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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 5 Issue 2, January-February 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1065
Evaluation of the Physical Activity Level among
Undergraduate Students of Faculty of Allied
Health Sciences, University of Peradeniya
Senarath MKID1*, Thalwaththe STRD2, Tennakoon SUB3
1Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Galaha, Sri Lanka
2Department of Statistics, Rajarata University of Sri Lanka, Mihinthale, Sri Lanka
3Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Galaha, Sri Lanka
ABSTRACT
Objectives: This current study was carried out to evaluate the level of
physical activity (PA) among undergraduate students of faculty of Allied
Health Sciences, UniversityofPeradeniya.Materials and methods: Thiswasa
cross sectional study which wasconductedatFacultyofAlliedHealthSciences,
University of Peradeniya, Sri Lanka. Data was collected through a self-
administered questionnaire [International Physical Activity Questionnaire –
Short Form (IPAQ-SF)]and total of 231 students responded. Prior to the data
collection, informed written consent was taken from the students. Main
outcome measures: MET value (MetabolicEquitant)Results:Themeantotal
MET of the population indicated that of ‘moderate physical activity level’.
Comparing four study years (4th year to1styear),total METlevel wasgradually
declining from 1st year to 4th year though there werenostatisticallysignificant
relationship found. PA level was moderate in all the degree programs but the
values were different. In relation to sex, males were predominant in all the
MET categories. According to the BMI category, normal weighted students
were presented with higher values for MET categories compared with others.
Conclusion: All the students of Faculty of Allied Health Sciences,Universityof
Peradeniya were moderately physically active with higher percentages of
walking MET minutes/ week in all the variables.PAscoreisgraduallydeclined
from first year to final year. RAD students were more physically active among
all five degree programs. Male students and normal weighted students had
higher PA scores respectively for sex category and BMI category.
KEYWORDS: Physical activity level, University undergraduates, Study year,
Degree Program, Gender, BMI Category
How to cite this paper: Senarath MKID |
Thalwaththe STRD | Tennakoon SUB
"Evaluation of the Physical Activity Level
among UndergraduateStudentsofFaculty
of Allied Health Sciences, University of
Peradeniya"
Published in
International Journal
of Trend in Scientific
Research and
Development(ijtsrd),
ISSN: 2456-6470,
Volume-5 | Issue-2,
February 2021, pp.1065-1070, URL:
www.ijtsrd.com/papers/ijtsrd38609.pdf
Copyright © 2021 by author (s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
CommonsAttribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Physical activity (PA) is defined as ‘Any bodily movement
produced by skeletal muscles that result in caloric
expenditure’ [1] and it is divided in to three categories:
vigorous (high), moderate and mild [2].Increasing physical
activity is a key component of recommendationstodecrease
morbidity and mortality [3].
It is estimated that nearly one-fifth of the world’spopulation
is physically inactive [4]. Promoting physical activity
amongst adolescents and young adults is a sensible strategy
likely to help reduce physical inactivity levels and the
associated disease burden in future generations. Health
behaviors developed during adolescence and young
adulthood tend to persist into adulthood [5]. However,
previous studies have shown a decline in physical activity
levels among young adults [6]. The decline was evident
during young adults' transition intoearlyadulthoodwiththe
steepest decline occurring at the time of entering a
university [7, 8]. A previous study stated that one third of
active students in high school became insufficiently active
upon transitioning to university life [9].
There were many studies found which were conducted
among university population on physical activity from USA,
UK, Canada and other countries. However, the situation in
developing countries, including in the South Asian region, is
less known. Therefore, the development of effective
interventions for the promotion of physical activity among
young adults has become a recent priority in public health
research [10].
Promoting physical activity among university students may
be an important strategy to ensure that theydevelop regular
physical activity habits which they can continue throughout
their adult life. Determining the prevalence of physical
activity in university settings may help conceptualize, plan,
and implement programs towards improving students’
health.
There was one previous study on physical activity level
among PhysiotherapyundergraduatesdoneinSriLanka [11]
and no other published articles were found. For this current
study, Faculty of Allied Health Sciences(FAHS),Universityof
Peradeniya was selected as the study site. Six different
health care professional degrees are offered by the faculty
and produce future health care providers. Therefore, FAHS
was selected to carry out the study as the students of this
faculty have a variety of activities during their
IJTSRD38609
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1066
undergraduate life such as lectures, practical, clinical
placement, field visits, extracurricular activities etc. and it
may have a correlation with their physical activity level.
Materials and methods
For this questionnaire based cross-sectional study, Six
hundred and fifty three (653) registered students were
taken as the study population and calculated study sample
was 243. Students who were presented with recent
fractures, any injuries, long-term illnesses like asthma etc.
were excluded. Study year (Batch - 4th year,3rd year,2nd year,
1st year),degreeprogram(Medical LaboratorySciences-MLS,
Pharmacy-PCY, Physiotherapy-PHY, Radiography/
Radiotherapy-RAD, Nursing-NUR), sex (male, female) and
body mass index – BMI category (underweight, normal
weight, pre-obesity, obesity class I, obesity class II, obesity
class III) were taken as the independent variables.
