Universal Journal of Educational Research 4(5): 1189-1195, 2016 http://www.hrpub.

org
DOI: 10.13189/ujer.2016.040532

Healthy Life Style Behaviors of University Students of

School of Physical Education and Sports in Terms of Body
Mass Index and Other Variables
Volkan Bozlar1,*, Cansel Arslanoğlu2
1
Graduate School of Health Science, Kirikkale University, Turkey
2
Sarikamis School of Physical Education and Sport, Kafkas University, Turkey

Copyright©2016 by authors, all rights reserved. Authors agree that this article remains permanently open access under the
terms of the Creative Commons Attribution License 4.0 International License

Abstract The aim of this study is to determine Healthy focused on since the beginning of humanity. Health can be
Lifestyle Behaviors of students in the Schools of Physical considered as a continuum which covers different levels
Education and Sport (SPES) utilizing Body Mass Index between healthy status at an optimum level and death [1].
(BMI) and other various variables. The study is composed According to the World Health Organization, health is more
of 1695 students studying in SPES, in 14 different than the status of not having a disease or disability but a
universities across Turkey. It is made up of 1067 male and status of being well in terms of mental, physical and social
624 female students. Data collected, is from both anonymous aspects. Being healthy, according to the same organization,
personal information and a Healthy Lifestyle Behaviors is defined as “being aware of breathing, being able to meet
Scale – I survey. SPSS 21 was used and analysis obtained is the needs, being able to change the environment or handle
95% reliant. Examining the difference in status between the environment” [2].
Healthy Lifestyle Behaviors scores and the BMI group were There are several factors involved in health and illness.
done according to the Kruskal-Wallis H test, examining the Health is influenced by poor eating habits, not exercising
relationship between each BMI group with 6 subscales was enough, excessive stress, personal traits, behaviors and
done with the Spearman Correlation test. The highest attitudes [3,4]. Unhealthy habits seen in adulthood are said to
average score of the subscale is Self-Fulfillment (37.25 ± be strongly associated with an unhealthy life style in
6.02), while the lowest score of subscale was exercise (13.45 adolescence [5,6]. However, the fact that the foundation of
± 3.06). SPES students with low BMI’s were found to have a diseases seen in society is based on the childhood and
higher score in the Self- Fulfillment subscale. Recreation teenage periods is ignored most of the time [7].
Department students scored higher in 4 of the 6 subscales, When the development process of medicine and
whereas the 4th grade students scored higher in 5 of the 6 healthcare services are considered, we see that trying to heal
subscales. It has been observed that as the family income and the ones who are ill comes first and then ways to prevent
education level increases, there is an increase in the diseases are addressed later [8]. Healthy life style behaviors
awareness of the Healthy Lifestyle Behaviors applied. The aim not only to prevent a disease or illness but also to bring a
findings of the literature have revealed that there is a serious person’s general health to a better level. Immobility and a
lack of exercise and proper nutrition, and the results for the lack of healthy habits are the main reasons health problems
SPES students observed in this regard were no different. This occur today. It is stated that healthy life style behaviors can
research supports the need for well-rounded encouragement reduce diseases and death on one hand and research
and support as it pertains to healthy living. Also the students conducted on large portions of society show that an
with low BMI’s showed higher scores in the subscale of Self- immobile life style causes several chronic diseases on the
Fulfillment. The students majoring in Recreation received
other [9.10.11.12]. The healthy life style scale developed
higher scores on several subscales.
within this context includes physical activity, self-fulfillment,
Keywords Physical Education, Sport, Healthy Life Style, health responsibility, nutrition, support among people and
BMI stress management components [13]. Health responsibility is
a person being actively responsible for his personal health.
Physical activity is defined as doing exercises at every level
regularly. Nutrition is defined as an individual’s choice and
management of his meals and the value of his food. Moral
1. Introduction development focuses on the development of inner resources.
Health has been one of the concepts that have been heavily Interpersonal relationships are the relationships with others
1190 Healthy Life Style Behaviors of University Students of School of Physical Education and Sports in Terms
of Body Mass Index and Other Variables

