Sleep Patterns, Physical Activity Levels and Dietary Intake of University Students in Southwestern Nigeria: Changes During COVID-19 Pandemic

Monday Daniel Olodu^{1, 2,} , Adeleye Abiodun Adeomi^{1, 3}, Abdulkareem Babalola Murtala¹, Joy Adurapemi Odedele¹ and Eunice Othuke Oboreh¹

¹Department of Community Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

²Consortium for Advanced Research Training in Africa (CARTA) Fellow, Ibadan, Nigeria

³Consortium for Advanced Research Training in Africa (CARTA) Fellow, Witwatersrand, South Africa

Cite this paper

Monday Daniel Olodu, Adeleye Abiodun Adeomi, Abdulkareem Babalola Murtala, Joy Adurapemi Odedele and Eunice Othuke Oboreh. Sleep Patterns, Physical Activity Levels and Dietary Intake of University Students in Southwestern Nigeria: Changes During COVID-19 Pandemic. American Journal of Public Health Research. 2021; 9(5):207-214. doi: 10.12691/AJPHR-9-5-4

Abstract

Background: Evidence shows that independent of the pandemic, the university students already exhibit poor sleep patterns, low physical activity and sub-optimal dietary intake. The restrictive measures imposed to curb the disease spread are likely to influence these modifiable factors. This study seeks to assess the influence of COVID-19 on sleep patterns, physical activity level and dietary intake of university students in Southwestern Nigeria. Methods: A total sample size of 396 undergraduates were selected using a multi-stage sampling technique. A semi-structured self-administered questionnaire, which had three sections, was used to elicit information. Sleep patterns were assessed with questions adapted from Pittsburgh Sleep Quality Index (PSQI). Physical activity was assessed using items from the International Physical Activity Questionnaire (IPAQ)-Short Forms (SF), and dietary intake was assessed using items from the PLife COVID-19 questionnaire. Results: Most of the students had increased sleep-wake time (60.4%), Sleep duration (62%) and at least eight hours of sleep/day (55.1%). A majority (85.3%) had a low physical activity level, and their diet remains unchanged except for water (48.7%), fruit (43%) and dietary supplements (32.6%), which increased slightly. A majority (84.8%) had a worsened dietary intake. Statistically significant relationships exist between sleep quantity, physical activity and dietary intake (p<0.05). Conclusion: The COVID-19 pandemic positively influences the sleep quantity of university students. However, it further compounded the low physical activity and unhealthy dietary intake. A sustainable measure to curtail the spread of a virus, with minimal interference in physical activity and dietary intake of this vulnerable group, should be considered in future pandemics.

