Lifestyle lifestyle articles for students of Students during COVID
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Lifestyle lifestyle articles for students of Students during COVID
7. Tornaghi M, Lovecchio N, Vandoni M, Chirico A, Codella R. Physical activity levels across COVID-19 outbreak in youngsters of Northwestern Lombardy. J Sports Med Phys Fitness . 2020. doi:10.23736/S0022-4707.20.11600-1 41. Kriaucioniene V, Bagdonaviciene L, Rodríguez-Pére C, Petkeviciene J. Associations between changes in health behaviours and body weight during the COVID-19 quarantine in Lithuania: the Lithuanian COVIDiet study. Nutrients . 2020;12:3119. doi:10.3390/nu12103119 32. Wannamethee SG, Shaper AG, Walker M. Overweight and obesity and weight change in middle aged men: impact on cardiovascular disease and diabetes. J Epidemiol Community Health . 2005;59:134–139. doi:10.1136/jech.2003.015651 53. Balanza-Martínez V, Atienza-Carbonell B, Kapczinski F, De Boni RB. Lifestyle behaviours during the COVID-19—time to connect. Acta Psychiatr Scand . 2020;141:399–400. doi:10.1111/acps.13177 40. Blaszczyk-Bebenek E, Jagielski P, Boleslawska I, Jagielska A, Nitsch-Osuch A, Kawalec P. Nutrition behaviors in Polish adults before and during COVID-19 lockdown. Nutrients . 2020;12:3084. doi:10.3390/nu12103084 48. Yang S, Guo B, Ao L, et al. Obesity and activity patterns before and during COVID-19 lockdown among youths in China. Clin Obes . 2020;10:e12416. doi:10.1111/cob.12416 52. Sinha M, Pande B, Sinha R. Impact of COVID-19 lockdown on sleep-wake schedule and associated lifestyle related behavior: a national survey. J Public Health Res . 2020;9:1826. doi:10.4081/jphr.2020.1826 The bodyweight of the students showed that 32% increased their weight, 22% lost their weight, and approximately half of the participants maintained the same weight during COVID-19 lockdown when comparing to before lockdown. Regarding BMI, underweight decreased from 13.1% to 11.6%, and obesity decreased from 7.4% to 6.4% during the lockdown. However, the normal BMI rate increased from 53.5% to 55.1%, and overweight increased from 26% to 26.9% . There was statistical significant association found between changes in parameters before and during lockdown with the weight gain and weight loss groups . Table 2 Comparison of Weight Changes and Parameters Before and During Lockdown 42. Lopez-Moreno M, Lopez M, Miguel M, Garces-Rimon M. Physical and psychological effects related to food habits and lifestyle changes derived from Covid-19 home confinement in the Spanish population. Nutrients . 2020;12:3445. doi:10.3390/nu12113445 10. Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary behavior, exercise, and cardiovascular health. Circ Res . 2019;124:799–815. doi:10.1161/CIRCRESAHA.118.312669 12. Malik VS, Ravindra K, Attri SV, Bhadada SK, Singh M. Higher body mass index is an important risk factor in COVID-19 patients: a systematic review and meta-analysis. Environ Sci Pollut Res Int . 2020;27:42115–42123. doi:10.1007/s11356-020-10132-4 28. Alhusseini N, Alqahtani A. COVID-19 pandemic’s impact on eating habits in Saudi Arabia. J Public Health Res . 2020;9:1868. doi:10.4081/jphr.2020.1868 The opinions expressed in all articles published here are those of the specific author, and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. The lifestyle tool components including diet, sleep, and mental health of the university students, before and during the COVID‐19 lockdown results were shown in Table 4 . In the dietary recall assessment, 569 and 341 students were taken fast food consumption before and during lockdown respectively. Similarly, 547 and 321 were taken fried food consumption before and during lockdown respectively. The PSQI scores significantly decreased from 6.8 ± 3.1 to 5.9 ± 2.8 during lockdown when comparing with before lockdown . Approximately, 188 students felt that sleep quality was good before lockdown, and 126 students felt the same during the lockdown. The PSS-10 score revealed that there was a statistically decreased from 21.6 ± 5.8 to 17.4 ± 6.7 during the lockdown. Moreover, the total sleeping time increased from 6.6 ± 2.3 hours per day to 8.3 ± 2.7 hours per day, which was also proved statistically significant . The chi-square test proved that there was a significant association between the BMI during lockdown with the level of students and time spent on social media per day . Table 4 Comparison of Lifestyle of the Students Before and During Lockdown. 