The International Physical Activity Questionnaire – short
form (IPAQ - SF) was taken as the study instrument. It
consisted of seven items, asking participantstoreporton the
duration of time they have spent doing the following
activities over last week: walking, moderate activity,
vigorous activity and sitting. The reliability and validity of
the questionnaire were first tested across 12 countries (14
sites) in 2000. The findings suggest that it has acceptable
properties for use in many settings and in different
languages, and is suitable for national population-based
prevalence studies of participation in physical activity [12,
13].Computation of the total score required summation of
the duration (in minutes) and frequency (days) of walking,
moderate-intensity and vigorous-intensity activities. IPAQ
scoring features categorical and continuous scoring. All
continuous scores were expressed in MET (Metabolic
Equivalent) – minutes/ week. [14].In this current study,
MET-minutes/week values were calculated accordingto the
independent variables and used to categorize the physical
activity level as mild, moderate and high.
Informed written consent was obtained from the students
who were willing to participate in this study. Only 231
answered questionnaires were collected giving a rate of
participation of 95%. Students were in the age rangeof21 to
35 years and consisted of both girls and boys (83 males-
35.9%, 148 females-64.1%). Study sample consisted of 57-
4th (final) year, 54-3rd year, 55-2nd year and 65-1st year
students. They were; 37-MLS, 37-PCY, 46-PHY, 54-RAD, 57-
NUR students. Among the total sample of the students
according to BMI categories, it was identified that 43-
underweight, 151-normal weight, 19-pre-obese, 2-obesity
class I and 2-obesity class II students. In the analysis,
confidence level was set to 95% in all the tests. Therefore,
statistical significant level was taken as 5% (p<0.05) to
identify statistically significant difference between
means/proportions of the variables.
Mean value for differentMET categories(total MET,vigorous
MET, moderate MET and walking MET) were calculated.
Analysis of variance (ANOVA) and post – hoc tests were used
to determine whether there were anystatisticallysignificant
differences between the means strata for the independent
variables of study level, degreeprogramandBMIcategoryas
they had more than two variables in each group.
Independent sample t-test was used for independent
variable of sex as it has two variables, male and female.
Results
According to the analysis of the total sample of students, the
means of the MET minutes/ week values reported as
vigorous MET of 347.9, moderate MET of 143.6, walking
MET of 1186.8 and total MET of 1678.3 MET minutes/week.
The walking MET was comparably higher than the vigorous
and moderate MET among all independent variables. As the
total MET value was in-between the range of 600 – 3000
MET minutes/ week, it can be stated as the students of
Faculty of Allied Health Scienceswere‘Moderatephysically
active students’.
Study year
Among the mean MET values, the highest vigorous MET of
566.7 minutes/ week showed by 3rd year students and
highest moderate MET of 178.9 minutes/ week was
recorded by 2nd year students. The highest walking MET of
1895.9 minutes/ week and the highest total MET of 2201.8
minutes/ week was observed among 1st year students.
According to the statistical analysis by SPSS 22.0 software
conducted with ANOVA and post-hoc test, there was no
statistically significant difference found between group
means of MET minute/ week values in different study years
(Table 1).
Degree program
Physiotherapy undergraduates have shown the highest
vigorous MET of 681.7 minutes/ week and the highest
moderate MET of 221.3 minutes/ week. Radiography/
Radiotherapy undergraduate students have presented with
the highest walking MET of 2232.4 minutes/ week and
highest total MET of 2667.2 minutes/week.Accordingto the
statistical analysis that was conducted with ANOVA and
post-hoc test, there was no statisticallysignificantdifference
found between group means of MET minute/ week valuesin
different degree programs (Table 2).
Sex
Among all three MET minutes/ week categories and total
MET, males were identified with all highest values of MET
categories (vigorous, moderate, walking and total MET)
compared with females. Independentsamplet-testwasused
to find any statistically significant difference between sex
and different MET categories, but there was no any
difference has found (Table 3).
BMI category
Among mean MET values, highest vigorous MET of 401.9
minutes/ week, highest walking MET of 1345.4 minutes/
week and highest total MET of 1868.0 minutes/ week has
shown by normal weighted students. Students of obesity
class II has identified with the highest moderate MET of
720.0 minutes/ week. According to the statistical analysis
that was conducted withANOVAandpost-hoctest,there was
no statistically significant difference found between group
means of MET minute/ week values in different BMI
categories (Table 4).
Discussion
In this study, the means of the MET minutes/ week values
were consisted as vigorous MET of 347.9, moderate MET of
143.6, walking MET of 1186.8 and total MET of 1678.3 MET
minutes/ week. The total MET minutes/ week value was
taken for the calculation of the physical activity level. As the
total MET value of this study lies in between 600-3000 MET
minutes/ week, the students of the Faculty of Allied Health
Sciences were identified as ‘Moderate physically active
students’ according to the results obtained. There were
previous studies found with the same results among
university students from India in 2017 [15] and Malaysia in
2015 [16]. Opposing the results of the current study, some
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1067
previous studiesconcludedthattheuniversitystudentswere
highly physically active [17-19] in some researches and
having low physical activity level in some other studies [20,
11].
Comparing four study years (4th year to 1st year), total MET
level was gradually declining from 1st year to 4th yearthough
there were no statistically significant relationship found.
