ISSN   0974-3618  (Print)                    www.rjptonline.org

            0974-360X (Online)

 

 

RESEARCH ARTICLE

 

The Upbeat association Sandwiched Between Physical Exercise and Stress-free Academic Performance amid Medical Students of Universiti Sultan Zainal Abidin

 

Rao U.S. Mahadeva*, Thant Zin, Nordin Simbak

Faculty of Medicine, Universiti Sultan Zainal Abidin, Kampus Perubatan, 20400 Kuala Terengganu, Malaysia

*Corresponding Author E-mail: raousm@gmail.com; raousm@unisza.edu.my

 

ABSTRACT:

Background: Majority of students tend to have their own preferred pastime physical exercise in dealing stress and to benefit them in their academic piece.

Aim: The present cross sectional survey is aimed to probe the positive networking between physical exercise and academic performances amongst future medical professionals in Universiti Sultan Zainal Abidin (UniSZA).

Review of literature: The reviews of previous researches validate that there may be some short-term improvements of stress related positive mental activity such as memory enrichment but the long-term improvement of academic achievement as a result of more vigorous physical activity is not well corroborated. The relationship between physical activity in student and academic outcomes requires further exposition.

Justification: Since previous research did not clearly state the positive relationship between exercise carried out by students and academic excellence in a longer time span, therefore our research aims to find out apt exercise(s) that students prefer in improving their mental state and in turn academic enrichment among both preclinical and clinical phase MBBS students in UniSZA through survey done by questionnaires.

Expected outcome: The outcome of this research will hopefully benefit not only the medical students of UniSZA but also others by encouraging a healthy lifestyle and also reduce the incidence of chronic health diseases.

Methodology: The respondents are the future medical professionals (year I to V) of UniSZA residing in MAIDAM with 100 in number which includes both genders and different races.

Results and Interpretation: The following yardsticks were scrutinized through the questionnaire and were tabulated as per the detail furnished. i.e. choice of exercise, period of practice, duration of exercise per session, past and current CGPA results, and their level of stress.

Conclusion: From this cross sectional study among future UniSZA meducationists, it could be postulated that the choice of physical exercise may have an impact on stress-free academic performance.

 

KEYWORDS: Stress-free; Preclinical; Medical professionals; CGPA results; Cognitive.

 

 


INTRODUCTION:

A disturbing trend in college student health is the reported increase in student stress nationwide [1]. Stressors affecting students can be categorized as academic, financial, time or health related, and self-imposed [2].

 

 

 

 

Received on 16.07.2015          Modified on 24.07.2015

Accepted on 10.08.2015        © RJPT All right reserved

Research J. Pharm. and Tech. 8(10): Oct., 2015; Page 1357-1364

DOI: 10.5958/0974-360X.2015.00243.7

 

Academic stressors include the student's perception of the extensive knowledge base required and the perception of an inadequate time to develop it [3]. Students report experiencing academic stress at predictable times each semester with the greatest sources of academic stress resulting from taking and studying for exams, grade competition, and the large amount of content to master in a small amount of time [4].Every student faces a certain amount of stress in study. The main problem is how student muddle through with their stress and ultimately excel academically.The research aims to study the positive correlation between physical exercise and academic performances; to study the relation between physical exercise and reducing stress; to study the subjects’ penchanttowards types of physical exercises; to study the duration of physical exercise carried out by the subjects; and to study the beneficial effects of physical exercise on different gender among the subjects.

 

There are a few hypotheses which state that there is a positive correlation between physical exercise and academic performances as well as students those do physical exercise can reduce their academic stress by choosing different types of physical exercises.As schools everywhere strive to improve the academic performance of their students, hence cut the physical education and recess periods to leave more time for sedentary classroom instruction. A sensible new report from the Institute of Medicine, a unit of the National Academy of Sciences, shows how shortsighted this trend can be. It found that exercise can significantly improve children’s cognitive abilities and their academic performance, as well as their health [5].

 

Apart from that, intensive exercise improves the academic performance of teenagers, according to new research.The study, of about 5,000 children, found links between exercise and exam success in English, Maths and Science. It found an increase in performance for every extra 17 minutes boys exercised, and 12 minutes for girls. The study by the universities of Strathclyde and Dundee found physical activity particularly benefited girls' performance at science. The researchers postulated this could be a chance finding or reflect gender differences in the impact of physical activity on the brain. Children who carried out regular exercise, not only did better academically at age 11 but also at 13 and in their exams at 16, the study suggested[6].