47. Robinson E, Boyland E, Chisholm A, et al. Obesity, eating behavior and physical activity during COVID-19 lockdown: a study of UK adults. Appetite . 2021;156:104853. doi:10.1016/j.appet.2020.104853 The primary purpose of this prospective study was to assess the changes in body weight, BMI, physical activity, and lifestyle and their association with COVID-19 lockdown among the university students of Saudi Arabia. Out of 628 students, 29.1% were boys and 70.9% were girls. Eventhough, most of the students were girls, there was no significant association found between BMI and gender differences. Among them, the mean score of age with SD was 20.45 ± 1.93 and most of the participants in this study were unmarried. The frequency of overweight increased from 16.6% to 17.8%, and obesity was increased from 10.2% to 11.3%. A similar cross-sectional study was conducted among Polish women, 39 of which most women gained weight, while few of them reduced weight during the study period of the COVID-19 pandemic. The chi-square test proved that there was a significant association between BMI during lockdown with the level of students and time spent on social media per day . A study on nutrition behaviors in Polish adults before and during COVID-19 lockdown, in which two-thirds of the participants proved significant body weight changes, among them, half of the Polish adults were overweight during the lockdown. 40 This was supported by the BMI status of the students which was associated with the weight gain of participants. Those students with higher BMI gained more weight, which was often compared to those students who had normal BMI. 41 Published 21 July 2021 Volume 2021:14 Pages 1901—1910 43. Martinez-de-quel O, Suarez-Iglesias D, Lopez-Flores M, Perez CA. Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: a longitudinal study. Appetite . 2021;158:105019. doi:10.1016/j.appet.2020.105019 In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. You can learn about our use of cookies by reading our Privacy Policy . We also retain data in relation to our visitors and registered users for internal purposes and for sharing information with our business partners. You can learn about what data of yours we retain, how it is processed, who it is shared with and your right to have your data deleted by reading our Privacy Policy . 29. Romero-Blanco C, Rodríguez-Almagro J, Onieva-Zafra MD, Parra-Fernández ML, Prado-Laguna MDC, Hernández-Martínez A. Sleep pattern changes in nursing students during the COVID-19 lockdown. Int J Environ Res Public Health . 2020;17:5222. doi:10.3390/ijerph17145222 Open access peer-reviewed scientific and medical journals. 15. Pan L, Sherry B, Njai R, Blanck HM. Food insecurity is associated with obesity among US adults in 12 states. J Acad Nutr Diet . 2012;112:1403–1409. doi:10.1016/j.jand.2012.06.011 2. Lippi G, Henry BM, Bovo C, Sanchis-Gomar F. Health risks and potential remedies during prolonged lockdowns for coronavirus disease 2019 . Diagnosis . 2020;7:85–90. doi:10.1515/dx-2020-0041 13. Kim TS, Roslin M, Wang JJ, et al. BMI as a risk factor for clinical outcomes in patients hospitalized with COVID-19 in New York. Obesity . 2021;29:279–284. doi:10.1002/oby.23076 27. Wang YC, Vine S, Hsiao A, Rundle A, Goldsmith J. Weight-related behaviors when children are in school versus on summer breaks: does income matter. J Sch Health . 2015;85:458–466. doi:10.1111/josh.12274 Contact Us   •   Privacy Policy   •   Associations & Partners   •   Testimonials   •   Terms & Conditions   •   Recommend this site •   Top 51. Pellegrini M, Ponzo V, Rosato R, et al. 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 The GPAQ 33 developed by the World Health Organization was used to assess the practice of physical activity 34 of the students in both points as before and during the lockdown. This questionnaire has four domains such as moderate and vigorous activity at work, travel to and from places, moderate and vigorous recreational activities, and sedentary behavior. In that, the work domain was excluded, because, all study participants were students who do not engage in any moderate or vigorous work activities. The tool included many physical activity components, such as the frequency and duration of vigorous or moderate intensity along with a question regarding the number of hours spent in sedentary activities per day. METs are commonly used to express the intensity of physical activities and it was used for the analysis of GPAQ data. The score is assessed as an equivalent combination of moderately and vigorously intense physical activity, and students who achieved a minimum of 600 MET minutes for a week. About the rest and sleep pattern in a pandemic, 42 an online survey was conducted to assess the impact of lockdown on the sleep-wake pattern, meal timings, and digital media exposure time of the Indian population during the lockdown. The analysis evidenced that the sleep onset and wakeup time and meal-time was significantly delayed during the lockdown, which was highly pronounced in younger participants. 