Investigation of sleep quality and musculoskeletal pain of university students during the pandemic period

Sleep quality and pain of university students

Authors

Keywords:

sleep, exercise, screen time, pain, distance education

Abstract

Background/Aim: The transition to distance education due to the coronavirus-19 restrictions changed the routines of university students, and physical activity and sleep status were affected due to increased computer screen use. Determining the factors affecting the sleep quality and musculoskeletal pain of university students during the pandemic period will guide the measures that can be taken to address these changes. The aim of this study was to investigate sleep quality and musculoskeletal pain of university students during the pandemic. Our research asked, “What are the factors affecting sleep quality during the pandemic period and does a difference between the musculoskeletal pain of those with good and bad sleep quality exist?”

Methods: University students receiving distance education were included in this cross-sectional study. Students’ demographic characteristics, exercise habits, daily use of smart mobile devices were questioned via an online form. The Pittsburgh Sleep Quality Index was used to evaluate sleep quality, and the Cornell Musculoskeletal Discomfort Questionnaire was used to evaluate musculoskeletal pain. Sleep quality status based on regular exercise and daily mobile device usage time were compared. In addition, the musculoskeletal discomforts of the participants with good or bad sleep quality were compared.

Results: Two-hundred twenty-one university students were included in the study (187 female, 34 male). Sleep quality was better in those who exercised regularly (P=0.005). Subjective sleep quality and sleep latency scores were better for those who used smart mobile devices less than 5 h a day (P=0.002 and P=0.018, respectively). Those with good sleep quality had less musculoskeletal discomfort (P<0.001).

Conclusion: The findings of our study showed that increased physical inactivity and smart mobile device use during the distance education period negatively affect sleep quality. Since those with poor sleep quality have more musculoskeletal pain, we think that preventive measures, such as reducing screen time and inactivity, should be taken in distance education students to prevent health problems that may be associated with poor sleep status.

Downloads

Download data is not yet available.

References

Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020;92:401-2. doi: 10.1002/jmv.25678. DOI: https://doi.org/10.1002/jmv.25678

World Health Organization. World Health Organization coronavirus disease (COVID-19) dashboard [Internet]. 2020. Available from: https://covid19.who.int/ Accessed: 10.02.2022.

Dikmen S, Bahçeci F. Covid-19 pandemisi sürecinde yükseköğretim kurumlarının uzaktan eğitime yönelik stratejileri: Fırat Üniversitesi örneği. TURK-JES. 2020;7:78-98. doi: 10.33907/turkjes.721685. DOI: https://doi.org/10.33907/turkjes.721685

Guo YF, Liao MQ, Cai WL, Yu XX, Li SN, Ke XY, et al. Physical activity, screen exposure and sleep among students during the pandemic of COVID-19. Sci Rep. 2021;11(1):8529. doi: 10.1038/s41598-021-88071-4. DOI: https://doi.org/10.1038/s41598-021-88071-4

AlDabal L, BaHammam AS. Metabolic, endocrine, and immune consequences of sleep deprivation. Open Respir Med J. 2011;5:31-43. doi: 10.2174/1874306401105010031. DOI: https://doi.org/10.2174/1874306401105010031

Wallander MA, Johansson S, Ruigómez A, García Rodríguez LA, Jones R. Morbidity associated with sleep disorders in primary care: a longitudinal cohort study. Prim Care Companion J Clin Psychiatry. 2007;9:338-45. doi: 10.4088/pcc.v09n0502. DOI: https://doi.org/10.4088/PCC.v09n0502

Mirghani HO, Mohammed OS, Almurtadha YM, Ahmed MS. Good sleep quality is associated with better academic performance among Sudanese medical students. BMC Res Notes. 2015;8:706. doi: 10.1186/s13104-015-1712-9. DOI: https://doi.org/10.1186/s13104-015-1712-9

Majumdar P, Biswas A, Sahu S. COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India. Chronobiol Int. 2020;37:1191-200. doi: 10.1080/07420528.2020.1786107. DOI: https://doi.org/10.1080/07420528.2020.1786107

Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-7. doi: 10.1016/S0140-6736(20)30547-X. DOI: https://doi.org/10.1016/S0140-6736(20)30547-X