Keywords

COVID-19, physical activity, sleep pattern, dietary pattern, university student

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 91(1):157-60. March 2020
[2]	Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients.12(6):1583. May 2020.
[3]	WHO Health Emergency Dashboard WHO (COVID-19) Homepage. Available from https://covid19.who.int/region/afro/country/ng. Accessed 10th August 2021
[4]	Haleem A, Javaid M. Effects of COVID-19 pandemic in daily life. 10(2): 78-79. April 2020.
[5]	Bong CL, Brasher C, Chikumba E, McDougall, R, Mellin-Olsen, J. and Enright, A. The COVID-19 Pandemic: Effects on Low- And Middle-Income Countries. Anesthesia and analgesia. April 2020 (Accessed 10th August 2021).
[6]	Ceyhun Elgin GB and, Yalaman A. Simulation Policy Index. Covid Econ. 1(3):122. 2020 (Accessed 10th August 2021).
[7]	Papadamou S, Fassas A, Kenourgios D, Dimitriou D. Direct and Indirect Effects of COVID-19 Pandemic on Implied Stock Market Volatility: Evidence from Panel Data Analysis. Mpra. 2020. (Accessed 10th August 2021).
[8]	Paslakis G, Dimitropoulos G, Katzman DK. A call to action to address COVID-19-induced global food insecurity to prevent hunger, malnutrition, and eating pathology. Nutr Rev. 79(1): 114-6. Jan 2021.
[9]	Atalan A. Is the lockdown important to prevent the COVID-19 pandemic? Effects on psychology, environment and economy-perspective. Ann Med Surg. 56 (June): 38-42. August 2020.
[10]	Singh A, Ogbolosingha A. COVID-19 pandemic: Review of impediments to public health measures in Sub-Saharan Africa. Am J Prev Med Public Heal. 6(3): 68. June 2020.
[11]	Lange KW. Coronavirus disease 2019 (COVID-19) and global mental health. Glob Heal J. 5(1): 31-6. March 2021.
[12]	Zielinska MA, Magdalena G, Ewa M. Dietary and Lifestyle Changes During COVID-19 and the Subsequent Lockdowns among Polish Adults : PLifeCOVID-19 Study. 12 (8); 2324. August 2020.
[13]	Jahrami H, BaHammam AS, Bragazzi NL, Saif Z, Faris M, Vitiello M V. Sleep problems during the COVID-19 pandemic by population: A systematic review and meta-analysis. J Clin Sleep Med. 17(2): 299-313. February 2021.
[14]	Açikgöz Ö, Günay A. The early impact of the Covid-19 pandemic on the global and Turkish economy. Turkish J Med Sci. 50(SI-1): 520-6. April 2020.
[15]	Agusi ER, Ijoma SI, Nnochin CS, Njoku-Achu NO, Nwosuh CI, Meseko CA. The covid-19 pandemic and social distancing in nigeria: Ignorance or defiance. Pan Afr Med J. 35(2): 1-3. May 2020.
[16]	Eranga IO-E. COVID-19 Pandemic in Nigeria: Palliative Measures and the Politics of Vulnerability. Int J Matern Child Heal AIDS. 9(2): 220-2. July 2020.
[17]	Engzell P, Frey A, Verhagen MD. Learning loss due to school closures during the COVID-19 pandemic. Proc Natl Acad Sci. 118(17):e2022376118. April 2021.
[18]	UNESCO. Education: from disruption to recovery. COVID-19 Impact on education. Available at https://en.unesco.org/covid19/educationresponse. Accessed 10th August 2021.
[19]	Aborode A, Anifowoshe O, Ifeoluwapo, Ayodele T, Rebecca, Iretiayo A, Oluwafemi, David O. Impact of COVID-19 on Education in Sub-Saharan Africa. Preprints. 2890(October): 1-29. July 2020.
[20]	Wright KP, Linton SK, Withrow D, Casiraghi L, Lanza SM, Iglesia H de la, et al. Sleep in university students prior to and during COVID-19 Stay-at-Home orders. Curr Biol. 30(14): R797-8. July 2020.
[21]	Leandy Bertrand, Keely A. Shaw, Jongbum Ko, Dalton Deprez, Philip D. Chilibeck and GAZ. The impact of the coronavirus disease 2019 (COVID-19) pandemic on university students’ dietary intake, physical activity, and sedentary behaviour. Appl Physiol Nutr Metab. 46(3). March 2021.
[22]	Busque A, Yao P-L, Miquelon P, Lachance É, Rivard M-C. Lifestyle and Health Habits of a Canadian University Community. J Phys Act Res. 2(2): 107-11.2017. Accessed 10th August 2021.
[23]	Olodu M, Fafidiya S, Daomi K, Hussein A. Influence of Eating Patterns on Weight Status and Academic Performance of a Nigerian Undergraduate Population. J Behav Heal. 8(3):101-110. 2019. Accessed 10th August 2021.
[24]	International Physical Activity Questionnaire. (2016). Home. Retrieved from https://sites.google.com/site/ theipaq/.10th August 2021.
[25]	Ranjbar K, Hosseinpour H, Shahriarirad R, Ghaem H, Jafari K, Rahimi T, et al. Students’ attitude and sleep pattern during school closure following COVID-19 pandemic quarantine: a web-based survey in south of Iran. Environ Health Prev Med. 26(1): 1-10. March 2021.
[26]	Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult: A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med. 11(6): 591-2. June 2015.
[27]	Bahammam AS, Alaseem AM, Alzakri AA, Almeneessier AS, Sharif MM. The relationship between sleep and wake habits and academic performance in medical students: A cross-sectional study. BMC Med Educ. 12(1). August 2012.
