Physical activity practice and negative self-rated health among university students during COVID-19
DOI:
https://doi.org/10.15343/0104-7809.202549e17082025PKeywords:
General Health Status, Aerobic Training, Strength Training, University Student, COVID-19Abstract
During the pandemic, significant changes in university students’ routines affected their lifestyle and health. This study aimed to determine the prevalence of negative self-rated health (NSRH) among university students and to analyze its association with moderate-intensity aerobic physical activity (MPA) and muscle-strengthening physical activity (MSPA) during the pandemic. A cross-sectional study was conducted with 1,150 students from Estácio de Sá University, Rio de Janeiro, with a mean age of 31.43 years (SD: 11.07), of whom 63.8% were women. Self-rated health was assessed through a single question, with “fair,” “poor,” and “very poor” considered negative responses. MPA and MSPA practices were assessed using the PERMEV instrument between August 2021 and April 2022. Descriptive analyses and binary logistic regression were performed to estimate associations, with calculation of Odds Ratios (OR) and 95% confidence intervals (95% CI), in both crude and adjusted analyses. The significance level adopted was 5%. The prevalence of NSRH was 38.6%, higher among women (42%) than men (32.5%). Increased MSPA was associated with lower odds of NSRH in both sexes, while maintaining MSPA showed an additional protective effect among men. There was a significant relationship between MSPA and NSRH in both sexes during the pandemic, suggesting that MSPA may reduce negative impacts on health perception during prolonged crisis periods, highlighting the importance of strategies to encourage this type of exercise in situations of physical and social distancing.
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References
Larson JS. The conceptualization of health. Med Care Res Rev [Internet]. 1999 [citado 4 out 2025];56(2):123–36. Disponível em: https:// doi.org/10.1177/107755879905600201
Bruin A de, Picavet HSJ, Nossikov A, organizadores. Health interview surveys: towards international harmonization of methods and instruments [Internet]. Copenhagen: World Health Organization, Regional Office for Europe; 1996 [citado 4 out 2025]. 161 p. (WHO Regional Publications. European Series). Disponível em: https://apps.who.int/iris/handle/10665/107328
DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question. J Gen Intern Med [Internet]. 2006 [citado 4 out 2025];21(3):267–75. Disponível em: https://doi.org/10.1111/j.1525-1497.2005.00291.x
Szwarcwald CL, Damacena GN, Souza Júnior PRB, Almeida WS, Lima LTM, Malta DC, et al. Determinantes da autoavaliação de saúde no Brasil e a influência dos comportamentos saudáveis: resultados da Pesquisa Nacional de Saúde, 2013. Rev Bras Epidemiol [Internet]. 2015 [citado 5 out 2025];18(Suppl 2):33–44. Disponível em: https://doi.org/10.1590/1980-5497201500060004
Pavão ALB, Werneck GL, Campos MR. Autoavaliação do estado de saúde e a associação com fatores sociodemográficos, hábitos de vida e morbidade na população: um inquérito nacional. Cad Saúde Pública [Internet]. 2013 [citado 5 out 2025];29(4):723–34. Disponível em: https:// www.scielo.br/j/csp/a/b4Nyg8BYjDRzDMjnZpdWshB/?format=pdf&lang=pt
Lindemann IL, Reis NR, Mintem GC, Mendoza-Sassi RA. Autopercepção da saúde entre adultos e idosos usuários da Atenção Básica de Saúde. Ciênc Saúde Coletiva [Internet]. 2019 [citado 26 out 2025];24(1):45–52. Disponível em: https://doi.org/10.1590/1413-81232018241.34932016
