Evidence map›Paper›PMID 39716140›Full record

ArticleBMC public health2024

Food insecurity and lifestyle behaviours in university students amidst the COVID-19 pandemic: a comparative survey across three countries.

Maria M Witkowiak, Adama Nana Idris, Alma Sato, Hala Sacre, Chadia Haddad, Rana Rizk, Diana Malaeb, Jana Strahler, Pascale Salameh, Despo Ierodiakonou

Abstract readComparative Study
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Maria M WitkowiakDepartment of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus.
Adama Nana IdrisDepartment of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus.
Alma SatoDepartment of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus.
Hala SacreINSPECT-LB (Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie - Liban), Beirut, Lebanon.
Chadia HaddadINSPECT-LB (Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie - Liban), Beirut, Lebanon.
Rana RizkINSPECT-LB (Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie - Liban), Beirut, Lebanon.
Diana MalaebINSPECT-LB (Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie - Liban), Beirut, Lebanon.
Jana StrahlerSport Psychology, Institute of Sport and Sport Science, Albert-Ludwigs-University Freiburg, Freiburg Im Breisgau, Germany.
Pascale SalamehINSPECT-LB (Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie - Liban), Beirut, Lebanon.
Despo IerodiakonouDepartment of Primary Care and Population Health, University of Nicosia Medical School, 21 Ilia Papakyriakou, 1st Floor, Block C, Engomi, Nicosia, Nicosia, 2414, Cyprus. ierodiakonou.d@unic.ac.cy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUniversity students, often unemployed and reliant on low-nutrition foods, are susceptible to food insecurity (FI) with potential physical and mental health challenges. This study explores FI and its impact on lifestyle behaviours among university students.

methodsA cross-sectional web-based study was performed by sending an online questionnaire to university students in Lebanon, Cyprus, and Germany during the COVID-19 pandemic. Using validated measures, i.e., the Household Food Insecurity Access Scale, International Physical Activity Questionnaire, Pittsburgh Sleep Quality Index, and Mediterranean Diet Adherence Screener, adjusted linear regression models were performed to assess the associations between country, FI and physical activity, sleep quality, and diet.

resultsIn a convenience sample of 611 individuals (350 in Germany, 214 in Lebanon, and 47 in Cyprus) enrolled in the study, 547 provided complete response. 190 (34.7%) experienced FI, of whom 52 (9.5%) were severely food-insecure, with variation of FI prevalence between countries (18.9% in Germany, 14.9% in Cyprus, and 60.3% in Lebanon). Lifestyle behaviours also differed between participants from the three countries, with students in Germany exhibiting the highest physical activity level and the lowest adherence to the Mediterranean diet compared with Lebanon and Cyprus. On the other hand, participants from Lebanon and Cyprus had similar physical activity and diet behaviours. Concerning sleep, students in Cyprus showed the poorest quality. FI significantly correlated with reduced physical activity (beta - 0.171, 95% Confidence Interval (-0.313, -0.029)), but not with sleep or diet. The country of residence independently predicted lifestyle behaviours (p < 0.05).

conclusionsThis study suggests that FI impacts university students in countries of varying income levels, and the country of residence independently influences lifestyle behaviours. Larger-size studies are essential to confirm these findings and further explore FI's impact on university students outside the context of the pandemic.

Indexed as

COVID-19ExerciseFood InsecurityLife StyleStudentsAdolescentAdultCross-Sectional StudiesCyprusFemaleGermanyHumansLebanonMalePandemicsSurveys and QuestionnairesEconomyFood insecurityHealthy eatingLifestyleMediterranean dietPhysical activitySleepUniversity students

Identifiers

PMID39716140
PMCPMC11665100

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.