ASSESSMENT OF LIFESTYLE FACTORS INFLUENCING BODY MASS INDEX AMONG UNDERGRADUATE MBBS STUDENTS IN URBAN UNIVERSITIES
Keywords:
Body Mass Index, Cross-Sectional Studies, Diet, Lifestyle, Medical Students, Obesity, Physical Activity, SleepAbstract
Background: Body mass index (BMI) is a key indicator of nutritional status and a predictor of future metabolic disorders. University students, particularly those enrolled in demanding medical programs, are at risk of developing unhealthy lifestyle habits that can influence BMI. Medical students often face academic pressures, irregular meal patterns, physical inactivity, and inadequate sleep, increasing the likelihood of overweight and obesity. Understanding the relationship between lifestyle behaviors and BMI is essential for targeted health interventions.
Objective: To evaluate the association of dietary habits, physical activity, and daily routines with BMI among undergraduate MBBS students in urban universities.
Methods: A cross-sectional study was conducted over four months among 377 MBBS students from urban universities in Lahore, Pakistan. Participants were recruited through stratified random sampling. Data were collected using a structured questionnaire assessing dietary intake, physical activity (Global Physical Activity Questionnaire), sleep duration, and screen time. BMI was measured using WHO criteria. Data were analyzed using SPSS v26, with independent t-tests and ANOVA applied to assess associations between lifestyle variables and BMI, considering p<0.05 as statistically significant.
Results: The mean BMI of participants was 22.8 ± 3.7 kg/m², with 59.9% in the normal range, 19.1% overweight, 9.8% obese, and 11.1% underweight. Frequent fast-food consumption and high screen time were positively associated with higher BMI (p=0.01), while regular breakfast and moderate-to-high physical activity were protective against overweight (p=0.02 and p<0.001, respectively). Inadequate sleep was also linked to elevated BMI (p<0.05).
Conclusion: Lifestyle factors such as diet quality, physical activity, sleep, and screen exposure significantly influenced BMI among MBBS students. Early interventions promoting healthy eating, regular exercise, and balanced routines are critical to preventing overweight and obesity in future healthcare professionals.
References
1. Aslani A, Faraji A, Allahverdizadeh B, Fathnezhad‐Kazemi AJNo. Prevalence of obesity and association between body mass index and different aspects of lifestyle in medical sciences students: A cross‐sectional study. 2021;8(1):372-9.
2. Mani GJJoPMS. Assessment of body mass index and its associated nutritional factors among undergraduate medical students in Tamil Nadu, India: a crosssectional study. 2014;4:137-42.
3. Aldahash FD, Alasmari SA, Alnomsi SJ, Alshehri AM, Alharthi NF, Aloufi AAH, et al. Relationship of body mass index to sleep duration, and current smoking among medical students in Tabuk City, Saudi Arabia. 2018;10(9):7273.
4. Abedelmalek S, Adam H, Alardan S, Yassin S, Chtourou H, Souissi NJIJoER, et al. Physical Activity, Sleep Patterns and Diet Habits as Well as the Prevalence of Obesity among Adolescents: A Cross Sectional Study from Ha’il City in Saudi Arabia. 2022;19(23):16174.
5. Palijo AH, Talpur SH, Luhana JK, Shoro JM, Baloch SJLMRJ. THE ASSOCIATION BETWEEN DIETARY HABITS, SLEEP PATTERNS, PHYSICAL ACTIVITY, AND OBESITY AMONG MEDICAL STUDENTS. 2025;7(2).
6. Rathod SS, Nagose VB, Kanagala A, Bhuvangiri H, Kanneganti J, Annepaka EJNJoP, Pharmacy, et al. Sleep duration and its association with obesity and overweight in medical students: A cross-sectional study. 2018;8(1):113-.
7. Habib SR, Alghofaily S, Alshamrani H, Alhammad AJTjocdp. Relationship of body mass index with diet, physical activities, and lifestyles of dental students. 2015;18(10):899-904.
8. Borresen J, Celie B, Laubscher R, Bac M, Wood P, Camacho T, et al. Poor sleep quality, low physical activity and low-to-moderate diet quality in South African first-year medical students. 2025;17(1):2-7.
9. Pop L-M, Iorga M, Muraru I-D, Petrariu F-DJS. Assessment of dietary habits, physical activity and lifestyle in medical university students. 2021;13(6):3572.
10. Rasul FB, Shawon MSR, Nazneen S, Hossain FB, Malik SS, Islam MTJJBAH. Do the dietary and lifestyle practices make the private medical students overweight: A cross-sectional study in Bangladesh. 2013;3(2):130-9.
11. Li G, Wu M, Lu G, Yu Z, Bao Z, Yu C, et al. Interactive effects of body mass index and physical activity on sleep quality in nursing students. 2025;16:1643841.
12. Hashmi MRUI, Shoaib S, Sajjad SS, Amer A, Minhas SA, Amer A, et al. Effects of Diet and Physical Activity on BMI of Medical Students: Cross Sectional Study. 2022;16(12):125-.
13. Jalal SM, Beth MRM, Al-Hassan HJM, Alshealah NMJJJomh. Body mass index, practice of physical activity and lifestyle of students during COVID-19 lockdown. 2021:1901-10.
14. Sertsuwankul P, Sakboonyarat B, Lertsakulbunlue SJCE, Health G. Prevalence and associated factors of increased risk for sleep-disordered breathing and its relationship with body mass index among medical students, intern doctors, and residents. 2024;27:101586.
15. Rafique T, Molla GM, Ahamed AJUDCJ. Association of body mass index (BMI) with diet, physical activity, and lifestyle among undergraduate dental students in a private dental college in Bangladesh. 2024;14(2):15-20.
16. Masaad AA, Yusuf AM, Shakir AZ, Khan MS, Khaleel S, Cheikh Ismail L, et al. Sleep quality and Dietary Inflammatory Index among university students: a cross-sectional study. 2021;25(4):2221-9.
17. Hossain MJ, Ahmmed F, Khan MR, Rashid PT, Hossain S, Rafi MO, et al. Impact of prolonged COVID-19 lockdown on body mass index, eating habits, and physical activity of university students in Bangladesh: a web-based cross-sectional study. 2022;9:873105.
18. Benaich S, Mehdad S, Andaloussi Z, Boutayeb S, Alamy M, Aguenaou H, et al. Weight status, dietary habits, physical activity, screen time and sleep duration among university students. 2021;27(1):69-78.
19. Majeed FJJoTUMS. Association of BMI with diet and physical activity of female medical students at the University of Dammam, Kingdom of Saudi Arabia. 2015;10(2):188-96.
20. Haq IU, Mariyam Z, Zeb F, Jiang P, Wu X, Shah J, et al. Identification of body composition, dietary patterns and its associated factors in medical university students in China. 2020;59(1):65-78.
21. Hsu W-C, Chiang C-HJJomIr. Effect of BMI and perceived importance of health on the health behavior of college students: Cross-sectional study. 2020;22(6):e17640.
22. Alhashemi M, Mayo W, Alshaghel MM, Alsaman MZB, Kassem LHJAom, surgery. Prevalence of obesity and its association with fast-food consumption and physical activity: A cross-sectional study and review of medical students' obesity rate. 2022;79:104007.
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