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Lifestyle Practice among Malaysian University Students

  • Al-Naggar, Redhwan Ahmed ;
  • Bobryshev, Yuri V. ;
  • Mohd Noor, Nor Aini Binti
  • Published : 2013.03.30

Abstract

Background: It is well established that a healthy lifestyle is of benefit in the prevention of diseases such as cancer and promotion of well-being. Therefore, the objective of this study was to determine lifestyle practice and associated factors among university students in Malaysia. Materials and Methods: A cross sectional study was conducted over six months from November 2011 until May 2012 among the students from the Management and Science University. This study was approved by its ethical committee, the students being explained the objective and invited to participate. A consent form was signed by all study participants. Questionnaire was distributed randomly to the students of the five faculties through their lecturers in different faculty. For univariate analysis t-test and ANOVA test were performed. Multiple linear regression used for multivariate analysis using SPSS 13.0. Results: A total number of 1100 students participated with a mean age of $22.1{\pm}2.21$ (SD) years. The majority were 22 years or younger (56.3%), female (54%), Malay (61.5%), single (92.3%), with family monthly income ${\geq}5000$ Ringgit Malaysia (41.2%). Regarding lifestyle, about were 31.6% smokers, 75.6% never drank alcohol and 53.7% never exercised. Multivariate analysis showed that age, sex, race, parent marital status, participant marital status, type of faculty, living status, smoking status, exercise, residency, brushing teeth, fiber intake and avoid fatty food significantly influenced the practice of drinking alcohol among university students (p=0.006, p=0.042, p<0.001, p=0.003, p=0.002, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p=0.003, p<0.001; respectively). It similarly showed that sex, race, parent marital status, participant marital status, monthly family income, exercise, residency, brushing teeth and fiber intake significantly influenced the practice of sun protection (p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p=0.017, p<0.001, p<0.001, p<0.001; respectively) and that age, sex, parent marital status, participant marital status, type of faculty, living status, exercise, taking non-prescribed medication, brushing the teeth, coffee consumption and fiber intake were significantly influenced the practice of fruits consumption (p=0.008, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p=0.002, p<0.001, P<0.001; respectively). Conclusions: This study showed a poor practice of healthy lifestyle among university students. Therefore universities should emphasize a healthy lifestyle in all faculties as a required subject. Socio-demographic characteristics significantly influenced practice and thus should be considered when planning preventive measures among university students. Frequent campaigns and educational seminars are to be encouraged.

Keywords

Lifestyle;practice;University students;Malaysia

References

  1. Clements R (1999). Prevalence of alcohol-use disorders and alcohol-related problems in a college student sample. J Am College Health, 48, 111-8. https://doi.org/10.1080/07448489909595682
  2. Economic costs of diabetes in the US (2007). Diabetes care, 31, 596-15. https://doi.org/10.2337/dc08-9017
  3. Edwards P, Tsouros A (2006). Promoting physical activity living in urban environments; the role of local governments. The solid facts. Copenhagen, World Health Organization Regional Office for Europe.
  4. Evans L (1986). The effectiveness of safety belts in preventing fatalities. Accid Anal Prev, 18, 229-41. https://doi.org/10.1016/0001-4575(86)90007-2
  5. Eyre H, Kahn R, Robertson RM (2004). Preventing cancer, cardiovascular disease, and diabetes: a common agenda for the American cancer society, the American diabetes association, and the American heart association. Circulation, 109, 3244-55. https://doi.org/10.1161/01.CIR.0000133321.00456.00
  6. Fontes ACD, Vianna RPT (2009). Prevalence and factors related to low level physical activity among university students in a public university in the northeast region of Brazil. Revista Brasileira de Epidemiologia, 12, 20-9. https://doi.org/10.1590/S1415-790X2009000100003
  7. Friedenreich CM (2001). Physical activity and cancer prevention: from observational to intervention research. Cancer Epidemiol Biomarkers Prev, 10, 287-301.
  8. Gillani F, Rashid A, Anis A, et al (2001). The skin we are in- knowledge and practices regarding skin cancer in preclinical medical students. J Pak Med Assoc, 51, 373-8.