and require use of communication. Stress management is to packet program and statistical analysis was carried out with a
determine and activate an individual’s physiological and 95% reliability range. Personal information related to
psychological resources to reduce and control intensity [14]. frequency and percentage values related to data gathered
Considering the fact that the foundation of many diseases from the personal information form are presented within the
and illnesses is based on childhood and teenage period and scope of the study. Normality test was conducted to
how important this issue is, this research is anticipated to determine the conformity to normal distribution and the
raise awareness in students of School of Physical Education analysis showed that the scores were not in conformity with
and Sports (SPES), improving and contributing to the normal distribution. Therefore, kruskal wallish and Man
development of current behaviors related to health. When Whitney U tests were used. The level of significance was
research on healthy lifestyle behaviors in Turkey is determined according to p<0.05.
examined, it is seen that very few studies are conducted When calculating the BMI, weight (kg)/height (m)
generally in university students (with the exception of formula was used. According to BMI values, people under
nursing students). This research aims to examine healthy life 18,5 were grouped as underweight, ones that are between
style behaviors of SPES students in terms of Body-Mass 18,5 and 24,99 are normal weight, between 25,00 and 29,99
Index (BMI) and other health variables. are overweight and over 30,0 are as obese.

2. Material and Method 3. Findings

Table 1. Socio-Demographical Information
This study is a descriptive study using valid survey. The
sample of this study consists of SPES students (n=1870) N %
from 14 different universities in Turkey chosen randomly. Age 16-17 7 0,4
Contributions from universities to this study are listed in a 18-20 512 30,3
descending order; Adnan Menderes University (11,2), 21-22 651 38,5
Kafkas University (10,8), Ordu University (10,3), Erciyes 23-24 355 21,0
University (9,9), Dumlupinar University (9,4), Karadeniz
25 and older 167 9,9
Technical University (8,0), Yuzuncu Yil University (7,1),
BMI Underweight 134 7,9
Gazi University (7,0), Cukurova University (5,3), Karabuk
Normal 1372 80,9
University (4,7), Batman University (4,7), Mehmet Akif
Ersoy University (4,0), Adiyaman University (3,8), Marmara Overweight 176 10,4
University (3,8). Obese 13 0,8
1695 surveys out of 1870 that are sent out to be answered Gender Female 624 36,9
are considered acceptable and organized in order to be used Male 1067 63,1
in the analysis. 1067 of the surveys taken into analysis were Physical Education and Sports
Department 585 34,6
answered by male students while 624 were answered by Teacher
female students. Some survey takers did not answer some of Sports Management 596 35,2
the questions in the personal information section but Coaching Education 367 21,7
completed the scale. Recreation 144 8,5
Are you a Yes 834 49,2
Data Gathering Tools professional
athlete? No 860 50,8
Personal Information Form: 15 questions were asked in
the personal information form related to determination of Table 2. Normality Test of Dimensions of Healthy Life Style Behavior
students’ socio-demographical characteristics and BMI. Scale
Healthy Life Style Behaviors Scale: Walker et al.[14], Kolmogorov-Smirnova Shapiro-Wilk
developed the healthy lifestyle behaviors scale to test the
Statistic df Sig. Statistic df Sig.
Improving Health Model introduced by Pender in 1987 [15].
This scale measures behaviors that improve an individual’s Exercise ,087 1695 ,000 ,982 1695 ,000
health related to healthy lifestyle. The validity and reliability Nutrition ,067 1695 ,000 ,989 1695 ,000
of this scale was conducted by Esin M. N in Turkey [16] and Health
,046 1695 ,000 ,993 1695 ,000
this scale was used in many studies. There are a total of 48 Responsibility
items and 6 sub-scales in the scale. These sub question Interpersonal
,066 1695 ,000 ,960 1695 ,000
Support
groups are related to self-fulfillment, health responsibility,
Self-Fulfillment ,040 1695 ,000 ,994 1695 ,000
exercise, nutrition, interpersonal support and stress
Stress
management. ,070 1695 ,000 ,966 1695 ,000
Management
Data Analysis Shapiro-Wilk Test that is done for the scales of exercise,
Data gathered by surveys were entered into the SPSS 21.0 nutrition, health responsibility, interpersonal support,
 Universal Journal of Educational Research 4(5): 1189-1195, 2016 1191