52 In the current study, the PSQI scores decreased significantly from 6.8 ± 3.1 to 5.9 ± 2.8 during lockdown when comparing with before lockdown. Lifestyle components such as physical inactivity, sedentary lifestyle practices, and dietary habits are the main factors influencing the maintenance of BMI and contributing to obesity among adolescents and young adults, which was evidenced from several research studies. 17 The key factors contributing to obesity among college students are dietary habits, which include dietary consumption patterns, frequency of meals, and skipping breakfast. 18 Furthermore, lockdown policies disrupted the student’s habits and lifestyles. 19 22. Ha SA, Lee SY, Kim KA, et al. Eating habits, physical activity, nutrition knowledge, and self-efficacy by obesity status in upper-grade elementary school students. Nutr Res Pract . 2016;10:597–605. doi:10.4162/nrp.2016.10.6.597 38. Cohen S, Williamson G. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, editors. The Social Psychology of Health: Claremont Symposium on Applied Psychology . Newbury Park, CA, USA: Sage Publications; 1988:31–76. 19. Chirico A, Lucidi F, Galli F, et al. COVID-19 outbreak and physical activity in the Italian Population: a cross-sectional analysis of the underlying psychosocial mechanisms. Front Psychol . 2020;11:2100. doi:10.3389/fpsyg.2020.02100 open access to scientific and medical research Sahbanathul Missiriya Jalal, Mini Rani Mary Beth, Hawraa Jassim Mohammad Al-Hassan, Nuriya Mousa Jafar Alshealah Department of Nursing, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, 31982, Saudi Arabia Correspondence: Sahbanathul Missiriya Jalal Tel 966 564070973 Email Purpose: Several factors influence the student’s physical activity and lifestyle. The coronavirus disease lockdown has restricted student’s activity and altered their routine lifestyle. This prospective cohort study aimed to determine the significant changes in body mass index , physical activity, and lifestyle of the students including diet, sleep, and mental health before and during COVID-19 lockdown. Methods: The study participants were 628 students studying bachelor’s degree programs, between 18 and 30 years of age, both genders from the university of Al-Ahsa, Saudi Arabia. The lockdown began on 23 March and ended on 21 June 2020 in Saudi Arabia. The students were interviewed before and during lockdown. The structured tool included baseline information of the students, anthropometric data, global physical activity questionnaire , dietary recall, Pittsburgh sleep quality index , and perceived stress scale . Chi-square tests were used to associate the baseline information with BMI changes during the lockdown. Results: BMI of the students showed that 32% increased their weight, 22% lost their weight and 46% maintained the same weight during COVID-19 lockdown. The physical activity significantly decreased and sedentary time increased . Regarding the lifestyle components, fast and fried food consumption decreased, and calorie intake increased significantly . Stress level significantly decreased, and sleep level increased during lockdown. The variables associated with weight changes were the level of students and time spent on social media per day . Conclusion: Though half of the students maintained the same BMI during the lockdown, students who increased BMI were associated with physical activity and lifestyle. Hence, health awareness on weight maintenance, active physical activities, and a healthy lifestyle must be created among the students, which help in creating and implementing policies in the future. Keywords: COVID-19, body mass index, weight changes, physical activity, lifestyle, lockdown Back to Journals » Journal of Multidisciplinary Healthcare » Volume 14 50. Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: experience from Poland. Nutrients . 