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Diyetetik Birinci Sınıf Öğrencilerinde Sınav Stresi: Stres, Uyku kalitesi ve Beslenme Durumundaki Değişiklikler

Year 2022, Volume: 7 Issue: 1, 9 - 15, 31.01.2022

Abstract

Amaç: Stresli olmak, bireylerin yaşam tarzlarını etkileyerek, birçok aktivitede değişikliklere yol açmaktadır. Bu çalışma, Beslenme ve Diyetetik 1. sınıf öğrencilerinin eğitim ve sınav dönemlerindeki stres düzeylerini ve uyku kalitelerini belirlemeyi ve beslenme durumlarını, iştah ve yaşadıkları fiziksel değişiklikleri karşılaştırmayı amaçlamaktadır.

Gereç ve Yöntem: Kesitsel olarak planlanan bu çalışmada, Beslenme ve Diyetetik birinci sınıf öğrencilerinin (n = 74; % 93’ü kadın) eğitim ve sınav dönemlerinde, Depresyon Anksiyete Stres Ölçeği-21 ile stres düzeyi ve Pittsburgh Uyku Kalitesi İndeksi ile uyku kaliteleri değerlendirilmiştir. Öğrencilerin besin alımları ve fiziksel aktiviteleri 24 saatlik geriye dönük hatırlama yöntemi kullanılarak değerlendirilmiştir.

Bulgular: Sınav döneminde öğrencilerin stres, anksiyete ve depresyon düzeyleri daha yüksek bulunmuş ve uyku kalitelerinin daha kötü olduğu saptanmıştır (p<0.05). Öğrencilerin sınav döneminde toplam enerji harcamalarının ve fiziksel aktivite düzeylerinin eğitim dönemine göre istatistiksel olarak anlamlı düzeyde azaldığı belirlenmiştir (p<0.05). Mikro-besin ögeleri alımında anlamlı bir azalma bulunmuştur (p <0.05). Ayrıca öğrencilerin sınav döneminde eğitim dönemine göre daha az miktarda süt ürünleri, meyve ve sebze tükettiği belirlenmiştir (p<0.05).

Sonuç: Beslenme ve Diyetetik birinci sınıf öğrencilerinde sınav dönemi strese neden olmaktadır ve besin tüketimi ile fiziksel aktivite düzeylerini değiştirmektedir. Sınav döneminde aşırı yemek yeme
isteğinin artmasına rağmen besin tüketim kayıtlarında enerji ve makro besin ögeleri alımında değişiklik olmaması, öğrencilerin besin tüketimini kısıtlamasından kaynaklanıyor olabilir. Beslenme ve Diyetetik birinci sınıf öğrencileri, özellikle stresli dönemlerde sağlıklı beslenme davranışlarını sürdürmelerine yardımcı olmak için stres yönetimi konusunda bilgilendirilmeli ve sağlıklı beslenmeye teşvik edilmelidir.

