School of Nursing, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Department of Thoracic Surgery, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China.
PLoS One. 2024 Oct 17;19(10):e0302894. doi: 10.1371/journal.pone.0302894. eCollection 2024.
There is growing evidence that the social blockade brought about by the COVID-19 pandemic has dramatically affected college students' physical activity; however, their weight management behaviors and mental health have not been fully explored, especially among healthcare students. This study aimed to assess physical activity, weight management behaviors, and mental health among healthcare students during the campus lockdown and to analyze the factors influencing physical activity.
A cross-sectional survey of 1,216 healthcare students from March 24, 2022, to April 11, 2022. To collect information about students' physical activity, weight management behaviors, and mental health, they were asked to complete the Physical Activity Questionnaire-Short Form (IPAQ-SF), 11 issues related to weight management behavior, and the World Health Organization 5-Item Well-Being Index (WHO-5) questionnaire. Binary logistic regression was performed to determine the factors influencing physical activity.
Almost half of the participants had low levels of physical activity (45%), the mean score for weight management behavior was 39.55±6.26, and 54.6% had low levels of well-being. Healthcare students without exercise habits during the non-epidemic period reported lower levels of physical activity (OR = 1.81; 95%CI = 1.41-2.34, P<0.001). Participants with poor weight management behavior were more likely than other participants to report lower levels of physical activity (OR = 0.92; 95%CI = 0.90-0.94, P < 0.001). Likewise, the odds of being physically inactive were higher among the happier participants (OR = 0.98; 95%CI = 0.96-0.99, P = 0.031).
During the COVID-19 lockdown, most healthcare students in Gansu province lack physical exercise and have a low health level. Significant correlation factors for low physical activity levels were grade level, non-lockout exercise habits, weight management level, and well-being. These findings demonstrate the importance of developing targeted policies and programs encouraging physical activity among medical students.
越来越多的证据表明，COVID-19 大流行带来的社会封锁极大地影响了大学生的身体活动；然而，他们的体重管理行为和心理健康尚未得到充分探索，尤其是在医学生中。本研究旨在评估校园封锁期间医学生的身体活动、体重管理行为和心理健康，并分析影响身体活动的因素。
这是一项于 2022 年 3 月 24 日至 4 月 11 日期间对 1216 名医学生进行的横断面调查。为了收集学生身体活动、体重管理行为和心理健康方面的信息，他们被要求完成身体活动问卷-简短形式（IPAQ-SF）、与体重管理行为相关的 11 个问题和世界卫生组织 5 项幸福指数（WHO-5）问卷。采用二项逻辑回归分析确定影响身体活动的因素。
几乎一半的参与者身体活动水平较低（45%），体重管理行为的平均得分为 39.55±6.26，幸福感水平低的占 54.6%。在非流行期间没有锻炼习惯的医学生报告的身体活动水平较低（OR=1.81；95%CI=1.41-2.34，P<0.001）。体重管理行为较差的参与者比其他参与者更有可能报告身体活动水平较低（OR=0.92；95%CI=0.90-0.94，P<0.001）。同样，幸福感较高的参与者身体活动不活跃的可能性更高（OR=0.98；95%CI=0.96-0.99，P=0.031）。
在 COVID-19 封锁期间，甘肃省大多数医学生缺乏体育锻炼，健康水平较低。身体活动水平较低的显著相关因素为年级、非封锁期锻炼习惯、体重管理水平和幸福感。这些发现表明，制定有针对性的政策和计划鼓励医学生进行身体活动非常重要。
