Physical Activity and Academic-Achievement of Medical Students: An Analytic Cross-sectional Study in Karachi

Authors

  • Naila Baig Department of Medical Education, Directorate of Educational Development, Ziauddin University, Karachi, Pakistan
  • Mirza Altamish Muhammad Baig Department of Ophthalmology and Visual Sciences, Aga Khan University Hospital, Karachi, Pakistan
  • Khubaib Muhammad Shamim Meah Department of Forensic Medicine, Ziauddin Medical College, Ziauddin University, Karachi, Pakistan

DOI:

https://doi.org/10.53685/jshmdc.v5i1.206

Keywords:

Physical Activity, Academic Achievement, Academic Scores, Medical Students

Abstract

Background: Physical inactivity is prevalent among medical students, with inconsistent academic scores. Physical activity enhances cognition and performance and improves academic achievement.

Objective: To determine how medical students’ physical activity and associated factors influence academic achievement. 

Methods: Using convenience sampling, this analytic cross-sectional study involved Dow International Medical College MBBS students of 1st year and 2nd year, to fill the International-Physical-Activity-Questionnaire-S7S. This estimated day-to-day physical activity/week, metabolic equivalent task (MET)-minutes/week, as physical-activity-scores. Annual examination percentage scores were used as academic achievement scores. Statistical significance was determined at p<0.05.

Results: The response rate was 229/307 (74.6%). Median physical activity scores and academic achievement scores were 1188.00 MET-minutes/week and 59.28%. Males were more physically active (p=0.001) despite the female predominance of 54.15%, and 2nd-year students (n=113), had significantly higher academic achievement scores (p=0.001). Ethnicity, physical limitation, and smoking status had insignificant effects on academic achievement. There was no statistically-significant difference in physical-activity-scores and academic-achievement-scores as per different age-groups (p=0.933, ηp2=0.003 and, p=0.276, ηp2=0.011), and BMI-groups (p=0.218, ηp2=0.021 and (p=0.044, ηp2=0.039). There was a tendency for between-the-group variance (p=0.04) in the “normal-weight” and “obese” BMI groups.  

Physical-activity-scores and academic-achievement-scores showed no correlation (rs=0.035, p=0.597), and were independent of sitting hours/day (rs=0.043, p=0.558 and rs=0.039, p=0.603), sleep-hours/day (rs=0.077, p=0.223 and rs=0.001, p=0.984), and study hours/day (rs=0.040, p=0.556 and rs=0.091, p=0.181). Physical activity categories and academic achievement groups appeared independent of each other with no effect. (p=0.363, φc=0.097).  

Conclusion: Physical activity has no effect on academic achievement of undergraduate medical students. Male students were physically more active but there was no association of gender with academic achievement.

 

References

Abdulghani HM, Al-Drees AA, Khalil MS, Ahmad F, Ponnamperuma GG, Amin Z. What factors determine academic achievement in high achieving undergraduate medical students? A qualitative study. Med Teach. 2014; 36 Suppl 1: S43-S48. doi: 10.3109/0142159X.2014.886011.

Agarwal S, Bhalla P, Kaur S, Babbar R. Effect of body mass index on physical self concept, cognition & academic performance of first year medical students. Indian J Med Res. 2013; 138(4): 515-522.

Sudha B, Samuel AJ, Narkeesh K. Feasibility online survey to estimate physical activity level among the students studying professional courses: a cross-sectional online survey. J. Exerc. Rehabil. 2018; 14: 58-63. doi:10.12965/jer.1835130.565.

Elmagd MA, Mossa AH, Sami MM, El-Marsafawy TS, Jadaan OA, Mudawi MSE. The impact of physical activity on the academic performance among medical and health sciences students: a cross sectional study from RAKMHSU - Ras Alkhaimah-UAE. Int. J. Sports Health Phys. Educ. 2015; 2: 92-95.

Dąbrowska-Galas M, Plinta R, DąBrowska J, Skrzypulec-Plinta V. Physical Activity in Students of the Medical University of Silesia in Poland. Phys Ther. 2013; 93: 384-392.doi: 10.2522/ptj.20120065.

Al-Drees A, Abdulghani H, Irshad M, Baqays AA, Al-Zhrani AA, Alshammari SA, et al. Physical activity and academic achievement among the medical students: A cross-sectional study. Med Teach. 2016; 38: S66–S72. doi:10.3109/0142159x.2016.1142516.

Slade AN, Kies SM. The relationship between academic performance and recreation use among first-year medical students. Med Educ Online. 2015; 20: 25105. doi:10.3402/meo.v20.25105.