References

  • Arslan SA, Daşkapan A, Çakır B. Üniversite öğrencilerinin beslenme ve fiziksel aktivite alışkanlıklarının belirlenmesi. TAF Prev Med Bull. 2016;15(3):171-80. doi: 10.5455/pmb.1-1436432564.
  • Robotham D, Julian C. Stress and the higher education student: a critical review of the literature. Journal of Further and Higher Education. 2006;30(02):107-17. doi: 10.1080/03098770600617513.
  • Ekpenyong CE, Daniel NE, Aribo E. Associations between academic stressors, reaction to stress, coping strategies and musculoskeletal disorders among college students. Ethiop J Health Sci. 2013;23(2):98- 112. PubMed Central PMCID: PMC23950626.
  • Zellner DA, Loaiza S, Gonzalez Z, Pita J, Morales J, Pecora D, et al. Food selection changes under stress. Physiol Behav. 2006;87(4):789- 93. doi: 10.1016/j.physbeh.2006.01.014.; PubMed Central PMCID: PMC16519909.
  • Gonzalez MJ, Miranda-Massari JR. Diet and Stress. Psychiatr Clin North Am. 2014;37(4):579-89. doi: 10.1016/j.psc.2014.08.004.; PubMed Central PMCID: PMC25455067.
  • Barclay NL, Eley TC, Rijsdijk FV, Gregory AM. Dependent negative life events and sleep quality: an examination of gene-environment interplay. Sleep Medicine. 2011;12(4):403-9. Epub 2011/03/12. doi: 10.1016/j.sleep.2010.09.009. PubMed PMID: 21393059.
  • Geiker NRW, Astrup A, Hjorth MF, Sjödin A, Pijls L, Markus CR. Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa? Obes Rev. 2018;19(1):81-97. doi: 10.1111/obr.12603. PubMed Central PMCID: PMC28849612.
  • Al-Dabal BK, Koura MR, Rasheed P, Al-Sowielem L, Makki SM. A Comparative Study of Perceived Stress among Female Medical and Non- Medical University Students in Dammam, Saudi Arabia. Sultan Qaboos University Medical Journal. 2010;10(2):231-40. Epub 2011/04/22. PubMed PMID: 21509235; PubMed Central PMCID: PMC21509235.
  • Saipanish R. Stress among medical students in a Thai medical school. Medical teacher. 2003;25(5):502-6. Epub 2003/10/03. doi: 10.1080/0142159031000136716. PubMed PMID: 14522672; PubMed Central PMCID: PMC14522672.
  • Kutluay Merdol T. Past, Present and Future of Nutrition and Dietetics Science. İzmir katip çelebi univ sağlık bilim derg. 2016;1(1):1-5.
  • Korinth A, Schiess S, Westenhoefer J. Eating behaviour and eating disorders in students of nutrition sciences. Public health nutrition. 2010;13(1):32-7. Epub 2009/05/13. doi: 10.1017/s1368980009005709. PubMed PMID: 19433007; PubMed Central PMCID: PMC19433007.
  • Rakıcıoğlu N, Acar Tek N, Ayaz A, Pekcan G. Yemek ve Besin Fotoğraf Kataloğu: Ölçü ve Miktarlar 3. ed. Ankara: Ata Ofset Matbaacılık; 2012.
  • BEBİS. Bebis Nutrition Data Base. The German Food Code and Nutrient Data Base (BLS II.3, 1999) with additions from USDA-sr and other sources, İstanbul, Turkey, 2004. . 2017.
  • Ministry of Health of Turkey. Turkey Dietary Guidelines (TUBER). Ankara: 2016 Contract No.: 1031.
  • FAO/WHO/UNU. Human Energy Requirements: Report of a Joint FAO/WHO/UNU Expert Consultation: Rome, 17-24 October 2001. 2004.
  • World Health Organization. Obesity: Preventing and Managing The Global Epidemic. Geneva: 2000 894.
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43. Epub 1995/03/01. doi: 10.1016/0005- 7967(94)00075-u. PubMed PMID: 7726811.
  • Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. Br J Clin Psychol. 2005;44(2):227- 39. doi: 10.1348/014466505X29657. PubMed Central PMCID: PMC16004657.
  • Yılmaz Ö, Boz H, Arslan A. Depresyon Anksiyete Stres Ölçeğinin (DASS 21) Türkçe kisa formunun geçerlilik-güvenilirlik çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi. 2017;2(2):78-91.
  • Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4
  • Ağargün M, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7(2):107-15.
  • Papier K, Ahmed F, Lee P, Wiseman J. Stress and dietary behaviour among first-year university students in Australia: Sex differences. Nutrition. 2015;31(2):324-30. doi: 10.1016/j.nut.2014.08.004. . PubMed Central PMCID: PMC25442361.
  • Wong JGWS, Cheung EPT, Chan KKC, Ma KKM, Tang SW. Webbased survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Australian and New Zealand Journal of Psychiatry. 2006;40(9):777-82. doi: 10.1111/j.1440- 1614.2006.01883.x.
  • Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008;43(8):667-72. doi: 10.1007/s00127-008-0345-x. PubMed Central PMCID: PMC18398558.
  • Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr. 2013;6(4):318-23. Epub 2013/07/03. doi: 10.1016/j.ajp.2013.01.014. PubMed PMID: 23810140.
  • Pollard TM, Steptoe A, Canaan L, Davies GJ, Wardle J. Effects of academic examination stress on eating behavior and blood lipid levels. Int J Behav Med. 1995;2(4):299. doi: 10.1207/s15327558ijbm0204_2. PubMed Central PMCID: PMC16250770.
  • Singh R, Goyal M, Tiwari S, Ghildiyal A, Nattu SM, Das S. Effect of examination stress on mood, performance and cortisol levels in medical students. Indian J Physiol Pharmacol. 2012;56(1):48-55. PubMed Central PMCID: PMC23029964.
  • 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. PubMed PMID: 28490911; PubMed Central PMCID: PMC28490911.
  • Zunhammer M, Eichhammer P, Busch V. Sleep Quality during Exam Stress: The Role of Alcohol, Caffeine and Nicotine. PLoS One. 2014;9(10):e109490. doi: 10.1371/journal.pone.0109490. PubMed Central PMCID: PMC25279939.
  • Liu C, Xie B, Chou CP, Koprowski C, Zhou D, Palmer P, et al. Perceived stress, depression and food consumption frequency in the college students of China Seven Cities. Physiol Behav. 2007;92(4):748-54. Epub 2007/06/26. doi: 10.1016/j. physbeh.2007.05.068. PubMed PMID: 17585967; PubMed Central PMCID: PMC17585967.
  • Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J. 2009;8(1):31. doi: 10.1186/1475-2891-8-31. PubMed Central PMCID: PMC19604384.
  • Šimić N, Manenica I. Exam experience and some reactions to exam stress. Fiziol Cheloveka. 2012;38(1):67-72. doi: 10.1134/ S0362119712010161. PubMed Central PMCID: PMC22567840.
  • Zunhammer M, Eberle H, Eichhammer P, Busch V. Somatic Symptoms Evoked by Exam Stress in University Students: The Role of Alexithymia, Neuroticism, Anxiety and Depression. PLoS One. 2013;8(12):e84911. doi: 10.1371/journal.pone.0084911. PubMed Central PMCID: PMC24367700.
  • Choi J. Impact of Stress Levels on Eating Behaviors among College Students. Nutrients. 2020;12(5):1241. doi: 10.3390/ nu12051241. PubMed PMID: doi:10.3390/nu12051241; PubMed Central PMCID: PMC32349338.
  • Rooney C, McKinley MC, Woodside JV. The potential role of fruit and vegetables in aspects of psychological well-being: a review of the literature and future directions. Proc Nutr Soc. 2013;72(4):420- 32. Epub 2013/09/12. doi: 10.1017/s0029665113003388. PubMed PMID: 24020691; PubMed Central PMCID: PMC24020691.
  • Barker ME, Blain RJ, Russell JM. The influence of academic examinations on energy and nutrient intake in male university students. Nutr J. 2015;14(1):98. doi: 10.1186/s12937-015-0088-y. PubMed Central PMCID: PMC26408322.
  • Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep Patterns and Predictors of Disturbed Sleep in a Large Population of CollegeStudents. J Adolesc Health. 2010;46(2):124-32. doi: 10.1016/j. jadohealth.2009.06.016.; PubMed Central PMCID: PMC20113918.
  • Araújo MFMd, Freitas RWJFd, Lima ACS, Pereira DCR, Zanetti ML, Damasceno MMC. Health indicators associated with poor sleep quality among university students. Revista da Escola de Enfermagem da USP. 2014;48(6):1085-92. doi: 10.1590/S0080- 623420140000700017. PubMed Central PMCID: PMC25626509
  • Campbell R, Soenens B, Beyers W, Vansteenkiste M. University students’ sleep during an exam period: the role of basic psychological needs and stress. Motiv Emot. 2018;42(5):671-81. doi: 10.1007/s11031-018-9699-x.
  • Aysan E, Karaköse S, Zaybak A, İsmailoğlu EG. Üniversite öğrencilerinde uyku kalitesi ve etkileyen faktörler. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2014;7(3):193- 8.
  • Gallego J, Aguilar-Parra JM, Cangas AJ, Langer ÁI, Mañas I. Effect of a Mindfulness Program on Stress, Anxiety and Depression in University Students. Span J Psychol. 2014;17:E109. Epub 2015/01/13. doi: 10.1017/sjp.2014.102. PubMed Central PMCID: PMC26055051.
  • Grammatikopoulou MG, Gkiouras K, Markaki A, Theodoridis X, Tsakiri V, Mavridis P, et al. Food addiction, orthorexia, and food-related stress among dietetics students. Eat Weight Disord.2018;23(4):459-67. doi: 10.1007/s40519-018-0514-1. PubMed Central PMCID: PMC29779146.
  • Rocks T, Pelly F, Slater G, Martin LA. Eating attitudes and behaviours of students enrolled in undergraduate nutrition and dietetics degrees. Nutr Diet. 2017;74(4):381-7. doi: 10.1111/1747- 0080.12298. PubMed Central PMCID: PMC28901702.

Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status

Year 2022, Volume: 7 Issue: 1, 9 - 15, 31.01.2022

Abstract

Objective: Feeling under stress affects the individuals’ lifestyles and leads to changes in their various activities. This study aims to determine the stress level and sleep quality of the nutrition and dietetics freshmen during the education and exam periods and compare their nutritional status with their appetite and physical changes.

Material and Method: In this cross-sectional study, the stress level of the first-years of the nutrition and dietetics (n=74; 93% were female) was determined by the Depression Anxiety Stress Scale-21, and their sleep qualities were evaluated using the Pittsburgh Sleep Quality Index. The 24-hour recall method was used to evaluate students’ dietary intake and physical activity during education and exam periods.

Results: In the exam period, the students experienced higher stress, anxiety, and depression levels, and they had a bad sleep quality (p<0.05). The students’ total energy expenditure and physical activity levels during the exam period decreased statistically significantly compared to the education period (p<0.05). A significant decrease was found in micronutrient intake (p<0.05). In addition, the students consumed fewer dairy products, fruits, and vegetables in the exam period than they did in the education period (p<0.05).

Conclusion: The exam period causes stress for the dietetics freshmen and changes their food consumption and physical activity levels. The fact that there was no change in energy and macronutrients in their food consumption records, despite their increasing desire to overeat during the exam period, may be due to the students restricting their food consumption. Dietetics freshmen should be informed about stress management and encouraged to eat healthily, especially during stressful periods, to help them maintain their healthy eating behaviours.

