594.
- 31. Fleming VB. Cognitive flexibility and spoken disco- urse in younger and older adults.Doctoral dissertation, University of Texas.2007.
- 32. Wu JS-T, Hauert C, Kremen C, Zhao J. A Framework on Polarization, Cognitive Inflexibility, and Rigid Cognitive Specialization. Front. Psychol. 2022;13:1386.
- 33. Snyder HR, Miyake A, Hankin BL. Advancing understanding of executive function impairments and psychopathology: bridging the gap between clinical and cognitive approaches. Front. Psychol. 2015;6:328.
34. Stange JP, Alloy LB, Fresco DM. Inflexibility as a vulnerability to depression: A systematic qualitative review. Clinical Psychology: Science and Practice. 2017;24(3):245.
- 35. Gruner P, Pittenger C. Cognitive inflexibility in obsessive-compulsive disorder. Neurosci. 2017;345:243-255.
36. Koren D, Seidman LJ, Harrison RH, et al. Factor structure of the Wisconsin Card Sorting Test: dimensions of deficit in schizophrenia. Neurosci. 1998;12(2):289.
- 37. Vásquez-Rosati A, Montefusco-Siegmund R, López V, Cosmelli D. Emotional influences on cognitive flexibility depend on individual differences: A combined micro-phenomenological and psychophysiological study. Front. Psychol. 2019;10:1138.
- 38. Stubbé HE, Theunissen NC. Self-directed adult lear- ning in a ubiquitous learning environment: A meta-re- view. Proceedings of the First Workshop on Technology Support for Self-Organized Learners.2008:5-28.
- 39. Erickson KI, Hillman C, Stillman CM, et al. Physical Activity, Cognition, and Brain Outcomes: A Review of the 2018 Physical Activity Guidelines. Med Sci Sports Exerc. 2019;51(6):1242-1251.
- 40. Van den Berg V, Saliasi E, De Groot RH, Jolles J, Chinapaw MJ, Singh AS. Physical activity in the school setting: Cognitive performance is not affected by three different types of acute exercise. Front. Psychol. 2016;7:723.
- 41. Golsteijn RH, Gijselaers HJ, Savelberg HH, Singh AS, de Groot RH. Differences in habitual physical activity behavior between students from different vocational education tracks and the association with cognitive performance. Int. J. Environ. Res. Public Health. 2021;18(6):3031.
- 42. Rezab S. Exercise and cognition in young adults. Psychological Sciences Undergraduate Publications, Presentations and Projects. 2015.
- 43. Salthouse TA, Davis HP. Organization of cognitive abilities and neuropsychological variables across the lifespan. Developmental Review. 2006;26(1):31-54.
- 44. Akram M, Ghous M, Tariq I, Khan H, Paracha M, Hussain B. The association between physical activity with cognitive and cardiovascular deconditioning in age related decline of college students. JPMA J Pakistan Med Assoc. 2018;68(12):1755-1758.
- 45. Magnon V, Vallet GT, Dutheil F, Auxiette C. Sedentary lifestyle matters as past sedentariness, not current sedentariness, predicts cognitive inhibition performance among college students: an exploratory study. Int. J. Environ. Res. Public Health. 2021;18(14):7649.
The Relationship Between Physical Activity and Cognition in Kırşehir Ahi Evran University Medical Faculty Students
Yıl 2024,
Cilt: 8 Sayı: 1, 85 - 93, 29.04.2024
Seda Kocak
,
Hasan Çalışkan
,
Serdar Karakullukçu
,
Ferhat Pektaş
Öz
Purpose: Due to the difficulty and intensity of medical school education, medical students often lead a sedentary lifestyle. As seen in different methodological studies, physical activity affects cognitive functions. Few of these studies are related to youth. Therefore, we aimed to analyze medical students physical activity and cognitive parameters and their association between each other in cross sectional study.
Materials and Methods: 138 students from all classes of a medical faculty were included in the study. Medical students completed three scales. Physical activity was determined by the IPAQ-SF. Cognitive variables were measured by autonomous learning and cognitive flexibility scale.
Results: The results revealed that total, vigorous and moderate physical activity differed significantly between female and male students. Similarly independence of learning was influenced by sex assigned at birth. First three years students’ cognitive flexibility scores were higher than last three year ones (p=0.001). Cognitive flexibility has decreased over the years in medicine.
Conclusion: According to the correlation analysis reported in the study, there was no conclusive link between physical activity and cognitive abilities. Cognitive function studies such as autonomous learning and cognitive flexibility, whose effectiveness has not been the subject of much research in medical education and physical activities should be investigated more in future.
