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Felicia Jahja1, Linawati Hananta2, Nawanto A. Prastowo3, Veronika M. Sidharta1

1Atma Jaya Catholic University of Indonesia, Department of Histology, School of Medicine and Health Sciences, North Jakarta, Indonesia
2Atma Jaya Catholic University of Indonesia, Department of Pharmacology and Pharmacy, School of Medicine and Health Sciences, North Jakarta, Indonesia
3Atma Jaya Catholic University of Indonesia, Department of Physiology, School of Medicine and Health Sciences, North Jakarta, Indonesia

Sedentary Living, Screen Time, and Physical Activities in Medical Students during the Coronavirus (Covid-19) Pandemic

Sport Mont 2021, 19(3), Ahead of Print | DOI: 10.26773/smj.211005

Abstract

The Ministry of Health of Indonesia has established large-scale social restrictions (LSSR) to limit the transmis- sion of Covid-19, which inherently causes an increase in screen time levels and the physical activity level of students. This study aims to compare the level of screen time and physical activity before and during LSSR. This cross-sectional study was involved 206 medical students of the Atma Jaya School of Medicine and Health Sciences. Data were collected using a questionnaire and the International Physical Activity Questionnaire (IPAQ) – long form. A paired t-test, Wilcoxon signed-rank test, and McNemar test were used to compare the level of screen time and physical activity before and during LSSR. The mean screen time, sedentary time on weekday and weekend were significantly increased (Δ0.6, Δ1.7, Δ1.3 hours, respectively, all p<0.001), while total calorie of physical activity reduced (Δ-435, p<0.001). The number of students with higher screen time and sedentary time was also raised (Δ12.1%, Δ19.4%, Δ14.6%, respectively, all p<0.001), while the number of students with sufficient physical activity was significantly diminished (Δ-13.6%, p<0.001). There was a shift in the use of application types. The most significant change was Line usage, which had decreased by almost half (from 80 to 43). The pandemic situation greatly affected the students’ physical activity behaviour to be more sedentary and changed the use of application type.

Keywords

Covid-19 pandemic, large-scale social restriction, online-based learning, screen time, physical activity



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References

Charan, J., & Biswas, T. (2013). How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine, 35(2), 121–126. https://doi.org/10.4103/0253-7176.116232

Chen, T., Wu, D., Chen, H., Yan, W., Yang, D., Chen, G., … Ning, Q. (2020). Clinical characteristics of 113 deceased patients with coronavirus disease 2019: Retrospective study. BMJ, 368, m1091. https://doi.org/10.1136/bmj.m1091

COVID-19, S. P. (2020). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/Menkes/248/2020 tentang Penetapan PSBB di Beberapa Wilayah Provinsi Jabar—Regulasi | Satgas Penanganan COVID-19. Retrieved December 23, 2020, from Covid19.go.id website: https://covid19.go.id/p/regulasi/keputusan-menteri-kesehatan-republik-indonesia-nomor-hk0107menkes2482020-tentang-penetapan-psbb-di-beberapa-wilayah-provinsi-jabar

COVID-19, S. P. (n.d.). Peta Sebaran | Satgas Penanganan COVID-19. Retrieved 12/23, 2020, from Covid19.go.id website: https://covid19.go.id/peta-sebaran

Dietz, W., & Santos-Burgoa, C. (2020). Obesity and its Implications for COVID-19 Mortality. Obesity (Silver Spring, Md.), 28(6), 1005. https://doi.org/10.1002/oby.22818

Dorneles, G. P., Dos Passos, A. A. Z., Romão, P. R. T., & Peres, A. (2020). New Insights about Regulatory T Cells Distribution and Function with Exercise: The Role of Immunometabolism. Current Pharmaceutical Design, 26(9), 979–990. https://doi.org/10.2174/1381612826666200305125210

Dunton, G. F., Do, B., & Wang, S. D. (2020). Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. BMC Public Health, 20(1), 1351. https://doi.org/10.1186/s12889-020-09429-3

Hermesauto. (2020, March 2). Mother and daughter test positive for coronavirus in Indonesia, first confirmed cases in the country [Text]. Retrieved 12/23, 2020, from The Straits Times website: https://www.straitstimes.com/asia/se-asia/indonesia-confirms-two-coronavirus-cases-president

Huang, Y., Li, L., Gan, Y., Wang, C., Jiang, H., Cao, S., & Lu, Z. (2020). Sedentary behaviors and risk of depression: A meta-analysis of prospective studies. Translational Psychiatry, 10(1), 1–10. https://doi.org/10.1038/s41398-020-0715-z

Indonesians spend the 5th longest amount of time on the internet per day: Survey | Coconuts Jakarta. (2019). Retrieved 12/23, 2020, from https://coconuts.co/jakarta/news/indonesians-spend-5th-longest-amount-time-internet-per-day-survey/

IPAQ scoring protocol—International Physical Activity Questionnaire. (2005). Retrieved 12/23, 2020, from https://sites.google.com/site/theipaq/scoring-protocol