References

  • Arslan SA, Daşkapan A, Çakır B. Üniversite öğrencilerinin beslenme ve fiziksel aktivite alışkanlıklarının belirlenmesi. TAF Prev Med Bull. 2016;15(3):171-80. doi: 10.5455/pmb.1-1436432564.
  • Robotham D, Julian C. Stress and the higher education student: a critical review of the literature. Journal of Further and Higher Education. 2006;30(02):107-17. doi: 10.1080/03098770600617513.
  • Ekpenyong CE, Daniel NE, Aribo E. Associations between academic stressors, reaction to stress, coping strategies and musculoskeletal disorders among college students. Ethiop J Health Sci. 2013;23(2):98- 112. PubMed Central PMCID: PMC23950626.
  • Zellner DA, Loaiza S, Gonzalez Z, Pita J, Morales J, Pecora D, et al. Food selection changes under stress. Physiol Behav. 2006;87(4):789- 93. doi: 10.1016/j.physbeh.2006.01.014.; PubMed Central PMCID: PMC16519909.
  • Gonzalez MJ, Miranda-Massari JR. Diet and Stress. Psychiatr Clin North Am. 2014;37(4):579-89. doi: 10.1016/j.psc.2014.08.004.; PubMed Central PMCID: PMC25455067.
  • Barclay NL, Eley TC, Rijsdijk FV, Gregory AM. Dependent negative life events and sleep quality: an examination of gene-environment interplay. Sleep Medicine. 2011;12(4):403-9. Epub 2011/03/12. doi: 10.1016/j.sleep.2010.09.009. PubMed PMID: 21393059.
  • Geiker NRW, Astrup A, Hjorth MF, Sjödin A, Pijls L, Markus CR. Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa? Obes Rev. 2018;19(1):81-97. doi: 10.1111/obr.12603. PubMed Central PMCID: PMC28849612.
  • Al-Dabal BK, Koura MR, Rasheed P, Al-Sowielem L, Makki SM. A Comparative Study of Perceived Stress among Female Medical and Non- Medical University Students in Dammam, Saudi Arabia. Sultan Qaboos University Medical Journal. 2010;10(2):231-40. Epub 2011/04/22. PubMed PMID: 21509235; PubMed Central PMCID: PMC21509235.
  • Saipanish R. Stress among medical students in a Thai medical school. Medical teacher. 2003;25(5):502-6. Epub 2003/10/03. doi: 10.1080/0142159031000136716. PubMed PMID: 14522672; PubMed Central PMCID: PMC14522672.
  • Kutluay Merdol T. Past, Present and Future of Nutrition and Dietetics Science. İzmir katip çelebi univ sağlık bilim derg. 2016;1(1):1-5.
  • Korinth A, Schiess S, Westenhoefer J. Eating behaviour and eating disorders in students of nutrition sciences. Public health nutrition. 2010;13(1):32-7. Epub 2009/05/13. doi: 10.1017/s1368980009005709. PubMed PMID: 19433007; PubMed Central PMCID: PMC19433007.
  • Rakıcıoğlu N, Acar Tek N, Ayaz A, Pekcan G. Yemek ve Besin Fotoğraf Kataloğu: Ölçü ve Miktarlar 3. ed. Ankara: Ata Ofset Matbaacılık; 2012.
  • BEBİS. Bebis Nutrition Data Base. The German Food Code and Nutrient Data Base (BLS II.3, 1999) with additions from USDA-sr and other sources, İstanbul, Turkey, 2004. . 2017.
  • Ministry of Health of Turkey. Turkey Dietary Guidelines (TUBER). Ankara: 2016 Contract No.: 1031.
  • FAO/WHO/UNU. Human Energy Requirements: Report of a Joint FAO/WHO/UNU Expert Consultation: Rome, 17-24 October 2001. 2004.
  • World Health Organization. Obesity: Preventing and Managing The Global Epidemic. Geneva: 2000 894.
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43. Epub 1995/03/01. doi: 10.1016/0005- 7967(94)00075-u. PubMed PMID: 7726811.
  • Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. Br J Clin Psychol. 2005;44(2):227- 39. doi: 10.1348/014466505X29657. PubMed Central PMCID: PMC16004657.
  • Yılmaz Ö, Boz H, Arslan A. Depresyon Anksiyete Stres Ölçeğinin (DASS 21) Türkçe kisa formunun geçerlilik-güvenilirlik çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi. 2017;2(2):78-91.
  • Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4
  • Ağargün M, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7(2):107-15.
  • Papier K, Ahmed F, Lee P, Wiseman J. Stress and dietary behaviour among first-year university students in Australia: Sex differences. Nutrition. 2015;31(2):324-30. doi: 10.1016/j.nut.2014.08.004. . PubMed Central PMCID: PMC25442361.
  • Wong JGWS, Cheung EPT, Chan KKC, Ma KKM, Tang SW. Webbased survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Australian and New Zealand Journal of Psychiatry. 2006;40(9):777-82. doi: 10.1111/j.1440- 1614.2006.01883.x.
  • Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008;43(8):667-72. doi: 10.1007/s00127-008-0345-x. PubMed Central PMCID: PMC18398558.
  • Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr. 2013;6(4):318-23. Epub 2013/07/03. doi: 10.1016/j.ajp.2013.01.014. PubMed PMID: 23810140.
  • Pollard TM, Steptoe A, Canaan L, Davies GJ, Wardle J. Effects of academic examination stress on eating behavior and blood lipid levels. Int J Behav Med. 1995;2(4):299. doi: 10.1207/s15327558ijbm0204_2. PubMed Central PMCID: PMC16250770.
  • Singh R, Goyal M, Tiwari S, Ghildiyal A, Nattu SM, Das S. Effect of examination stress on mood, performance and cortisol levels in medical students. Indian J Physiol Pharmacol. 2012;56(1):48-55. PubMed Central PMCID: PMC23029964.
  • 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. PubMed PMID: 28490911; PubMed Central PMCID: PMC28490911.
  • Zunhammer M, Eichhammer P, Busch V. Sleep Quality during Exam Stress: The Role of Alcohol, Caffeine and Nicotine. PLoS One. 2014;9(10):e109490. doi: 10.1371/journal.pone.0109490. PubMed Central PMCID: PMC25279939.
  • Liu C, Xie B, Chou CP, Koprowski C, Zhou D, Palmer P, et al. Perceived stress, depression and food consumption frequency in the college students of China Seven Cities. Physiol Behav. 2007;92(4):748-54. Epub 2007/06/26. doi: 10.1016/j. physbeh.2007.05.068. PubMed PMID: 17585967; PubMed Central PMCID: PMC17585967.
  • Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J. 2009;8(1):31. doi: 10.1186/1475-2891-8-31. PubMed Central PMCID: PMC19604384.
  • Šimić N, Manenica I. Exam experience and some reactions to exam stress. Fiziol Cheloveka. 2012;38(1):67-72. doi: 10.1134/ S0362119712010161. PubMed Central PMCID: PMC22567840.
  • Zunhammer M, Eberle H, Eichhammer P, Busch V. Somatic Symptoms Evoked by Exam Stress in University Students: The Role of Alexithymia, Neuroticism, Anxiety and Depression. PLoS One. 2013;8(12):e84911. doi: 10.1371/journal.pone.0084911. PubMed Central PMCID: PMC24367700.
  • Choi J. Impact of Stress Levels on Eating Behaviors among College Students. Nutrients. 2020;12(5):1241. doi: 10.3390/ nu12051241. PubMed PMID: doi:10.3390/nu12051241; PubMed Central PMCID: PMC32349338.
  • Rooney C, McKinley MC, Woodside JV. The potential role of fruit and vegetables in aspects of psychological well-being: a review of the literature and future directions. Proc Nutr Soc. 2013;72(4):420- 32. Epub 2013/09/12. doi: 10.1017/s0029665113003388. PubMed PMID: 24020691; PubMed Central PMCID: PMC24020691.
  • Barker ME, Blain RJ, Russell JM. The influence of academic examinations on energy and nutrient intake in male university students. Nutr J. 2015;14(1):98. doi: 10.1186/s12937-015-0088-y. PubMed Central PMCID: PMC26408322.
  • Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep Patterns and Predictors of Disturbed Sleep in a Large Population of CollegeStudents. J Adolesc Health. 2010;46(2):124-32. doi: 10.1016/j. jadohealth.2009.06.016.; PubMed Central PMCID: PMC20113918.
  • Araújo MFMd, Freitas RWJFd, Lima ACS, Pereira DCR, Zanetti ML, Damasceno MMC. Health indicators associated with poor sleep quality among university students. Revista da Escola de Enfermagem da USP. 2014;48(6):1085-92. doi: 10.1590/S0080- 623420140000700017. PubMed Central PMCID: PMC25626509
  • Campbell R, Soenens B, Beyers W, Vansteenkiste M. University students’ sleep during an exam period: the role of basic psychological needs and stress. Motiv Emot. 2018;42(5):671-81. doi: 10.1007/s11031-018-9699-x.
  • Aysan E, Karaköse S, Zaybak A, İsmailoğlu EG. Üniversite öğrencilerinde uyku kalitesi ve etkileyen faktörler. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2014;7(3):193- 8.
  • Gallego J, Aguilar-Parra JM, Cangas AJ, Langer ÁI, Mañas I. Effect of a Mindfulness Program on Stress, Anxiety and Depression in University Students. Span J Psychol. 2014;17:E109. Epub 2015/01/13. doi: 10.1017/sjp.2014.102. PubMed Central PMCID: PMC26055051.
  • Grammatikopoulou MG, Gkiouras K, Markaki A, Theodoridis X, Tsakiri V, Mavridis P, et al. Food addiction, orthorexia, and food-related stress among dietetics students. Eat Weight Disord.2018;23(4):459-67. doi: 10.1007/s40519-018-0514-1. PubMed Central PMCID: PMC29779146.
  • Rocks T, Pelly F, Slater G, Martin LA. Eating attitudes and behaviours of students enrolled in undergraduate nutrition and dietetics degrees. Nutr Diet. 2017;74(4):381-7. doi: 10.1111/1747- 0080.12298. PubMed Central PMCID: PMC28901702.
There are 43 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Gülen Suna 0000-0001-5757-1435