First year students were presented with high PA compared
with final year students; may be because final year students
have tight clinical schedule with less extracurricular
activities and first year students have more opportunities to
engage with more sports and extracurricular activities. A
similar cross sectional study conducted among nursing
students has shown that boththefreshmanandseniorswere
identified as irregular active and were considered as risk
groups. But it also stated that seniors were more active
compared with freshmen. [21]
Five Allied Health degree programs were included in this
study; Medical Laboratory Sciences (MLS), Pharmacy (PCY),
Physiotherapy (PHY), Radiography/ Radiotherapy (RAD)
and Nursing (NUR). In the current study, Physical activity
level was moderate in all the degree programs butthevalues
were different. RAD students had the highest value in
moderate physical activity level as 2667.2 MET minutes/
week. Next was PHY students presented with 1641.6 MET
value, almost 1000 MET minutes/ week less than RAD
students. It was expected to have highest value of PA level
with PHY students, because they have more knowledge on
physical activities, physical fitness, sedentary life styles and
nutrition. But RAD students had the highest score among all
of them, may be due to their engagement with other
extracurricular activities comparedwithotherstudents. PCY
students had 1591.4 and MLS and NUR students were
presented with almost same values, respectively1173.7and
1154.9 MET minutes/ week. It may be due to more
laboratory work and practical work, they may have to stand
for long time along the day, therefore they may not find
enough time for other extracurricular activities due to the
tiredness felt at the end of the day. Nevertheless, there was
no statistically significant relationship found in this study.
There were no previously conducted studies were found for
MLS or RAD degree programs. A study conducted among
nursing undergraduates concluded that both seniors and
juniors were physically inactive [21] which was not
supporting the results of this study. There were numerous
research articles found based on physiotherapy students.
Most of those studies concluded that the physiotherapy
students were highly physically active compared with other
students [16, 22-24] which is not supporting the current
study results. Another previous Sri Lankan study which was
done in 2016 among physiotherapystudents,concludedthat
they had low physical activity level [11] which also not
supporting the current results. Another similar study was
found in the health and biology fields including pharmacy
students. It was reportedthatbiologyandphysical education
students were more active compared to biochemistry
students andpharmacystudentsweremoderatelyphysically
active; supporting the current study results [14].
In relation to sex, males were predominant in all the MET
categories and have a total MET of 2093.3 minutes/ week. A
study done in 2018 with undergraduate students of the
University of Tuzla [90] has illustrated total MET of 4619.4
and 6013.5 MET minutes/ week for males which was
comparably higher than females. They were identified as
‘highly physically active students’ while the current study
identified their students as ‘moderately physically active
students’. Almost all the previous studies were concluded
that males were more physically active compared with
females irrespective of their physical activity level, whether
it is mild, moderate or high. It may be because their body
composition, physical fitness level, endurance level and
strength levels were comparably higher in males than
females. In the current study, normal weighted students
were presented with higher values for MET categories
compared with others and this result was supported by a
study done in Malaysia in 2015 among university students
[16].
A study conducted among medical students found that if the
students had social support from friends and families they
were tend to be more physically active [25]. There were few
barriers were identified to achieve recommended physical
activity level by previous studies; time limitation, lack of
accessible and lack of suitable sporting places [19], social
influence and lack of willpower [26], study related activities
and overtime shifts of medical students [25], low family
income, mental health and self-efficacy [27]. Another study
found that students were more active during weekdays
compared with weekend days [28]. The residence of the
students may have an influence on their physical activity
level, a study concluded that hostel resident students have
low PA levels [15]. Students who were more physically
active or with high physical activity level shown high levels
of academic performances [29] and decreased sedentary
behaviors [30]. Even though students had high level
knowledge on physical activity they were not physically
active highly, presenting there were no correlation between
the knowledge of PA and students’ PA level [18]. In the
current study, there were no statistically significant
difference found inanyvariable;studyyear,degreeprogram,
sex and BMI category.
Conclusion
As the conclusion, all the students of Faculty of Allied Health
Sciences, University of Peradeniya were moderately
physically active with higher percentages of walking MET
minutes/ week in all the variables. PA score is gradually
declined from first year to final year. RAD students were
more physically active among all five degreeprograms.Male
students and normal weighted students had higher PA
scores respectively for sex category and BMI category.
Acknowledgement
I would like to express my gratitude to Prof. Sampath U.B.
Tennakoon for the guidance throughout this research and
Mr. S.T.R.D. Thalwaththe and Ms. D.A.R.K. Dasanayaka for
their contribution in data analysis.
Furthermore I would like to thank the head and the
academic staff of department of Physiotherapy, Faculty of
Allied Health Sciences, University of Peradeniya for their
immense support given throughout this work.
*Ethical approval was taken from the Ethics Review
Committee, Faculty of Allied Health Sciences, University
of Peradeniya.
*No funds were granted for this study.
*There are no conflict of interest.