Kaynakça
- 1. Berkhout F, Hertin J. Impacts of information and com- munication technologies on environmental sustainabi- lity: Speculations and evidence. OECD: Brighton, UK, 2001.
- 2. González K, Fuentes J, Márquez JL. Physical inactivity, sedentary behavior and chronic diseases. Korean J Fam Med. 2017;38(3):111.
- 3. World Health Organization. The World health report: 2004: changing history, 2004.
- 4. Bakanlığı, TC Sağlık. Türkiye beslenme ve sağlık araştırması (TBSA) " Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu. 2019.
- 5. Bağcı TAB, Kanadıkırık A, Somyürek E, et al. Impact of COVID-19 on eating habits, sleeping behaviour and physical activity status of final-year medical students in Ankara, Turkey. Public Health Nutr. 2021;24(18): 6369-6376.
- 6. Ionescu T. Exploring the nature of cognitive flexibility. New Ideas Psychol. 2012;30(2):190-200.
- 7. Dajani DR, Uddin LQ. Demystifying cognitive flexibility: Implications for clinical and developmental neuroscience. Trends Neurosci. 2015;38(9):571-578.
- 8. Rhodes AE, Rozell TG. Cognitive flexibility and undergraduate physiology students: increasing advanced knowledge acquisition within an ill-structured domain. Adv Physiol Educ. 2017;41(3):375-382.
- 9. Tam M. Constructivism, instructional design, and technology: Implications for transforming distance learning. J Educ Techno Soc. 2000;3(2):50-60.
- 10. Ariebowo T. Autonomous learning during COVID-19 pandemic: Students’ objectives and preferences. J. Foreign Lang. Teach. 2021;6(1):56-77.
- 11. Maru MG, Pikirang CC, Setiawan S, Oroh EZ, Pelenkahu N. The internet use for autonomous learning during COVID-19 pandemic and its hindrances. Int. J. Interact. Mob. Technol. 2021;15(18):65-79.
- 12. Ruet A, Brochet B. Cognitive assessment in patients with multiple sclerosis: From neuropsychological batteries to ecological tools. Ann. Phys. Rehabil. Med. 2020;63(2):154-158.
- 13. Chan AS, Shum D, Cheung RW. Recent development of cognitive and neuropsychological assessment in Asian countries. Psychol. Assess. 2003;15(3):257.
- 14. Ruiz-Hermosa A, Álvarez-Bueno C, Cavero-Redondo I, Martínez-Vizcaíno V, Redondo-Tébar A, Sánchez-López M. Active commuting to and from school, cognitive performance, and academic achievement in children and adolescents: A systematic review and meta-analysis of observational studies. Int. J. Environ. Res. Public Health. 2019;16(10):1839.
- 15. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept. Mot. Skills. 2010;111(1):278-284.
- 16. Yurdakul C. An investigation of the relationship between autonomous learning and lifelong learning. Int. J. Educ. Res. 2017;2(1):15-20.
- 17. elikkaleli Ö. The Validity and Reliability of the Cog- nitive Flexibility Scale. Education & Science. 2014;176(3):339-346.
- 18. Schlickmann DW, Kock KS. Level of Physical Activity Knowledge of Medical Students in a Brazilian University. J Lifestyle Med. 2022;12(1):47-55.
- 19. Byrd-Bredbenner C, Quick V, Koenings M, Martin-Biggers J, Kattelmann KK. Relationships of cognitive load on eating and weight-related behaviors of young adults. Eat. Behav. 2016;21:89-94.
- 20. Dikmen AU, Altunsoy M, Koç AK, Eda K, Özkan S. Physical activity level of medical students: Is there a family effect? Arch. Med. Res. 2022;3(2):63-73.
- 21. Oğuzhan A, Girit Ç, Şennur K, Necdet S, Vardar SA. The relationship between chronotypes and physical activity in healthy young medical students. Turk. Med. Stud. J. 2018;5(2):24-27.
- 22. Edwards ES, Sackett SC. Psychosocial Variables Related to Why Women are Less Active than Men and Related Health Implications. Clin Med Insights Womens Health. 2016;9(1):47-56.
- 23. Meyerson SL, Odell DD, Zwischenberger JB, et al. The effect of gender on operative autonomy in general surgery residents. Surgery. 2019;166(5):738-743.
- 24. Coulson RL, Feltovich PJ, Spiro RJ. Cognitive Flexibility in Medicine: An Application to the Recognition and Understanding of Hypertension. Adv Health Sci Educ Theory Pract. 1997;2(2):141-161.