2020;12:1657. doi:10.3390/nu12061657 34. Alkahtani SA. Convergent validity: agreement between accelerometry and the global physical activity questionnaire in college-age Saudi men. BMC Res Notes . 2016;9:436. The structured tool included baseline information of the students, anthropometric data, global physical activity questionnaire , dietary recall, Pittsburgh sleep quality index , and perceived stress scale . 45. Marchant G, Bonaiuto F, Bonaiuto M, Guillet Descas E. Exercise and physical activity ehealth in COVID-19 pandemic: a cross-sectional study of effects on motivations, behavior change mechanisms, and behavior. Front Psychol . 2021;12:618362. doi:10.3389/fpsyg.2021.618362 The above percentage of manuscripts have been rejected in the last 12 months. If you agree to our use of cookies and the contents of our Privacy Policy please click 'accept'. The body weight and height of the students were measured in college during the first point of an interview before lockdown. Students were asked to wear light clothes. From which measurements, BMI was calculated. During the lockdown, students were asked to check their weight in their residence two times in the early morning with their light clothes at the second point of data collection. BMI was calculated by using the mean weight of two measures stated by them. The BMI classifications 31 as per National Institute of Health and the World Health Organization recommendations were used. From the BMI calculated at two points of time, the changes were determined to have increased or decreased BMI. If there were no changes, it was considered as stable BMI. 32 8. Gray CL, Messer LC, Rappazzo KM, Jagai JS, Grabich SC, Lobdell DT. The association between physical inactivity and obesity is modified by five domains of environmental quality in U.S. adults: a cross-sectional study. PLoS One . 2018;13:e0203301. doi:10.1371/journal.pone.0203301 6. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ . 2020;368:m313. doi:10.1136/bmj.m313 35. Gosadi IM, Alatar AA, Otayf MM, et al. Development of a Saudi food frequency questionnaire and testing its reliability and validity. Saudi Med J . 2017;38:636–641. doi:10.15537/smj.2017.6.20055 24. Nakamura M, Shirai Y, Sakuma M. Dietary changes during the COVID-19 pandemic: a longitudinal study using objective sequential diet records from an electronic purchase system in a workplace cafeteria in Japan. Nutrients . 2021;13:1606. doi:10.3390/nu13051606 The authors report no conflicts of interest in this work. Evidence indicated that increased BMI status is highly related to developing severe complications of COVID-19. 11 , 12 The changes in body weight, either obesity or underweight are proven to be important health-related risk factors for various pathologies, including COVID-19. lifestyle articles for students 13 Research proved that both obesity and food insecurity are common public health concerns that usually influences at the individual and environmental levels. Food insecurity has been associated with weight gain and the risk of obesity. 14–16 From editorial acceptance to publication. Many kinds of researches indicated that college student’s physical activities were reduced during the lockdown period. 42–46 In the present study, the mean and SD of sedentary time used daily by the students were 448.7± 73.6 and 517.8 ± 83.03 before and during lockdown respectively, which was significant . GPAQ score was 1116.5 ± 125.3 before lockdown and 1149.2 ± 120.08 during the lockdown, which was also significant . The study was done among UK adults on the obesity, eating behavior, and physical activity during COVID-19 lockdown, which results were predictive of greater overeating and lower physical activity in lockdown. 47 39. Drywien ME, Hamulka J, Zielinska-Pukos MA, Jeruszka-Bielak M, Gornicka M. The COVID-19 pandemic lockdowns and changes in body weight among Polish women. A cross-sectional online survey PlifeCOVID-19 study. Sustainability . 2020;12:7768. doi:10.3390/su12187768 Lifestyle lifestyle articles for students of Students during COVID
Lifestyle lifestyle articles for students of Students during COVID
