Medical Students Show Lower Physical Activity Levels and Higher Anxiety Than Physical Education Students: A Cross-Sectional Study During the COVID-19 Pandemic

Souza, Karla Cardoso de; Mendes, Tassia Barcelos; Gomes, Tabatah Hellen Santos; Silva, Ariana Aline da; Nali, Luiz Henrique da Silva; Bachi, André Luís Lacerda; Rossi, Fabrí­cio Eduardo; Gil, Saulo; França, Carolina Nunes; Neves, Lucas Melo

doi:10.3389/fpsyt.2021.804967

Cited by 16 publications

(16 citation statements)

References 48 publications

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“…Third, more engagement in physical activity might be another reason for the better mental well-being of medical students; this was supported by some previous studies, which demonstrated that physical activity was negatively associated with mental distress [ 86 ] and that medical students reported a higher level of physical activity during the lockdown [ 87 ]. This finding was also supported by another cross-sectional study, in which medical students engaged in less physical activity and showed a higher level of anxiety compared to students engaging in high levels of physical activity [ 63 ]. Based on our findings, timely psychological counseling and intervention, especially for non-medical students, are required.…”

Section: Discussionsupporting

confidence: 60%

“…Moreover, after the outbreak of COVID-19, 11 out of 14 studies reported that medical students had better or similar mental health status in China, Poland, France, Saudi Arabia, and Turkey, when compared with non-medical students [ 49 , 66–75 ], which was in line with our study. Only three studies showed a significantly higher level of depression symptoms, anxiety symptoms, and stress among medical students [ 63 , 76 , 77 ]. Taken together, the above findings might suggest that medical students were not at a higher risk of mental distress compared with their peers in non-medical majors.…”

Section: Discussionmentioning

confidence: 99%

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High prevalence and risk factors of dropout intention among Chinese medical postgraduates

Peng

Yang

Liu

et al. 2022

Medical Education Online

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Background A high attrition rate in medical students has exacerbated the physician shortage in China. However, few studies have explored the risk factors of dropout intention in medical postgraduates. This study compared the prevalence of dropout intention and mental distress between medical and non-medical postgraduates in China and investigated risk factors for dropout intention. This study also explored the impact of medical postgraduates’ perception of the Chinese healthcare environment on their mental status and dropout intention. Methods This cross-sectional study was conducted using online questionnaires from October 2020 to April 2021. Convenience sampling was used to recruit postgraduates in different majors. Outcomes included dropout intention and potential risk factors, including mental distress, quality of life, and fatigue. Medical postgraduates were additionally assessed for healthcare environment satisfaction, burnout, career choice regret, and experiences of workplace violence. A logistic regression model was constructed to evaluate the association between dissatisfaction, mental distress, and turnover intention. Results A total of 740 medical and 670 non-medical postgraduates participated in the survey. The rates of depression symptoms (33.8% vs. 39.0%, p < 0.001), anxiety symptoms (22.2% vs. 32.4%, p < 0.001), and somatic symptoms (34.7% vs. 42.4%, p = 0.004) were lower in medical postgraduates, while more medical postgraduates (58.4% vs. 48.4%, p < 0.001) reported dropout intention. Dissatisfaction with the healthcare environment (odds ratio [OR]: 1.65; 95% confidence interval [CI]: 1.17–2.34, p = 0.005), career choice regret (OR: 6.23; 95% CI: 4.42–8.78, p < 0.001), and high perceived stress (OR: 2.74; 95%CI: 1.90–3.94, p < 0.001) remained independently associated with turnover intention. Conclusions Mental distress is common among postgraduates, calling for timely interventions. Medical postgraduates reported higher turnover intention. Healthcare environment perception also affected the mental health and dropout intentions of medical students. A decent future income, reduced workload, shorter duration medical training, and better doctor-patient relationships are urgently needed.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

High prevalence and risk factors of dropout intention among Chinese medical postgraduates

Peng

Yang

Liu

et al. 2022

Medical Education Online

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“… Muñoz-Bullón et al (2017) compared the academic performance of sports participants with that of non-participants and found that participation in formal sports had a positive impact on students’ higher grades. In terms of the psychological impact of sports encounters on students, de Souza et al (2021) compared sports students with medical students and pointed out that medical students had higher anxiety values than sports students during the COVID-19 epidemic. This may be because physical activity reduces trait anxiety ( Felez-Nobrega et al, 2020 ).…”

Section: Related Research and Theoretical Frameworkmentioning

confidence: 99%

Research on the influence of college students’ participation in sports activities on their sense of inferiority based on self-esteem and general self-efficacy

Chu

2022

Front. Psychol.

