Impact of the COVID-19 pandemic on physical activity, smoking, alcohol use, and mental well-being—A longitudinal study of nursing students at Wroclaw Medical University in Poland

Kosendiak, Aureliusz Andrzej; Wysocki, Michał; Krysiński, Paweł; Kuźnik, Zofia; Adamczak, Bartosz

doi:10.3389/fpubh.2023.1249509

Cited by 3 publications

(3 citation statements)

References 62 publications

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“…Regarding the analysis of Body Mass Index (BMI), during both temporal periods, the prevalence of participants categorized as overweight (BMI < 25) or underweight (BMI > 18.5) ranged between 10 and 15%, with the rate of abnormal BMI constituting approximately one-quarter of the respondents. Similar results were obtained in a longitudinal study on Polish nursing students between 2019 and 2021 (23.44% of abnormal BMI on average) [48]. The outcome of our study demonstrates a favorable result in comparison to various studies conducted across diverse populations, such as in Poland (36.3%) [49] and Spain (30.3%) [50].…”

Section: Anthropometric Datasupporting

confidence: 89%

Impact of Medical School on the Relationship between Nutritional Knowledge and Sleep Quality—A Longitudinal Study of Students at Wroclaw Medical University in Poland

Kosendiak,

Adamczak,

Kuźnik

et al. 2024

Nutrients

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The aim of this study was to investigate the impact of the first year of medical school on the relationship between nutritional knowledge and sleep. To achieve this, first-year medical students at Wroclaw Medical University were invited to participate in the study during both the initial and final months of their first academic year. The study included 570 students in the initial period and 705 in the latter. The research questionnaire comprised the KomPAN, assessing nutritional knowledge, and the Pittsburgh Sleep Quality Index (PSQI), evaluating sleep quality. The majority of students demonstrated at least sufficient nutritional knowledge, while approximately two-thirds of students experienced poor sleep in both periods. Notably, sleep quality further deteriorated in the second period (PSQI total score: 6.86 vs. 7.38, p = 0.0157). This change was influenced mainly by a decrease in sleep duration and an increase in the use of sleep medications (both p < 0.0001). The significant difference in overall sleep quality between different nutritional knowledge levels emerged only in the second semester, where students with the highest nutritional knowledge slept the best, while those with the lowest slept the worst (p = 0.0001). Crucially, in both periods, the use of sleep medications was highest among individuals with insufficient nutritional knowledge. Throughout the academic year, the usage increased for all except those with the highest nutritional knowledge, who exhibited the best sleep (p < 0.0001). The escalating use of sleep medications among medical students warrants greater attention, and leveraging the relationship between nutritional knowledge and sleep could prove beneficial, as positive habits in one domain may positively influence the other.

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Section: Anthropometric Datasupporting

confidence: 89%

Impact of Medical School on the Relationship between Nutritional Knowledge and Sleep Quality—A Longitudinal Study of Students at Wroclaw Medical University in Poland

Kosendiak,

Adamczak,

Kuźnik

et al. 2024

Nutrients

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“…According to a study conducted in 2015, the incidence of obesity among non-medical Polish university students stood at 3.9% [51]. A previous longitudinal study conducted on Polish medical students from 2019 to 2021 [52], and another in 2023 [17], similarly reported an average of one-quarter of students with an abnormal BMI. Our study exhibited a favorable outcome in comparison to various investigations across populations, including those in Poland (36.3%) [53] and Spain (30.3%) [54].…”

Section: Discussionmentioning

confidence: 99%

How Dietary Choices and Nutritional Knowledge Relate to Eating Disorders and Body Esteem of Medical Students? A Single-Center Cross-Sectional Study