49. Di Renzo L, Gualtieri P, Pivari F, et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. J Transl Med . 2020;18:229. doi:10.1186/s12967-020-02399-5 Another study aimed to assess changes in obesity and activity patterns among youths during the pandemic lockdown in China. This study results proved that there were significant changes, including the decreased frequency of engaging in active transport, moderate or vigorous and high-intensity housework, physical activity during leisure time, walking during leisure time, and there was increased sedentary, sleeping, and screen time. 48 An Italian survey was conducted to assess the impact of the pandemic on eating habits and lifestyle changes during COVID-19 lockdown, which indicated that weight gain was observed among half of the population and there was a slight increase in physical activity. 49 However, in the current study in Saudi, most students 436 were spent time in sitting at one place for a longer period. And 24.5% were eaten snacks between meals all day and 23% were preferred to eat junk foods for meals always and 31.4% were likely to eat fast foods and fried foods for meals sometimes. Some other studies also witnessed that there was an association between the BMI with less frequent consumption of good nutrient foods like vegetables, fruits, and legumes during the lockdown, and higher adherence to meat, dairy, and fast foods. 50 An observational retrospective study was done in northern Italy resulting that there was a significant association between increased weight gain and not consuming healthy foods and individuals with obesity significantly gained weight one month after the beginning of the quarantine. 51 A longitudinal observational study located in Verona, Italy, conducted to determine the effects of COVID-19 lockdown on lifestyle behaviors in children with obesity proved that the time spent in sports activities decreased in children , and sleep time increased and the watching of screen time also increased per day . 25 , 53 In this research, regarding the time spent on social media, 292 of them used 1 to 2 hours and 167 of them used 5 or more than 5 hours daily. 33. World Health Organization. Global physical activity questionnaire analysis guide . World Health Organization; 2004. Available from: s/surveillance/steps/resources/GPAQ_Analysis_Guide.pdf . Accessed July 7 , 2021 . Figure 1 BMI of the students before and during COVID-19 lockdown. Globally, the prevalence of obesity has risen, reaching pandemic levels. It requires methods that combine individual interventions with environmental and societal changes to decrease obesity prevalence. 9 The leading risk factors in the world for cardiovascular diseases are sedentary lifestyles and physical inactivity. Cardiorespiratory fitness could be achieved by improving physical activity, and healthy lifestyle practices. 10 The lack of weight management activities and unhealthy dietary practices were more common among students and it might have worsened due to the COVID-19 lockdown in Saudi Arabia which is alarming the risk factors and increasing obesity rate. 28 Evidences showed that the poor sleep quality among students was very high in COVID-19 lockdown and that altered sleep might have resulted in lifestyle changes. This has been associated with behavioral changes, dietary changes, and BMI. 29 University students were particularly susceptible to experiencing mental health problems comparing with the general population. 30 Therefore, we conducted this study to test the hypothesis, in which the primary aim of the study was to determine the changes in BMI status, physical activity, and lifestyle of the students including diet, sleep, and mental health of the university students before and during the COVID‐19 lockdown. The secondary aim was to associate the baseline information of the students and parameters with the changed status of BMI. 30. Wathelet M, Duhem S, Vaiva G, et al. Factors associated with mental health disorders among university students in France confined during the COVID-19 pandemic. JAMA Netw Open . 2020;3:e2025591. doi:10.1001/jamanetworkopen.2020.25591 44. Reyes-Olavarria D, Latorre-Roman PA, Guzmán-Guzman IP, Jerez-Mayorga D, Caamano-Navarrete F, Delgado-Floody P. Positive and negative changes in food habits, physical activity patterns, and weight status during COVID-19 confinement: associated factors in the Chilean population. Int J Environ Res Public Health . 2020;17:5431. doi:10.3390/ijerph17155431 14. Metallinos-Katsaras E, Must A, Gorman K. A longitudinal study of food insecurity on obesity in preschool children. J Acad Nutr Diet . 2012;112:1949–1958. doi:10.1016/j.jand.2012.08.031 31. Weir CB, Jan A. BMI classification percentile and cut off points. In: StatPearls . Treasure Island :StatPearls Publishing; 2021 11. Caci G, Albini A, Malerba M, Noonan DM, Pochetti P, Polosa R. COVID-19 and obesity: dangerous liaisons. J Clin Med . 