Relationship between Physical Activity and Sleep Quality with Muscle Mass in Female Medical Students

Kevina Nuraini Yusuf, Nurfitri Bustamam, Tri Faranita, Diana Agustini Purwaningastuti

Abstract


Female medical students tend to have low physical activity levels (PAL) accompanied by a poor sleep quality. This condition could disrupt muscle protein metabolism, resulting in decreased muscle mass at a young age. This study aimed to determine the association between physical activity and sleep quality with muscle mass in female medical students. A cross-sectional study design was conducted on 60 female students according to the criteria selected using stratified random sampling. The study instruments were Tanita Medical Body Composition Analyzer (MC-980MA Plus), Global Physical Activity Questionnaire (GPAQ), and Pittsburgh Sleep Quality Index (PSQI). Study results found that 34 (56,7%) subjects, 23 (38,3%) subjects, and 3 (5%) subjects had low, normal, and high muscle mass respectively.  Physical activity levels (PAL) of 25 (41,7%) subjects were low, 30 (50%) subjects were moderate, and 5 (8,3%) subjects were high. A number of 55 (88,3%) subjects had a poor sleep quality, while the other 7 (11,7%) subjects had a good sleep quality. Multiple regression logistic test showed that PAL had more effects on muscle mass (p = 0,000; OR = 14,056, CI = 3,488-56,637) compared to sleep quality (p = 0,104; OR = 7,680, CI = 0,657-89,726). Therefore, young adults need to exercise regularly and perform sleep hygiene to maintain their muscle mass.

Keywords


female medical students, muscle mass, physical activity, sleep quality

References


Al-Asousi, M., & El-Sabban, F. (2016). Physical activity among preclinical medical students at the University of Malaya, Malaysia. Age, 20(20), 119.

Amanah, S. R., & Citrawati, M. (2020). Association Between Physical Activity, Sleep Quality and Handgrip Strength in Medical Student. ACTIVE: Journal of Physical Education, Sport, Health and Recreation, 9(2), 72-77.

Annamayra, A., Ramli, R. S., & Nur, L. (2022). Gambaran Tingkat Aktivitas Fisik Mahasiswa Fakuktas Kedokteran Universitas Pasundan di Era New Normal. Jurnal Maenpo: Jurnal Pendidikan Jasmani Kesehatan Dan Rekreasi, 12(2), 206-218.

Aritonang, J. P., Ida Ayu, E. W., & Harahap, I. L. (2022). Gambaran Tingkat Aktivitas Fisik Mahasiswa Pendidikan Dokter Fakultas Kedokteran Universitas Mataram di Masa Pandemi COVID-19. Gambaran Tingkat Aktivitas Fisik Mahasiswa Pendidikan Dokter Fakultas Kedokteran Universitas Mataram di Masa Pandemi COVID-19, 10(1), 58-63.

Baranwal, N., Phoebe, K. Y., & Siegel, N. S. (2023). Sleep physiology, pathophysiology, and sleep hygiene. Progress in cardiovascular diseases, 77, 59-69.

Bianca, N., Budiarsa, I. G. N. K., & Samatra, D. P. G. P. (2021). Gambaran kualitas tidur mahasiswa program studi pendidikan dokter Fakultas Kedokteran Universitas Udayana pada tahap preklinik dan klinik. J Med Udayana, 10(2), 9-12.

Bredella, M. A. (2017). Sex differences in body composition. Sex and gender factors affecting metabolic homeostasis, diabetes and obesity, 9-27.

Buchmann, N., Spira, D., Norman, K., Demuth, I., Eckardt, R., & Steinhagen-Thiessen, E. (2016). Sleep, muscle mass and muscle function in older people: a cross-sectional analysis based on data from the Berlin Aging Study II (BASE-II). Deutsches Ärzteblatt International, 113(15), 253.

Cao, L., & Morley, J. E. (2016). Sarcopenia is recognized as an independent condition by an international classification of disease, tenth revision, clinical modification (ICD-10-CM) code. Journal of the American Medical Directors Association, 17(8), 675-677.

Chastin, S. F. M., Ferriolli, E., Stephens, N. A., Fearon, K. C., & Greig, C. (2012). Relationship between sedentary behaviour, physical activity, muscle quality and body composition in healthy older adults. Age and ageing, 41(1), 111-114.

