The Effect of Physical Activity Levels of Faculty of Health Sciences Students on Musculoskeletal Pain, Anxiety and Depression: A Cross-Sectional Study

Yıl 2024, Cilt: 13 Sayı: 2, 909 - 917, 29.06.2024

Yasemin Şahbaz , Fatih Özyurt , Simge Dönmez , Güliz Kara

https://doi.org/10.37989/gumussagbil.1410080

Öz

Aim: The aim of our study was to investigate the effect of physical activity levels on musculoskeletal pain, anxiety and depression in students of the Faculty of Health Sciences.
Method: A total of 200 health sciences students from different universities participated in the study. The demographic information of the participants was assessed with our questionnaire, physical activity levels were assessed with the International Physical Activity Scale, pain severity was assessed with the McGill Pain Questionnaire, and anxiety and depression were assessed with the Hospital Anxiety and Depression Scale.
Results: The mean age of the participants in this cross-sectional study was 22,64±4,31 years and the gender distribution was 171 females and 29 males. Pain scores were positively correlated with anxiety and depression scores (respectively; p=0,276, r=0,000; p=0,233, r=0,001). There was a positive correlation between anxiety and depression scores (p=0,539, r=0,000).
Conclusion: It was determined that the physical activity levels of the students of the Faculty of Health Sciences were not associated with musculoskeletal pain, anxiety and depression, while the pain, anxiety and depression of the same participants were associated with each other.

Anahtar Kelimeler

Anxiety, Depression, Pain, Physical Activity, Student

Sağlık Bilimleri Fakültesi Öğrencilerinin Fiziksel Aktivite Düzeylerinin Kas İskelet Sistemi Ağrısı, Anksiyete ve Depresyon Üzerine Etkisi: Kesitsel Çalışma

Öz

Amaç: Çalışmamızın amacı Sağlık Bilimleri Fakültesi öğrencilerinde fiziksel aktivite düzeylerinin kas-iskelet sistemi ağrısı, anksiyete ve depresyon üzerine etkisini incelemektir.
Yöntem: Araştırmaya farklı üniversitelerde sağlık bilimleri alanında öğrenim gören 200 öğrenci katılmıştır. Katılımcıların demografik bilgileri bizim formumuzla, fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Ölçeği ile, ağrı şiddetleri McGill Ağrı Anketi ile, anksiyete ve depresyon durumları ise Hastane Anksiyete ve Depresyon Ölçeği ile değerlendirildi.
Bulgular: Bu kesitsel çalışmadaki katılımcıların yaş ortalaması 22,64±4,31 yıldı ve cinsiyet dağılımları 171 kadın 29 erkekti. Katılımcıların ağrı skoru ile anksiyete ve depresyon skorları arasında pozitif yönde korelasyon bulundu (Sırasıyla p=0,276, r=0,000; p=0,233, r=0,001). Anksiyete ve depresyon skorları arasında pozitif yönde korelasyon bulundu (p=0,539, r=0,000).
Sonuç: Sağlık Bilimleri Fakültesi öğrencilerinin fiziksel aktivite düzeylerinin kas-iskelet sistemi ağrısı, anksiyete ve depresyon ile ilişkili olmadığı, aynı katılımcıların ise ağrı, anksiyete ve depresyon durumlarının birbiri ile ilişkili olduğu belirlendi.