  9. Giugliano D, Esposito K (2008). Mediterranean diet and metabolic diseases. Curr Opin Lipidol, 19, 63-8.
  10. Grundy SM, Cleeman JI, Daniels SR, et al (2005). Diagnosis and management of the metabolic syndrome: an American heart association/national heart, lung, and blood institute scientific statement. Circulation, 112, 2735-52. https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  11. Haase A, Steptoe A, Sallis JF, Wardle J (2004). Leisure-time physical activity in university students from 32 countries: associations with health beliefs, risk awareness and national economic development. Prev Med, 39, 182-90. https://doi.org/10.1016/j.ypmed.2004.01.028
  12. Haberman S, Luffe D (1998). Weighing in college students' diet and exercise behaviors. J Am College Health, 46, 189-91. https://doi.org/10.1080/07448489809595610
  13. Aarnio M, Winter T, Kujala UM, Kaprio J (2002). Associations of health-related behaviour, social relationships, and health status with persistent physical activity and inactivity: a study of finnish adolescent twins. Bri J Sports Med, 36, 360-4. https://doi.org/10.1136/bjsm.36.5.360
  14. Abdel-Aty MA, Mahmoud AQ, Mohamed HF, Kawthar A (1999). Health related behaviors among adoles cents and youth in assiut governorate, upper Egypt. Bulletin of the High Institute of Public Health, 29, 447-74.
  15. Abdullah AS, Wong CM, Yam HK, Fielding R (2005). Factors related to non-participation in physical activity among the students in Hong Kong. Int J Sports Med, 26, 611-5. https://doi.org/10.1055/s-2004-821315
  16. Adetunji T, Toriola MT, Myllykangas Noe lC B (2008). Smoking behavior and attitudes regarding the role of physicians in tobacco control among medical students in Kuopio, Finland in 2006. CVD Prev Control, 3, 53-60. https://doi.org/10.1016/j.precon.2007.10.001
  17. Al-Naggar RA, Al-Jashamy K (2010). Knowledge, attitude and practice towards road traffic regulations among university students, Malaysia. Int Med J Malaysia, 9, 29-34.
  18. Al-Naggar RA, Bobryshev YV (2012). Practice of skin cancer prevention among young Malaysian. J Community Med Health Edu, 10, 129.
  19. Al-Naggar RA, Al-Dubai SA, Al-Naggar TH, Chen R, Al-Jashamy K (2011). Prevalence and of smoking and associated factors among Malaysian University students. Asian Pac J Cancer Prev, 12, 619-24.
  20. Al-Naggar, Saghir (2011). Water pipe (Shisha) smoking and associated factors among Malaysian University students. Asian Pac J Cancer Prev, 12, 3041-7
  21. Bellow NB, Breslow L (1972). Relationship of physical health status and health practices. Prev Med, 1, 409-21. https://doi.org/10.1016/0091-7435(72)90014-X
  22. Beltramino JC, Carrera E (2007). Traffic law compliance in the city of Santa Fe, Argentina. Rev Panam Salud Publica, 22, 141-5.
  23. Berwick M, Fine JA, Bolognia JL (1992). Sun exposure and sunscreen use a community skin cancer screening. Prev Med, 21, 302-10. https://doi.org/10.1016/0091-7435(92)90029-H
  24. Boontob N, Tanaboriboon Y, Kanitpong K, Suriyawongpaisal P (2008). Effect of seat belt use on road accidents in Thailand. Transport Res Rec J Transport Res Board, 2038, 84-92.
  25. Candib ML (2007). Obesity and diabetes in vulnerable populations: reflection on proximal and distal causes. Ann Fam Med, 5, 547-56. https://doi.org/10.1370/afm.754
  26. CDC: Centers for Disease Control (1997). Youth risk behavior surveillance: national college health risk behavior survey -United States, 1995. MMWR, 46, 1-54.
  27. Chitson P (1994). Health care implications of non-communicable diseases. Proceedings of the IGU Conference on Health Problems.
  28. Tuomilehto J, Lindstrom J, Eriksson J, et al (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med, 344, 1343-50. https://doi.org/10.1056/NEJM200105033441801
  29. Valliant PM, Scanlan P (1996). Personality, living arrangements, and alcohol use by first year university students. Social Behavior and Personality, 24, 151-6. https://doi.org/10.2224/sbp.1996.24.2.151
  30. Vik P, Carrello P, Tate S, Field C (2005). Progression of consequences among heavy-drinking college students. Psychology of Addictive Behaviors, 14, 91-101.