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1068
Tables
Table 1: Mean and significance probability of different study years from ANOVA and post-hoc tests for PA
ANOVA Post hoc tests 4th year 3rd year 2nd year 1st year Mean
p-values of
MET minutes/
week
Vigorous
MET
0.464
4th year - 0.786 0.996 0.921 231.4
3rd year 0.786 - 0.894 0.387 566.7
2nd year 0.996 0.894 - 0.827 379.6
1st year 0.921 0.387 0.827 - 162.5
Total mean 347.9
Moderate
MET
0.606
4th year - 0.692 0.998 0.989 166.7
3rd year 0.692 - 0.598 0.847 85.3
2nd year 0.998 0.598 - 0.962 178.9
1st year 0.989 0.847 0.962 - 143.4
Total mean 143.6
Walking
MET
0.257
4th year - 0.984 0.903 0.236 678.5
3rd year 0.984 - 0.989 0.445 920.2
2nd year 0.903 0.989 - 0.650 1137.3
1st year 0.236 0.445 0.650 - 1895.8
Total mean 1186.8
Total MET 0.571
4th year - 0.954 0.902 0.500 1166.6
3rd year 0.954 - 0.999 0.834 1570.4
2nd year 0.902 0.999 - 0.905 1695.8
1st year 0.500 0.834 0.905 - 2201.8
Total mean 1678.3
Table 2: Mean and significance probability of different degree programs from ANOVA and post-hoc tests for PA
ANOVA Post hoc tests MLS PCY PHY RAD NUR Mean
p-values of MET
minutes/ week
Vigorous MET
0.349
MLS - 0.943 0.499 0.995 1.000 194.6
PCY 0.943 - 0.929 0.993 0.868 436.8
PHY 0.499 0.929 - 0.670 0.304 681.7
RAD 0.995 0.993 0.670 - 0.974 312.6
NUR 1.000 0.868 0.304 0.974 - 153.8
Total mean 347.9
Moderate MET
0.308
MLS - 0.552 0.225 0.855 0.679 37.3
PCY 0.552 - 0.987 0.966 0.997 177.6
PHY 0.225 0.987 - 0.727 0.886 221.3
RAD 0.855 0.966 0.727 - 0.997 122.2
NUR 0.679 0.997 0.886 0.997 - 148.1
Total mean
143.6
Walking MET
0.185
MLS - 1.000 .999 .432 1.000 941.8
PCY 1.00 - .998 .461 1.000 977.1
PHY .999 .998 - .223 1.000 738.5
RAD .432 .461 .223 - .246 2232.4
NUR 1.000 1.000 1.000 .246 - 853.0
Total mean 1186.8
Total MET
0.318
MLS - 0.992 0.985 0.421 1.000 1173.7
PCY 0.992 - 1.000 0.727 0.986 1591.4
PHY 0.985 1.000 - 0.716 0.974 1641.6
RAD 0.421 0.727 0.716 - 0.288 2667.2
NUR 1.000 0.986 0.974 0.288 - 1154.9
Total mean 1678.3
Table 3: Mean and significance probability of sex from independent sample t-test for PA
Mean value Levene’s
test
Independent sample
t-test (2-tailed)
Male Female Total
P –
values of
MET
minutes/
week
Vigorous
MET
615.9 197.6 347.9
Equal
variances
assumed
0.000
0.027
not assumed 0.078
Moderate
MET
198.4 112.9 143.6
Equal
variances
assumed
0.004
0.117
not assumed 0.182
Walking
MET
1278.9 1135.1 1186.8
Equal
variances
assumed
0.539
0.769
not assumed 0.797
Total MET 2093.3 1445.5 1678.3
Equal
variances
assumed
0.132
0.246
not assumed 0.306
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1069
Table 4: Mean and significance probability of different BMI categories from ANOVA and post-hoc tests for PA
ANOVA Post hoc tests
Under
weight
Normal
weight
Pre-
obesity
Obesity
class I
Obesity
class II
Mean
p-values
of MET
minutes/
week
Vigorous
MET
0.955
Under weight - 0.959 0.994 1.000 0.999 232.6
Normal weight 0.959 - 1.000 0.999 0.995 401.9
Pre- obesity 0.994 1.000 - 0.999 0.996 395.8
Obesity class I 1.000 0.999 0.999 - 1.000 120.0
Obesity class II 0.999 0.995 0.996 1.000 - 0.0
Total mean 361.5
Moderate
MET
0.193
Under weight - .700 1.000 1.000 .419 211.1
Normal weight .700 - .890 .998 .238 120.6
Pre- obesity 1.000 .890 - 1.000 .449 211.6
Obesity class I 1.000 .998 1.000 - .721 210.0
Obesity class II .419 .238 .449 .721 - 720.0
Total mean 152.9
Walking
MET
0.940
Under weight - 0.983 0.997 1.000 1.000 1002.1
Normal weight 0.983 - 0.937 1.000 1.000 1345.4
Pre- obesity 0.997 0.937 - 1.000 1.000 649.1
Obesity class I 1.000 1.000 1.000 1.000 1.000 1039.5
Obesity class II 1.000 1.000 1.000 1.000 1.000 1138.5
Total mean 1211.7
Total
MET
0.961
Under weight - 0.978 1.000 1.000 1.000 1445.8
Normal weight 0.978 - 0.976 1.000 1.000 1868.0
Pre- obesity 1.000 0.976 - 1.000 1.000 1256.5
Obesity class I 1.000 1.000 1.000 1.000 1.000 1369.5
Obesity class II 1.000 1.000 1.000 1.000 1.000 1858.5
Total mean 1726.1
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Evaluation of the Physical Activity Level among Undergraduate Students of Faculty of Allied Health Sciences, University of Peradeniya

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 5 Issue 2, January-February 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1065 Evaluation of the Physical Activity Level among Undergraduate Students of Faculty of Allied Health Sciences, University of Peradeniya Senarath MKID1*, Thalwaththe STRD2, Tennakoon SUB3 1Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Galaha, Sri Lanka 2Department of Statistics, Rajarata University of Sri Lanka, Mihinthale, Sri Lanka 3Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Galaha, Sri Lanka ABSTRACT Objectives: This current study was carried out to evaluate the level of physical activity (PA) among undergraduate students of faculty of Allied Health Sciences, UniversityofPeradeniya.Materials and methods: Thiswasa cross sectional study which wasconductedatFacultyofAlliedHealthSciences, University of Peradeniya, Sri Lanka. Data was collected through a self- administered questionnaire [International Physical Activity Questionnaire – Short Form (IPAQ-SF)]and total of 231 students responded. Prior to the data collection, informed written consent was taken from the students. Main outcome measures: MET value (MetabolicEquitant)Results:Themeantotal MET of the population indicated that of ‘moderate physical activity level’. Comparing four study years (4th year to1styear),total METlevel wasgradually declining from 1st year to 4th year though there werenostatisticallysignificant relationship found. PA level was moderate in all the degree programs but the values were different. In relation to sex, males were predominant in all the MET categories. According to the BMI category, normal weighted students were presented with higher values for MET categories compared with