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Articles
  • OpenAccess
  • Physical Activity and Health-Promoting Lifestyle of Student Nurses in Malaysia  [CAEBM 2015]
  • DOI: 10.4236/jbm.2015.33012   PP.78 - 87
  • Author(s)
  • Soh Kim Geok, Aminuddin Yusof, Soh Kim Lam, Salimah Japar, Ong Swee Leong, Mohd. Sofian Omar Fauzee
  • ABSTRACT
  • Studies have indicated that lack of regular physical exercise and not adhering to a health-promot- ing lifestyle among student nurses are barriers to their encouraging patients to exercise. On the other hand, nurses who personally embrace physical activity are more likely to encourage their patients to improve their health through physical activity or diet. As a result, promoting an active and healthy lifestyle among student nurses is important because this has a crucial role in their subsequently encouraging healthy lifestyles among their patients. The aims of this study were to determine the physical activity levels and health-promoting lifestyles among student nurses in Malaysia, and to investigate whether there was a correlation between the physical activity levels of student nurses and their lifestyle habits. Further investigation was also carried out to correlate lifestyle habits with physical activity during weekdays and at the weekends. This study involved 189 student nurses who were pursuing Diplomas and Bachelor Degrees in local government universities. The Yamax Digi-Walker pedometer was used to measure physical activity, while the Health-Promoting Lifestyle Profile (HPLP) II questionnaire was used to assess the health-pro- moting lifestyles of the participants. The HPLP II consisted of six sub-scales which included health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. According to the results on physical activity, the student nurses had a mean of 8275.97 ± 2210.174 steps per day and were thus categorised as somewhat active. Additionally, the student nurses were found to be more active during weekends (M = 8389.75, SD = 2689.12) as compared to weekdays (M = 8230.46, SD = 2353.97). According to previous studies, both step counts are classified in the “somewhat active” category. Overall, the results for HPLP II showed that student nurses students in Malaysia had a positive health-promoting lifestyle with a score of 2.58 ± 0.34 on a 4-point Likert scale. The highest score was reported in spiritual growth, with a score of 2.92 ± 0.43. Meanwhile, physical activity was observed to be the lowest, with a score of 1.74 ± 0.39. The results found no correlation between physical activity and overall health-promoting lifestyle among student nurses in Malaysia (r = 0.06, n = 189, p < 0.37). However, there was a significant relationship between physical activity (measured by the pedometer) and physical activity habit (measured through the questionnaire) among the student nurses (r = 0.24, n = 189, p < 0.01). According to the findings, when the participants indicated in the questionnaire that they were active physically, the pedometer readings also showed a corresponding similarity in terms of their daily physical activities.


  • KEYWORDS
  • Physical Activity, Health-Promotion Lifestyle, Nursing Students, Pedometer
  • References
  • [1]
    Anonymous (2009) Two in Five Adults Overweight or Obese in Malaysia. In: The Star, The Star, Selangor.
    [2]
    Irazusta, A., Gil, S., Ruiz, F., Gondra, J., Jauregi, A., Irazusta, J. and Gil, J. (2006) Exercise, Physical Fitness, and Dietary Habits of First-Year Female Nursing Students. Biological Research for Nursing, 7, 175-186.
    http://dx.doi.org/10.1177/1099800405282728
    [3]
    Astrup, A. (2001) Healthy Lifestyles in Europe: Prevention of Obesity and Type II Diabetes by Diet and Physical Activity. Public Health Nutrition, 4, 499-515.
    http://dx.doi.org/10.1079/PHN2001136
    [4]
    Hossain, P., Kawar, B. and El Nahas, M. (2007) Obesity and Diabetes in the Developing World—A Growing Challenge. New England Journal of Medicine, 356, 213-215.
    http://dx.doi.org/10.1056/NEJMp068177
    [5]
    Burns, K.J., Camaione, D.N. and Chatterton, C.T. (2000) Prescription of Physical Activity by Adult Nurse Practitioners: A National Survey. Nursing Outlook, 48, 28-33.
    http://dx.doi.org/10.1067/mno.2000.99101
    [6]
    Lobelo, F., Duperly, J. and Frank, E. (2009) Physical Activity Habits of Doctors and Medical Students Influence Their Counselling Practices. British Journal of Sports Medicine, 43, 89-92.
    http://dx.doi.org/10.1136/bjsm.2008.055426
    [7]
    Bassett Jr., D.R., Ainsworth, B.E., Leggett, S.R., Mathien, C.A., Main, J.A., Hunter, D.C. and Duncan, G.E. (1996) Accuracy of Five Electronic Pedometers for Measuring Distance Walked. Medicine and Science in Sports and Exercise, 28, 1071-1077.