Keeley TJH, Fox KR. The impact of physical activity and fitness on academic achievement and cognitive performance in children. Int Rev Sport Exerc Psychol. 2009; 2: 198-214. doi:10.1080/ 17509840903233822.

de Greeff JW, Bosker RJ, Oosterlaan J, Visscher C, Hartman E. Effects of physical activity on executive functions, attention and academic performance in preadolescent children: a meta-analysis. J Sci Med Sport. 2018; 21(5): 501-507. doi: 10.1016/j.jsams.2017.09.595.

Wassenaar TM, Wheatley CM, Beale N, Nichols T, Salvan P, Meaney A, Atherton K, et al. The effect of a one-year vigorous physical activity intervention on fitness, cognitive performance and mental health in young adolescents: the Fit to Study cluster randomised controlled trial. Int J Behav Nutr Phys Act. 2021;18(1):47.doi: 10.1186/s12966-021-01113-y.

Babenko O, Mosewich A, Abraham J, Lai H. Contributions of psychological needs, self-compassion, leisure-time exercise, and achievement goals to academic engagement and exhaustion in Canadian medical students. J Educ Eval Health Prof. 2018; 15: 2. doi:10.3352/ jeehp.2018.15.2.

WHO guidelines on physical activity and sedentary behavior. World Health Organization; 2020.

Bandura A. Social Cognitive Theory in Cultural Context. Appl Psychol. 2002;51: 269-290. doi:10.1111/1464-0597.00092.

Sandars J, Cleary TJ. Self-regulation theory: Applications to medical education: AMEE Guide No. 58. Med Teach. 2011; 33: 875-886. doi:10.3109/0142159x.2011.595434.

Al-Asousi M, El-Sabban F. Physical Activity among Preclinical Medical Students at The University of Malaya, Malaysia. J Nutr Health Food Sci. 2016; 4: 1-8. doi: 10.15226/jnhfs.2016.00159.

Khan ZN, Assir MZK, Shafiq M, Chaudhary A-E-G, Jabeen A. High prevalence of preobesity and obesity among medical students of Lahore and its relation with dietary habits and physical activity. Indian J Endocrinol Metab. 2016; 20: 206. doi:10.4103/2230-8210.176357.

Nasir U, Butt AF, Choudry S. A Study to Evaluate the Lifestyle of Medical Students in Lahore, Pakistan. Curēus 2019.doi:10.7759/cureus.4328.

Afzal F, Rasul A, Basharat A, Zahra SA, Khan RA, Shahbaz M, et al. Prevalence of Physical Inactivity in Students of Sargodha Medical College. J Nov Physiother. 2018; 08. doi:10.4172/2165-7025.1000390.

Maqbool S, Safian HA, Mubeen H, Arsh L, Khan MS, Sundus O. Impact of Physical Activity and Stress on Academic Performance of MBBS Students of Rawalpindi Medical University. Eur J Med Health Sci. 2020; 2. doi:10.24018/ ejmed.2020.2.5.467.

Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)-short and long forms. Version 2.0. April 2004 https://www.physio-pedia.com/images/c/c7/Quidelines_for_interpreting_the_IPAQ.pdf, Accessed on January 2022.

Wattanapisit A, Vijitpongjinda S, Saengow U, Amaek W, Thanamee S, Petchuay P. Results from the Medical School Physical Activity Report Card (MSPARC) for a Thai Medical School: a mixed methods study. BMC Med Educ. 2018; 18. doi:10.1186/s12909-018-1408-7.

Alhaqbani AS, AlMaini RY, Alshalhoub MZ, Mcrabi AH, Marenga AS, Omair AA. Appraising the degree of physical activities among male students at a Saudi medical school. J Taibah Univ Med Sci. 2020; 15: 417–421.doi:10.1016/ j.jtumed. 2020.06.004.

World Health Organization. Global Action Plan on Physical Activity 2018-2030. World Health Organization;2018. https://www.who.int/publications/i/item/9789241514187

World Health Organization Global Health Observatory Data Repository 2022

Ojha P, Pandey N, Singh S. Physical fitness score and academic performance in medical students. Natl J Physiol Pharm Pharmacol. 2018; 8: 1031-1034.

Downloads

Published

06/29/2024

How to Cite

1.
Baig N, Baig MAM, Meah KMS. Physical Activity and Academic-Achievement of Medical Students: An Analytic Cross-sectional Study in Karachi. J Shalamar Med Dent Coll [Internet]. 2024 Jun. 29 [cited 2024 Sep. 8];5(1):24-33. Available from: https://journal.smdc.edu.pk/index.php/journal/article/view/206

Issue

Section

Original Articles