Home Medicine Impact of COVID-19 on dietary intake, sleeping patterns and physical activity levels among Malaysian University students
Article
Licensed
Unlicensed Requires Authentication

Impact of COVID-19 on dietary intake, sleeping patterns and physical activity levels among Malaysian University students

  • Le Zhen Lee and Shi-Hui Cheng ORCID logo EMAIL logo
Published/Copyright: February 21, 2023

Abstract

Objectives

The COVID-19 pandemic has brought a significant impact on people’s behaviour and lifestyles. Limited research has been conducted on the impact of COVID-19 on Malaysian university students’ lifestyle modifications. This study aims to identify the impact of COVID-19 on dietary intake, sleeping patterns and physical activity levels among Malaysian university students.

Methods

A total of 261 university students were recruited. Sociodemographic and anthropometric data were collected. Dietary intake was assessed using PLifeCOVID-19 questionnaire, sleep quality was assessed using Pittsburgh Sleep Quality Index Questionnaire (PSQI) while physical activity level was assessed using International Physical Activity Questionnaire-Short Forms (IPAQ-SF). SPSS was used to perform statistical analysis.

Results

30.7% of the participants adhered to the unhealthy dietary pattern, 48.7% had poor quality of sleep and 59.4% engaged in low physical activity levels during the pandemic. Unhealthy dietary pattern was significantly associated with a lower IPAQ category (p=0.013), and increased time spent sitting (p=0.027) during the pandemic. Participants being underweight before the pandemic (aOR=2.472, 95% CI=1.358–4.499), increased takeaway meal consumption (aOR=1.899, 95% CI=1.042–3.461), increased snacking between meals consumption (aOR=2.989, 95% CI=1.653–5.404) and engaged in a low level of physical activity during pandemic (aOR=1.935, 95% CI=1.028–3.643) were the predictors of unhealthy dietary pattern.

Conclusions

The university students’ dietary intake, sleeping patterns, and physical activity levels were impacted in different ways during the pandemic. Strategies and interventions should be developed and implemented to improve the dietary intake and lifestyle of the students.


Corresponding author: Shi-Hui Cheng, School of Biosciences, Faculty of Science and Engineering, University of Nottingham Malaysia, Semenyih, 43500 Selangor, Malaysia, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: The authors declare that there is no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The present study was approved by the Science & Engineering Research Ethics Committee of the University of Nottingham Malaysia (Ethics approval ID: LLZ021121).

References

1. World Health Organisation. WHO Coronavirus (COVID-19) dashboard; 2021. Available from: https://covid19.who.int/ [Accessed 12 Oct 2022].Search in Google Scholar

2. Elengoe, A. COVID-19 outbreak in Malaysia. Osong Public Health Res Perspect 2020;11:93–100. https://doi.org/10.24171/j.phrp.2020.11.3.08.Search in Google Scholar PubMed PubMed Central

3. Gallo, LA, Gallo, TF, Young, SL, Moritz, KM, Akison, LK. The impact of isolation measures due to COVID-19 on energy intake and physical activity levels in Australian university students. Nutrients 2020;12:1865. https://doi.org/10.3390/nu12061865.Search in Google Scholar PubMed PubMed Central

4. Bertrand, L, Shaw, KA, Ko, J, Deprez, D, Chilibeck, PD, Zello, GA. The impact of the coronavirus disease 2019 (COVID-19) pandemic on university students’ dietary intake, physical activity, and sedentary behaviour. Appl Physiol Nutr Metabol 2021;46:265–72. https://doi.org/10.1139/apnm-2020-0990.Search in Google Scholar PubMed

5. Selvanathan, M, Hussin, NAM, Azazi, NAN. Students learning experiences during COVID-19: work from home period in Malaysian higher learning institutions. Teach Public Adm 2020. https://doi.org/10.1177/0144739420977900, Search in Google Scholar

6. Murillo, AG, Gómez, G, Durán-Agüero, S, Parra-Soto, SL, Araneda, J, Morales, G, et al.. Dietary patterns and dietary recommendations achievement from Latin American college students during the COVID-19 pandemic lockdown. Front Sustain Food Syst 2022;6. https://doi.org/10.3389/fsufs.2022.836299.Search in Google Scholar