others. Conclusion: All the students of Faculty of Allied Health Sciences,Universityof Peradeniya were moderately physically active with higher percentages of walking MET minutes/ week in all the variables.PAscoreisgraduallydeclined from first year to final year. RAD students were more physically active among all five degree programs. Male students and normal weighted students had higher PA scores respectively for sex category and BMI category. KEYWORDS: Physical activity level, University undergraduates, Study year, Degree Program, Gender, BMI Category How to cite this paper: Senarath MKID | Thalwaththe STRD | Tennakoon SUB "Evaluation of the Physical Activity Level among UndergraduateStudentsofFaculty of Allied Health Sciences, University of Peradeniya" Published in International Journal of Trend in Scientific Research and Development(ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-2, February 2021, pp.1065-1070, URL: www.ijtsrd.com/papers/ijtsrd38609.pdf Copyright © 2021 by author (s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Physical activity (PA) is defined as ‘Any bodily movement produced by skeletal muscles that result in caloric expenditure’ [1] and it is divided in to three categories: vigorous (high), moderate and mild [2].Increasing physical activity is a key component of recommendationstodecrease morbidity and mortality [3]. It is estimated that nearly one-fifth of the world’spopulation is physically inactive [4]. Promoting physical activity amongst adolescents and young adults is a sensible strategy likely to help reduce physical inactivity levels and the associated disease burden in future generations. Health behaviors developed during adolescence and young adulthood tend to persist into adulthood [5]. However, previous studies have shown a decline in physical activity levels among young adults [6]. The decline was evident during young adults' transition intoearlyadulthoodwiththe steepest decline occurring at the time of entering a university [7, 8]. A previous study stated that one third of active students in high school became insufficiently active upon transitioning to university life [9]. There were many studies found which were conducted among university population on physical activity from USA, UK, Canada and other countries. However, the situation in developing countries, including in the South Asian region, is less known. Therefore, the development of effective interventions for the promotion of physical activity among young adults has become a recent priority in public health research [10]. Promoting physical activity among university students may be an important strategy to ensure that theydevelop regular physical activity habits which they can continue throughout their adult life. Determining the prevalence of physical activity in university settings may help conceptualize, plan, and implement programs towards improving students’ health. There was one previous study on physical activity level among PhysiotherapyundergraduatesdoneinSriLanka [11] and no other published articles were found. For this current study, Faculty of Allied Health Sciences(FAHS),Universityof Peradeniya was selected as the study site. Six different health care professional degrees are offered by the faculty and produce future health care providers. Therefore, FAHS was selected to carry out the study as the students of this faculty have a variety of activities during their IJTSRD38609
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1066 undergraduate life such as lectures, practical, clinical placement, field visits, extracurricular activities etc. and it may have a correlation with their physical activity level. Materials and methods For this questionnaire based cross-sectional study, Six hundred and fifty three (653) registered students were taken as the study population and calculated study sample was 243. Students who were presented with recent fractures, any injuries, long-term illnesses like asthma etc. were excluded. Study year (Batch - 4th year,3rd year,2nd year, 1st year),degreeprogram(Medical LaboratorySciences-MLS, Pharmacy-PCY, Physiotherapy-PHY, Radiography/ Radiotherapy-RAD, Nursing-NUR), sex (male, female) and body mass index – BMI category (underweight, normal weight, pre-obesity, obesity class I, obesity class II, obesity class III) were taken as the independent variables. The International Physical Activity Questionnaire – short form (IPAQ - SF) was taken as the study instrument. It consisted of seven items, asking participantstoreporton the duration of time they have spent doing the following activities over last week: walking, moderate activity, vigorous activity and sitting. The reliability and validity of the questionnaire were first tested across 12 countries (14 sites) in 2000. The findings suggest that it has acceptable properties for use in many settings and in different languages, and is suitable for national population-based prevalence studies of participation in physical activity [12, 13].Computation of the total score required summation of the duration (in minutes) and frequency (days) of walking, moderate-intensity and vigorous-intensity activities. IPAQ scoring features categorical and continuous scoring. All continuous scores were expressed in MET (Metabolic Equivalent) – minutes/ week. [14].In this current study, MET-minutes/week values were calculated accordingto the independent variables and used to categorize the physical activity level as mild, moderate and high. Informed written consent was obtained from the students who were willing to participate in this study. Only 231 answered questionnaires were collected giving a rate of participation of 95%. Students were in the age rangeof21 to 35 years and consisted of both girls and boys (83 males- 35.9%, 148 females-64.1%). Study sample consisted of 57- 4th (final) year, 