Anahtar Kelimeler

Ağrı, Anksiyete, Depresyon, Fiziksel Aktivite, Öğrenci

Kaynakça

• 1. Abrantes LCS, de Souza de Morais N, Gonçalves VSS, Ribeiro SAV, de Oliveira Sediyama CMN, do Carmo Castro Franceschini S, Dos Santos Amorim PR, Priore SE. (2022). “Physical activity and quality of life among college students without comorbidities for cardiometabolic diseases: systematic review and meta-analysis.” Quality of Life Research, 31(7):1933-1962. DOI: 10.1007/s11136-021-03035-5
• 2. Chang SP, Shih KS, Chi CP, Chang CM, Hwang KL, Chen YH. (2016). “Association Between Exercise Participation and Quality of Sleep and Life Among University Students in Taiwan.” Asia-Pacific Journal of Public Health. 28(4):356-67. DOI: 10.1177/1010539516645160
• 3. Snedden TR, Scerpella J, Kliethermes SA, Norman RS, Blyholder L, Sanfilippo J, McGuine TA, Heiderscheit B. (2019). “Sport and Physical Activity Level Impacts Health-Related Quality of Life Among Collegiate Students.” The American Journal of Health Promotion. 33(5):675-682. DOI: 10.1177/0890117118817715
• 4. Legey S, Aquino F, Lamego MK, Paes F, Nardi AE, Neto GM, Mura G, Sancassiani F, Rocha N, Murillo-Rodriguez E, Machado S. (2017). “Relationship Among Physical Activity Level, Mood and Anxiety States and Quality of Life in Physical Education Students.” Clinical Practice and Epidemiology in Mental Health. 9;13:82-91. DOI: 10.2174/1745017901713010082
• 5. Tao K, Liu W, Xiong S, Ken L, Zeng N, Peng Q, Yan X, Wang J, Wu Y, Lei M, Li X, Gao Z. (2019). “Associations between Self-Determined Motivation, Accelerometer-Determined Physical Activity, and Quality of Life in Chinese College Students.” International Journal of Environmental Research and Public Health. 16;16(16):2941. DOI: 10.3390/ijerph16162941
• 6. Warburton DER and Bredin SSD. (2017). “Health benefits of physical activity: a systematic review of current systematic reviews.” Current Opinion in Cardiology. 32(5):541-556. DOI: 10.1097/HCO.0000000000000437
• 7. Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray CJ, Ezzati M. (2009). “The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors.” PLOS Medicine. 28;6(4):e1000058. DOI: 10.1371/journal.pmed.1000058
• 8. da Costa L, Lemes IR, Tebar WR, Oliveira CB, Guerra PH, Soidán JLG, Mota J, Christofaro DGD. (2022). “Sedentary behavior is associated with musculoskeletal pain in adolescents: A cross sectional study.” Brazilian Journal of Physical Therapy. 26(5):100452. DOI: 10.1016/j.bjpt.2022.100452
• 9. Brattberg, G. (2004). Do pain problems in young school children persist into early adulthood? A 13-year follow-up. European Journal of Pain, 8(3), 187-199. DOI: 10.1016/j.ejpain.2003.08.001
• 10. Jones, G. T., Silman, A. J., Power, C., & Macfarlane, G. J. (2007). Are common symptoms in childhood associated with chronic widespread body pain in adulthood?: Results from the 1958 british birth cohort study. Arthritis & Rheumatism, 56(5), 1669-1675. DOI: 10.1002/art.22587
• 11. Elbers S, Wittink H, Pool JJM, Smeets RJEM. (2018). “The effectiveness of generic self-management interventions for patients with chronic musculoskeletal pain on physical function, self-efficacy, pain intensity and physical activity: A systematic review and meta-analysis.” European Journal of Pain. 22(9):1577-1596. DOI: 10.1002/ejp.1253
• 12. Pedrelli P, Nyer M, Yeung A, Zulauf C, Wilens T. (2015). “College Students: Mental Health Problems and Treatment Considerations.” Academic Psychiatry Journal. 39(5):503-11. DOI: 10.1007/s40596-014-0205-9
