Practical tips to adopt active lifestyle for university students during pandemic life: a narrative review

https://doi.org/10.19106/JMedSci005404202210

Zaenal Muttaqien Sofro(1), Widya Wasityastuti(2*), Rakhmat Ari Wibowo(3), Rahmaningsih Mara Sabirin(4), Siswanto Siswanto(5), Jajar Setiawan(6), Denny Agustiningsih(7)

(1) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(7) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


The Covid-19 pandemic worsened the physical inactivity pandemic and also increased sedentary behavior across the population, including university students. While physical inactivity and sedentary behavior are detrimental to health and academic performance, there is an urgent need to help university students to adopt an active lifestyle during post-pandemic life. This narrative review discussed current physical activity (PA) and sedentary behavior recommendations, practical tips for adopting an active lifestyle by applying PA doses using the frequency, intensity, time, and type (FITT) principle, and behavioral strategies to adopt and maintain an active lifestyle. Finally, several considerations related to the PA-related musculoskeletal injury and cardiovascular events risks were also discussed with examples from interventions during the pandemic in university settings.

Keywords


physical activity; university students; exercise; academic performance; Covid-19

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References

2018 PA Guidelines Advisory Committee. 2018 PA guidelines advisory committee scientific Report. Washington (DC): U.S. Department of Health and Human Services; 2018.
https://health.gov/paguidelines/second-edition/report/pdf/PAG_Advisory_Committee_Report.pdf
2.Katzmarzyk PT, Friedenreich C, Shiroma EJ, Lee IM. Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries. Br J Sports Med 2022; 56(2):101-6.
https://doi.org/10.1136/bjsports-2020-103640
3.Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary behavior research network (SBRN)-terminology consensus project process and outcome. Int J Behav Nutr Phys Act 2017; 14(1):75.
https://doi.org/10.1186/s12966-017-0525-8
4.Le Roux E, De Jong NP, Blanc S, Simon C, Bessesen DH, Bergouignan A. Physiology of physical inactivity, sedentary behaviours and non-exercise activity: insights from the space bedrest model. J Physiol 2022; 600(5):1037-51.
https://doi.org/10.1113/JP281064
5.Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020; 54(24):1451-62.
https://doi.org/10.1136/bjsports-2020-102955
6.Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in PA and sedentary behaviours from before to during the Covid-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med 2021; 7(1):e000960.
https://doi.org/10.1136/bmjsem-2020-000960
7.Rizal DM, Wibowo RA. Changes in PA among university students in Indonesia from before to during the Covid-19 pandemic: a retrospective cohort study. J Pop Soc Stud [JPSS] 2021; 30(2022):128-46.
http://doi.org/10.25133/JPSSv302022.009
8.Chastin SFM, Abaraogu U, Bourgois JG, Dall PM, Darnborough J, Duncan E, et al. Effects of regular PA on the immune system, vaccination and risk of community-acquired infectious disease in the general population: systematic review and meta-analysis. Sports Med 2021; 51(8):1673-86.
https://doi.org/10.1007/s40279-021-01466-1
9.Grande AJ, Keogh J, Silva V, Scott AM. Exercise versus no exercise for the occurrence, severity, and duration of acute respiratory infections. Cochrane Database Syst Rev 2020; 4(4):CD010596.
https://doi.org/10.1002/14651858.CD010596.pub3
10.Chen T, Lucock M. The mental health of university students during the Covid-19 pandemic: an online survey in the UK. PLoS One 2022; 17(1):e0262562.
https://doi.org/10.1371/journal.pone.0262562
11.Schmits E, Dekeyser S, Klein O, Luminet O, Yzerbyt V, Glowacz F. Psychological distress among students in higher education: one year after the beginning of the Covid-19 pandemic. Int J Environ Res Public Health 2021; 18(14):7445.