2020;9:2511. doi:10.3390/jcm9082511 25. Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. Obesity . 2020;28:1382–1385. doi:10.1002/oby.22861 9. Bluher M. Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol . 2019;15:288–298. doi:10.1038/s41574-019-0176-8 Authors , Beth MRM, Al-Hassan HJM, Alshealah NMJ 46. Leon-Zarceno E, Moreno-Tenas A, Boix Vilella S, García-Naveira A, Serrano-Rosa MA. Habits and psychological factors associated with changes in physical activity due to COVID-19 confinement. Front Psychol . 2021;12:620745. doi:10.3389/fpsyg.2021.620745 A prospective cohort research design with a survey approach was conducted among the university students at two points, once in before lockdown and another once during lockdown , of the pandemic. The study was conducted according to the guidelines of Helsinki and ethically approved by the Research Ethics Committee, Deanship of Scientific Research at King Faisal University . Informed consent was obtained from all subjects involved in the study before data collection and ensured confidentiality, no risk, anonymity, and voluntary participation. 23. Al-Haifi AR, Al-Fayez MA, Al-Athari BI, et al. Relative contribution of physical activity, sedentary behaviors, and dietary habits to the prevalence of obesity among Kuwaiti adolescents. Food Nutr Bull . 2013;34:6–13. doi:10.1177/156482651303400102 Table 5 Association of Weight Changes and Baseline Information of the Students During Lockdown. Participated students were interviewed for baseline information such as age in years, gender, level of study, marital status, family type, and time spent in social media per day during the initial point of data collection. 5. Wang C, Pan R, Wan X, et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun . 2020;87:40–48. doi:10.1016/j.bbi.2020.04.028 Editor who approved publication: Dr Scott Fraser 18. Al-Rethaiaa AS, Fahmy AEA, Al-Shwaiyat NM. Obesity and eating habits among college students in Saudi Arabia: a cross sectional study. Nutr J . 2010;9:39. doi:10.1186/1475-2891-9-39 Video abstract presented by Sahbanathul Missiriya Jalal.
This study derives strengths in the high power of the sample and fair representation of students from different colleges. This study aimed to associate BMI with physical activity and lifestyle at the college level. Though it is pandemic, we could able to collect the data. The tool was validated by experts and reliability was tested through a pilot study. The findings are obtained through sound analysis by using the software. However, the study has some limitations. The anthropometric measurements at a second point of time were assessed by the students. There were more females than males who participated in the study, which might impact the findings of association. There could be recall bias while collecting lifestyle components. Also, the design of the research did not permit causal inferences in the results. In the future, the study could be involved post-graduate students to assess their BMI changes in such kind of pandemic lockdown. 36. Engelmann G, Marsall M, Skoda EM, et al. Development and validation of the general dietary behavior inventory in scope of international nutrition guidelines. Nutrients . 2021;13:1328. doi:10.3390/nu13041328 From submission to first editorial decision. 26. Franckle R, Adler R, Davison K. Accelerated weight gain among children during summer versus school year and related racial/ethnic disparities: a systematic review. Preventing Chronic Disease . 2014;11:e101. doi:10.5888/pcd11.130355 The lifestyle questionnaire including components such as diet, sleep, and mental health of the university students, was used before and during the COVID‐19 lockdown. The dietary assessment was performed with food frequency questionnaire 35 developed by the Saudi Food and Drug Administration , in this study for both time points; Initially, through direct face-to-face interview, the data was obtained. However, during COVID-19, it was obtained through telecommunication interviews. 