 

An emerging body of multidisciplinary literature has documented the beneficial influence of physical activity engendered through aerobic exercise on selective aspects of brain function. Human and non-human animal studies have shown that aerobic exercise can improve a number of aspects of cognition and performance. Lack of physical activity, particularly among children in the developed world, is one of the major causes of obesity. Exercise might not only help to improve their physical health, but might also improve their academic performance. This review examines the positive effects of aerobic physical activity on cognition and brain function, at the molecular, cellular, systems and behavioral levels. A growing number of studies support the idea that physical exercise is a lifestyle factor that might lead to increased physical and mental health throughout life[7].

According to the Centers for Disease Control and Prevention (CDC), regular physical activity in childhood and adolescence has many significant benefits, including helping to build healthy bones and muscles, improving strength and endurance and increasing self-esteem. But statistics from the CDC show that in 2011, only 29% of high school students participated in 60 minutes of physical activity a day - the amount of activity recommended by the US Department of Health and Human Services. Researchers from the UK say that if their findings - published in the British Journal of Sports Medicine - are confirmed through further research, it could present significant implications for public health and education policy. The research team analyzed a sample of 5,000 children who were a part of a children of the 90s study. The children, aged 11, were required to wear an accelerometer on an elasticated belt for a period of 3-7 days, in order for the researchers to monitor their daily duration and intensity of physical activity[8].

 

The connection between school sports and intellectual achievement has been a long-standing issue since Davis and Cooper first reported a positive association between school sports participation and academic achievement. It remains the subject of recent investigations. The competitive dimension of most sports introduces particular problems, even in the school context, as the educational dimension tends to be relegated to a secondary level. The literature comprises mainly cross-sectional data and the results are more equivocal than for PA; unfortunately, most of the earlier studies did not control for biases common to athletic and academic achievements. Data from the longitudinal Maryland Adolescent Development in Context Study included 67% African-Americans and 33% European-Americans; it found that participation in extracurricular PA was a significant predictor of better academic results and of higher academic expectations. Furthermore, sports participation by 8th grade African-American males resulted in aspirations to continue their studies toward college, with less likelihood of acting inappropriately in school. In their female counterparts, sports participation also resulted in higher aspirations and in a reduction of absenteeism[9].

 

Physical activity is associated with improved affective experience and enhanced cognitive processing. Potential age differences in the degree of benefit, however, are poorly understood because most studies examine either younger or older adults. The study examined age differences in cognitive performance and affective experience immediately following a single bout of moderate exercise. Participants (144 community members aged 19 to 93) were randomly assigned to one of two experimental conditions: (a) exercise (15 min of moderate intensity stationary cycling) or (b) control (15 min completing ratings of neutral IAPS images). Before and after the manipulation, participants completed tests of working memory and momentary affect experience was measured. Results suggest that exercise is associated with increased levels of high-arousal positive affect (HAP) and decreased levels of low-arousal positive affect (LAP) relative to control condition. Age moderated the effects of exercise on LAP, such that younger age was associated with a drop in reported LAP post-exercise, whereas the effects of exercise on HAP were consistent across age. Exercise also led to faster RTs on a working memory task than the control condition across age. Self-reported negative affect was unchanged. Overall, findings suggest that exercise may hold important benefits for both affective experience and cognitive performance regardless of age [10].

 

METHODOLOGY:

The study population are the future medical professionals of UniSZA. The nature of study is cross sectional with 100 sample size encompassing both genders with 3 different races (Malay, Chinese and Indian) from both pre-clinical and clinical medical students in UniSZA.

 

This research was conducted through questionnaires and a sample of 100 respondents is randomly selected from the targeted population elements, male and female in 2:3 proportions, aged between 18-23 years old. The survey was held in the MAIDAM hostel, Kuala Terengganu. Respondents answered the questionnaires individually. The questionnaires used open-ended questions to assess the relationship between physical exercise and academic performance among future medical professionals of UniSZA. No other personal information was collected.