7. Martínez-de-Quel, Ó, Suárez-Iglesias, D, López-Flores, M, Pérez, CA. Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: a longitudinal study. Appetite 2021;158:105019. https://doi.org/10.1016/j.appet.2020.105019.Search in Google Scholar PubMed PubMed Central

8. Mohd Hakim, SA, Abu Talip, NK, Wan Chik, WF, Md Nadzalan, A, Ismail, Z, Jamaludin, M, et al.. Physical activity among undergraduate university students during the pandemic Covid-19. Int J Acad Res Bus Soc Sci 2021;11:594–604. https://doi.org/10.6007/ijarbss/v11-i10/11164.Search in Google Scholar

9. World Health Organization. WHO guidelines on physical activity and sedentary behaviour; 2020. Available at: https://www.who.int/publications/i/item/9789240015128 [Accessed 16 Oct 2022].Search in Google Scholar

10. Nikoloski, Z, Alqunaibet, AM, Alfawaz, RA, Almudarra, SS, Herbst, CH, El-Saharty, S, et al.. Covid-19 and non-communicable diseases: evidence from a systematic literature review. BMC Publ Health 2021;21:1068. https://doi.org/10.1186/s12889-021-11116-w.Search in Google Scholar PubMed PubMed Central

11. Cheng, SH, Kamil, M. Stress and food intake among university students – is there a relationship? Sains Malays 2020;49:121–8. https://doi.org/10.17576/jsm-2020-4901-14.Search in Google Scholar

12. Cheng, S-H, Wong, SE. Stress, emotional eating and food choices among university students during the Covid-19. Malaysian J Soc Sci Humanit 2021;6:335–46. https://doi.org/10.47405/mjssh.v6i9.983.Search in Google Scholar

13. Morin, CM, Carrier, J, Bastien, C, Godbout, R. Sleep and circadian rhythm in response to the COVID-19 pandemic. Can J Public Health 2020;111:654–7. https://doi.org/10.17269/s41997-020-00382-7.Search in Google Scholar PubMed PubMed Central

14. Anandavelu, PA, Ma’rof, AA, Abdullah, H. The impact of psychological factors on sleep quality among public university students in Klang Valley, Malaysia. Int J Acad Res Bus Soc Sci 2022;12:316–31. https://doi.org/10.6007/ijarbss/v12-i10/15215.Search in Google Scholar

15. Kwan, YQ, Lee, SS, Cheng, S-H. Night eating syndrome and its association with sleep quality and body mass index among university students during the Covid-19. Malaysian J Soc Sci Humanit 2021;6:371–83. https://doi.org/10.47405/mjssh.v6i8.944.Search in Google Scholar

16. Chaput, J. Sleep patterns, diet quality and energy balance. Physiol Behav 2013;134:86–91. https://doi.org/10.1016/j.physbeh.2013.09.006.Search in Google Scholar PubMed

17. Olodu, DM, Adeomi, AA, Babalola, MA, Odedele, JA, Oboreh, EO. Sleep patterns, physical activity levels and dietary intake of university students in Southwestern Nigeria: changes during COVID-19 pandemic Daniel. Am J Publ Health Res 2021;9:207–14.Search in Google Scholar

18. Górnicka, M, Drywień, ME, Zielinska, MA, Hamułka, J. Dietary and lifestyle changes during COVID-19 and the subsequent lockdowns among polish adults: a cross-sectional online survey PLifeCOVID-19 study. Nutrients 2020;12:2324. https://doi.org/10.3390/nu12082324.Search in Google Scholar PubMed PubMed Central

19. Buysse, DJ, Reynolds, CF, Monk, TH, Berman, SR, Kupfer, DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatr Res 1988;28:193–213. https://doi.org/10.1016/0165-1781(89)90047-4.Search in Google Scholar PubMed

20. 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;35:1381–95. https://doi.org/10.1249/01.mss.0000078924.61453.fb.Search in Google Scholar PubMed

21. Omar, NH, Tang, PL, Lim, SJ, Ramaya, K. Dietary intake and physical lifestyle of residential college students in Universiti Kebangsaan Malaysia. Jurnal Personalia Pelajar 2015;18:75–85.Search in Google Scholar

22. Lee, YL, Cheng, S-H. Gender differences in body image, body mass index and dietary intake among university students. Pertanika J Soc Sci Humanit 2020;28:2213–38.Search in Google Scholar