36 A total list of 140 food items was included in the questionnaire with closed-ended questions, where consumption frequency choices were stated as the following: never or less than a month, once a week, two to four times per week, five to six times per week, once a day, two to three times per day, four to five times per day, more than 5 times per day. Open-ended questions were included in the questionnaire to collect information about unlisted food items. PSQI 37 was used to assess sleep quality before and during the lockdown. The tool contains 7 components, encompassing 19 questions of self-evaluation, consisting of subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, sleeping medication, and daytime dysfunction. The score for each component can range from zero indicating no difficulty to three indicating severe difficulty. The sum of the seven components gives the total PSQI score between zero and 21 points. The students who scored greater than five considered poor sleepers while those with a PSQI score equal to or less than five considered good sleepers. The PSS 38 is one of the most common scales used to assess the stress level of different population groups, consists of 10 items, including six negative and four positive. The scale measures depression, anxiety, and perception of poor health, as well as decreased satisfaction with self, job, and life in general, which are different psychosocial measures. Each item is rated on a 5-point scale from never scored zero to very often scored four. The students got a higher score, which indicated the higher perceived stress. Total scores range from 0 to 40, in which 0–13 indicating low stress, 14–26 indicating moderate stress, and 27–40 corresponding severe stress. The questionnaire was piloted among 12 students, and they were excluded from the analysis. The reliability of the tool was tested using Cronbach’s alpha after obtaining validity. The authors extend their appreciation to the Deanship of Scientific Research at King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia for its financial support through Nasher track with reference to the research grant number 206130. A study on the direction of the association between body fatness and self-reported screen time in Dutch adolescents resulted in that time spent watching television predicted changes in body mass index. Computer utilization time was significantly predicted to increase skinfolds in boys and girls and BMI in girls alone. 20 Body fatness did not predict any variation in screen time. 21 Other studies also indicated that the frequency of meal intake contributed to the development of obesity. 22 , 23 Another study result revealed that half of Brits had put on weight since their nation started in lockdown. Despite the severity and health consequences of the COVID-19 outbreak is instigating wider conversations around the nation’s health as well as the importance of a balanced lifestyle. 24–27 Though half of the students maintain the same BMI in lockdown, the students increased BMI which was associated with physical and lifestyle factors. Interestingly, among the students who reduced weight may be attributed by reduced intake of fast and fried food during the COVID-19 lockdown. Poor physical activity was reported by many students and most of them using a sedentary lifestyle. It is an alarming report for us to take measures to reduce obesity prevalence. Hence, health awareness such as weight maintenance, active physical activities, a healthy lifestyle including a balanced diet, adequate sound sleep, active and stress-free mental status must be created among the students, which help in creating and implementing policies in the future. 21. Altenburg TM, Singh AS, van Mechelen W, Brug J, Chinapaw MJ. Direction of the association between body fatness and self-reported screen time in Dutch adolescents. Int J Behav Nutr Phys Act . 2012;9:4. doi:10.1186/1479-5868-9-4 20. Abdelhafez AI, Akhter F, Alsultan AA, Jalal SM, Ali A. Dietary practices and barriers to adherence to healthy eating among King Faisal University students. Int J Environ Res Public Health . 2020;17:8945. doi:10.3390/ijerph17238945 37. Suleiman KH, Yates BC, Berger AM, Pozehl B, Meza J. Translating the Pittsburgh sleep quality index into Arabic. West J Nurs Res . 2010;32:250–268. doi:10.1177/0193945909348230 Table 1 displays the basic sociodemographic information of students, which included age in years, gender, year of study, marital status, family type, and source of health information. A total number of 628 students in the bachelor program responded to the survey, in which 445 were females, 194 were the first year and 188 were the second year of college level. Among them, 228 were in the age of 18–19 years. The mean age score was 20.45 ± 1.93 years. The results also showed that 437 and 191 of the students were single and married, respectively. Most of the students 311 belonged to a simple family. Regarding the time spent on social media, 292 of them used 1 to 2 hours and 167 of them used 5 or more than 5 hours daily. Table 1 Baseline Information of the Students. 