 

Questionnaire of Student Participation in Sports and Academic Performance Survey

We are UniSZA future professional students currently doing a research on the positive correlation between physical exercise and stress-free academic performance among UniSZA medical students. Our goal is to correlate the participation in physical exercise with the student’s academic performance.

 

Scope and Limitation:

The main focus of our exploration is to find out whether is there any long term positive effect on academic performance of students in regard to the time spent for physical exercise and fitness. In the questionnaire provided, it was gathered information such as students’ choice of physical exercise, how long have they been active in sports and most vitally their academic result.

The researchers did not explore any other options that might have helped students to excel in their academics. Every student may have their own way of releasing stress and method of study, but the scope of research is only within the positive relationship between physical exercise and the stress-free academic performance.

 

RESULTS AND ANALYSIS OF DATA:

 

 

Figure 1: Difference between genders among subjects

 

Based on the pie chart (Figure 1), there are 40 males and 60 females in the research.

 

Table 1: Number of students in every year

 

Male

Female

Total

Year 1

12

8

20

Year 2

10

10

20

Year 3

5

15

20

Year 4

11

9

20

Year 5

7

13

20

 

 

There are 20 respondents from every year respectively being selected to answer the questionnaire. There are 12 male and 8 female students from year 1, whereas 10 male and female from year 2. 5 male and 15 female students are chosen from year 3 and 11 male and 9 female students from year 4. Lastly, there are 7 male and 13 female students in year 5 (Table- 1).

 

 

 

Figure 2: Frequency of exercise

 

 

 

 

 

 


 

Figure

 


Based in bar chart above (Figure 2), 12 respondents do not involved in exercise at all, 28 respondents join exercise 1-2 times per week. Most respondents join exercise for 3-4 times per week. There are 16 respondents join more than 5 times for exercise per week.

 

Table 2: Duration of per session of exercise 

Duration of exercise

Number of students

15-30 minutes

32

30-60 minutes

42

More than 1 hours

8

 

32 respondents spend 15 to 30 minutes and 42 respondents spend 30 to 60 minutes in every session of exercise. But there are only 8 respondents who spend more than 1 hour in every exercise (Table- 2).

 

The bar chart (Figure 3) shows the choice of physical exercise of medical students in UniSZA. In the questionnaire, we allow respondents to choose maximum two types of the exercise that they prefer. From 100 respondents, only 88 respondents do exercises frequently and out of these 88 respondents, 62 respondents select two types of physical exercise that they prefer and another 26 respondents only choose one. From the data collected, jogging is the most preferred type of exercise. It is also the highest to be chosen among the females. Next, badminton places second, which consists of 14 females and 10 males. Lastly, swimming is ranked third.

 

3. Types of Physical Exercises Chosen by Medical Students in UniSZA.

The bar chart (Figure 3) indicates the choice of physical exercise of medical students in UniSZA. In the questionnaire, we allow respondents to choose maximum two types of the exercise that they prefer. From 100 respondents, only 88 respondents do exercises frequently and out of these 88 respondents, 62 respondents select two types of physical exercise that they prefer and another 26 respondents only choose one. From the data collected, jogging is the most preferred type of exercise. It is also the highest to be chosen among the females. Next, badminton places second, which consist of 14 females and 10 males. Lastly, swimming is ranked third.

 

Figure 4 reveals that out of 100 respondents, 72 of them scored 8 to 10A in their SPM, followed by 24 of them scored 5 to 7A and only a mere 5 respondents scored less than 5A in SPM.

 

Figure 4: SPM results of respondents.

 

 

Table 3: CGPA obtained in matriculation or any other pre-university programme

CGPA

Number of respondents

Percentage (%)

3.8 to 4.0

82

82

3.5 to 3.79

18

18

Below 3.5

0

0

 

 

The table 3 illustrates 82 out of 100 respondents scored a CGPA of 3.8 to 4.0 in any of their pre-university programme and 18 of them scored a CGPA of 3.5 to 3.79. There are no respondents that scored a CGPA below 3.5.

The line graph above (Figure 5) shows the average grades obtained by the respondents in the timespan of 4 years. Respondents from year 1 obtain an average grade of A. Respondents from year 2 do not show any improvement from year 1 to year 2 with only obtaining an average of B in 2 years. Respondents from year 3 showed a marked increase in performance with a grade of C improving to B+. Respondents of year 4 have the best achievement in 4th year with an average grade of A.