Devries, M. C., & Phillips, S. M. (2015). Supplemental protein in support of muscle mass and health: advantage whey. Journal of food science, 80(S1), A8-A15.

Distefano, G., & Goodpaster, B. H. (2018). Effects of exercise and aging on skeletal muscle. Cold Spring Harbor perspectives in medicine, 8(3), a029785.

Fath, I. N. (2021). Hubungan Asupan Protein, Asupan Antioksidan (Vit. C, Vit. E), Asupan Vitamin D, Indeks Massa Tubuh, dan Frekuensi Olahraga terhadap Massa Otot Karyawan Pra-Lansia Poltekkes Kemenkes Jakarta II Kampus Hang Jebat. Politeknik Kesehatan Kemenkes Jakarta II.

Fazriani, A. (2023). Hubungan antara Massa Otot dan Fungsi Kognitif Pada Mahasiswa Kedokteran (Doctoral dissertation, Universitas Pembangunan Nasional Veteran Jakarta).

Fragala, M. S., Kenny, A. M., & Kuchel, G. A. (2015). Muscle quality in aging: a multi-dimensional approach to muscle functioning with applications for treatment. Sports medicine, 45, 641-658.

Frontera, W. R., & Ochala, J. (2015). Skeletal muscle: a brief review of structure and function. Calcified tissue international, 96, 183-195.

Gharahdaghi, N., Phillips, B. E., Szewczyk, N. J., Smith, K., Wilkinson, D. J., & Atherton, P. J. (2021). Links between testosterone, oestrogen, and the growth hormone/insulin-like growth factor axis and resistance exercise muscle adaptations. Frontiers in physiology, 11, 621226.

Grummon, A. H., Sokol, R. L., & Lytle, L. A. (2021). Is late bedtime an overlooked sleep behaviour? Investigating associations between sleep timing, sleep duration and eating behaviours in adolescence and adulthood. Public health nutrition, 24(7), 1671-1677.

Haryati, H., Yunaningsi, S. P., & Junuda, R. A. F. (2020). Faktor yang Mempengaruhi Kualitas Tidur Mahasiswa Fakultas Kedokteran Universitas Halu Oleo: Factors Affecting the Sleep Quality of Halu Oleo University Medical School Students. Jurnal Surya Medika (JSM), 5(2), 22-33.

Krzysztofik, M., Wilk, M., Wojdała, G., & Gołaś, A. (2019). Maximizing muscle hypertrophy: a systematic review of advanced resistance training techniques and methods. International journal of environmental research and public health, 16(24), 4897.

Lamon, S., Morabito, A., Arentson‐Lantz, E., Knowles, O., Vincent, G. E., Condo, D., ... & Aisbett, B. (2021). The effect of acute sleep deprivation on skeletal muscle protein synthesis and the hormonal environment. Physiological reports, 9(1), e14660.

Limpawattana, P., Kotruchin, P., & Pongchaiyakul, C. (2015). Sarcopenia in asia. Osteoporosis and sarcopenia, 1(2), 92-97.

Locquet, M., Beaudart, C., Delandsheere, L., Reginster, J. Y., & Bruyère, O. (2018). Subjective sleep quality among sarcopenic and non-sarcopenic older adults: results from the SarcoPhAge cohort. The Journal of frailty & aging, 7, 176-181.

Lohitashwa, R., Kadli, N., Kisan, R., Sindhuja, A., & Deshpande, D. (2015). Effect of stress on sleep quality in young adult medical students: a cross sectional study. Int J Res Med Sci, 3(12), 3519-23.

Mantua, J., & Spencer, R. M. (2017). Exploring the nap paradox: are mid-day sleep bouts a friend or foe?. Sleep medicine, 37, 88-97.

Marthoenis, M., Martina, M., Alfiandi, R., Dahniar, D., Asnurianti, R., Sari, H., ... & Arafat, S. M. (2022). Investigating body mass index and body composition in patients with schizophrenia: A case-control study. Schizophrenia research and treatment, 2022.

Marzetti, E., Calvani, R., Tosato, M., Cesari, M., Di Bari, M., Cherubini, A., ... & Sprintt Consortium. (2017). Sarcopenia: an overview. Aging clinical and experimental research, 29, 11-17.