    http://dx.doi.org/10.1097/00005768-199608000-00019
    [8]
    Bassett Jr., D.R., Cureton, A.L. and Ainsworth, B.E. (2000) Measurement of Daily Walking Distance-Questionnaire versus Pedometer. Medicine and Science in Sports and Exercise, 32, 1018-1023.
    http://dx.doi.org/10.1097/00005768-200005000-00021
    [9]
    Tudor-Locke, C., Burkett, L., Reis, J.P., Ainsworth, B.E., Macera, C.A. and Wilson, D.K. (2005) How Many Days of Pedometer Monitoring Predict Weekly Physical Activity in Adults? Preventive Medicine, 40, 293-298.
    http://dx.doi.org/10.1016/j.ypmed.2004.06.003
    [10]
    Rowlands, A.V., Stone, M.R. and Eston, R.G. (2007) Influence of Speed and Step Frequency during Walking and Running on Motion Sensor Output. Medicine and Science in Sports and Exercise, 39, 716-727.
    http://dx.doi.org/10.1249/mss.0b013e318031126c
    [11]
    Walker, S.N., Sechrist, K.R. and Pender, N.J. (1987) The Health-Promoting Lifestyle Profile: Development and Psychometric Characteristics. Nursing Research, 36, 76-81.
    http://dx.doi.org/10.1097/00006199-198703000-00002
    [12]
    Cohen, J. (1988) Set Correlation and Contingency Tables. Applied Psychological Measurement, 12, 425-434.
    http://dx.doi.org/10.1177/014662168801200410
    [13]
    Anonymous (2009) 10,000 Steps a Day Campaign to Improve Health. In: The Star, Selangor.
    [14]
    Eisenmann, J.C., Wickel, E.E., Welk, G.J. and Blair, S.N. (2005) Relationship between Adolescent Fitness and Fatness and Cardiovascular Disease Risk Factors in Adulthood: The Aerobics Center Longitudinal Study (acls). American Heart Journal, 149, 46-53.
    http://dx.doi.org/10.1016/j.ahj.2004.07.016
    [15]
    Anonymous (2013) Normal Weight Ranges: Body Mass Index (BMI).
    http://www.cancer.org/cancer/cancercauses/dietandphysicalactivity/bodyweightandcancerrisk/body-weight-and-cancer-risk-adult-bmi
    [16]
    Lee, Y.S., Huang, Y.C. and Kao, Y.H. (2005) Physical Activities and Correlates of Clinical Nurses in Taipei Municipal Hospitals. Journal of Nursing Research, 13, 281-292.
    http://dx.doi.org/10.1097/01.JNR.0000387551.50458.f5
    [17]
    Khoo, K.L., Tan, H. and Khoo, T.H. (1991) Cardiovascular Mortality in Peninsular Malaysia: 1950-1989. Medical Journal Malaysia, 46, 7-20.
    [18]
    Robaayah, Z. (2004) Trends in Cardiovascular Diseases and Risk Factors in Malaysia. In: International Congress Series, Elsevier, 446-449.
    [19]
    Ismail, M.N., Chee, S.S., Nawawi, H., Yusoff, K., Lim, T.O. and James, W.P.T. (2002) Obesity in Malaysia. Obesity Reviews, 3, 203-208.
    http://dx.doi.org/10.1046/j.1467-789X.2002.00074.x
    [20]
    Edwards, A.R.F. (2013) Obesity a Big Problem Now in Malaysia.
    http://www.thestar.com.my/news/nation/2013/11/17/obesity-a-big-problem-now-about-three-million-malaysians-are-obese-says-deputy-minister/
    [21]
    Patrick, L. (2014) Malaysia Is Fattest Country in South-East Asia.
    http://www.thestar.com.my/News/Nation/2014/01/16/Scoring-badly-on-dietary-habits-Malaysia-is-fattest-country-in-SE-Asia/
    [22]
    Adeyemi, A.J., Rohani, J.M. and Abdul Rani, M.R. (2014) Comparing Body Composition Measures among Malaysian Primary School Children. Cogent Medicine, 1, 1-12.
    http://dx.doi.org/10.1080/2331205X.2014.984385
    [23]
    Anonymous (2014) Malaysia’s Obesity Rate Highest in Asia. In: The Star, Selangor.