[28]	Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet. 54(9188): 1435-9. October 1999.
[29]	Agu A, Esom E, Chime S, Anyaeji P, Anyanwu G, Obikili E. Impact of sleep patterns on the academic performance of medical students of College of Medicine, University of Nigeria. Int J Med Heal Dev. 26(1):31. October 2020.
[30]	Tobi Seun-Fadipe C, Samuel Mosaku K. Sleep quality and academic performance among Nigerian undergraduate students. J Syst Integr Neurosci. 3(5): 1-6. 2017. Accessed 10th August 2021.
[31]	López-Valenciano A, Suárez-Iglesias D, Sanchez-Lastra MA, Ayán C. Impact of COVID-19 Pandemic on University Students’ Physical Activity Levels: An Early Systematic Review. Front Psychol. 11(January): 1-10. January 2021.
[32]	Gallè F, Sabella EA, Ferracuti S, De Giglio O, Caggiano G, Protano C, et al. Sedentary Behaviors and Physical Activity of Italian Undergraduate Students during Lockdown at the Time of CoViD−19 Pandemic. Int.J. Envr. Health Res. 17(17) 6171. August 2020.
[33]	Karuc J, Sorić M, Radman I, Mišigoj-Duraković M. Moderators of change in physical activity levels during restrictions due to COVID-19 pandemic in young urban adults. Sustain. 12(16). August 2020.
[34]	Pengpid S, Peltzer K, Kassean HK, Tsala Tsala JP, Sychareun V, Müller-Riemenschneider F. Physical inactivity and associated factors among university students in 23 low-, middle- and high-income countries. Int J Public Health. 60(5): 539-49. April 2015.
[35]	Kwan MY, Cairney J, Faulkner GE, Pullenayegum EE. Physical activity and other health-risk behaviors during the transition into early adulthood: A longitudinal cohort study. Am J Prev Med. 42(1): 14-20. January 2012.
[36]	Oluwadare OA, Olufemi OO. Aerobic Fitness Levels Among Undergraduate Students Of A Nigerian University Using Cooper’s 12-Minute Walk Test. Int J Adv Res Publ. 2(4): 6-8. April 2018.
[37]	Ogunjimi LO, Akpan PS, Ikorok MM. Utilization of physical exercise by students of Cross River State tertiary institutions to achieve good health in the new millennium. African J Food Sci. 5(3): 33-8. August 2014.
[38]	Adeloye D, Ige-Elegbede JO, Auta A, Ale BM, Ezeigwe N, Omoyele C, et al. Epidemiology of physical inactivity in Nigeria: a systematic review and meta-analysis. J Public Health (Bangkok). 1-11. May 2021.
[39]	Çiçek G. Quality of life and physical activity among university students. Univers J Educ Res. 6(6): 1141-8. 2018. Accessed 10th August 2021.
[40]	Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet. 380(9838): 219-29. July 2012.
[41]	Yun TC, Ahmad SR, David KSQ. Dietary Habits and Lifestyle Practices among University Students in Universiti Brunei Darussalam. Malays J Med Sci. (6): 56-66. June 2018.
[42]	Bernardo GL, Jomori MM, Fernandes AC, Proença RP da C. Food intake of university students. Rev Nutr Campinas. 30(6): 847-65. Dec 2017.
[43]	Keski-Rahkonen A, Kaprio J, Rissanen A, Virkkunen M, Rose RJ. Breakfast skipping and health-compromising behaviors in adolescents and adults. Eur J Clin Nutr. 57(7): 842-53. June 2003
[44]	Moreno-Gómez C, Romaguera-Bosch D, Tauler-Riera P, Bennasar-Veny M, Pericas-Beltran J, Martinez-Andreu S, et al. Clustering of lifestyle factors in Spanish university students: the relationship between smoking, alcohol consumption, physical activity and diet quality. Public Health Nutr. 15(11): 2131-9. February 2012.
[45]	El Ansari W, Stock C, Mikolajczyk RT. Relationships between food consumption and living arrangements among university students in four European countries - A cross-sectional study. Nutr J.11(1): 1-7. April 2012.
[46]	Otemuyiwa IO, Adewusi SRA. Food choice and meal consumption pattern among undergraduate students in two universities in Southwestern Nigeria. Nutr Health. 21(4): 233-45. March 2014.
[47]	Olatona FA, Onabanjo OO, Ugbaja RN, Nnoaham KE, Adelekan DA. Dietary habits and metabolic risk factors for non-communicable diseases in a university undergraduate population. J Heal Popul Nutr. 37(1): 1-9. August 2018.
[48]	da Mota Santana, J., Milagres, M. P., Dos Santos, C. S., Brazil, J. M., Lima, E. R., & Pereira M. Dietary intake of university students during COVID-19 social distancing in the Northeast of Brazil and associated factors. Appetite. 162(105172). July 2021.
[49]	Lang C, Kalak N, Brand S, Holsboer-Trachsler E, Pühse U, Gerber M. The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis. Sleep Med Rev 28: 32-45. August 2016.
[50]	Dolezal BA, Neufeld E V., Boland DM, Martin JL, Cooper CB. Interrelationship between Sleep and Exercise: A Systematic Review. Adv Prev Med. 1-14. March 2017.
[51]	Ogilvie RP, Lutsey PL, Widome R, Laska MN, Larson N, Neumark-sztainer D. Sleep indices and eating behaviors in young adults: Findings from Project EAT. Public Health Nutr. 21(4): 689-701. Dec 2018.