 

Table 4: Initiation Period of Indulging in Sportsby Respondents

Initiation Period

Number of Students

Primary School

34

Secondary School

40

Pre-university

10

University

4

This table 4 indicates the initiation period of students indulging in sports. The most frequent initiation period of respondents indulging in sports is during secondary school which is 40 respondents. This is followed by primary school which is 34 respondents. The number of respondents who start indulging in sports during pre-university is 10. The least number of respondents start indulging in sports is during university period which is only 4 respondents.

 

 

 

 

 


 

 

 

 

 
 


Figure 5: Results obtained in UniSZA medical programme

 

Figure 6: Release of Stress through Exercise by Respondents

 


 

 

 

 

 

This figure 6 displays the findings of whether exercise helping in releasing respondents stress. There is 68 respondents agree that exercise can release their stress. On the other hand, there is 20 respondents disagree that exercise can release stress.

 

This figure 7 illustrates the level of stress that released by doing exercise. There are 28 respondents who choose level of good in releasing stress by doing exercise. This is followed by 18 respondents who choose very well, 15 respondents who choose moderate, 12 respondents who choose excellent and 5 respondents who choose poor.

 

Table 5: Exercise helps in respondents’ academics

Exercise helps in respondents’ study

Number of respondents

Agree

32

Partially Agree

40

Disagree

16

 

 

Figure 7: Level of relief from stress through exercise.

 

 

This table 5 displays the respond of respondents whether exercise benefits in respondents’ study. There is 32 respondents agree that exercise help in their studies whereas there is 40 respondents who partially agree that exercise help in their studies. There are only 16 respondents who disagrees that exercise help in their studies.

 

Interpretation of Data and Discussion:

The questionnaire consists of about 10 questions which asked about the correlation between physical exercise and stress-free academic performance among medical students in UniSZA.

 

In question number 1, majorities of the respondents are female. Based of the pie chart 1, there are 20 females more than male students among 100 medical students. But from the questionnaire it is concluded that male students are more active in physical exercise than female students. According to Ambikasingh et al., there is a strong correlation between physical activity and school/college performance [11].Participation in physical activity is positively related to academic performance in children. Because we found only 2 high-quality studies, future high-quality studies are needed to confirm our findings. These studies should thoroughly examine the dose-response relationship between physical activity and academic performance as well as explanatory mechanisms for this relationship.

 

Physical activity and sports are generally promoted for their positive effect on children's physical health; regular participation in physical activity in childhood is associated with a decreased cardiovascular risk in youth and adulthood [12]. There is also a growing body of literature suggesting that physical activity has beneficial effects on several mental health outcomes, including health-related quality of life and better mood states [12].

 

In addition to the positive physical and mental health impact of physical activity, there is a strong belief that regular participation in physical activity is linked to enhancement of brain function and cognition,[13] thereby positively influencing academic performance. There are several hypothesized mechanisms for why exercise is beneficial for cognition, including (i) increased blood and oxygen flow to the brain[14]; (ii) increased levels of norepinephrine and endorphins, [15,16]  resulting in a reduction of stress and an improvement of mood [17]; and (iii) increased growth factors that help to create new nerve cells and support synaptic plasticity [18,19].  Besides these suggested physiological effects, regular participation in sport activities may improve children's behavior in the classroom, increasing the odds of better concentration on the academic content of these lessons.

 

Although schools are able to offer unique opportunities for structured physical activity for children, there is a tendency to cut back physical education lessons. The increasing pressures to improve academic scores often lead to additional instructional time for subjects such as mathematics and language at the cost of time for being physically active.

 

Given the suggested relationship and the ongoing discussions on the replacement of physical education lessons by academic subjects, we aimed to review the evidence on the longitudinal relationship between these 2 variables.