self-fulfillment, stress management score average, showed Table 5. Comparison of Scale Scores in Terms of Age Variable
that the data do not show a normal distribution. Therefore, Age n Mean Rank X2 P
non-parametric techniques were used in intergroup 16-17 7 1196,86
comparisons. 18-20 512 881,82
Table 3. Dimensions of Healthy Life Style Behavior Scale Exercise 21-22 651 812,04 10,121 ,038
23-24 355 839,97
N Minimum Maximum Average ss
25 ≥ 167 871,73
Exercise 1695 5,00 33,00 13,45 3,06 16-17 7 720,29
Nutrition 1695 6,00 24,00 15,51 3,40 18-20 512 808,60
Health Nutrition 21-22 651 828,16 14,446 ,006
1695 10,00 38,00 23,57 5,56
Responsibility
23-24 355 890,07
Interpersonal
1695 8,00 54,00 20,25 3,82 25 ≥ 167 946,87
Support
Self-Fulfillment 1695 15,00 52,00 37,25 6,02 16-17 7 751,71
18-20 512 795,57
Stress Management 1695 8,00 56,00 18,70 3,67 Health
21-22 651 842,77 12,862 ,012
Responsibility
The survey takers’ average score of exercise is 13,45±3,06; 23-24 355 897,09
average score of nutrition is 15,51±3,40; average score of 25 ≥ 167 913,63
health responsibility is 23,57±5,56; average score of 16-17 7 862,93
interpersonal support is 20,25±3,82; average score of 18-20 512 847,70
self-fulfillment 37,25±6,02 and average score of stress Interpersonal
21-22 651 819,08 7,400 ,116
management is 18,70±3,67. Support
23-24 355 854,16
Table 4. Comparison of Groups with Different Body-Mass Index 25 ≥ 167 932,72
16-17 7 998,21
BMI N Mean Rank X2 P
18-20 512 842,66
Underweight 134 811,70
Self-Fulfillment 21-22 651 824,15 8,929 ,063
Normal 1372 848,37
Exercise 1,179 ,758 23-24 355 843,56
Overweight 176 870,08 25 ≥ 167 945,27
Obese 13 884,31 16-17 7 724,93
Underweight 134 848,12 18-20 512 823,11
Stress
Normal 1372 836,77 21-22 651 825,75 9,350 ,053
Nutrition 6,671 ,083 Management
Overweight 176 937,33 23-24 355 882,81

Obese 13 822,77 25 ≥ 167 927,04

Underweight 134 929,07 p<0,05

Health Normal 1372 836,42 According to Kruskal Wallis test performed for different
6,242 ,100
Responsibility Overweight 176 863,86 age groups, statistically significant difference was found in
Obese 13 1019,46 the exercise, nutrition and health responsibility scale
(p<0,05).
Underweight 134 880,54

Interpersonal Normal 1372 839,59 Table 6. Comparison of Scale Scores in Terms of Gender Variable
2,163 ,539
Support Overweight 176 887,00 Gender n Mean Rank U P
Obese 13 872,58 female 624 779,34
Exercise 291311,000 ,000
Underweight 134 941,87 male 1067 884,98
female 624 806,93
Normal 1372 831,10 Nutrition 308526,500 ,012
Self-Fufilment 9,630 ,022 male 1067 868,85
Overweight 176 911,35
Health female 624 859,71
Obese 13 806,81 324350,500 ,377
Responsibility male 1067 837,98
Underweight 134 906,98
Interpersonal female 624 794,12
Normal 1372 835,25 300528,500 ,001
Support male 1067 876,34
Stress Management 5,171 ,160
Overweight 176 894,15 female 624 849,47
Self-Fulfillment 330738,500 ,823
Obese 13 960,81 male 1067 843,97
Stress female 624 825,10
p< 0,05 319860,000 ,177
Management male 1067 858,22
1192 Healthy Life Style Behaviors of University Students of School of Physical Education and Sports in Terms
of Body Mass Index and Other Variables