• 13. Ghrouz AK, Noohu MM, Dilshad Manzar M, Warren Spence D, BaHammam AS, Pandi-Perumal SR. (2019). “Physical activity and sleep quality in relation to mental health among college students.” Sleep and Breathing. 23(2):627-634. DOI: 10.1007/s11325-019-01780-z
• 14. Vankim NA and Nelson TF. (2013). “Vigorous physical activity, mental health, perceived stress, and socializing among college students.” American Journal of Health Promotion. 28(1):7-15. DOI: 10.4278/ajhp.111101-QUAN-395
• 15. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, Tokgozoglu L. (2010). “International physical activity questionnaire: reliability and validity of the Turkish version.” Perceptual and Motor Skills. 111(1):278-84. DOI: 10.2466/06.08.PMS.111.4.278-284
• 16. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. (2003). “International physical activity questionnaire: 12-country reliability and validity.” Medicine and Science in Sports and Exercise (Medicine & Science in Sports & Exercise). 35(8):1381-95. DOI: 10.1249/01.MSS.0000078924.61453.FB
• 17. Melzack R. (1975). “The McGill Pain Questionnaire: major properties and scoring methods.” The Journal of Pain. 1(3):277-299. DOI: 10.1016/0304-3959(75)90044-5
• 18. Biçici, B. (2010). Mcgill Ağrı Ölçeği Kısa Formu’nun geçerlik ve güvenirliğinin incelenmesi [Yüksek Lisans Tezi, Ege Üniversitesi]. https://toad.halileksi.net/olcek/mcgill-agri-olcegi-kisa-formu/
• 19. Aydemir, Ö., Güvenir, T., Küey, L., Kültür, S. (1997). “Hastane anksiyete ve depresyon olcegi Turkce formunun gecerlilik ve güvenilirligi.” Türk Psikiyatri Dergisi. 8, 187-280.
• 20. Tetik Küçükelçi, D. (2019). “Hastane Anksiyete ve Depresyon Ölçeği (HADS) Üzerine Bir Çalışma.” Yaşam Becerileri Psikoloji Dergisi, 3(5):85-91. https://doi.org/10.31461/ybpd.560253
• 21. Warburton DE and Bredin SS. (2016). “Reflections on Physical Activity and Health: What Should We Recommend?” Canadian Journal of Cardiology. 32(4):495-504. DOI: 10.1016/j.cjca.2016.01.024
• 22. Deliens T, Deforche B, De Bourdeaudhuij I, Clarys P. (2015). “Determinants of physical activity and sedentary behaviour in university students: a qualitative study using focus group discussions.” BMC Public Health. 28;15:201. DOI: 10.1186/s12889-015-1553-4
• 23. Memon AR, Gupta CC, Crowther ME, Ferguson SA, Tuckwell GA, Vincent GE. (2021). “Sleep and physical activity in university students: A systematic review and meta-analysis.” Sleep Medicine Reviews. 58:101482. DOI: 10.1016/j.smrv.2021.101482
• 24. Guthold R, Stevens GA, Riley LM, Bull FC. (2018). “Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1•9 million participants.” Lancet Glob Health. 6(10):e1077-e1086. DOI: 10.1016/S2214-109X(18)30357-7
• 25. Oğuz, S., Çamcı, G., Yılmaz, R. K. (2018). “Üniversite öğrencilerinin fiziksel aktivite yapma durumu ve fiziksel aktivitenin kalp sağlığına etkisini bilme durumu.” Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 7(1), 54-61.
• 26. Morken T, Magerøy N, Moen BE. (2007). “Physical activity is associated with a low prevalence of musculoskeletal disorders in the Royal Norwegian Navy: a cross sectional study.” BMC Musculoskelet Disorders. 2;8:56. DOI: 10.1186/1471-2474-8-56
• 27. Holth HS, Werpen HK, Zwart JA, Hagen K. (2008). “Physical inactivity is associated with chronic musculoskeletal complaints 11 years later: results from the Nord-Trøndelag Health Study.” BMC Musculoskelet Disorders. 1;9:159. DOI: 10.1186/1471-2474-9-159