 

In this present piece of survey, the respondents have been asked about how frequent they are going to exercise per week. About 12% of the respondents mentioned that they do not involve themselves in physical exercise at all. Among them 28 respondents are going for exercise 1 to 2 times per week. Most of them spend 3 to 4 times for exercise per week. Only 16 respondents willing for exercise for more than 5 times per week. Based on question 4, 32% of the respondents spend about 15 to 30 minutes per each session of exercise and 48% for about 30 minutes to one hour time. There is merely 8% respondents utilise more than one hour per each session of exercise. Based on question 5, the top three choices of sport selected by respondents are jogging, swimming and badminton. Jogging being the favourite choice of sport is best explained by the factor that jogging do not require any expensive equipment and it is a physical exercise that can be done anywhere and easily accessible. Swimming and badminton being the second and third choice is most probably due to there is a public badminton hall and swimming pool nearby the hostel of respondents. Question 6 gathers the information about the initiation period of students indulging in sports. From the research, it is found out that most of the students start indulging in sports during the secondary school period. This is followed by primary school and pre-university period. One of the reasons for this outcome is the presence of compulsory subject co-curriculum in primary and secondary school which is conducted by Ministry of Education. The students need to involve in various types of sports or co-curriculum activities in order to score well in this subjects. This compulsory subject is important for the student to pursue their studies apart from their academic performances. Hence, there is more students indulge in sports since primary or secondary schools. Based on question 7, 8, and 9, the results of respondents from SPM until the current medical programme grades are obtained to assess whether there is any improvement in academic performance. Based on the data gathered, one can see that there is a long term improvement in academic performance. This is probably due to physical exercise being able to reduce students’ stress and in turn help them to improve their academic performance. However, one must also take into account that there are also some students who do not involve themselves in physical exercise but are still being able to perform in their academics but with minimum population. From the study, most of the students agree that exercise can help in release their stress. As, all know, exercise such as yoga, meditation and TaiChi can help to relax our body as well as our minds. In contrast, sports such as badminton, jogging and swimming can help us to temporary leave our studies or jobs and fresh up our minds. In a nutshell, exercise can help to relax the students’ minds and release their stress in studies, and thus improve their academic performances.

 

From the research, it is learnt that the level of stress among the students that can be released by doing exercise is at the range of moderate to very good. Students can release stress by many ways, such as listening songs, watching movie, playing games and so on. From this study, it is found out that students agree that exercise plays an important and crucial role in reducing their stress. These correlation based findings are well in line with other research findings [20 – 24].

 

Evidence from the studies included in the present systematic survey suggests that there is a significant positive relationship between physical activity and academic performance. Nevertheless, we must stress that only 2 of 14 studies were rated as being of high methodological quality, which is the minimum number of studies needed for “strong evidence.” However, both high-quality studies supported our hypothesis of physical activity being positively related to academic performance in children [25].

 

Two previous reviews[26, 27] have studied the influence of physical activity on academic performance. Trudeau and Shephard[26] present an overview of the literature on the relationship between physical activity in the school setting and several outcome measures, including academic performance. Based on quasi-experimental data, they report that physical education programs demand a substantial reduction in time allocated for academic tuition. Because the children's academic performance did not change, they conclude that learning efficiency had improved. Furthermore, Trudeau and Shephard report that cross-sectional studies generally indicate a positive association between physical activity and academic achievement.

 

The review by Taras[27] argues that there may be some acute beneficial effects of physical activity, but the long-term improvement of academic achievement is not well established. Taras concludes that the acute cognitive benefits of physical activity may adequately compensate for time spent away from academic areas.

 

CONCLUSION:

In conclusion, practicing physical exercise can benefit students to achieve better in their academics. From the data gathered, it is postulated that males are more active in physical exercise than females. Majorities of the students start practicing physical exercise during their secondary school period. Most of them spend their time exercising 3 to 4 times a week for around 30 minutes to 1 hour per session of exercise. Students exercise preference is influenced by the location and equipment needed to play in the sports. Therefore, jogging, swimming and badminton is the top three sports chosen by students because they are easily accessible. From this research itcould also behypothesized that most of the students agree that physical exercise can help them to reduce stress and also increase their academic performance.

 

 

REFERENCES:

1.       Sax, L.J. (1997). Health trends among college freshmen. Journal of American College Health, 45(6), 252-262.

2.       Goodman, E.D. (1993). How to handle the stress of being a student. Imprint, 40: 43.

3.       Carveth, J.A., Gesse, T., & Moss, N. (1996). Survival strategies for nurse-midwifery students. Journal of Nurse-Midwifery, 41(1), 50-54.

4.       Abouserie, R. (1994). Sources and levels of stress in relation to locus of control and self-esteem in university students. Educational Psychology, 14(3), 323-330.