Marco JCPD, Martins R, Bim MA, Pelegrini A, Antes DL. Autopercepção de saúde negativa e fatores associados em estudantes de uma universidade do oeste catarinense. Saúde (Santa Maria) [Internet]. 2023 [citado 26 out 2025];49(2):e74481. Disponível em: https://periodicos. ufsm.br/revistasaude/article/view/74481
World Health Organization. WHO guidelines on physical activity and sedentary behaviour [Internet]. Geneva: World Health Organization; 2020 [citado 26 out 2024]. Disponível em: https://www.who.int/publications/i/item/9789240015128
Mu FZ, Liu J, Lou H, Zhu WD, Wang ZC, Li B. Influence of physical exercise on negative emotions in college students: chain mediating role of sleep quality and self-rated health. Front Public Health [Internet]. 2024 [citado 15 out 2024];12:1402801. Disponível em: https://doi. org/10.3389/fpubh.2024.1402801
Fuzatto M, Oliveira A, Oliveira KR, Leal TP, Rivaroli L. Associação entre a autoavaliação da saúde, o nível de atividade física e o índice de massa corpórea em uma cidade do interior de Minas Gerais. Corpoconsciência [Internet]. 2018 [citado 15 out 2025];22(2):16–24. Disponível em: https://periodicoscientificos.ufmt.br/ojs/index.php/corpoconsciencia/article/view/6047
Triaca L, Franca M, Guttier M, Tejada C. Estilos de vida saudável e autoavaliação de saúde como boa: uma análise dos dados da PNS/2013. J Bras Econ Saúde [Internet]. 2017 [citado 15 out 2025];9(3):260–6. Disponível em: https://jbes.com.br/index.php/jbes/article/view/258
Gallè F, Sabella EA, Ferracuti S, De Giglio O, Caggiano G, Protano C, et al. Sedentary behaviors and physical activity of Italian undergraduate students during lockdown at the time of COVID-19 pandemic. Int J Environ Res Public Health [Internet]. 2020 [citado 19 out 2025];17(17):6171. Disponível em: https://doi.org/10.3390/ijerph17176171
Gallo LA, Gallo TF, Young SL, Moritz KM, Akison LK. The impact of isolation measures due to COVID-19 on energy intake and physical activity levels in Australian university students. Nutrients [Internet]. 2020 [citado 19 out 2025];12(6):1865. Disponível em: https://doi.org/10.3390/ nu12061865
Guilherme LQ, Bedim NR, Miranda VPN, Amorim PRS. Pandemia da COVID-19 e as consequentes alterações comportamentais de uma comunidade universitária. Rev Bras Ativ Fís Saúde [Internet]. 2023 [citado 19 out 2025];28:1–8. Disponível em: https://rbafs.org.br/RBAFS/ article/view/15161
Buizza C, Bazzoli L, Ghilardi A. Changes in college students mental health and lifestyle during the COVID-19 pandemic: a systematic review of longitudinal studies. Adolesc Res Rev [Internet]. 2022 [citado 26 out 2025];7(4):537–50. Disponível em: https://link.springer.com/ article/10.1007/s40894-022-00192-7
García-García J, Mañas A, González-Gross M, Espin A, Ara I, Ruiz JR, et al. Physical activity, sleep, and mental health during the COVID-19 pandemic: a one-year longitudinal study of Spanish university students. Heliyon [Internet]. 2023 [citado 27 out 2025];9(9):e19338. Disponível em: https://doi.org/10.1016/j.heliyon.2023.e19338
Goncalves A, Le Vigouroux S, Charbonnier E. University students’ lifestyle behaviors during the COVID-19 pandemic: a four-wave longitudinal survey. Int J Environ Res Public Health [Internet]. 2021 [citado 27 out 2025];18(17):8998. Disponível em: https://doi.org/10.3390/ ijerph18178998
Romero-Blanco C, Rodríguez-Almagro J, Onieva-Zafra MD, Parra-Fernández ML, Prado-Laguna MC, Hernández-Martínez A. Physical activity and sedentary lifestyle in university students: changes during confinement due to the COVID-19 pandemic. Int J Environ Res Public Health [Internet]. 2020 [citado 27 out 2025];17(18):6567. Disponível em: https://doi.org/10.3390/ijerph17186567
Luiz RR, Magnanini MMF. A lógica da determinação do tamanho da amostra em investigações epidemiológicas. Cad Saúde Coletiva. 2000;8(2):9–28.