54-3rd year, 55-2nd year and 65-1st year students. They were; 37-MLS, 37-PCY, 46-PHY, 54-RAD, 57- NUR students. Among the total sample of the students according to BMI categories, it was identified that 43- underweight, 151-normal weight, 19-pre-obese, 2-obesity class I and 2-obesity class II students. In the analysis, confidence level was set to 95% in all the tests. Therefore, statistical significant level was taken as 5% (p<0.05) to identify statistically significant difference between means/proportions of the variables. Mean value for differentMET categories(total MET,vigorous MET, moderate MET and walking MET) were calculated. Analysis of variance (ANOVA) and post – hoc tests were used to determine whether there were anystatisticallysignificant differences between the means strata for the independent variables of study level, degreeprogramandBMIcategoryas they had more than two variables in each group. Independent sample t-test was used for independent variable of sex as it has two variables, male and female. Results According to the analysis of the total sample of students, the means of the MET minutes/ week values reported as vigorous MET of 347.9, moderate MET of 143.6, walking MET of 1186.8 and total MET of 1678.3 MET minutes/week. The walking MET was comparably higher than the vigorous and moderate MET among all independent variables. As the total MET value was in-between the range of 600 – 3000 MET minutes/ week, it can be stated as the students of Faculty of Allied Health Scienceswere‘Moderatephysically active students’. Study year Among the mean MET values, the highest vigorous MET of 566.7 minutes/ week showed by 3rd year students and highest moderate MET of 178.9 minutes/ week was recorded by 2nd year students. The highest walking MET of 1895.9 minutes/ week and the highest total MET of 2201.8 minutes/ week was observed among 1st year students. According to the statistical analysis by SPSS 22.0 software conducted with ANOVA and post-hoc test, there was no statistically significant difference found between group means of MET minute/ week values in different study years (Table 1). Degree program Physiotherapy undergraduates have shown the highest vigorous MET of 681.7 minutes/ week and the highest moderate MET of 221.3 minutes/ week. Radiography/ Radiotherapy undergraduate students have presented with the highest walking MET of 2232.4 minutes/ week and highest total MET of 2667.2 minutes/week.Accordingto the statistical analysis that was conducted with ANOVA and post-hoc test, there was no statisticallysignificantdifference found between group means of MET minute/ week valuesin different degree programs (Table 2). Sex Among all three MET minutes/ week categories and total MET, males were identified with all highest values of MET categories (vigorous, moderate, walking and total MET) compared with females. Independentsamplet-testwasused to find any statistically significant difference between sex and different MET categories, but there was no any difference has found (Table 3). BMI category Among mean MET values, highest vigorous MET of 401.9 minutes/ week, highest walking MET of 1345.4 minutes/ week and highest total MET of 1868.0 minutes/ week has shown by normal weighted students. Students of obesity class II has identified with the highest moderate MET of 720.0 minutes/ week. According to the statistical analysis that was conducted withANOVAandpost-hoctest,there was no statistically significant difference found between group means of MET minute/ week values in different BMI categories (Table 4). Discussion In this study, the means of the MET minutes/ week values were consisted as vigorous MET of 347.9, moderate MET of 143.6, walking MET of 1186.8 and total MET of 1678.3 MET minutes/ week. The total MET minutes/ week value was taken for the calculation of the physical activity level. As the total MET value of this study lies in between 600-3000 MET minutes/ week, the students of the Faculty of Allied Health Sciences were identified as ‘Moderate physically active students’ according to the results obtained. There were previous studies found with the same results among university students from India in 2017 [15] and Malaysia in 2015 [16]. Opposing the results of the current study, some
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1067 previous studiesconcludedthattheuniversitystudentswere highly physically active [17-19] in some researches and having low physical activity level in some other studies [20, 11]. Comparing four study years (4th year to 1st year), total MET level was gradually declining from 1st year to 4th yearthough there were no statistically significant relationship found. First year students were presented with high PA compared with final year students; may be because final year students have tight clinical schedule with less extracurricular activities and first year students have more opportunities to engage with more sports and extracurricular activities. A similar cross sectional study conducted among nursing students has shown that boththefreshmanandseniorswere identified as irregular active and were considered as risk groups. But it also stated that seniors were more active compared with freshmen. [21] Five Allied Health degree programs were included in this study; Medical Laboratory Sciences (MLS), Pharmacy (PCY), Physiotherapy (PHY), Radiography/ Radiotherapy (RAD) and Nursing (NUR). In the current study, Physical activity level was moderate in all the degree programs butthevalues were different. RAD students had the highest value in moderate physical activity level as 2667.2 MET minutes/ week. Next was PHY students presented with 1641.6 MET value, almost 1000 MET minutes/ week less than RAD students. It was expected to have highest value of PA level with PHY students, because they have more knowledge on