IMPACT OF COVID-19 ON BMI OF UNIVERSITY STUDENTS IN PAKISTAN
DOI: 10.54647/pm31150 92 Downloads 78616 Views
Author(s)
Abstract
COVID-19 has created a new normal for the world. The social restrictions that are linked to the epidemic control measures have negatively impacted the daily routine of the population. Obesity is major contributor to the rise of non-communicable diseases in South Asia and Middle-East. A trend of increasing obesity had already been noticed in the Pakistani youth. We need to ascertain the effect of COVID-19 on the BMI (body mass index) of our youth so that the adverse effects may be countered. Objective: This study was conducted to determine the impact of COVID-19 on the BMI of university students in Pakistan.Subjects & Methods: A cross-sectional multi-center study was conducted through an online questionnaire among the university students of Pakistan. The BMI before and 6 months after the COVID-19 lockdown was assessed. The changes in caloric intake and physical activity were also assessed. Paired student’s t-test, Chi-square test and McNemar tests were used to assess the association between different variables. P-value of <0.05 was considered statistically significant.Results: The larger proportion of the study population was female [n=230 (68.5%)], had normal weight [41% before and 39% during COVID] and lived in urban areas. The ages ranged from 18 to 35 years (21.4± 2.1 mean±SD). Around 30.7% of the population was overweight and 16.7% was obese before the epidemic, while 6 months after the epidemic 29.5% and 18.2% of the students were overweight and obese respectively. There was no significant change of BMI among the study population. There was no significant change in the dietary habits and physical activity among the students before and 6 months after the epidemic.Conclusion: There was no impact of the COVID-19 epidemic on the BMI of university students in Pakistan. A very high percentage of students were either overweight or obese. There is urgent need for inclusion of health education in the educational system in Pakistan to deal with the emerging cardio-metabolic disease epidemic.
Keywords
COVID-19, BMI, university students
Cite this paper
Hira Fatima, Sana Ataullah, Fatimah K. Rasool, Ahmed K. Rasool, Farhat Bashir,
IMPACT OF COVID-19 ON BMI OF UNIVERSITY STUDENTS IN PAKISTAN
, SCIREA Journal of Medicine.
Volume 6, Issue 1, February 2022 | PP. 1-14.
10.54647/pm31150
References
[ 1 ] | Bhanji S, Khuwaja AK, Siddiqui F, Azam I, Kazmi K. Underestimation of weight and its associated factors among overweight and obese adults in Pakistan: a cross sectional study. BMC Public Health. 2011;11(1):363. |
[ 2 ] | WHO consultation. World Health Organ Tech Rep Ser 2000, 894:i-xii,:1–253. |
[ 3 ] | Qureshi SK, Nazli H, Soomro GY. Nutritional Status of Pakistan. Institute of Nutritional Economics (Islamabad, Pakistan). 2001; Report No.: 8. Available at URL: http://www.pide.org.pk/Mimap/Report08.pdf. |
[ 4 ] | Resse MATB. Underweight: a heavy concern. Today’s Dietitian. 2008; 10(1):56. |
[ 5 ] | Maestra SL, Abbondandolo A, Flora SD. Epidemiological trends of COVID-19 epidemic in Italy during March 2020. From 1,000 to 100,000 cases. J. Med. Virol. 2020. Mar 20; doi: 10.1002/jmv.25908. |
[ 6 ] | Gatto M, Bertuzzo E, Mari L, Miccoli S, Carraro L, Casagrandia R, Rinaldo A. Spread and dynamics of the COVID-19 epidemic in Italy: Effects of emergency containment measures. Proc. Natl. Acad. Sci. USA 2020, 202004971. |
[ 7 ] | Ryan DH, Ravussin E, Heymsfield S. COVID 19 and the patient with obesity—The editors speak out. Obesity 2020; 28: 847. |
[ 8 ] | Thomson, B. The COVID-19 pandemic: A global natural experiment. Circulation 2020;142:14–16 |
[ 9 ] | Balanzá–Martínez V, Atienza–Carbonell B, Kapczinski F, Boni RBD. Lifestyle behaviours during the COVID-19—Time to connect. Acta Psychiatr. Scand. 2020 May; 141(5): 399–400. |