23. Uzogara, SG. Underweight, the less discussed type of unhealthy weight and its implications: a review. Am J Food Sci Nutr Res 2016;3:126–42.Search in Google Scholar

24. Lo, YL, Lee, SS, Cheng, S-H. Inadequate fruits and vegetables consumption among Malaysian adults during the COVID-19 pandemic. Nutr Health 2022;28:741–50. https://doi.org/10.1177/02601060221099782.Search in Google Scholar PubMed PubMed Central

25. Cheng, SH, Lau, MY. Increased consumption of sugar-sweetened beverages among Malaysian university students during the Covid-19. Malaysian J Soc Sci Humanit 2022;7:e001599. https://doi.org/10.47405/mjssh.v7i7.1599.Search in Google Scholar

26. Smith, KJ, McNaughton, SA, Gall, SL, Blizzard, L, Dwyer, T, Venn, AJ. Takeaway food consumption and its associations with diet quality and abdominal obesity: a cross-sectional study of young adults. Int J Behav Nutr Phys Activ 2009;6:29. https://doi.org/10.1186/1479-5868-6-29.Search in Google Scholar PubMed PubMed Central

27. Almoraie, NM, Saqaan, R, Alharthi, R, Alamoudi, A, Badh, L, Shatwan, IM. Snacking patterns throughout the life span: potential implications on health. Nutr Res 2021;91:81–94. https://doi.org/10.1016/j.nutres.2021.05.001.Search in Google Scholar PubMed

28. Bellisle, F. Meals and snacking, diet quality and energy balance. Physiol Behav 2014;134:38–43. https://doi.org/10.1016/j.physbeh.2014.03.010.Search in Google Scholar PubMed

29. Buckland, NJ, Kemps, E. Low craving control predicts increased high energy density food intake during the COVID-19 lockdown: result replicated in an Australian sample. Appetite 2021;166:105317. https://doi.org/10.1016/j.appet.2021.105317.Search in Google Scholar PubMed PubMed Central

30. Altarrah, D, Alshami, E, Alhamad, N, Albesher, F, Devarajan, S. The impact of coronavirus COVID-19 pandemic on food purchasing, eating behavior, and perception of food safety in Kuwait. Sustainability 2021;13:8987. https://doi.org/10.3390/su13168987.Search in Google Scholar

31. Olfert, MD, Wattick, RA, Saurborn, EG, Hagedorn, RL. Impact of COVID-19 on college student diet quality and physical activity. Nutr Health 2022;28:721–31. https://doi.org/10.1177/02601060221086772.Search in Google Scholar PubMed PubMed Central

32. Md Zuki, NA, Nural Azhan, MA, Kamaruddin, HK, Mohd Kassim, AF, Ahmad, MF, Abu Bakar, AH. Sleep quality among university students during Covid-19 lockdown. Int J Acad Res Prog Educ Dev 2021;10:814–22. https://doi.org/10.6007/ijarped/v10-i2/10151.Search in Google Scholar

33. Godos, J, Grosso, G, Castellano, S, Galvano, F, Caraci, F, Ferri, R. Association between diet and sleep quality: a systematic review. Sleep Med Rev 2021;57:101430. https://doi.org/10.1016/j.smrv.2021.101430.Search in Google Scholar PubMed

34. Al-Hazzaa, HM, Abahussain, NA, Al-Sobayel, HI, Qahwaji, DM, Musaiger, AO. Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. Int J Behav Nutr Phys Activ 2011;8:1–14. https://doi.org/10.1186/1479-5868-8-140.Search in Google Scholar PubMed PubMed Central

35. Shetty, CK, Thwe Aung, MM, Oo, SS, Simbak, N. Physical activity among medical students of University Sultan Zainal Abidin (UniSZA), Malaysia. Indian J Forensic Community Med 2019;6:125–9. https://doi.org/10.18231/j.ijfcm.2019.029.Search in Google Scholar

36. Panahi, S, Tremblay, A. Sedentariness and health: is sedentary behavior more than just physical inactivity? Front Public Health 2018;6:258. https://doi.org/10.3389/fpubh.2018.00258.Search in Google Scholar PubMed PubMed Central

Received: 2022-12-15
Accepted: 2023-02-06
Published Online: 2023-02-21

© 2023 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 8.12.2025 from https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2022-0119/html?lang=en
Scroll to top button