According to the comparison in terms of gender with groups of professional and amateur athletes, significant
Mann Whitney test, statistically significant difference was difference was found in between the groups in terms of
found in exercise, nutrition and interpersonal support scale exercise, nutrition, health responsibility, self-fulfillment and
(p<0,05). stress management sub-dimensions (p<0,05). The scores of
Table 7. Comparison of Scale Scores in Terms of Department Variable people who are professionals, are higher than the other
group in all sub-dimensions. There is no statistically
Mean
Department n
Rank
X2 P significant difference in the interpersonal support scale
Physical Education (p>0.05).
585 837,31
and Sports Teaching
Exercise Sports Management 596 826,32 4,729 ,193
Coaching Education 367 893,93 4. Discussion
Recreation 144 846,49
Physical Education This section presents the comparison and comments of
585 831,35
and Sports Teaching our findings contributing to the related literature findings.
Nutrition Sports Management 596 836,21 8,236 ,041
Coaching Education 367 844,08 In terms of average Healthy Life Style Behavior Scale
Recreation 144 956,79 subscale scores
Physical Education When the situation is evaluated, it is seen that the highest
585 880,81
and Sports Teaching
Health score average among the answers provided by students is
Sports Management 596 815,74 8,990 ,029
Responsibility self-fulfillment (37,25±6,02). This is followed by health
Coaching Education 367 817,09
responsibility (23,57±5,56), interpersonal support
Recreation 144 909,40
Physical Education
(20,25±3,82), stress management (18,70±3,67), nutrition
585 824,92 (15,51±3,40) and exercise (13,45±3,06) consecutively
and Sports Teaching
Interpersonal Sports Management 596 848,51 9,717 ,021 (Table 3).
Support Similarly to our study, in most studies it is seen that
Coaching Education 367 831,95
Recreation 144 962,92 self-fulfillment sub-scale takes the first place and exercise
Physical Education takes the last [17,18,19,20,21,22].
585 819,62
and Sports Teaching In a study performed in Malatya, the healthy lifestyle
Self-Fulfillment Sports Management 596 857,72 6,661 ,084 behavior scale score averages of physical education
Coaching Education 367 837,49 teachers are found higher than the results of studies
Recreation 144 932,24 performed in different countries and regions using healthy
Physical Education lifestyle behavior scale [23]. Nevertheless, when studies in
585 852,74
and Sports Teaching
Stress this field are considered generally, the fact that the lowest
Sports Management 596 831,71 9,760 ,021
Management scores are in nutrition and physical activity sub-scales and
Coaching Education 367 816,39
having the same result in our study was unexpected from
Recreation 144 959,12
SPES students. In a study conducted in medical students by
Statistically significant difference was found in Nacar et al. in 2014, a similar paradox was identified [24].
sub-scales of nutrition, health responsibility, interpersonal Although it was assumed that first year medical students do
support and stress management (p<0,05). not have much information on healthy living, they scored
Table 8. Comparison of Groups of Professional and Amateur Athletes higher in several sub-scales while senior year medical
Are you a professional Mean
students who are to be doctors soon scored lower.
n U P In a study conducted among university students in
athlete? Rank
Yes 834 978,34 Mexico, the order was as follows: self-fulfillment,
Exercise 249500,00 ,000
No 860 720,62 interpersonal relationships, nutrition, stress management,
Yes 834 894,11 health responsibility and physical activity [25]. In a study
Nutrition 319751,00 ,000
No 860 802,30 conducted in nursing students in the United States of
Health Yes 834 894,36
319537,00 ,000
America, the highest scores were in interpersonal relations
Responsibility No 860 802,05 and self-fulfillment sub-dimensions while the lowest score
Interpersonal Yes 834 870,90 was in health responsibility [26]. The reason that
339101,00 ,052
Support No 860 824,80 self-fulfillment sub-scale gets the first place is thought to be
Yes 834 894,92 influenced by societal and personal beliefs while the reason
Self-Fulfillment 319074,00 ,000
No 860 801,52 for the exercise sub-scale taking the last place is thought to
Yes 834 881,06
Stres Management 330635,00 ,005 be a lack of full understanding of sports culture in society,
No 860 814,96
the costs of gyms, living conditions in the society in general
p<0,05
and lack of time as a result of this, not having alternative
According to the Mann Whitney U test performed in sport fields at the desired level.
 Universal Journal of Educational Research 4(5): 1189-1195, 2016 1193