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College students need to face various problems and conflicts, and are prone to many negative emotions, such as depression, low self-esteem, social anxiety, low sense of belonging, lack of self-identity, and so on. The generation of these bad emotions will bring unexpected negative effects to college students. Taking Chinese college students as the research object, this study analyzes the influence of sports participation on inferiority. Furthermore, we explored whether self-esteem and general self-efficacy mediated the relationship between physical activity and inferiority. In this study, 115 students were selected to conduct the experiment for 12 weeks. After reliability testing, the collected data were analyzed by multivariate analysis of variance to verify the research model. The results show that sports has a significant positive correlation with the reduction of college students’ inferiority complex. What is important in this model is that self-esteem and general self-efficacy are enhanced during physical activity and decreased during inferiority complex. In addition, this study created three sports situations: competition group, entertainment group and control group. The comparison results show that competitive sports situation is better than leisure sports situation in terms of the influence on college students’ inferiority complex. Through the theoretical and empirical research on college students’ inferiority complex, it is concluded that sports is an effective means to reduce college students’ inferiority complex.

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“…A meta-analysis of college Students' sleep and physical activity found that most studies did not find a link between sleep and physical activity in college students (Memon et al, 2021), which is in accordance with the results of this study. Similarly, a study comparing the sleep quality of medical students and sports students also showed that there was no significant difference in the two (de Souza et al, 2021).…”

Section: Discussionmentioning

confidence: 97%

Development and validation of mathematical nomogram for predicting the risk of poor sleep quality among medical students

Ding

Guo²,

Zhang³

et al. 2022

Front. Neurosci.

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BackgroundDespite the increasing prevalence of poor sleep quality among medical students, only few studies have identified the factors associated with it sing methods from epidemiological surveys. Predicting poor sleep quality is critical for ensuring medical Students’ good physical and mental health. The aim of this study was to develop a comprehensive visual predictive nomogram for predicting the risk of poor sleep quality in medical students.MethodsWe investigated medical Students’ association with poor sleep quality at JiTang College of North China University of Science and Technology through a cross-sectional study. A total of 5,140 medical students were randomized into a training cohort (75%) and a validation cohort (25%). Univariate and multivariate logistic regression models were used to explore the factors associated with poor sleep quality. A nomogram was constructed to predict the individual risk of poor sleep quality among the medical students studied.Results31.9% of medical students in the study reported poor sleep quality. We performed multivariate logistic analysis and obtained the final model, which confirmed the risk and protective factors of poor sleep quality (p < 0.05). Protective factors included the absence of physical discomfort (OR = 0.638, 95% CI: 0.546–0.745). Risk factors included current drinking (OR = 0.638, 95% CI: 0.546∼0.745), heavy study stress (OR = 2.753, 95% CI: 1.456∼5.631), very heavy study stress (OR = 3.182, 95% CI: 1.606∼6.760), depressive symptoms (OR = 4.305, 95% CI: 3.581∼5.180), and anxiety symptoms (OR = 1.808, 95% CI: 1.497∼2.183). The area under the ROC curve for the training set is 0.776 and the area under the ROC curve for the validation set is 0.770, which indicates that our model has good stability and prediction accuracy. Decision curve analysis and calibration curves demonstrate the clinical usefulness of the predictive nomograms.ConclusionOur nomogram helps predict the risk of poor sleep quality among medical students. The nomogram used includes the five factors of drinking, study stress, recent physical discomfort, depressive symptoms, and anxiety symptoms. The model has good performance and can be used for further research on and the management of the sleep quality of medical students.

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Medical Students Show Lower Physical Activity Levels and Higher Anxiety Than Physical Education Students: A Cross-Sectional Study During the COVID-19 Pandemic

Cited by 16 publications

References 48 publications

High prevalence and risk factors of dropout intention among Chinese medical postgraduates

High prevalence and risk factors of dropout intention among Chinese medical postgraduates

Research on the influence of college students’ participation in sports activities on their sense of inferiority based on self-esteem and general self-efficacy

Development and validation of mathematical nomogram for predicting the risk of poor sleep quality among medical students

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