McGlory, C., van Vliet, S., Stokes, T., Mittendorfer, B., & Phillips, S. M. (2019). The impact of exercise and nutrition on the regulation of skeletal muscle mass. The Journal of physiology, 597(5), 1251-1258.

Moon, J. H., Kong, M. H., Oh, Y. H., & Kim, H. J. (2018). Effect of sleep duration on muscle mass in Korean nonelderly adults. Electronic Journal of General Medicine, 15(2).

Nurrahman, M. R. (2023). Hubungan Tingkat Kecemasan terhadap Kualitas Tidur Saat Menghadapi Ujian Soca ada Mahasiswa Fakultas Kedokteran Universitas Pembangunan Nasional" Veteran" Jakarta (Doctoral dissertation, Universitas Pembangunan Nasional Veteran Jakarta).

Oshita, K., & Myotsuzono, R. (2021). An association between the physical activity level and skeletal muscle mass index in female university students with a past exercise habituation. Osteoporosis and Sarcopenia, 7(4), 146-152.

Potter, G. D., Skene, D. J., Arendt, J., Cade, J. E., Grant, P. J., & Hardie, L. J. (2016). Circadian rhythm and sleep disruption: causes, metabolic consequences, and countermeasures. Endocrine reviews, 37(6), 584-608.

Pratiwi, N. W. (2019). Hubungan Antara Kebiasaan Konsumsi Fast Food, Aktivitas Fisik Dan Kejadian Obesitas Pada Anak Sekolah Dasar Di Desa Nyitdah Kabupaten Tabanan (Doctoral dissertation, Poltekkes Denpasar).

Ratnasari, C. D., & Hartati, E. (2016). Gambaran Kualitas Tidur pada Komunitas Game Online Mahasiswa Teknik Elektro Universitas Diponegoro (Doctoral dissertation, Diponegoro Univeresity).

Reiss, J., Iglseder, B., Kreutzer, M., Weilbuchner, I., Treschnitzer, W., Kässmann, H., ... & Reiter, R. (2016). Case finding for sarcopenia in geriatric inpatients: performance of bioimpedance analysis in comparison to dual X-ray absorptiometry. BMC geriatrics, 16, 1-8.

Setiowati, A. (2014). Hubungan indeks massa tubuh, persen lemak tubuh, asupan zat gizi dengan kekuatan otot. Media Ilmu Keolahragaan Indonesia, 4(1).

Song, J., Park, S. J., Choi, S., Han, M., Cho, Y., Oh, Y. H., & Park, S. M. (2023). Effect of changes in sleeping behavior on skeletal muscle and fat mass: a retrospective cohort study. BMC Public Health, 23(1), 1879.

Stefanaki, C., Pervanidou, P., Boschiero, D., & Chrousos, G. P. (2018). Chronic stress and body composition disorders: implications for health and disease. Hormones, 17, 33-43.

Stich, F. M., Huwiler, S., D’Hulst, G., & Lustenberger, C. (2022). The potential role of sleep in promoting a healthy body composition: underlying mechanisms determining muscle, fat, and bone mass and their association with sleep. Neuroendocrinology, 112(7), 673-701.

Suhada, P. D., Widyastuti, N., Candra, A., & Syauqy, A. (2021). Korelasi Aktivitas Fisik dan Persen Lemak Tubuh dengan Indikator Sarkopenia.

Tanita. (2021). Professional Products.

Walvekar, S. S., Ambekar, J. G., & Devaranavadagi, B. B. (2015). Study on serum cortisol and perceived stress scale in the police constables. Journal of clinical and diagnostic research: JCDR, 9(2), BC10.

Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., ... & Tasali, E. (2015). Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Journal of Clinical Sleep Medicine, 11(6), 591-592.

World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization.

Wilkinson, D. J., Piasecki, M., & Atherton, P. (2018). The age-related loss of skeletal muscle mass and function: Measurement and physiology of muscle fibre atrophy and muscle fibre loss in humans. Ageing research reviews, 47, 123-132.

Yoshida, T., & Delafontaine, P. (2020). Mechanisms of IGF-1-mediated regulation of skeletal muscle hypertrophy and atrophy. Cells, 9(9), 1970.




DOI: https://doi.org/10.17509/jpjo.v9i1.66263

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Copyright (c) 2024 Kevina Nuraini Yusuf, Nurfitri Bustamam, Tri Faranita, Diana Agustini Purwaningastuti

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