A relationship between dietary quality and the perception of stress among medical students
DOI:
https://doi.org/10.61661/congresso.cbmev.6.2023.35Keywords:
food quality, lifestyle medicine, studentsAbstract
Introduction: When entering a university, it is common to adopt a more sedentary lifestyle and an inadequate diet. Furthermore, the level of overload and responsibility associated with the academic medical routine can trigger high levels of stress, which can influence a worsening of eating behavior. Objectives: To evaluate the possible relationship between stress and the dietary quality of medical students from the 1st to the 8th period. Methods: This is a cross-sectional observational study, which collected data through the application of the Rapid Eating Assessment for Participants - Shortened Version (REAPS) and Perceived Stress Scale 14 (PSS-14) questionnaires adapted to the Portuguese language. The PSS-14 has 14 questions scored from 0 to 4, their sum varies from 0 to 56 and the higher the score, the greater the perception of stress. In REAPS, the score varies from 13 to 39 points, with the higher the score, the better the food quality. Authorized by CEP 40145420.0.0000.5244. Results: To date, there have been 129 participants, of which 45 (34.9%) are male and 84 (65.1%) female, with an average age of 21±4.5 years. The average scores for the REAPS and PSS 14 questionnaires were, respectively, 28.0±4.0 and 31.0±8.6. The 1st period demonstrated better performance in REAPS (29.3±3.2), while the 4th period recorded the lowest score (26.6±3.9). With regard to PSS 14, the 7th period obtained the highest score (35.5±8.1), and the 8th period the lowest (25.6±3.8). Students who live with their parents had a worse score on the REAPS (27.9±4.2), those who live with classmates have a higher score on the PSS-14 (32.8±9.0). Conclusion: The results of this preliminary study are still uncertain in relating dietary quality and stress levels between graduation periods. It is important to consider the impact of stress on eating, requiring targeted strategies to improve eating habits and manage stress throughout training.
References
Bendor, C.D., Bardugo, A., Pinhas-Hamiel, O. et al. Cardiovascular morbidity, diabetes and cancer risk among children and adolescents with severe obesity. Cardiovasc Diabetol 19, 79 (2020). https://doi.org/10.1186/s12933-020-01052-1 DOI: https://doi.org/10.1186/s12933-020-01052-1
Bowen, K. J., Sullivan, V. K., Kris-Etherton, P. M., & Petersen, K. S. (2018). Nutrition and Cardiovascular Disease-an Update. Current atherosclerosis reports, 20(2), 8. https://doi.org/10.1007/s11883-018-0704-3 DOI: https://doi.org/10.1007/s11883-018-0704-3
BREWER, L. C. et al. Stress and achievement of cardiovascular health metrics: The American Heart Association Life’s Simple 7 in blacks of the Jackson heart study. Journal of the American Heart Association, v. 7, n. 11, 2018. DOI: https://doi.org/10.1161/JAHA.118.008855
CAMPANIELLO, D. et al. How Diet and Physical Activity Modulate Gut Microbiota: Evidence, and Perspectives. Nutrients MDPI, 1 jun. 2022. DOI: https://doi.org/10.3390/nu14122456
Eckel, Robert H et al. “2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.” Circulation vol. 129,25 Suppl 2 (2014): S76-99. https://doi.org/10.1161/01.cir.0000437740.48606.d1 DOI: https://doi.org/10.1161/01.cir.0000437740.48606.d1
EL ANSARI, W.; ADETUNJI, H.; OSKROCHI, R. Food and mental health: Relationship between food and perceived stress and depressive symptoms among university students in the United Kingdom. Central European journal of public health, v. 22, n. 2, p. 90–97, 2014. DOI: https://doi.org/10.21101/cejph.a3941
Kandiah J, Yake M, Jones J, Meyer M. O estresse influencia o apetite e as preferências alimentares reconfortantes em mulheres universitárias. Nutr Res. 2006;26(3):118-23. DOI: https://doi.org/10.1016/j.nutres.2005.11.010
KANG, D. S. et al. Association between exercise habit changes and mortality following a cardiovascular event. Heart British Cardiac Society, Mai 2022. DOI: https://doi.org/10.1136/heartjnl-2022-320882
KRIS-ETHERTON, P. M. et al. Nutrition and behavioral health disorders: Depression and anxiety. Nutrition Reviews, v. 79, n. 3, p. 247–260, 1 mar. 2021. DOI: https://doi.org/10.1093/nutrit/nuaa025
KUCUK, O. Walk more, eat less, don’t stress. Cancer epidemiology, biomarkers & prevention: a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, v. 31, n. 9, p. 1673–1674, Set. 2022 DOI: https://doi.org/10.1158/1055-9965.EPI-22-0609
LLOYD-JONES, D. M. et al. Life’s Essential 8: Updating and enhancing the American Heart Association’s construct of cardiovascular health: A presidential advisory from the American Heart Association. Circulation, v. 146, n. 5, 2022. DOI: https://doi.org/10.1161/CIR.0000000000001078
MIKOLAJCZYK, R. T.; EL ANSARI, W.; MAXWELL, A. E. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutrition journal, v. 8, n. 1, 2009 DOI: https://doi.org/10.1186/1475-2891-8-31
Pires, C. G. da S., & Mussi, F. C.. (2016). Excesso de peso em universitários ingressantes e concluintes de um curso de enfermagem. Escola Anna Nery, 20(4), e20160098. https://doi.org/10.5935/1414-8145.20160098 DOI: https://doi.org/10.5935/1414-8145.20160098
Rajaram S, Jones J, Lee GJ. Plant-Based Dietary Patterns, Plant Foods, and Age-Related Cognitive Decline. Adv Nutr. 2019 Nov 1;10(Suppl_4):S422-S436. https://doi.org/10.1093/advances/nmz081. PMID: 31728502; PMCID: PMC6855948. DOI: https://doi.org/10.1093/advances/nmz081
RAMÓN-ARBUÉS, E. et al. Eating behavior and relationships with stress, anxiety, depression and insomnia in university students. Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral, 2019. DOI: https://doi.org/10.20960/nh.02641
ROTH, G. A. et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. Journal of the American College of Cardiology, v. 70, n. 1, p. 1–25, 2017.
SOGARI, G. et al. College students and eating habits: A study using an Ecological Model for healthy behavior. Nutrients, v. 10, n. 12, p. 1823, 2018. DOI: https://doi.org/10.3390/nu10121823
STOK, F. et al. Understanding eating behavior during the transition from adolescence to young adulthood: A literature review and perspective on future research directions. Nutrients, v. 10, n. 6, p. 667, 2018. DOI: https://doi.org/10.3390/nu10060667
THE US BURDEN OF DISEASE COLLABORATORS et al. The state of US health, 1990-2016: Burden of diseases, injuries, and risk factors among US states. JAMA: the journal of the American Medical Association, v. 319, n. 14, p. 1444, 2018.
Yadav M. Diet, Sleep and Exercise: The Keystones of Healthy Lifestyle for Medical Students. JNMA J Nepal Med Assoc. 2022 Sep 1;60(253):841-843. https://doi.org/10.31729/jnma.7355. PMID: 36705141; PMCID: PMC9794932. DOI: https://doi.org/10.31729/jnma.7355
ZORZO, R. A. Impacto do microbioma intestinal no eixo cérebro-intestino. International Journal of Nutrology, a.10, n.1, p. 298-305, mar. 2017 DOI: https://doi.org/10.22565/ijn.v10i1.282
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