Effect of stressors during COVID-19 lockdown on malnutrition and health-risk behaviors among Jordanian college students: A cross-sectional study

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dc.contributor.authorAlkhalidy, Hanaen
dc.contributor.authorAl-Shami, Islamen
dc.contributor.authorAlnaser, Khadeejahen
dc.contributor.authorAlkharabsheh, Ana'amen
dc.contributor.authorNawaiseh, Halaen
dc.contributor.authorLiu, Dongminen
dc.date.accessioned2025-01-02T19:36:30Zen
dc.date.available2025-01-02T19:36:30Zen
dc.date.issued2024-10-11en
dc.description.abstractA stressful condition such as the emergence of the coronavirus and its related lockdown measures might trigger alterations in college students' behaviors. This cross-sectional study aimed to identify the changes in college students' dietary and lifestyle behaviors during the lockdown and the effect of lockdown-related stressors on health-risk behaviors. A web-based survey was conducted among undergraduate college students in Jordan. Weight and height were reported by the students. The students' dietary and lifestyle behaviors and their changes during 1 month of the countrywide lockdown were assessed. The Perceived Stress Scale-4 was utilized to assess stress levels. Results indicated that 77.2% of the students reported weight changes. Notably, 45.9% increased their intake of unhealthy food, while and 38% opted for healthier food choices. Most students experienced alterations in physical activity (80.0%), screen time (86.2%), smoking, and sleep patterns (85.4%), with a higher tendency toward adopting health-risk behaviors. Perceptions of curfew-related stress were associated with distance learning-related stress (OR = 2.73, CI: 1.08-6.90, P = .034), and a greater change in physical activity (OR = 3.59, CI: 1.36-9.48, P = .010). Additionally, weight changes were associated with perception of other types of stressors (OR = 3.39, CI: 1.39-8.28, P = .007). Overall, there was a considerable increase in malnutrition and health-risk behaviors among students during the lockdown. Understanding students' responses to these stressful conditions and the role of stress in driving behavioral changes are crucial for developing interventions that enhance college students' adaptation to such changes and maintaining healthy dietary and lifestyle behaviors in the future.en
dc.description.versionPublished versionen
dc.format.extent9 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifierARTN e40116 (Article number)en
dc.identifier.doihttps://doi.org/10.1097/MD.0000000000040116en
dc.identifier.eissn1536-5964en
dc.identifier.issn0025-7974en
dc.identifier.issue41en
dc.identifier.orcidLiu, Dongmin [0000-0002-3877-8198]en
dc.identifier.otherPMC11479516en
dc.identifier.other00005792-202410110-00008 (PII)en
dc.identifier.pmid39465790en
dc.identifier.urihttps://hdl.handle.net/10919/123877en
dc.identifier.volume103en
dc.language.isoenen
dc.publisherLippincott Williams & Wilkinsen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/39465790en
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectbehavioren
dc.subjectcollege studentsen
dc.subjectCOVID-19en
dc.subjectJordanen
dc.subjectlockdownen
dc.subjectstressen
dc.subject.meshHumansen
dc.subject.meshMalnutritionen
dc.subject.meshExerciseen
dc.subject.meshCross-Sectional Studiesen
dc.subject.meshStress, Psychologicalen
dc.subject.meshLife Styleen
dc.subject.meshQuarantineen
dc.subject.meshStudentsen
dc.subject.meshUniversitiesen
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshJordanen
dc.subject.meshFemaleen
dc.subject.meshMaleen
dc.subject.meshYoung Adulten
dc.subject.meshHealth Risk Behaviorsen
dc.subject.meshCOVID-19en
dc.subject.meshSARS-CoV-2en
dc.titleEffect of stressors during COVID-19 lockdown on malnutrition and health-risk behaviors among Jordanian college students: A cross-sectional studyen
dc.title.serialMedicineen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dc.type.otherJournalen
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/Agriculture & Life Sciencesen
pubs.organisational-groupVirginia Tech/Agriculture & Life Sciences/Human Nutrition, Foods, & Exerciseen
pubs.organisational-groupVirginia Tech/Faculty of Health Sciencesen
pubs.organisational-groupVirginia Tech/All T&R Facultyen
pubs.organisational-groupVirginia Tech/Agriculture & Life Sciences/CALS T&R Facultyen

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