Background: Little is known of how a healthy lifestyle and its health outcomes are related in university students in Indonesia. This study examined the association between healthy lifestyle markers (diet, sleeping hours, physical exercise, smoking, alcohol intake) and health outcomes (perceived physical fitness, psychological distress) among undergraduate students at university in Indonesia. We also examined gender-related patterns. Methods: A total of 616 undergraduate students participated in two cross-sectional studies carried out between 2011 and 2013. Six close-ended questions were used to measure health behaviors and perceived physical fitness. The Hopkin Symptoms Checklist-25 was used to measure psychological distress. Results: The results showed gender differences in physical exercise, smoking, and alcohol intake. A healthy diet, regular physical exercise, and adequate sleeping hours were identified as contributing factors for perceived physical fitness. The probability of experiencing mental health problems was 65% higher among sedentary students and being female doubles this risk. Conclusion: Engagement in physical exercise consistently contributes to both measures of health outcome. Further, this study found that female students had greater susceptibility to health issues due to a sedentary lifestyle than male ones.
- Alexander B, Vladislav B. Structure and content of the educational technology of managing students’ healthy lifestyle. J Phys Educ Sport. 2015;15:362-64.
- McSharry P, Timmins F. Promoting healthy lifestyle behaviours and well-being among nursing students. Nurs Stand. 2017;31:51-63.
- Romaguera D, Tauler P, Bennasar M, Pericas J. Determinants and patterns of physical activity practice among Spanish university students. J Sports Sci. 2011;29:989-97.
- Small M, Bailey-Davis L, Morgan N, Maggs J. Changes in eating and physical activity behaviors across seven semesters of college: Living on or off campus matters. Heal Educ Behav. 2013;40:435-41.
- Musaiger AO, Awadhalla MS, Al-Mannai M, AlSawad M, Asokan GV. Dietary habits and sedentary behaviors among health science university students in Bahrain. Int J Adolesc Med Health. 2015;29.
- Tsai YW, Wen YW, Tsai CR, Tsai TI. Peer pressure, psychological distress and the urge to smoke. Int J Environ Res Public Health. 2009;6:1799-1811.
- Taylor SE. Health Psychology. Toronto: McGraw-Hill; 2015.
- Guo S, Yu X, Zhang X, An W, Guo L, Wang J. Cluster analysis of smoking, alcohol dringking and other health risks behaviors in undergraduate students. J Peking Univ Health Sci. 2013;45:382-86.
- Chang SP, Chen YH. Relationship between sleep quality, physical fitness and body mass index in college freshmen. J Sports Med Phys Fitness. 2015;55:1234-41.
- Ferkel RC, Judge LW, Stodden DF. Perceived versus actual fitness competence and knowledge in college students. Res Q Exerc Sport. 2016;87:1.
- Ortega FB, Ruiz JR, Espana-Romero V, Vicente-Rodriquez G, Martinez-Gomez D, Manios Y, et al. The International Fitness Scale (IFIS): usefulness of self-reported fitness in youth. Int J Epidemiol. 2011;40:701-11.
- Jaakkola T, Washington T. Measured and perceived physical fitness, intention, and self-reported physical activity in adolescence. Adv Phys Educ. 2011;01:16-22.
- Flanagan EW, Perry AC. Perception of physical fitness and exercise self-efficacy and its contribution to the relationship between body dissatisfaction and physical fitness in female minority children. Int J Environ Res Public Health. 2018;15.
- Hamari L, Heinonen OJ, Aromaa M, Asanti R, Koivusilta L, Koski P, et al. Association of self-perceived physical competence and leisure-time physical activity in childhood—a follow-up study. J Sch Health. 2017;87:236-43.
- Caspersen CJ, Powell KE, Christenson G. Physical activity, exercise, physical fitness: Definitions and distinctions for health-related research. Public Health Rep. 1985;100:126.
- Lubans DR, Cliff DP. Muscular fitness, body composition and physical self-perception in adolescents. J Sci Med Sport. 2011;14:216-21.
- Skogen JC, Øverland S, Smith ORF, Aarø LE. The factor structure of the Hopkins Symptoms Checklist (HSCL-25) in a student population: A cautionary tale. Scand J Public Health. 2017;45:357-65.
- Mirowsky J, Ross CE. Social Causes of Psychological Distress. New York: Transaction Publishers; 2003.
- Mubasyiroh R, Suryaputri IY, Tjandrarini DH. Determinan gejala mental emosional pelajar SMP-SMA di Indonesia tahun 2015 [Determinant of emotional mental symptoms of Indonesian junior high school students in 2015]. Buletin Penelitian Kesehatan. 2017;45:103-12.
- Radeef AS, Faisal GG. Stressors and their association with symptoms of depression, anxiety and stress in dental students. Makara J Health Res. 2018;22:58-62.