  31. Von Bothmer MI, Fridlund B (2005). Gender differences in health habits and in motivation for a healthy lifestyle among Swedish university students. Nursing Health Science, 7, 107-18. https://doi.org/10.1111/j.1442-2018.2005.00227.x
  32. Wardle J, Steptoe A (1999). The European health and behavior survey: rationale, methods and initial results from the United Kingdom. SOC Sci Med, 33, 925-36
  33. Wechsler H, Kuo M (2000). College students define binge drinking and estimate its prevalence: results of a national survey. J Am College Health, 49, 57-64. https://doi.org/10.1080/07448480009596285
  34. Wechsler H, Davenport A, Dowdall G, Moeykens B, Castillo S (1994). Health and behavioral consequences of binge drinking in college. J Am Med Assoc, 272, 1672-7. https://doi.org/10.1001/jama.1994.03520210056032
  35. Wechsler H, Dowdall GW, Maenner G, Gledhill-Hoyt J, Lee H (1998). Changes in binge drinking and related problems among American college students between 1993 and 1997. J Am College Health, 47, 57-68. https://doi.org/10.1080/07448489809595621
  36. Wechsler H, Lee JE, Nelson FN, Kuo M (2002). Underage college students' drinking behavior, access to alcohol, and the influence of deterrence policies. J Am College Health, 50, 223-36. https://doi.org/10.1080/07448480209595714
  37. Woratanarat P, Ingsathit A, Suriyawongpaisal P, et al (2009). Alcohol, illicit and non-illicit psychoactive drug use and road traffic injury in Thailand: a case–control study. Accid Anal Prev, 41, 651-7. https://doi.org/10.1016/j.aap.2009.03.002
  38. World Cancer Research Fund, American Institute for Cancer Research. Food, nutrition, and physical activity, and the prevention of cancer: a global perspective. Washington, DC: AICR; 2007.
  39. WHO: World Health Organisation: The global strategy on diet, physical activity and health. World Health Organization Geneva; 2003.
  40. WHO: World Health Organization Study Group. Diet, nutrition, and the prevention of chronic diseases. Geneva, World Health Organisation 1990 (WHO Tech Rep Ser 1990;797:69-72).
  41. Saridi M, Pappa V, Kyriazis I, et al (2009) Knowledge and attitudes to sun exposure among adolescents in Korinthos, Greece. Rural Remote Health, 9, 1162.
  42. Senol Y, Donmez L, Turkay M, Aktekin M (2006). The incidence of smoking and risk factors for smoking initiation in medical faculty students: cohort study. BMC Public Hlth, 6, 128-32. https://doi.org/10.1186/1471-2458-6-128
  43. Sesso HD, Paffenbarger RS Jr, Lee IM (2000). Physical activity and coronary heart disease in men: The Harvard Alumni Health Study. Circulation, 102, 975-80. https://doi.org/10.1161/01.CIR.102.9.975
  44. Shafy HE (1998). Leisure time and its implication. In: Adolescence and state policy in Egypt, Ch VI. Cairo, Egypt, The Population Council, Regional Office for West Asia and North Africa.
  45. Shinar D, Schechtman E, Compton R (2001). Self-reports of safe driving behaviors in relationship to sex, age, education and income in the US adult driving population. Accid Anal Prev, 33, 111-6. https://doi.org/10.1016/S0001-4575(00)00021-X
  46. Shinar D (1993). Demographic and socioeconomic correlates of safety belt use. Accid Anal Prev, 25, 745-55. https://doi.org/10.1016/0001-4575(93)90038-X
  47. Sofi F, Capalbo A, Cesari F, Abbate R, Gensini GF (2008). Physical activity during leisure time and primary prevention of coronary heart disease: an updated meta-analysis of cohort studies. Eur J Cardiovasc Prev Rehabil, 15, 247-57. https://doi.org/10.1097/HJR.0b013e3282f232ac
  48. Stanton WR, Chakma B, O'Riordan DL, Eyeson-Annan M (2000). Sun exposure and primary prevention of skin cancer for infants and young children during autumn/winter. Aust N Z J Public Health, 24, 178-84. https://doi.org/10.1111/j.1467-842X.2000.tb00139.x
  49. Staten RR (2005). College students' physical activity: application of an ecological perspective. Am J Health Studies, 20, 58-65.