Kosendiak,

Adamczak,

Kuźnik

et al. 2024

Nutrients

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Eating disorders and body image concerns are increasingly prevalent issues among young individuals, with medical students being particularly vulnerable due to heightened stress levels. This study enrolled 879 medical students to investigate these concerns. The KomPAN questionnaire was utilized to assess dietary habits and knowledge, the Body Esteem Scale (BES) to evaluate body satisfaction, and The Eating Attitudes Test (EAT-26) to identify eating disorders. A higher level of nutritional knowledge was found to be statistically significantly associated with attempts at excessive calorie restriction among women (β = 0.0864) and negatively among men (β = −0.2039). Moreover, it was negatively associated with self-control of food intake only among men (β = −0.2060). Furthermore, a higher BMI was associated with attempts of excessive calorie restriction in both women and men (β = 0.1052 and β = 0.1656, respectively) and negatively with self-control of food intake (β = −0.0813 and β = −0.1453, respectively). A higher BMI was associated with poorer body esteem across all variables in both genders, except for upper body strength among men. Nutritional knowledge did not correspond with any of these variables, while dietary quality was positively associated with physical condition in women and with physical condition, physical attractiveness, and upper body strength in men. Our study findings suggest that dietary interventions could be improved by considering gender-based behavioral differences and focusing on portion control for individuals with a higher BMI. Caution is warranted in extrapolating the results to the general population due to the specific nature of the study population.

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“…The decreased rate of Lyme disease in 2020 and 2021 may arise from the imposed lockdown and quarantine measures leading to decreased physical activity levels among Poles. 79 In addition, in April 2020, the Polish government temporarily barred the public from green sites, including parks and forests, 80,81 which may further contribute to the decreased transmission of Borrelia sp. However, these factors should also lead to a declined rate of tick-borne encephalitis cases, which was not observed in our study.…”

Section: Tick-borne Infectionsmentioning

confidence: 99%

The burden of infectious diseases throughout and after the COVID‐19 pandemic (2020–2023) and Russo‐Ukrainian war migration

Rzymski,

Zarębska‐Michaluk,

Parczewski

et al. 2024

Journal of Medical Virology

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Understanding how the infectious disease burden was affected throughout the COVID‐19 pandemic is pivotal to identifying potential hot spots and guiding future mitigation measures. Therefore, our study aimed to analyze the changes in the rate of new cases of Poland's most frequent infectious diseases during the entire COVID‐19 pandemic and after the influx of war refugees from Ukraine. We performed a registry‐based population‐wide study in Poland to analyze the changes in the rate of 24 infectious disease cases from 2020 to 2023 and compared them to the prepandemic period (2016–2019). Data were collected from publicly archived datasets of the Epimeld database published by national epidemiological authority institutions. The rate of most of the studied diseases (66.6%) revealed significantly negative correlations with the rate of SARS‐CoV‐2 infections. For the majority of infectious diseases, it substantially decreased in 2020 (in case of 83%) and 2021 (63%), following which it mostly rebounded to the prepandemic levels and, in some cases, exceeded them in 2023 when the exceptionally high annual rates of new cases of scarlet fever, Streptococcus pneumoniae infections, HIV infections, syphilis, gonococcal infections, and tick‐borne encephalitis were noted. The rate of Clostridioides difficile enterocolitis was two‐fold higher than before the pandemic from 2021 onward. The rate of Legionnaires’ disease in 2023 also exceeded the prepandemic threshold, although this was due to a local outbreak unrelated to lifted COVID‐19 pandemic restrictions or migration of war refugees. The influx of war migrants from Ukraine could impact the epidemiology of sexually transmitted diseases. The present analysis indicates that continued efforts are needed to prevent COVID‐19 from overwhelming healthcare systems again and decreasing the control over the burden of other infectious diseases. It also identifies the potential tipping points that require additional mitigation measures, which are also discussed in the paper, to avoid escalation in the future.

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Impact of the COVID-19 pandemic on physical activity, smoking, alcohol use, and mental well-being—A longitudinal study of nursing students at Wroclaw Medical University in Poland

Cited by 3 publications

References 62 publications

Impact of Medical School on the Relationship between Nutritional Knowledge and Sleep Quality—A Longitudinal Study of Students at Wroclaw Medical University in Poland

Impact of Medical School on the Relationship between Nutritional Knowledge and Sleep Quality—A Longitudinal Study of Students at Wroclaw Medical University in Poland

How Dietary Choices and Nutritional Knowledge Relate to Eating Disorders and Body Esteem of Medical Students? A Single-Center Cross-Sectional Study

The burden of infectious diseases throughout and after the COVID‐19 pandemic (2020–2023) and Russo‐Ukrainian war migration

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