- Taylor DJ, Gardner CE, Bramoweth AD, Williams JM, Roane BM, Grieser EA, et al. Insomnia and mental health in college students. Behav Sleep Med. 2011;9:107-16.
- Taylor DJ, Bramoweth AD, Grieser EA, Tatum JI, Roane BM, Grieser EA. Epidemiology of insomnia in college students: Relationship with mental health, quality of life, and substance use difficulties. Behav Ther. 2013;44: 339-48.
- Kristjánsson ÁL, Sigfúsdóttir ID, Allegrante JP. Health behavior and academic achievement among adolescents: The relative contribution of dietary habits, physical activity, body mass index, and self-esteem. Health Educ Behav. 2010;37:51-64.
- Hong SA, Peltzer K. Dietary behaviour, psychological well-being and mental distress among adolescents in Korea. Child Adolesc Psychiatry Ment Health. 2017;11: 1-12.
- Stallman HM. Psychological distress in university students: A comparison with general population data. Aust Psychol. 2010;45:249-57.
- Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and its effects on medical students: A cross-sectional study at a college of medicine in Saudi Arabia. J Health Popul Nutr. 2011;29:516-22.
- World Health Organization. Regional Office for Europe [Internet]. Healthy Living: What Is a Healthy Lifestyle? Copenhagen; 1999 [Cited 2018 Dec 15]. Available from: http://www.who.int/iris/handle/ 10665/108180.
- Farhud DD. Impact of lifestyle on tuberculosis ingentaconnect. Iran J Public Health. 2015;44:1442-44.
- Svensson E, Nygård JF, Sørensen T, Sandanger I. Changes in formal help seeking for psychological distress: The OsLof study. Nord J Psychiatry. 2009;63:260-66.
- Røe C, Damsgård E, Fors T, Anke A. Psychometric properties of the pain stages of change questionnaire as evaluated by rasch analysis in patients with chronic musculoskeletal pain. BMC Musculoskelet Disord. 2014;15.
- Lee B, Kaaya SF, Mbwambo JK, Smith-Fawzi MC, Leshabari MT. Detecting depressive disorder with the Hopkins Symptom Checklist-25 in Tanzania. Int J Soc Psychiatry. 2008;54:7-20.
- Larson-Stoa D, Jacobs GA, Jonathan A, Poudyal B. Effect of counseling by paraprofessionals on depression, anxiety, somatization, and functioning in Indonesian torture survivors. Torture. 2015;25:1-11.
- Tay AK, Jayasuriya R, Jayasuriya D, Silove D. Measurement invariance of the Hopkins Symptoms Checklist: A novel multigroup alignment analytic approach to a large epidemiological sample across eight conflict-affected districts from a nation-wide survey in Sri Lanka Andrew Rasmussen, Nuwan Jayawickreme. Confl Health. 2017;11:1-12.
- Varela-Mato V, Cancela JM, Ayan C, Martín V, Molina A. Lifestyle and health among spanish university students: Differences by gender and academic discipline. Int J Environ Res Public Health. 2012;9:2728-41.
- Maykanathan D, Kaur S. Socio-demographics, oral health behavior, and physical activity: Factors in caries experience among 19–59 years old adults in a Malaysian population. Makara J Health Res. 2016;19:55-60.
- Wang D, Xing X-H, Wu X-B. Healthy lifestyles of university students in China and influential factors. Sci World J. 2013;2013:1-10.
- Pribis P, Burtnack CA, Mckenzie SO, Thayer J. Trends in body fat, body mass index and physical fitness among male and female college students. Nutrients. 2010;2: 1075-85.
- Klainin-Yobas P, He HG, Lau Y. Physical fitness, health behaviour and health among nursing students: A descriptive correlational study. Nurse Educ Today. 2015;35:1199-1205.
- Cheng J-S, Yang M-C, Ting P-H, Chen W-L, Huang Y-Y. Leisure, lifestyle, and health-related physical fitness for college students. Soc Behav Pers. 2011;39:321-32.
- Waldron JJ, Dieser RB. Perspectives of fitness and health in college men and women. J Coll Stud Dev. 2010;51:65-78.
- Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health. 2010;46:124-32.
- VanKim NA, Nelson TA. Vigorous physical activity, mental health, perceived stress, and socializing among college students. Am J Health Promot. 2013;28:7-15.
- Badger J, Morrell J. The relationship between healthy lifestyle factors and perceived stress among college students. J Acad Nutr Diet. 2016;116:A33.
- Stuntz CP, Smith C, Vensel K. Is the relationship between lifestyle factors and physical activity mediated by psychological needs and motivation? Int J Sport Exerc Psychol. 2017;15:291-05.
- Al-Qaisy L. Adjustment of college freshmen: The importance of gender and the place of residence. Int J Psychol Stud. 2010;2:142-50.
Widyasari DC, Turnip SS. Does healthy lifestyle contribute to physical and mental health among University students?. Makara J Health Res. 2019;23.