  50. Steptoe A, Wardle J (2001). Health behavior, risk awareness and emotional well-being in students from Eastern Europe and Western Europe. Social Science Medicine, 53, 1621-30. https://doi.org/10.1016/S0277-9536(00)00446-9
  51. Steyn K, Damasceno A (2006). Lifestyle and related risk factors for chronic diseases. In Disease and Mortality in Sub-Saharan Africa. Edited by: Jamison DT, Feachem RG, Makogoba WM, Bos RE, Baingana KF, Hofman JK, Rogo OK. Washington DC: The World Bank; 247-264.
  52. Suminski RR (2002). Physical activity among ethnically diverse college students. J Am College Health, 51, 75-80. https://doi.org/10.1080/07448480209596333
  53. Suriyawongpaisal P, Kanchanasut S (2003). Road traffic injuries in Thailand: trends, selected underlying determinants and status of intervention. Inj Control Saf Promot, 10, 95-104. https://doi.org/10.1076/icsp.10.1.95.14110
  54. The European health report (2002). Copenhagen, World Health Organization Regional Office for Europe, 2005 (European Series, No. 97).
  55. Pruim B, Wright L, Green A (1999). Do people who apply sunscreens, re-apply them? Austral J Dermatol, 40, 79-82. https://doi.org/10.1046/j.1440-0960.1999.00325.x
  56. Qin Y, Wu M, Yang J, et al (2009). Study on the situation of seat belt wearing among drivers and front-seat passengers of vehicles in Nanjing in 2005-2007. Zhonghua Liu Xing Bing Xue Za Zhi, 30, 459-61.
  57. Read JP, Wood MD, Davidoff OJ, McLacken J, Campbell JF (2002). Making the transition from high school to college: The role of alcohol-related social influence factors in students' drinking. Substance Abuse, 23, 53-65.
  58. Reddy KS, Yusuf S (1998). Emerging epidemic of cardiovascular disease in developing countries. Circulation, 97, 596-601. https://doi.org/10.1161/01.CIR.97.6.596
  59. Reddy KS (2002). Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action. Public Health Nutr, 5, 231-7.
  60. Robinson JK, Rademaker AW, Sylvester JA, Cook B (1997). Summer sun exposure: knowledge, attitudes and behaviors of Mid-West Adolescents. Prev Med, 26, 364-72. https://doi.org/10.1006/pmed.1997.0156
  61. Robinson JK, Rigel DS, Amonette RA (2000). Summertime sun protection used by adults for their children. J Am Acad Dermatol, 42, 746-53. https://doi.org/10.1067/mjd.2000.103984
  62. Sakata K, Matumura Y, Yoshimura N, et al (2001). Relationship between skipping breakfast and cardiovascular disease risk factors in the national nutrition survey data. Nippon Koshu Eisei Zasshi, 48, 837-41.
  63. Miller D (1995). The public's current knowledge, attitudes and behaviors regarding skin cancer prevention. The National Conference to Develop a National Skin Cancer Agenda, Washington.
  64. Ministry of Health, Labour and Welfare, Japan: The National Nutrition Survey in Japan, 2002. Daiichi publisher; 2004.
  65. Montgomery R, Hammerlie F (1993). Undergraduate adjustment to college, drinking behavior, and fraternity membership. Psychological Reports, 73, 801-2. https://doi.org/10.2466/pr0.1993.73.3.801
  66. Montonen J, Knekt P, Harkanen T, et al (2005). Dietary patterns and the incidence of type 2 diabetes. Am J Epidemiol, 161, 219-27. https://doi.org/10.1093/aje/kwi039
  67. Musharrafieh U, Tamim HM, Rahi AC, et al (2008). Determinant of university students physical exercise: a study from Lebanon. Int J Public Health, 53, 208-13. https://doi.org/10.1007/s00038-008-7037-x
  68. National Youth Risk Behavior Survey 1991-2005: trends in the prevalence of physical activity. Atlanta, Georgia, Centers for Disease Control and Prevention, 2006.
  69. O'Malley PM, Johnston LD (2002). Epidemiology of alcohol and other drug use among American college students. J Studies on Alcohol, 14, 23-39.