When the results are considered in terms of BMI findings, there is a study where there is no statistically
No statistically significant difference was found in terms significant difference in healthy lifestyle behavior scale total
of exercise, nutrition, health responsibility, interpersonal [30].
support and stress management scales while those with When we evaluate the results, it is seen that individuals
underweight BMIs have the highest mean rank in who are younger put more importance on physical activity
self-fulfillment scale (Table 4). and exercise while individuals who are 25 and older are more
When we compared our findings with the literature, we responsible with health and their nutrition. In similar studies,
found that underweight and normal BMI groups have it is understood that health responsibility awareness become
generally healthier profiles. A study by Firinci showed that predominant as the age increases, similar to our findings, and
according to BMI, “underweight” students are more some differences can show changes according to the country,
emotional in “interpersonal relationships” compared to other region or areas where the research takes place.
students [27]. Additionally, there are studies where no In terms of Gender Variable
significant difference was determined with different BMI
groups and healthy lifestyle behavior total and sub-scale Statistically no significant difference was found in
score averages [28]. Also, a study conducted with American between female and male student groups in terms of health
adults showed that stressful life, changes related to work and responsibility, self-fulfillment and stress management
death of a family member or a friend increases BMIs of sub-scales while mean rank scores of males in nutrition and
women especially [29]. interpersonal support sub-scales are higher than female
These data show the importance of having BMI measures scores (Table 6).
in the “normal” rating and the link to positive health Our results show parallelism with some research results.
behaviors. In our comprehensive study and with broad In a study conducted in high school students in Adana, the
participation across several schools and departments, the scores of males in nutrition and exercise sub-scales were
interesting point was to find a statistically significant found higher than females [34]. In a study conducted with
nursing college students, males received higher scores in
difference only in self-fulfillment scale out of six sub-scales
exercise sub-scale [33]. In studies performed with
as it pertains to BMI.
university students in Hong Kong and Mexico and studies
In terms of Different Age Groups performed in America with 11-15 year old teens, it was
found that males place more importance on exercise than
Interpersonal support, self-fulfillment, stress management
females [25,35,36]. In a study performed with academic
were not statistically significantly different while average
personnel in university, the average scores of male
mean rank of exercise scale of students at the age of 16 and
academicians in exercise sub-scale were found higher than
17 and the sub-scales of nutrition and health responsibility
female academicians [37].
of students that are 25 and older have the highest average
Different than our findings, in a study conducted with 208
mean rank (Table 5).
physical education teachers, female teachers were found to
Literature search showed parallelism with our findings.
have higher score average than male teachers in nutrition
For instance, a study showed that the scores of sub-scales of while no significant difference was found between groups in
health responsibility and nutrition are higher in older ages terms of exercise and interpersonal support sub-scales [23].
[30] while another study performed with university students Studies performed in African Americans [38] and students in
from different majors showed that scores of nutrition and Uludag University Health College [39] showed that female
health responsibility sub-scales are higher among older students have higher scores in nutrition and interpersonal
students compared to young students [31]. In another study support sub-scales and statistically significant difference in
performed with Firat University Health College this between the groups. In a university in Japan, female students
difference was prominent in health responsibility and showed better results than males in interpersonal support and
interpersonal support scores in older ages [32]. A study nutrition sub-scales while males were more prominently
done in Nursing College in Istanbul, the average scores of represented than females in exercise sub-scale [40].
students in 22-25 age groups in self-fulfillment, health
responsibility and interpersonal support were found to be In terms of Department Variable
higher compared to 17-21 age group [33]. Aside from these, When the subject of study is evaluated, students in
there is a study showing that especially health responsibility recreation departments have higher mean rank average in
increases as the age increases [19]. In a study conducted in terms of nutrition, health responsibility, interpersonal
Mexico, it was found that students in the age group 17-24 support and stress management compared to students in
have higher score average in physical activity, stress other departments (Table 7).
management and interpersonal support sub-scales parallel to There is research in literature that compares different
our findings compared to students at the age of 25 and older departments. For instance, in a study done in students from
[25]. In another study done in America, it was found that nursing, medical school, computer engineering and statistics
student at an older age have higher scores in scale total score departments, a relationship was found between departments
and health responsibility sub-scale [26]. Different from our and only health responsibility sub-scale. In another study
1194 Healthy Life Style Behaviors of University Students of School of Physical Education and Sports in Terms
of Body Mass Index and Other Variables

performed in students of medicine, dentistry, nursing and negative correlation between BMI and Self-Fulfillment.
midwifery, score average of medical students in all Students in recreation were found to get higher scores in 4
sub-scales except physical activity, and in scale total was sub-scales out of 6 while fourth year students have higher
found significantly lower compared to other departments. scores in 5 sub-scales out of 6. We can say that, when the
Also, another study performed in first year and senior year grade level of students increase, they show more healthy life
students from different medical schools in Turkey showed style behaviours.
that first year students score significantly higher in several
sub-scales while senior year students have lower scores [24].
Another study showed that students in life sciences have Acknowledgements
higher score average in health responsibility sub-scale
compared to students in social sciences while students in It has been accepted as a master thesis in Kafkas
healthcare have higher score averages compared to students University Institute of Natural and Applied Science.
in social sciences and vocational schools [31].
When our findings are considered, mean rank scores of
recreation students in four sub-scales (Nutrition, Health
Responsibility, Interpersonal Support and Stress
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