https://doi.org/10.3390/ijerph18147445
12.Jia Q, Qu Y, Sun H, Huo H, Yin H, You D. Mental Health Among Medical Students During Covid-19: A Systematic Review and Meta-Analysis. Front Psychol 2022; 13:846789.
https://doi.org/10.3389/fpsyg.2022.846789
13.Barbosa A, Whiting S, Simmonds P, Scotini Moreno R, Mendes R, Breda J. PA and Academic Achievement: An Umbrella Review. Int J Environ Res Public Health 2020; 17(16):5972.
https://doi.org/10.3390/ijerph17165972
14.Wunsch K, Fiedler J, Bachert P, Woll A. The tridirectional relationship among pa, stress, and academic performance in university students: a systematic review and meta-analysis. Int J Environ Res Public Health 2021; 18(2):739.
https://doi.org/10.3390/ijerph18020739
15.Cipollini F, Gussoni G, Pacifici R, Rossi S, Bonizzoni E, Valerio A, et al. The influence of physical activity performed at 20-40 years of age on cardiovascular outcomes in medical patients aged 65-75. Ital J Med 2011; 5(2):114-9.
https://doi.org/10.1016/j.itjm.2011.02.002
16.Baethge C, Goldbeck-Wood S, Mertens S. SANRA-a scale for the quality assessment of narrative review articles. Res Integr Peer Rev 2019; 4:5
https://doi.org/10.1186/s41073-019-0064-8
17.American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription 11th Edition. Philadelphia: Lippincott Williams & Wilkins; 2021.
18.Rhodes RE, Warburton DE, Murray H. Characteristics of physical activity guidelines and their effect on adherence: a review of randomized trials. Sports Med. 2009; 39(5):355-75.
https://doi.org/10.2165/00007256-200939050-00003
19.Teixeira PJ, Carraça EV, Markland D, Silva MN, Ryan RM. Exercise, physical activity, and self-determination theory: a systematic review. Int J Behav Nutr Phys Act 2012; 9:78.
https://doi.org/10.1186/1479-5868-9-78
20.Ekkekakis P, Parfitt G, Petruzzello SJ. The pleasure and displeasure people feel when they exercise at different intensities: decennial update and progress towards a tripartite rationale for exercise intensity prescription. Sports Med 2011; 41(8):641-71.
https://doi.org/10.2165/11590680-000000000-00000
21.Porcari JP, Foster C, Falck-Wiese K, Suckow-Stenger S, Turek J, et al. Comparison of the talk test and percent heart rate reserve for exercise prescription. Kinesiology 2018; 50:1-8.
22.Dalal HM, Zawada A, Jolly K, Moxham T, Taylor RS. Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis. BMJ 2010; 340:b5631.
https://doi.org/10.1136/bmj.b5631
23.Geraedts H, Zijlstra A, Bulstra SK, Stevens M, Zijlstra W. Effects of remote feedback in homebased PA interventions for older adults: a systematic review. Patient Educ Couns 2013; 91(1):14-24.
https://doi.org/10.1016/j.pec.2012.10.018
24.Wibowo RA, Kelly P, Baker G. The effect of smartphone application interventions on physical activity level among university/college students: a systematic review protocol. Phys Ther Rev 2020; 25(2):135-42.
https://doi.org/10.1080/10833196.2020.1756125
25.Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and PA interventions: a meta-regression. Health Psychol 2009; 28(6):690-701.
https://doi.org/10.1037/a0016136
26.Bandura A. Self-efficacy: the exercise of control. New York (NY): Freeman; 1997. 604p
27.Doegah PT, Amoateng AY, Gao Y. Understanding physical activity among young Ghanaians aged 15–34 years. Cogent Medicine 2019; 6(1):.
https://doi.org/10.1080/2331205X.2019.1617021
28.Lachman ME, Lipsitz L, Lubben J, Castaneda-Sceppa C, Jette AM. When adults don't exercise: behavioral strategies to increase physical activity in sedentary middle-aged and older adults. Innov Aging 2018; 2(1):igy007.
https://doi.org/10.1093/geroni/igy007
29.Middelweerd A, Mollee JS, van der Wal CN, Burd J, Te Velde SJ. Apps to promote physical activity among adults: a review and content analysis. Int J Behav Nutr Phys Act 2014; 11:97.
https://doi.org/10.1186/s12966-014-0097-9
30.Noland MP. The effects of self-monitoring and reinforcement on exercise adherence. Res Q Exerc Sport 1989; 60(3):216-24.