[ 10 ] | WHO. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies [Internet] Available from: https://www.who.int/nutrition/publications/ bmi_ 1Depa asia_strategies.pdf [Cited December 2020]. |
[ 11 ] | WHO Top 10 causes of death 2018. http://www.who.int/mediacentre/factsheets/fs310/en /. Accessed 20/01/2020. |
[ 12 ] | Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body-mass index since 1980: Systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557-567. doi: 10.1016/S0140-6736(10)62037-5. |
[ 13 ] | Mehmood Y, Al-Swailmi FK, Al-Enazi SA. Frequency of obesity and comorbidities in medical students. Pak J Med Sci. 2016;32(6):1528-1532. doi: https://doi.org/10.12669/pjms.326.10492 |
[ 14 ] | Misra A, Jayawardena R, Anoop S. Obesity in South Asia: Phenotype, Morbidities, and Mitigation. Curr Obes Rep. 2019 Mar;8(1):43-52. doi: 10.1007/s13679-019-0328-0. PMID: 30729382. |
[ 15 ] | Al-Othaimeen AI, Al-Nozha M, Osman AK. Obesity: An emerging problem in Saudi Arabia. Analysis of data from the National Nutrition Survey. East Mediterr Health J. 2007;13:441-448. |
[ 16 ] | Al-Rethaiaa AS, Fahmy AE, Al-Shwaiyat NM. Obesity and eating habits among college students in Saudi Arabia: a cross sectional study. Nutr J. 2010;9(1):1. |
[ 17 ] | Peltzer K, Pengpid S, Samuels TA, Özcan NK, Mantilla C, Rahamefy OH, Wong ML, Gasparishvili A. Prevalence of Overweight/Obesity and Its Associated Factors among University Students from 22 Countries. Int. J. Environ. Res. Public Health 2014; 11: 7425-7441. doi:10.3390/ijerph110707425 |
[ 18 ] | Sidor A, Rzymski P. Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland. Nutrients. 2020; 12: 1657. |
[ 19 ] | Pellegrini M, Ponzo V, Rosato R. Changes in Weight and Nutritional Habits in Adults with Obesity during the “Lockdown” Period Caused by the COVID-19 Virus Emergency. Nutrients. 2020; 12: 2016. doi:10.3390/nu12072016. |
[ 20 ] | Simonnet A, Chetboun M, Poissy J, Raverdy V, Noulette J, Duhamel A, Labreuche J, Mathieu D, Pattou F, Jourdain M. COVID-19 and Obesity study group. High Prevalence of Obesity in Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Requiring Invasive Mechanical Ventilation. Obesity (Silver Spring). 2020 Jul;28(7):1195-1199. doi: 10.1002/oby.22831. Epub 2020 Jun 10. Erratum in: Obesity (Silver Spring). 2020 Oct;28(10):1994. PMID: 32271993; PMCID: PMC7262326.. [CrossRef] [PubMed] |
[ 21 ] | Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, Lancet Physical Activity Series Working Group. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012;380:219-29. doi:10.1016/S0140-6736(12)61031-9 |
[ 22 ] | Zhao M, Veeranki SP, Magnussen CG, Xi B. Recommended physical activity and all cause and cause specific mortality in US adults: prospective cohort study. BMJ 2020;370:m2031 http://dx.doi.org/10.1136/bmj.m2031 |
[ 23 ] | Aziz K, Afridi A, Arif A, Shahid G, et al. Association of Physical activity levels and BMI Among Doctor of Physical Therapy Students of a Private College from Karachi. JBUMDC 2019; 9(4):281-285. |
[ 24 ] | Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Res. 2020; 288: 112954. [CrossRef] |
[ 25 ] | Sønderskov KM, Dinesen PT, Santini ZI, Østergaard SD. The depressive state of Denmark during the COVID-19 pandemic. Acta Neuropsychiatr. 2020; 1–3. [CrossRef] |
[ 26 ] | Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health. 2020; 17: 1729. [CrossRef] [PubMed] |
[ 27 ] | Oosterhoff B, Palmer CA. Attitudes and Psychological Factors Associated With News Monitoring, Social Distancing, Disinfecting, and Hoarding Behaviors Among US Adolescents During the Coronavirus Disease 2019 Pandemic. JAMA Pediatr. 2020 Dec 1;174(12):1184-1190. doi: 10.1001/jamapediatrics.2020.1876. PMID: 32597925; PMCID: PMC7325067. |