Nilgün Seremet Kürklü 0000-0003-1394-0037

Hülya Kamarlı Altun 0000-0001-9878-9297

Early Pub Date January 30, 2022
Publication Date January 31, 2022
Submission Date May 4, 2021
Published in Issue Year 2022 Volume: 7 Issue: 1

Cite

APA Suna, G., Seremet Kürklü, N., & Kamarlı Altun, H. (2022). Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(1), 9-15.
AMA Suna G, Seremet Kürklü N, Kamarlı Altun H. Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status. İKÇÜSBFD. January 2022;7(1):9-15.
Chicago Suna, Gülen, Nilgün Seremet Kürklü, and Hülya Kamarlı Altun. “Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7, no. 1 (January 2022): 9-15.
EndNote Suna G, Seremet Kürklü N, Kamarlı Altun H (January 1, 2022) Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7 1 9–15.
IEEE G. Suna, N. Seremet Kürklü, and H. Kamarlı Altun, “Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status”, İKÇÜSBFD, vol. 7, no. 1, pp. 9–15, 2022.
ISNAD Suna, Gülen et al. “Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7/1 (January 2022), 9-15.
JAMA Suna G, Seremet Kürklü N, Kamarlı Altun H. Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status. İKÇÜSBFD. 2022;7:9–15.
MLA Suna, Gülen et al. “Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 7, no. 1, 2022, pp. 9-15.
Vancouver Suna G, Seremet Kürklü N, Kamarlı Altun H. Exam Stress in Dietetics Freshmen: Changes in Stress, Sleep Quality, and Nutritional Status. İKÇÜSBFD. 2022;7(1):9-15.



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