3. Lopez-Bueno R, Calatayud J, Casana J, et al. COVID-19 confinement and health risk behaviors in Spain. Front Psychol . 2020;11:1426. doi:10.3389/fpsyg.2020.01426 The study was carried out at Al-Ahsa which is the largest governorate in the eastern province of Saudi Arabia. There are many educational organizations available. There, 21,870 students were studying at the graduate courses in various disciplines such as medical, health, science, and arts. The calculation of sample size was determined by using the open-source epidemiologic statistics from the website of public health. From the total undergraduate students, the estimated sample size was 642 with a 95% confidence level and 80% power. The students of graduate programs were selected from their registration numbers by using a simple random technique with the assistance of computerized generation software. However, finally, from those selected participants, 628 students responded to the data collection. 16. Vandoni M, Lovecchio N, Carnevale Pellino V, et al. Self-reported physical fitness in children and adolescents with obesity: a cross-sectional analysis on the level of alignment with multiple adiposity indexes. Children . 2021;8:476. doi:10.3390/children8060476 17. Kerkadi A, Sadig AH, Bawadi H, et al. The relationship between lifestyle factors and obesity indices among adolescents in Qatar. Int J Environ Res Public Health . 2019;16:4428. doi:10.3390/ijerph16224428 1. Garry S, Abdelmagid N, Baxter L, et al. Considerations for planning COVID-19 treatment services in humanitarian responses. Confl Health . 2020;14:80. doi:10.1186/s13031-020-00325-6 The mean and standard deviation of sedentary time used daily by the students were 448.7± 73.6 and 517.8 ± 83.03 before and during lockdown respectively, which was significant . GPAQ score was 1116.5 ± 125.3 before lockdown and 1149.2 ± 120.08 during the lockdown, which was also significant . The GPAQ ≥600 MET-min/week was recommended by 327 before lockdown and 301 during the lockdown, proved statistical significance . Most of the students who maintained the same weight recommended GPAQ ≥600 MET-min/week during the lockdown. Table 3 Comparison of Physical Activity of the Students Before and During Lockdown. The Coronavirus disease 2019 pandemic has the potential to cause considerable morbidity and mortality, affecting the people and health care systems globally. 1 Most of the countries followed restrictive measures such as closing cultural events, prohibiting social events, home confinement, and lockdown to prevent disease transmission and to contain the COVID-19 outbreak. 2 To prevent the spread of COVID-19, educational institutions were closed, and online education was implemented. Although these restrictive measures decreased the COVID-19 spread, it may also lead to health risk behaviors 3 and may impact the student’s physical activity, dietary pattern, sleeping hours, social habits, and mental health. 4 , 5 These health-related factors may affect the normal body weight maintenance of college students. 6 BMI, body mass index; COVID-19, corona virus disease; GPAQ, global physical activity questionnaire; KSA, Kingdom of Saudi Arabia; METs, Metabolic Equivalents; NIH, national institute of health; PSQI, Pittsburgh sleep quality index; PSS, perceived stress scale; SD, standard deviation; WHO, World Health Organization. The Kingdom of Saudi Arabia announced a series of restrictions due to the increasing number of COVID-19 cases. The lockdown began on 23 March and ended on 21 June 2020 to limit the spread of COVID-19. During the lockdown, people could go out of their houses for necessary shopping from 6 am to 7 pm in the partial lockdown period and 6 am to 3 pm in increased timing of lockdown period. Physical activity 7 has been reduced for students because of lockdown movements; this could alter their BMI. One of the common primary contributors to the obesity or overweight epidemic is physical inactivity, which could be promoted or delayed by various environmental factors. 8 This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at ss.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial License . By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms . 4. Ammar A, Brach M, Trabelsi K, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients . 2020;12:1583. doi:10. how do we write a feature article 3