Santos SFS, Sousa TF, Fonseca SA, Alvarenga AM, Pereira KM, Farias GS, et al. Mudanças percebidas no estilo de vida no distanciamento social: validade preliminar do questionário. Rev Bras Ativ Fís Saúde [Internet]. 2021 [citado 26 out 2025];26:1–10. Disponível em: https://rbafs. org.br/RBAFS/article/view/14670
Soares JS, Sousa TF, Mourão-Carvalhal MIM, Fonseca SCF. Estrutura fatorial e consistência interna do questionário PERMEV. Retos [Internet]. 2024 [citado 27 out 2025];61:1071–9. Disponível em: https://recyt.fecyt.es/index.php/retos/article/view/109923
Ferreira M, Silva Farias G, Nunes S, Papini C, Sousa T. Self-rated health in university students: a systematic review. Saúde Rev [Internet]. 2021 [citado 27 out 2025];21:195–213. Disponível em: https://www.researchgate.net/publication/358487954_Self-rated_health_in_university_ students_a_systematic_review
Ferreira MS, Nunes SAN, Papini CB, Sousa TF. Prevalence of negative self-rated health in university students and its relationship with the co-occurrence of risk behaviors. J Phys Educ [Internet]. 2022 [citado 2 nov 2025];33:e3321. Disponível em: https://doi.org/10.4025/jphyseduc. v33i1.3321
Li L, Lok KI, Mei SL, Cui XL, Li L, Ng CH, et al. Sleep duration and self-rated health in Chinese university students. Sleep Breath [Internet]. 2019 [citado 2 nov 2025];23(4):1351–6. Disponível em: https://doi.org/10.1007/s11325-019-01856-w
Sousa TF. Auto-avaliação do nível de saúde em estudantes de Educação Física. Saúde Pesqui [Internet]. 2009 [citado 2 nov 2025];2(1):17– 21. Disponível em: https://periodicos.unicesumar.edu.br/index.php/saudpesq/article/view/989
Phillips SP, O’Connor M, Vafaei A. Women suffer but men die: survey data exploring whether this self-reported health paradox is real or an artefact of gender stereotypes. BMC Public Health [Internet]. 2023 [citado 8 nov 2025];23(1):94. Disponível em: https://bmcpublichealth. biomedcentral.com/articles/10.1186/s12889-023-15011-4
Warburton DER, Bredin SSD. Health benefits of physical activity: a strengths-based approach. J Clin Med [Internet]. 2019 [citado 10 nov 2025];8(12):2044. Disponível em: https://doi.org/10.3390/jcm8122044
Abou Sawan S, Nunes EA, Lim C, McKendry J, Phillips SM. The health benefits of resistance exercise: beyond hypertrophy and big weights. Exerc Sport Mov [Internet]. 2023 [citado 10 nov 2025];1(1):e00001. Disponível em: https://journals.lww.com/acsm-esm/fulltext/2023/01000/ the_health_benefits_of_resistance_exercise__beyond.2.aspx
Meeusen R, Fontenelle V. The monoaminergic system in animal models of exercise. In: Boecker H, Hillman CH, Scheef L, Strüder HK, eds. Functional Neuroimaging in Exercise and Sports Sciences [Internet]. New York: Springer; 2012 [citado 10 nov 2025]. p. 59–76. Disponível em: https://doi.org/10.1007/978-1-4614-3293-7_4
Kim HY, Choi SH, Hong KS. Exploring college students’ subjective health perceptions according to physical activity level. Exerc Sci [Internet]. 2024 [citado 16 nov 2025];33(1):8–16. Disponível em: http://ksep-es.org/journal/view.php?doi=10.15857/ksep.2024.00080
Lira CTC, Santiago LCS, Henrique RS, Rangel-Junior JFLB, Campello CP, Santos MAM. Examining the effects of strength training with load progression on sleep parameters and mental health in college students. Sleep Sci [Internet]. 2024 [citado 16 nov 2025];17:e134–e142. Disponível em: https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0043-1777781
Torres L, Caciula MC, Tomoiaga AS, Gugu-Gramatopol C. Correlations between mental health, physical activity, and body composition in American college students after the COVID-19 pandemic lockdown. Int J Environ Res Public Health [Internet]. 2023 [citado 16 nov 2025];20(22):7045. Disponível em: https://doi.org/10.3390/ijerph20227045
Sousa TFD, Fonseca SA, Barbosa AR. Regular and negative self-rated health in students from a public university from Northeastern, Brazil: prevalence and associated factors. Acta Sci Health Sci [Internet]. 2014 [citado 16 nov 2025];36(2):185. Disponível em: https://doi.org/10.4025/ actascihealthsci.v36i2.19171
Franco DC, Dias MS, Sousa TF. Percepção negativa de saúde e fatores associados em acadêmicos de Educação Física. ABCS Health Sci [Internet]. 2018 [citado 16 nov 2024];43(3). Disponível em: https://www.portalnepas.org.br/abcshs/article/view/1083
Camilo BF, Baranowski-Pinto G, Filho BJPL, Cristina-Souza G. Challenges and strategies to stay physically active in the face of COVID-19 pandemic: a review. Rev Med Hered [Internet]. 2023 [citado 1 dez 2025];34(1):47–53. Disponível em: https://revistas.upch.edu.pe/index.php/ RMH/article/view/4452
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