Brazendale K, Beets MW, Weaver RG, Pate RR, Turner-McGrievy GM, Kaczynski AT, et al. Understanding differences between summer vs. school obesogenic behaviors of children: the structured days hypothesis. Int J Behav Nutr Phys Act. 2017;14(1):100. doi: 10.1186/s12966-017-0555-2. DOI: https://doi.org/10.1186/s12966-017-0555-2

Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy. J Sleep Res. 2020;29:e13074. doi: 10.1111/jsr.13074. DOI: https://doi.org/10.1111/jsr.13074

Marelli S, Castelnuovo A, Somma A, Castronovo V, Mombelli S, Bottoni D, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. J Neurol. 2021;268(1):8-15. doi: 10.1007/s00415-020-10056-6. DOI: https://doi.org/10.1007/s00415-020-10056-6

Benham G. Stress and sleep in college students prior to and during the COVID‐19 pandemic. Stress Health. 2021;37:504-15. doi: 10.1002/smi.3016. DOI: https://doi.org/10.1002/smi.3016

Wunsch K, Kasten N, Fuchs R. The effect of physical activity on sleep quality, well-being, and affect in academic stress periods. Nat Sci Sleep. 2017;9:117-26. doi: 10.2147/NSS.S132078. DOI: https://doi.org/10.2147/NSS.S132078

Mahfouz MS, Ali SA, Bahari AY, Ajeebi RE, Sabei HJ, Somaily SY, et al. Association between sleep quality and physical activity in Saudi Arabian university students. Nat Sci Sleep. 2020;12:775-82. doi: 10.2147/NSS.S267996. DOI: https://doi.org/10.2147/NSS.S267996

Zhai X, Ye M, Wang C, Gu Q, Huang T, Wang K, et al. Associations among physical activity and smartphone use with perceived stress and sleep quality of Chinese college students. Mental Health and Physical Activity. 2020;18:100323. doi: 10.1016/j.mhpa.2020.100323 DOI: https://doi.org/10.1016/j.mhpa.2020.100323

Ercan Ş, Keklicek H. COVID-19 pandemisi nedeniyle üniversite öğrencilerinin fiziksel aktivite düzeylerindeki değişimin incelenmesi. İKÇÜSBFD. 2020;5:69-4.

David ME, Roberts JA. Smartphone use during the COVID-19 pandemic: Social versus physical distancing. Int J Environ Res Public Health. 2021;18(3):1034. doi: 10.3390/ijerph18031034. DOI: https://doi.org/10.3390/ijerph18031034

Lavigne GJ, Nashed A, Manzini C, Carra MC. Does sleep differ among patients with common musculoskeletal pain disorders? Curr Rheumatol Rep. 2011;13:535-42. doi: 10.1007/s11926-011-0209-3. DOI: https://doi.org/10.1007/s11926-011-0209-3

Vitiello MV, Rybarczyk B, Von Korff M, Stepanski EJ. Cognitive behavioral therapy for insomnia improves sleep and decreases pain in older adults with co-morbid insomnia and osteoarthritis. J Clin Sleep Med. 2009;5(4):355-62. PMID: 19968014; PMCID: PMC2725255. DOI: https://doi.org/10.5664/jcsm.27547

Mark AE, Janssen I. Relationship between screen time and metabolic syndrome in adolescents. J Public Health (Oxf). 2008;30(2):153-160. doi: 10.1093/pubmed/fdn022. DOI: https://doi.org/10.1093/pubmed/fdn022

Mielke GI, Brown WJ, Wehrmeister FC, Goncalves H, Oliveira I, Menezes AM, et al. Associations between self-reported physical activity and screen time with cardiometabolic risk factors in adolescents: Findings from the 1993 Pelotas (Brazil) Birth Cohort Study. Prev Med. 2019;119:31-36. doi: 10.1016/j.ypmed.2018.12.008. DOI: https://doi.org/10.1016/j.ypmed.2018.12.008

Yamada Y, Yoshida T, Murakami H, Kawakami R, Gando Y, Ohno H, et al. Phase angle obtained via bioelectrical impedance analysis and objectively measured physical activity or exercise habits. Sci Rep. 2022;12(1):17274. doi: 10.1038/s41598-022-21095-6. DOI: https://doi.org/10.1038/s41598-022-21095-6

Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3):251-60. doi: 10.3233/WOR-2011-1173. DOI: https://doi.org/10.3233/WOR-2011-1173

Agargun MY, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi. Turk Psikiyatri Derg. 1996;7:107-15.