- 25. Houser MM, Worzella G, Burchsted S, Marquez C, Domack T, Acevedo Y. Wellness skills for medical le- arners and teachers: Perspective taking and cognitive flexibility. MedEdPORTAL. 2018;14:10674.
- 26. Derrick M, Rovai A, Ponton M, Confessore G, Carr P. An examination of the relationship of gender, marital status, and prior educational attainment and learner autonomy. Educ. Res. Rev. 2007;2(1):1-8.
- 27. Pirmohamed S, Boduszek D. Gender Differences in the Presence and Extent of Academic Motivational Attributes, Independent Study, and the Predictive Va-lue on Achievement amongst University Students. Proceedings of International Academic Conferences.IISES.2015:2704648.
- 28. Crone EA, Dahl RE. Understanding adolescence as a period of social–affective engagement and goal flexibility. Nat. Rev. Neurosci. 2012;13(9):636-650.
- 29. Richard’s MM, Krzemien D, Valentina V, et al. Cognitive flexibility in adulthood and advanced age: Evidence of internal and external validity. Applied Neuropsychology: Adult. 2021;28(4):464-478.
- 30. Wilson CG, Nusbaum AT, Whitney P, Hinson JM. Age-differences in cognitive flexibility when overcoming a preexisting bias through feedback. J Clin Exp Neuropsychol. 2018;40(6):586-594.
- 31. Fleming VB. Cognitive flexibility and spoken disco- urse in younger and older adults.Doctoral dissertation, University of Texas.2007.
- 32. Wu JS-T, Hauert C, Kremen C, Zhao J. A Framework on Polarization, Cognitive Inflexibility, and Rigid Cognitive Specialization. Front. Psychol. 2022;13:1386.
- 33. Snyder HR, Miyake A, Hankin BL. Advancing understanding of executive function impairments and psychopathology: bridging the gap between clinical and cognitive approaches. Front. Psychol. 2015;6:328.
34. Stange JP, Alloy LB, Fresco DM. Inflexibility as a vulnerability to depression: A systematic qualitative review. Clinical Psychology: Science and Practice. 2017;24(3):245.
- 35. Gruner P, Pittenger C. Cognitive inflexibility in obsessive-compulsive disorder. Neurosci. 2017;345:243-255.
36. Koren D, Seidman LJ, Harrison RH, et al. Factor structure of the Wisconsin Card Sorting Test: dimensions of deficit in schizophrenia. Neurosci. 1998;12(2):289.
- 37. Vásquez-Rosati A, Montefusco-Siegmund R, López V, Cosmelli D. Emotional influences on cognitive flexibility depend on individual differences: A combined micro-phenomenological and psychophysiological study. Front. Psychol. 2019;10:1138.
- 38. Stubbé HE, Theunissen NC. Self-directed adult lear- ning in a ubiquitous learning environment: A meta-re- view. Proceedings of the First Workshop on Technology Support for Self-Organized Learners.2008:5-28.
- 39. Erickson KI, Hillman C, Stillman CM, et al. Physical Activity, Cognition, and Brain Outcomes: A Review of the 2018 Physical Activity Guidelines. Med Sci Sports Exerc. 2019;51(6):1242-1251.
- 40. Van den Berg V, Saliasi E, De Groot RH, Jolles J, Chinapaw MJ, Singh AS. Physical activity in the school setting: Cognitive performance is not affected by three different types of acute exercise. Front. Psychol. 2016;7:723.
- 41. Golsteijn RH, Gijselaers HJ, Savelberg HH, Singh AS, de Groot RH. Differences in habitual physical activity behavior between students from different vocational education tracks and the association with cognitive performance. Int. J. Environ. Res. Public Health. 2021;18(6):3031.
- 42. Rezab S. Exercise and cognition in young adults. Psychological Sciences Undergraduate Publications, Presentations and Projects. 2015.
- 43. Salthouse TA, Davis HP. Organization of cognitive abilities and neuropsychological variables across the lifespan. Developmental Review. 2006;26(1):31-54.
- 44. Akram M, Ghous M, Tariq I, Khan H, Paracha M, Hussain B. The association between physical activity with cognitive and cardiovascular deconditioning in age related decline of college students. JPMA J Pakistan Med Assoc. 2018;68(12):1755-1758.
- 45. Magnon V, Vallet GT, Dutheil F, Auxiette C. Sedentary lifestyle matters as past sedentariness, not current sedentariness, predicts cognitive inhibition performance among college students: an exploratory study. Int. J. Environ. Res. Public Health. 2021;18(14):7649.