physical activities, physical fitness, sedentary life styles and nutrition. But RAD students had the highest score among all of them, may be due to their engagement with other extracurricular activities comparedwithotherstudents. PCY students had 1591.4 and MLS and NUR students were presented with almost same values, respectively1173.7and 1154.9 MET minutes/ week. It may be due to more laboratory work and practical work, they may have to stand for long time along the day, therefore they may not find enough time for other extracurricular activities due to the tiredness felt at the end of the day. Nevertheless, there was no statistically significant relationship found in this study. There were no previously conducted studies were found for MLS or RAD degree programs. A study conducted among nursing undergraduates concluded that both seniors and juniors were physically inactive [21] which was not supporting the results of this study. There were numerous research articles found based on physiotherapy students. Most of those studies concluded that the physiotherapy students were highly physically active compared with other students [16, 22-24] which is not supporting the current study results. Another previous Sri Lankan study which was done in 2016 among physiotherapystudents,concludedthat they had low physical activity level [11] which also not supporting the current results. Another similar study was found in the health and biology fields including pharmacy students. It was reportedthatbiologyandphysical education students were more active compared to biochemistry students andpharmacystudentsweremoderatelyphysically active; supporting the current study results [14]. In relation to sex, males were predominant in all the MET categories and have a total MET of 2093.3 minutes/ week. A study done in 2018 with undergraduate students of the University of Tuzla [90] has illustrated total MET of 4619.4 and 6013.5 MET minutes/ week for males which was comparably higher than females. They were identified as ‘highly physically active students’ while the current study identified their students as ‘moderately physically active students’. Almost all the previous studies were concluded that males were more physically active compared with females irrespective of their physical activity level, whether it is mild, moderate or high. It may be because their body composition, physical fitness level, endurance level and strength levels were comparably higher in males than females. In the current study, normal weighted students were presented with higher values for MET categories compared with others and this result was supported by a study done in Malaysia in 2015 among university students [16]. A study conducted among medical students found that if the students had social support from friends and families they were tend to be more physically active [25]. There were few barriers were identified to achieve recommended physical activity level by previous studies; time limitation, lack of accessible and lack of suitable sporting places [19], social influence and lack of willpower [26], study related activities and overtime shifts of medical students [25], low family income, mental health and self-efficacy [27]. Another study found that students were more active during weekdays compared with weekend days [28]. The residence of the students may have an influence on their physical activity level, a study concluded that hostel resident students have low PA levels [15]. Students who were more physically active or with high physical activity level shown high levels of academic performances [29] and decreased sedentary behaviors [30]. Even though students had high level knowledge on physical activity they were not physically active highly, presenting there were no correlation between the knowledge of PA and students’ PA level [18]. In the current study, there were no statistically significant difference found inanyvariable;studyyear,degreeprogram, sex and BMI category. Conclusion As the conclusion, all the students of Faculty of Allied Health Sciences, University of Peradeniya were moderately physically active with higher percentages of walking MET minutes/ week in all the variables. PA score is gradually declined from first year to final year. RAD students were more physically active among all five degreeprograms.Male students and normal weighted students had higher PA scores respectively for sex category and BMI category. Acknowledgement I would like to express my gratitude to Prof. Sampath U.B. Tennakoon for the guidance throughout this research and Mr. S.T.R.D. Thalwaththe and Ms. D.A.R.K. Dasanayaka for their contribution in data analysis. Furthermore I would like to thank the head and the academic staff of department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya for their immense support given throughout this work. *Ethical approval was taken from the Ethics Review Committee, Faculty of Allied Health Sciences, University of Peradeniya. *No funds were granted for this study. *There are no conflict of interest.