  70. O'Riordan DL, Geller AC, Brooks DR, Zhang Z, Miller DR (2003). Sunburn reduction through parental role modeling and sunscreen vigilance. J Pediatr, 142, 67-72. https://doi.org/10.1067/mpd.2003.mpd039
  71. Ortega RM, Redondo MR, Lopez-Sobaler AM, et al (1996). Associations between obesity, breakfast-time food habits and intake of energy and nutrients in a group of elderly Madrid residents. J Am Coll Nutr, 15, 65-72. https://doi.org/10.1080/07315724.1996.10718566
  72. Popay J, Bartley M, Owen C (1993). Gender inequalities in health social position, affective disorders and minor physical morbidity. SOC Sci Med, 36, 21-32. https://doi.org/10.1016/0277-9536(93)90302-K
  73. Popkin BM, Gordon-Larsen P (2004). The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obesity, 28, 2-9. https://doi.org/10.1038/sj.ijo.0802557
  74. Popkin BM (1997). The nutrition transition and its health implications in lower income countries. Public Health Nutr, 1, 5-21.
  75. McCullough ML, Feskanish D, Rimm EB, et al (2000). Adherence to the dietary guidelines for Americans and risk of major chronic disease in men. Am J Clin Nutr, 72, 1223-31.
  76. Haskell WL, Lee IM, Pate RR, et al (2007). Physical activity and public health: updated recommendation for adults from the American college of sports medicine and the American heart association. Circulation, 116, 1081-93. https://doi.org/10.1161/CIRCULATIONAHA.107.185649
  77. Heidemann C, Hoffmann K, Spranger J, et al (2005). A dietary pattern protective against type 2 diabetes in the European Prospective Investigation into cancer and nutrition [EPIC]--Potsdam Study cohort. Diabetologia, 48, 1126-34. https://doi.org/10.1007/s00125-005-1743-1
  78. Hill EM, Chow K (2002). Life-history theory and risky drinking. Addiction, 97, 401-13. https://doi.org/10.1046/j.1360-0443.2002.00020.x
  79. Howson CP, Reddy KS, Ryan TJ, Bale JR (1998). Control of Cardiovascular Diseases in Developing Countries: Research, Development, and Institutional Strengthening. Washington, DC: National Academy Press.
  80. Hu FB, Manson JE, Stampfer MJ, et al (2001). Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med, 345, 790-7. https://doi.org/10.1056/NEJMoa010492
  81. Irwin JD (2004). Prevalence of university students' sufficient physical 9. activity: a systematic review. Perceptual and Motor Skills, 98, 927-43. https://doi.org/10.2466/pms.98.3.927-943
  82. Irwin ML, Mayne ST (2008). Impact of nutrition and exercise on cancer survival. Cancer J, 14, 435-41. https://doi.org/10.1097/PPO.0b013e31818daeee
  83. Johnston LS, O'Malley PM, Bachman JG (2000). National survey results on drug use from the Monitoring the Future study, 1975-1999, vol. 2, NIH Publication no. 00-4803.
  84. Bethesda, MD: Department of Health and Human Services. Krauss RM, Eckel RH, Howard B, et al (2000). AHA Dietary Guidelines: revision 2000: A statement for healthcare professionals from the nutrition committee of the American heart association. Stroke, 31, 2751-66. https://doi.org/10.1161/01.STR.31.11.2751
  85. Kruger SH, Puoane T, Seneka M, van der Merwe TM (2005). Obesity in South Africa: challenge for government and health professionals. Public Health Nutr, 8, 491-500.
  86. Kushi LH, Byers T, Doyle C, et al (2006). American cancer society guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin, 56, 254-81. https://doi.org/10.3322/canjclin.56.5.254
  87. Laaksonen DE, Lindstrom J, Lakka TA, et al (2005). Physical activity in the prevention of type 2 diabetes: the finnish diabetes prevention study. Diabetes, 54, 158-65. https://doi.org/10.2337/diabetes.54.1.158
  88. Lee RL, Loke AJ (2005). Health-promoting behaviors and psychosocial well-being of university students in Hong Kong. Public Health Nursing, 22, 209-20. https://doi.org/10.1111/j.0737-1209.2005.220304.x
  89. Liang W, Shediac-Rizkallah MC, Celentano DD, Rohde C (1999). A population-based study of age and gender differences in patterns of health-related behaviors. Am J Prev Med, 17, 8-17. https://doi.org/10.1016/S0749-3797(99)00040-9
  90. Makrides L, Veinot P, Richard J, McKee E, Gallivan T (1998). A cardiovascular health needs assessment of university students living in residence. Canadian J Public Health, 89, 171-5.
  91. Martin CM, Hoffman MA (1993). Alcohol expectancies, living environment, peer influence, and gender: a model of college-student drinking. J College Student Development, 34, 206-11.

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