• 28. Briggs AM, Straker LM, Bear NL, Smith AJ. (2009). “Neck/shoulder pain in adolescents is not related to the level or nature of self-reported physical activity or type of sedentary activity in an Australian pregnancy cohort.” BMC Musculoskelet Disorders 20;10:87. DOI: 10.1186/1471-2474-10-87
• 29. Feng Q, Zhang QL, Du Y, Ye YL, He QQ. (2014). “Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese college freshmen.” PLOS One. 25;9(6):e100914. DOI: 10.1371/journal.pone.0100914
• 30. Ramón-Arbués E, Gea-Caballero V, Granada-López JM, Juárez-Vela R, Pellicer-García B, Antón-Solanas I. (2020). “The Prevalence of Depression, Anxiety and Stress and Their Associated Factors in College Students.” International Journal of Environmental Research and Public Health. 24;17(19):7001. DOI: 10.3390/ijerph17197001
• 31. Bruffaerts R, Mortier P, Kiekens G, Auerbach RP, Cuijpers P, Demyttenaere K, Green JG, Nock MK, Kessler RC. (2018). “Mental health problems in college freshmen: Prevalence and academic functioning.” Journal of Affective Disorders. 1;225:97-103. DOI: 10.1016/j.jad.2017.07.044
• 32. Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. (2013). “A systematic review of studies of depression prevalence in university students.” Journal of Psychiatric Research. 47(3):391-400. DOI: 10.1016/j.jpsychires.2012.11.015
• 33. Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, Pinasco GC. (2017). “Mental health problems among medical students in Brazil: a systematic review and meta-analysis.” Brazilian Journal of Psychiatry. 39(4):369-378. DOI: 10.1590/1516-4446-2017-2223
• 34. Cooney GM, Dwan K, Greig CA, Lawlor DA, Rimer J, Waugh FR, McMurdo M, Mead GE. (2013). “Exercise for depression.” Cochrane Database of Systematic Reviews. 12;(9):CD004366. DOI: 10.1002/14651858.CD004366.pub6
• 35. Bell SL, Audrey S, Gunnell D, Cooper A, Campbell R. (2019). “The relationship between physical activity, mental wellbeing and symptoms of mental health disorder in adolescents: a cohort study.” International Journal of Behavioral Nutrition and Physical Activity. 26;16(1):138. DOI: 10.1186/s12966-019-0901-7
• 36. Rodriguez-Ayllon M, Cadenas-Sánchez C, Estévez-López F, Muñoz NE, Mora-Gonzalez J, Migueles JH, Molina-García P, Henriksson H, Mena-Molina A, Martínez-Vizcaíno V, Catena A, Löf M, Erickson KI, Lubans DR, Ortega FB, Esteban-Cornejo I. (2019). “Role of Physical Activity and Sedentary Behavior in the Mental Health of Preschoolers, Children and Adolescents: A Systematic Review and Meta-Analysis.” Sports Medicine. 49(9):1383-1410. DOI: 10.1007/s40279-019-01099-5
• 37. Means-Christensen AJ, Roy-Byrne PP, Sherbourne CD, Craske MG, Stein MB. (2008). “Relationships among pain, anxiety, and depression in primary care.” Depression Anxiety. 25(7):593–600. DOI: 10.1002/da.20342
• 38. Rzewuska M, Mallen CD, Strauss VY, Belcher J, Peat G. (2015). “One-year trajectories of depression and anxiety symptoms in older patients presenting in general practice with musculoskeletal pain: a latent class growth analysis.” The Journal of Psychosomatic Research. 79(3):195–201. DOI: 10.1016/j.jpsychores.2015.05.016
• 39. Smith BW and Zautra AJ. (2008). “The effects of anxiety and depression on weekly pain in women with arthritis.” Pain. 138(2):354–361. DOI: 10.1016/j.pain.2008.01.008 40. Rogers AH, Bakhshaie J, Ditre JW, Manning K, Mayorga NA, Viana AG, Zvolensky MJ. (2019). “Worry and rumination: Explanatory roles in the relation between pain and anxiety and depressive symptoms among college students with pain.” The Journal of American College Health. 67(3):275-282. DOI: 10.1080/07448481.2018.1481071