Alpar C. Spor Sağlık ve eğitim bilimlerinden örneklerle uygulamali istatistik ve geçerlik güvenirlik. 2016.(TEZ).

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954. doi: 10.1016/j.psychres.2020.112954. DOI: https://doi.org/10.1016/j.psychres.2020.112954

Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020;75:12-20. doi: 10.1016/j.sleep.2020.05.011. DOI: https://doi.org/10.1016/j.sleep.2020.05.011

Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, anxiety and stress during COVID-19: Associations with changes in physical activity, sleep, tobacco and alcohol use in australian adults. Int J Environ Res Public Health. 2020;17(11):4065. doi: 10.3390/ijerph17114065. DOI: https://doi.org/10.3390/ijerph17114065

Martínez-Lezaun I, Santamaría-Vázquez M, Del Líbano M. Influence of confinement by COVID-19 on the quality of sleep and the interests of university students. Nat Sci Sleep. 2020 Nov 24;12:1075-81. doi: 10.2147/NSS.S280892. DOI: https://doi.org/10.2147/NSS.S280892

Crew EC, Baron KG, Grandner MA, Ievers-Landis CE, McCrae CS, Nadorff MR, et al. The Society of Behavioral Sleep Medicine (SBSM) COVID-19 Task Force: Objectives and summary recommendations for managing sleep during a pandemic. Behav Sleep Med. 2020;18(4):570-2. doi: 10.1080/15402002.2020.1776288. DOI: https://doi.org/10.1080/15402002.2020.1776288

Diniz TA, Christofaro DGD, Tebar WR, Cucato GG, Botero JP, Correia MA, et al. Reduction of physical activity levels during the COVID-19 pandemic might negatively disturb sleep pattern. Front Psychol. 2020;11:586157. doi: 10.3389/fpsyg.2020.586157. DOI: https://doi.org/10.3389/fpsyg.2020.586157

Nixon GM, Thompson JM, Han DY, Becroft DM, Clark PM, Robinson E, et al. Falling asleep: the determinants of sleep latency. Arch Dis Child. 2009;94(9):686-9. doi: 10.1136/adc.2009.157453. DOI: https://doi.org/10.1136/adc.2009.157453

Islam MS, Sujan MSH, Tasnim R, Mohona RA, Ferdous MZ, Kamruzzaman S, et al. Problematic smartphone and social media use among Bangladeshi college and university students amid COVID-19: The role of psychological well-being and pandemic related factors. Front Psychiatry. 2021;12:647386. doi: 10.3389/fpsyt.2021.647386. DOI: https://doi.org/10.3389/fpsyt.2021.647386

Akinbo SR, Aiyegbusi AI, Okafor UA, Balogun OJ. Mobile phone usage among Nigerians: Risk factors for musculoskeletal injuries and preventive strategies. Niger Postgrad Med J. 2022;29(3):221-7. doi: 10.4103/npmj.npmj_92_22. DOI: https://doi.org/10.4103/npmj.npmj_92_22

Huang Q, Li Y, Huang S, Qi J, Shao T, Chen X, et al. Smartphone use and sleep quality in Chinese college students: A preliminary study. Front Psychiatry. 2020;11:352. doi: 10.3389/fpsyt.2020.00352. DOI: https://doi.org/10.3389/fpsyt.2020.00352

Auvinen JP, Tammelin TH, Taimela SP, Zitting PJ, Järvelin MR, Taanila AM, et al. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. Eur Spine J. 2010;19(4):641-9. doi: 10.1007/s00586-009-1215-2. DOI: https://doi.org/10.1007/s00586-009-1215-2

Karatel M, Bulut ZI, Sari EO, Pelin Z, Yakut Y. The profile of musculoskeletal pain and its associations with sleep quality and depression during the COVID-19 in Turkey. Korean J Pain. 2022;35(1):78-85. doi: 10.3344/kjp.2022.35.1.78. DOI: https://doi.org/10.3344/kjp.2022.35.1.78

Downloads

Published

2023-04-20

Issue

Section

Research Article

How to Cite

1.
Demirdel E, Ceylan A, Koçak H, Güler MA, Türker TC, Demirdel S. Investigation of sleep quality and musculoskeletal pain of university students during the pandemic period: Sleep quality and pain of university students. J Surg Med [Internet]. 2023 Apr. 20 [cited 2024 Oct. 12];7(4):299-303. Available from: https://jsurgmed.com/article/view/1101380