Ku, P.-W., Steptoe, A., Liao, Y., Hsueh, M.-C., & Chen, L.-J. (2018). A cut-off of daily sedentary time and all-cause mortality in adults: A meta-regression analysis involving more than 1 million participants. BMC Medicine, 16(1), 74. https://doi.org/10.1186/s12916-018-1062-2

Lippi, G., & Maffulli, N. (2009). Biological Influence of Physical Exercise on Hemostasis. Seminars in Thrombosis and Hemostasis, 35, 269–276. https://doi.org/10.1055/s-0029-1222605

Liu, J., Zheng, X., Tong, Q., Li, W., Wang, B., Sutter, K., … Yang, D. (2020). Overlapping and discrete aspects of the pathology and pathogenesis of the emerging human pathogenic coronaviruses SARS-CoV, MERS-CoV, and 2019-nCoV. Journal of Medical Virology, 92(5), 491–494. https://doi.org/10.1002/jmv.25709

Nagata, J. M., Magid, H. S. A., & Gabriel, K. P. (2020). Screen Time for Children and Adolescents during the Coronavirus Disease 2019 Pandemic. Obesity, 28(9), 1582–1583. https://doi.org/10.1002/oby.22917

Narasimhan, M., & Rajasekaran, N. S. (2016). Exercise, Nrf2 and Antioxidant Signaling in Cardiac Aging. Frontiers in Physiology, 7, 241. https://doi.org/10.3389/fphys.2016.00241

Ngantcha, M., Janssen, E., Godeau, E., Ehlinger, V., Le-Nezet, O., Beck, F., & Spilka, S. (n.d.). Revisiting Factors Associated With Screen Time Media Use: A Structural Study Among School-Aged Adolescents. Journal of Physical Activity and Health, 15(6), 448–456. https://doi.org/10.1123/jpah.2017-0272

Patterson, R., McNamara, E., Tainio, M., de Sá, T. H., Smith, A. D., Sharp, S. J., … Wijndaele, K. (2018). Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: A systematic review and dose response meta-analysis. European Journal of Epidemiology, 33(9), 811–829. https://doi.org/10.1007/s10654-018-0380-1

Pinckard, K., Baskin, K. K., & Stanford, K. I. (2019). Effects of Exercise to Improve Cardiovascular Health. Frontiers in Cardiovascular Medicine, 6. https://doi.org/10.3389/fcvm.2019.00069

Poggio, R., Serón, P., Calandrelli, M., Ponzo, J., Mores, N., Matta, M. G., … Bazzano, L. (2016). Prevalence, Patterns and Correlates of Physical Activity among the Adult Population of the Southern Cone of Latin America: Cross-Sectional Results from the CESCAS I Study. Global Heart, 11(1), 81-88.e1. https://doi.org/10.1016/j.gheart.2015.12.013

Rose, S. (2020). Medical Student Education in the Time of COVID-19. JAMA, 323(21), 2131. https://doi.org/10.1001/jama.2020.5227

Sandercock G, R. H., Ogunleye, A., & Voss, C. (2012). Screen time and physical activity in youth: Thief of time or lifestyle choice? Journal of Physical Activity & Health, 9(7), 977–984. https://doi.org/10.1123/jpah.9.7.977

Screen Time—Restrain yourself & parent control—Apps on Google Play. (n.d.). Retrieved 12/23, 2020, from https://play.google.com/store/apps/details?id=master.app.screentime&hl=en_US&gl=US

Spengler, S., Mess, F., & Woll, A. (2015, December). Do Media Use and Physical Activity Compete in Adolescents? Results of the MoMo Study. PLOS ONE, 10(12), e0142544. https://doi.org/10.1371/journal.pone.0142544

Stamatakis, E., Gale, J., Bauman, A., Ekelund, U., Hamer, M., & Ding, D. (2019). Sitting Time, Physical Activity, and Risk of Mortality in Adults. Journal of the American College of Cardiology, 73(16), 2062–2072. https://doi.org/10.1016/j.jacc.2019.02.031

Tang, N., Li, D., Wang, X., & Sun, Z. (2020). Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. Journal of Thrombosis and Haemostasis: JTH, 18(4), 844–847. https://doi.org/10.1111/jth.14768

Tate, D. F., Lyons, E. J., & Valle, C. G. (2015). High-Tech Tools for Exercise Motivation: Use and Role of Technologies Such as the Internet, Mobile Applications, Social Media, and Video Games. Diabetes Spectrum : A Publication of the American Diabetes Association, 28(1), 45–54. https://doi.org/10.2337/diaspect.28.1.45

Trinh, L., Wong, B., & Faulkner, G. E. (2015). The Independent and Interactive Associations of Screen Time and Physical Activity on Mental Health, School Connectedness and Academic Achievement among a Population-Based Sample of Youth. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 24(1), 17–24.

Use Screen Time on your iPhone, iPad, or iPod touch. (n.d.). Retrieved 12/23, 2020, from Apple Support website: https://support.apple.com/en-us/HT208982

Wu, S., Fisher-Hoch, S. P., Reininger, B., & McCormick, J. B. (2016). Recommended Levels of Physical Activity Are Associated with Reduced Risk of the Metabolic Syndrome in Mexican-Americans. PLOS ONE, 11(4), e0152896. https://doi.org/10.1371/journal.pone.0152896