PDF(Pubmed)
Abstract：
Background and Objectives: Overweight and obesity are growing public health challenges, particularly concerning young adults. University life presents a unique set of stressors that may influence weight management alongside sleep quality. In this cross-sectional study, we aimed to investigate the association between overweight or obesity, stress, and sleep quality in a large sample of Greek university students. Materials and Methods: The study recruited 2116 active students from across various Greek universities. Participants completed questionnaires on sociodemographics, academic performance, and physical activity levels using the International Physical Activity Questionnaire (IPAQ). Stress and sleep quality were assessed using the Perceived Stress Scale (PSS) and the Pittsburgh Sleep Quality Index (PSQI), respectively. Body weight and height were directly measured to calculate Body Mass Index (BMI). Results: Our analysis of 2116 Greek university students revealed significant associations between various factors and overweight/obesity. Compared to their rural counterparts, young adults in urban areas had an 88% higher prevalence of overweight/obesity (p = 0.0056). Regular smokers were twice as likely to be overweight or obese (p = 0.0012). Notably, those with low physical activity levels displayed a more than two-fold increased risk (p = 0.0008) compared to those with moderate or high activity levels. Similarly, students with moderate or high perceived stress levels had a more than two-fold prevalence of overweight/obesity compared to those with low stress (p = 0.0005). Inadequate sleep quality was also associated with an 86% higher risk of overweight/obesity (p = 0.0007). Interestingly, good academic performance showed a 57% greater prevalence of overweight/obesity compared to very good/excellent performance (p = 0.0103). Conclusions: Our findings reveal that perceived stress and poor sleep quality are significant risk factors for overweight and obesity in this young adult population.
摘要：
背景和目标：超重和肥胖是日益增长的公共卫生挑战，尤其是年轻人。大学生活呈现出一系列独特的压力源，这些压力源可能会影响体重管理以及睡眠质量。在这项横断面研究中，我们的目的是调查超重或肥胖之间的关联，压力，以及大量希腊大学生的睡眠质量。材料和方法：该研究招募了来自希腊各大学的2116名活跃学生。参与者完成了社会人口统计问卷，学业成绩,和身体活动水平使用国际身体活动问卷（IPAQ）。使用感知压力量表（PSS）和匹兹堡睡眠质量指数（PSQI）评估压力和睡眠质量，分别。直接测量体重和身高以计算体重指数（BMI）。结果：我们对2116名希腊大学生的分析显示，各种因素与超重/肥胖之间存在显着关联。与农村同行相比，城市地区年轻人的超重/肥胖患病率高出88%(p=0.0056).经常吸烟者超重或肥胖的可能性是后者的两倍（p=0.0012）。值得注意的是,与中等或高活动水平的人相比,低体力活动水平的人的风险增加了2倍以上(p=0.0008).同样，中等或高应激水平的学生超重/肥胖患病率是低应激水平学生的2倍以上(p=0.0005).睡眠质量不足也与超重/肥胖风险增加86%相关(p=0.0007)。有趣的是,良好的学业成绩显示,与非常好/优秀的成绩相比,超重/肥胖的患病率高出57%(p=0.0103).结论：我们的发现表明，感知压力和睡眠质量差是该年轻成年人群超重和肥胖的重要危险因素。