    [24]
    Anonymous (2014) Malaysia BJJ, Health & Exercise: Why Are We Still Overweight?
    http://goodhealthwithbjj.blogspot.com/2014/08/why-are-we-still-overweight.html
    [25]
    Stan Reents, P. (2014) Health Benefits of Walking.
    http://www.athleteinme.com/ArticleView.aspx?id=296
    [26]
    Wannamethee, S.G., Shaper, A.G. and Walker, M. (1998) Changes in Physical Activity, Mortality, and Incidence of Coronary Heart Disease in Older Men. The Lancet, 351, 1603-1608.
    http://dx.doi.org/10.1016/S0140-6736(97)12355-8
    [27]
    Bravata, D.M., Smith-Spangler, C., Sundaram, V., Gienger, A.L., Lin, N., Lewis, R., Stave, C.D., Olkin, I. and Sirard, J.R. (2007) Using Pedometers to Increase Physical Ac-tivity and Improve Health: A Systematic Review. The Journal of the American Medical Association, 298, 2296-2304.
    http://dx.doi.org/10.1001/jama.298.19.2296
    [28]
    Clemes, S. and Parker, R. (2009) Increasing Our Understanding of Reactivity to Pedometers in Adults. Medicine and Science in Sports and Exercise, 41, 674.
    http://dx.doi.org/10.1249/MSS.0b013e31818cae32
    [29]
    Ho, V., Simmons, R.K., Ridgway, C.L., Van Sluijs, E.M.F., Bamber, D.J., Goodyer, I.M., Dunn, V.J., Ekelund, U. and Corder, K. (2013) Is Wearing a Pedometer Associated with Higher Physical Activity among Adolescents? Preventive Medicine, 56, 273-277.
    http://dx.doi.org/10.1016/j.ypmed.2013.01.015
    [30]
    Benjamins, M.R. (2012) Religious Beliefs, Diet, and Physical Activity among Jewish Adolescents. Journal for the Scientific Study of Religion, 51, 588-597.
    http://dx.doi.org/10.1111/j.1468-5906.2012.01658.x
    [31]
    Kim, K.H.-C. and Sobal, J. (2004) Religion, Social Support, Fat Intake and Physical Activity. Public Health Nutrition, 7, 773-781.
    http://dx.doi.org/10.1079/PHN2004601
    [32]
    Wallace, J.M. and Forman, T.A. (1998) Religion’s Role in Promoting Health and Reducing Risk among American Youth. Health Education & Behavior, 25, 721-741.
    http://dx.doi.org/10.1177/109019819802500604
    [33]
    Lee, R.L.T. and Loke, A.J.T. (2005) Health Promoting Behaviors and Psychosocial Well Being of University Students in Hong Kong. Public Health Nursing, 22, 209-220.
    http://dx.doi.org/10.1111/j.0737-1209.2005.220304.x
    [34]
    Haddad, L., Kane, D., Rajacich, D., Cameron, S. and Al-Ma’aitah, R. (2004) A Comparison of Health Practices of Canadian and Jordanian Nursing Students. Public Health Nursing, 21, 85-90.
    http://dx.doi.org/10.1111/j.1525-1446.2004.21112.x
    [35]
    Caspersen, C.J., Pereira, M.A. and Curran, K.M. (2000) Changes in Physical Activity Patterns in the United States, by Sex and Cross-Sectional Age. Medicine and Science in Sports and Exercise, 32, 1601-1609.
    http://dx.doi.org/10.1097/00005768-200009000-00013
    [36]
    Crespo, C.J., Keteyian, S.J., Heath, G.W. and Sempos, C.T. (1996) Leisure-Time Physical Activity among US Adults: Results from the Third National Health and Nutrition Examination Survey. Archives of Internal Medicine, 156, 93-98.
    http://dx.doi.org/10.1001/archinte.1996.00440010113015
    [37]
    Pratt, M., Macera, C.A. and Blanton, C. (1999) Levels of Physical Activity and Inactivity in Children and Adults in the United States: Current Evidence and Research Issues. Medicine and Science in Sports and Exercise, 31, S526-S533.
    http://dx.doi.org/10.1097/00005768-199911001-00007
    [38]
    Al-Kandari, F. and Vidal, V.L. (2007) Correlation of the Health-Promoting Lifestyle, Enrollment Level, and Academic Performance of College of Nursing Students in Kuwait. Nursing & Health Sciences, 9, 112-119.
    http://dx.doi.org/10.1111/j.1442-2018.2007.00311.x
    [39]
    Mcdowell, N., Mckenna, J. and Naylor, P.J. (1997) Factors That Influence Practice Nurses to Promote Physical Activity. British Journal of Sports Medicine, 31, 308-313.
    http://dx.doi.org/10.1136/bjsm.31.4.308

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