https://doi.org/10.1080/02701367.1989.10607443
31.Barte JC, Wendel-Vos GCW. A systematic review of financial incentives for physical activity: the effects on physical activity and related outcomes. Behav Med 2017; 43(2):79-90.
https://doi.org/10.1080/08964289.2015.1074880
32.Hootman JM, Macera CA, Ainsworth BE, Martin M, Addy CL, Blair SN. Association among physical activity level, cardiorespiratory fitness, and risk of musculoskeletal injury. Am J Epidemiol 2001; 154(3):251-8.
https://doi.org/10.1093/aje/154.3.251
33.Thompson PD, Franklin BA, Balady GJ, Blair SN, Corrado D, Estes NAM, et al. Exercise and acute cardiovascular events placing the risks into perspective: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism and the Council on Clinical Cardiology. Circulation 2007; 115(17):2358-68.
https://doi.org/10.1161/circulationaha.107.181485
34.Price OJ, Tsakirides C, Gray M, Stavropoulos-Kalinoglou A. ACSM preparticipation health screening guidelines: A UK University Cohort Perspective. Med Sci Sports Exerc 2019; 51(5):1047-54.
https://doi.org/10.1249/MSS.0000000000001868
35.Riebe D, Franklin BA, Thompson PD, Garber CE, Whitfield GP, Magal M, et al. Updating ACSM's recommendations for exercise preparticipation health screening. Med Sci Sports Exerc 2015; 47(11):2473-9.
https://doi.org/10.1249/MSS.0000000000000664
36.Whitfield GP, Pettee Gabriel KK, Rahbar MH, Kohl HW 3rd. Application of the American Heart Association/American College of Sports Medicine Adult Preparticipation Screening Checklist to a nationally representative sample of US adults aged ≥40 years from the National Health and Nutrition Examination Survey 2001 to 2004. Circulation 2014; 129(10):1113-20.
htpps://doi.org/10.1161/CIRCULATIONAHA.113.004160
37.Wu YS, Wang WY, Chan TC, Chiu YL, Lin HC, Chang YT, et al. Effect of the nintendo ring fit adventure exergame on running completion time and psychological factors among university students engaging in distance learning during the Covid-19 pandemic: randomized controlled trial. JMIR Serious Games 2022; 10(1):e35040.
https://doi.org/10.2196/35040
38.Li K, Walczak-Kozłowska T, Lipowski M, Li J, Krokosz D, Su Y, et al. The effect of the Baduanjin exercise on Covid-19-related anxiety, psychological well-being and lower back pain of college students during the pandemic. BMC Sports Sci Med Rehabil 2022; 14(1):102.
https://doi.org/10.1186/s13102-022-00493-3
39.Hu J, Liu M, Yang R, Wang L, Liang L, Yang Y, et al. Effects of high-intensity interval training on improving arterial stiffness in Chinese female university students with normal weight obese: a pilot randomized controlled trial. J Transl Med 2022; 20(1):60.
https://doi.org/10.1186/s12967-022-03250-9
40.Lan C, Liu Y, Wang Y. Effects of different exercise programs on cardiorespiratory fitness and body composition in college students. J Exerc Sci Fit 2022; 20(1):62-9.
https://doi.org/10.1016/j.jesf.2021.12.004
41.Muntaner-Mas A, Sanchez-Azanza VA, Ortega FB, Vidal-Conti B, Borras PA, Cantallops J, et al. The effects of a physical activity intervention based on a fatness and fitness smartphone app for university students. Health Informatics J 2021; 27(1):1460458220987275.
https://doi.org/10.1177/1460458220987275
42.Dost A, Esin MN. Effects of the UNI-PAHNP on physical activity and nutrition behaviors in overweight/obese university students in Turkey. Perspect Psychiatr Care 2022;
https://doi.org/10.1111/ppc.13022
43.Blow J, Sagaribay R 3rd, Cooper TV. A pilot study examining the impact of a brief health education intervention on food choices and exercise in a Latinx college student sample. Appetite 2022; 173:105979.
https://doi.org/10.1016/j.appet.2022.105979



DOI: https://doi.org/10.19106/JMedSci005404202210

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Copyright (c) 2022 Widya Wasityastuti, Rakhmat Ari Wibowo, Rahmaningsih Mara Sabirin, Siswanto Siswanto, Jajar Setiawan, Denny Agustiningsih

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