  • 4. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1068 Tables Table 1: Mean and significance probability of different study years from ANOVA and post-hoc tests for PA ANOVA Post hoc tests 4th year 3rd year 2nd year 1st year Mean p-values of MET minutes/ week Vigorous MET 0.464 4th year - 0.786 0.996 0.921 231.4 3rd year 0.786 - 0.894 0.387 566.7 2nd year 0.996 0.894 - 0.827 379.6 1st year 0.921 0.387 0.827 - 162.5 Total mean 347.9 Moderate MET 0.606 4th year - 0.692 0.998 0.989 166.7 3rd year 0.692 - 0.598 0.847 85.3 2nd year 0.998 0.598 - 0.962 178.9 1st year 0.989 0.847 0.962 - 143.4 Total mean 143.6 Walking MET 0.257 4th year - 0.984 0.903 0.236 678.5 3rd year 0.984 - 0.989 0.445 920.2 2nd year 0.903 0.989 - 0.650 1137.3 1st year 0.236 0.445 0.650 - 1895.8 Total mean 1186.8 Total MET 0.571 4th year - 0.954 0.902 0.500 1166.6 3rd year 0.954 - 0.999 0.834 1570.4 2nd year 0.902 0.999 - 0.905 1695.8 1st year 0.500 0.834 0.905 - 2201.8 Total mean 1678.3 Table 2: Mean and significance probability of different degree programs from ANOVA and post-hoc tests for PA ANOVA Post hoc tests MLS PCY PHY RAD NUR Mean p-values of MET minutes/ week Vigorous MET 0.349 MLS - 0.943 0.499 0.995 1.000 194.6 PCY 0.943 - 0.929 0.993 0.868 436.8 PHY 0.499 0.929 - 0.670 0.304 681.7 RAD 0.995 0.993 0.670 - 0.974 312.6 NUR 1.000 0.868 0.304 0.974 - 153.8 Total mean 347.9 Moderate MET 0.308 MLS - 0.552 0.225 0.855 0.679 37.3 PCY 0.552 - 0.987 0.966 0.997 177.6 PHY 0.225 0.987 - 0.727 0.886 221.3 RAD 0.855 0.966 0.727 - 0.997 122.2 NUR 0.679 0.997 0.886 0.997 - 148.1 Total mean 143.6 Walking MET 0.185 MLS - 1.000 .999 .432 1.000 941.8 PCY 1.00 - .998 .461 1.000 977.1 PHY .999 .998 - .223 1.000 738.5 RAD .432 .461 .223 - .246 2232.4 NUR 1.000 1.000 1.000 .246 - 853.0 Total mean 1186.8 Total MET 0.318 MLS - 0.992 0.985 0.421 1.000 1173.7 PCY 0.992 - 1.000 0.727 0.986 1591.4 PHY 0.985 1.000 - 0.716 0.974 1641.6 RAD 0.421 0.727 0.716 - 0.288 2667.2 NUR 1.000 0.986 0.974 0.288 - 1154.9 Total mean 1678.3 Table 3: Mean and significance probability of sex from independent sample t-test for PA Mean value Levene’s test Independent sample t-test (2-tailed) Male Female Total P – values of MET minutes/ week Vigorous MET 615.9 197.6 347.9 Equal variances assumed 0.000 0.027 not assumed 0.078 Moderate MET 198.4 112.9 143.6 Equal variances assumed 0.004 0.117 not assumed 0.182 Walking MET 1278.9 1135.1 1186.8 Equal variances assumed 0.539 0.769 not assumed 0.797 Total MET 2093.3 1445.5 1678.3 Equal variances assumed 0.132 0.246 not assumed 0.306
  • 5. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD38609 | Volume – 5 | Issue – 2 | January-February 2021 Page 1069 Table 4: Mean and significance probability of different BMI categories from ANOVA and post-hoc tests for PA ANOVA Post hoc tests Under weight Normal weight Pre- obesity Obesity class I Obesity class II Mean p-values of MET minutes/ week Vigorous MET 0.955 Under weight - 0.959 0.994 1.000 0.999 232.6 Normal weight 0.959 - 1.000 0.999 0.995 401.9 Pre- obesity 0.994 1.000 - 0.999 0.996 395.8 Obesity class I 1.000 0.999 0.999 - 1.000 120.0 Obesity class II 0.999 0.995 0.996 1.000 - 0.0 Total mean 361.5 Moderate MET 0.193 Under weight - .700 1.000 1.000 .419 211.1 Normal weight .700 - .890 .998 .238 120.6 Pre- obesity 1.000 .890 - 1.000 .449 211.6 Obesity class I 1.000 .998 1.000 - .721 210.0 Obesity class II .419 .238 .449 .721 - 720.0 Total mean 152.9 Walking MET 0.940 Under weight - 0.983 0.997 1.000 1.000 1002.1 Normal weight 0.983 - 0.937 1.000 1.000 1345.4 Pre- obesity 0.997 0.937 - 1.000 1.000 649.1 Obesity class I 1.000 1.000 1.000 1.000 1.000 1039.5 Obesity class II 1.000 1.000 1.000 1.000 1.000 1138.5 Total mean 1211.7 Total MET 0.961 Under weight - 0.978 1.000 1.000 1.000 1445.8 Normal weight 0.978 - 0.976 1.000 1.000 1868.0 Pre- obesity 1.000 0.976 - 1.000 1.000 1256.5 Obesity class I 1.000 1.000 1.000 1.000 1.000 1369.5 Obesity class II 1.000 1.000 1.000 1.000 1.000 1858.5 Total mean 1726.1 References [1] Caspersen C, Powell K, Christenson G. Physical activity, exercise and physical fitness: definitions and distinctions for health-relatedresearch.PublicHealth Reports1985; 100:126–135. [2] Godin G, Shephard RJ. Godin Leisure-Time Exercise Questionnaire. Medicine and Science in Sports and Exercise1997; S36-S38. [3] Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA. Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc2007; 39:1423–1434. [4] Dumith SC, Hallal PC, Reis RS, Kohl 3rd HW. Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med2011; 53 (1–2):24–28. [5] Telama R, Yang X, Viikari J, Välimäki I, Wanne O, Raitakari O. Physical activity from childhood to adulthood. Am J Prev Med2005; 28 (3):267–273. [6] Van Mechellen W, Twisk J, Post G, Snel J, Kemper H. Physical activity of young people: the Amsterdam Longitudinal GrowthandHealthStudy.MedSciSports Exerc2000; 32 (9):1610–1616. [7] Kwan MY, Cairney J, Faulkner GE, Pullenavegum EE. Physical activity and other health-risk behaviours during the transition into adulthood: A longitudinal cohort study. American Journal of Preventive Medicine2012; 42 (1):14-20. doi:10.1016/j.amepre.2011.08.026 [8] Sigmundova D, Chmelik F, Sigmund E, Feltlova D, Fromel K. Physical activity in the lifestyle of Czech university students: Meeting health recommendations. European Journal of Sport Science2013; 13 (6): 744-750. doi:10.1080/17461.2013.776638 [9] Bray SR, Born HA. Transition to university and vigorous physical activity: Implicationsforhealthand phychological well-being.Journal ofAmericanCollege Health2004; 52 (4): 181-188. doi:10.3200/JACH.52.4.181-188. [10] De Meester F, van Lenthe FJ, Spittaels H, Lien N, De Bourdeaudhuij I. Interventions for promoting physical activity among European teenagers: a systematic review. Int J BehavNutrPhys Act. 2009; 6 (1):1–11. [11] Ranasinghe C, Sigera C, Ranasinghe P, Jayawardena R, Ranasinghe ACR, Hills AP et al. Physical inactivity among physiotherapy undergraduates: exploring the knowledge-practice gap. BMC Sport Science2016; 8:39. Doi: 10.1186/s13102-016-0063-8 [12] Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35 (8):1381–1395. Pubmed: PMID:12900694 [13] IPAQ Research Committee. Guidelines for data processing and analysis of the international physical activity questionnaire (IPAQ)—short and long forms. Stockholm: KarolinskaInstitutet2005. [14] Da Silva GDSF, Bergama chine R, Rosa M, Melo C, Miranda R, Filho MB. Evaluation of the physical activity level of under graduation students of health/ biology fields. Rev Bras Med Esporte2007; 13 (1).
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