Khidri Feriha Fatima, Riaz Hina, Bhatti Urooj, Shahani Kamran Ali, Kamran Ali Faiza, Effendi Sadia, Rani Keenjhar, Chohan Muhammad Nadeem
Department of Biochemistry, Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Medical Research Centre, Liaquat University of Medical & Health Sciences, Jamshoro, Pakistan.
Psychol Res Behav Manag. 2022 May 25;15:1311-1323. doi: 10.2147/PRBM.S364540. eCollection 2022.
To find out the association of physical activity, dietary habits and factors associated with depression among medical students of Sindh, Pakistan, during the coronavirus disease 2019 (COVID-19) pandemic.
An online cross-sectional study was conducted between June and August, 2020, on medical students from three medical institutions of Sindh, Pakistan. The study comprised three structured questionnaires related to demographic details, physical activity, dietary and sleep habits, COVID-19 pandemic-associated factors and patient health questionnaire, PHQ-9. A total of 864 students completed the questionnaires and participated in the study. The data was analysed on SPSS version 23.
Our study showed that 244 (28.2%) medical students had mild depression, 192 (22.2%) had moderate depression, 80 (9.3%) had moderately severe depression and 80 (9.3%) had severe depression during the COVID-19 pandemic. Out of 864 students, 268 (31%) had no depression. Socioeconomic status, body mass index (BMI), chronic disease/comorbidity, addiction and non-medical prescription drug use were found to be statistically significant predictors of depression among medical students. On multilogistic regression analysis, physical activity, social media/app use and sleeping habits during COVID-19 were associated with depression (p-value < 0.05).
The COVID-19 pandemic adversely affected physical activity and sleeping habits in association with depression among medical students. Promoting healthy eating habits, adequate physical activity, and a healthy lifestyle, particularly among students during lockdowns, is a critical component of coping with mental stress and depression. The findings of this study will aid in future research and campaign design in preparation for future pandemics and lockdowns.
了解2019年冠状病毒病（COVID-19）大流行期间，巴基斯坦信德省医科学生的体育活动、饮食习惯与抑郁症相关因素之间的关联。
2020年6月至8月，对巴基斯坦信德省三所医疗机构的医科学生进行了一项在线横断面研究。该研究包括三份结构化问卷，分别涉及人口统计学细节、体育活动、饮食和睡眠习惯、与COVID-19大流行相关的因素以及患者健康问卷（PHQ-9）。共有864名学生完成问卷并参与了研究。数据在SPSS 23版本上进行分析。
我们的研究表明，在COVID-19大流行期间，244名（28.2%）医科学生患有轻度抑郁症，192名（22.2%）患有中度抑郁症，80名（9.3%）患有中度重度抑郁症，80名（9.3%）患有重度抑郁症。在864名学生中，268名（31%）没有抑郁症。社会经济地位、体重指数（BMI）、慢性病/合并症、成瘾和非医疗处方药使用被发现是医科学生抑郁症的统计学显著预测因素。在多因素逻辑回归分析中, COVID-19期间的体育活动、社交媒体/应用程序使用和睡眠习惯与抑郁症相关（p值<0.05）。
COVID-19大流行对医科学生的体育活动和睡眠习惯产生了不利影响，并与抑郁症相关。促进健康的饮食习惯、充足的体育活动和健康的生活方式，特别是在封锁期间的学生中，是应对精神压力和抑郁症的关键组成部分。本研究结果将有助于未来针对未来大流行和封锁的研究及活动设计。