5.       Exercises and Academic Performance. The New York Times. May 24, 2013.

6.       Exercise 'boosts academic performance' of teenagers. BBC News Scotland, 21 October 2013

7.       Charles H. Hillman, Kirk I. Erickson & Arthur F. Kramer. Be smart, exercise your heart: exercise effects on brain and cognition. Nature Reviews Neuroscience. 9, 58-65(January 2008).

8.       Honor Whiteman. Exercise can boost teens' academic performance. Academic Journal 22 October 2013.

9.       François Trudeau and Roy J Shephard. International Journal of Behavioural Nutrition and Physical Activity. 25 February 2008.

10.     Hogan CL, Mata J, Carstensen LLUS. National Library of Medicine National Institutes of Health. Exercise Holds Immediate Benefits For Affect And Cognition In Younger And Older Adults. 2013 Jun; 28(2).

11.     Amika Singh, PhD; LéonieUijtdewilligen, MSc; Jos W. R. Twisk, PhD; Willem van    Mechelen, PhD, MD; Mai J. M. Chinapaw, PhD. Physical Activity and Performance at School: A Systematic Review of the Literature Including a Methodological Quality Assessment. Arch PediatrAdolesc Med. 2012; 166(1):49-55. doi:10.1001/archpediatrics.2011.716.

12.     Penedo FJ, Dahn JR. Exercise and well-being: a review of mental and physical health benefits associated with physical activity.  CurrOpin Psychiatry. 2005; 18(2):189-193.

13.     Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition.  Nat Rev Neurosci. 2008; 9(1):58-65.

14.     Jorgensen LG, Nowak M, Ide K, Secher NH. Cerebral blood flow and metabolism. In: Saltin B, Boushel R, Secher N, Mitchell J, eds. Exercise and Circulation in Health and Disease. Champaign, IL: Human Kinetics Publishers; 2000:113-236.

15.     Fleshner M. Exercise and neuroendocrine regulation of antibody production: protective effect of physical activity on stress-induced suppression of the specific antibody response.  Int J Sports Med. 2000; 21 :(suppl 1)  S14-S19.

16.     Winter B, Breitenstein C, Mooren FC, et al.  High impact running improves learning.  Neurobiol Learn Mem. 2007; 87(4):597-609.

17.     Yeung RR. The acute effects of exercise on mood state.  J Psychosom Res. 1996;40(2):123-141.

18.     vanPraag H, Kempermann G, Gage FH. Running increases cell proliferation and neurogenesis in the adult mouse dentate gyrus.  Nat Neurosci. 1999;2(3):266-270.

19.     Schinder AF, Poo M. The neurotrophin hypothesis for synaptic plasticity.  Trends Neurosci. 2000;23(12):639-645.

20.     Tom Torlakson& Robert K. Ross6 P.M. Physical activity helps improve academic achievement. FEB. 16, 2012.

21.     Angevaren M1, Aufdemkampe G, Verhaar HJ, Aleman A, Vanhees L. Physical Activity And Enhanced Fitness To Improve Cognitive Function In Older People Without Known Cognitive Impairment. Cochrane Database Syst Rev. 2008; 3:CD005381.

22.     Rodriguez-Sánchez E1, Criado-Gutiérrez JM, Mora-Simón S, Muriel-Diaz MP, Gómez-Marcos MA, Recio-Rodríguez JI, Patino-Alonso MC, Valero-Juan LF, Maderuelo-Fernandez JA, García-Ortiz L; DERIVA Group,BMC Physical Activity Program For Patients With Dementia And Their Relative Caregivers: Randomized Clinical Trial In Primary Health Care. Neurol.2014 Apr 1.

 

 

23.     Douw L, Nieboer D, van Dijk BW, Stam CJ, Twisk JW, A Healthy Brain in A Healthy Body: Brain Network Correlates of Physical And Mental Fitness. PLOS ONE. 2014 Feb 3; 9(2).

24.     Pan America Health Association. Promoting Physical Activity among Youth in Nicaragua: A Gender and Human Rights Based Approach.2007.

25.     Slavin RE. Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol. 1995; 48(1):9-18.

26.     Trudeau F, Shephard RJ. Physical education, school physical activity, school sports and academic performance.  Int J BehavNutrPhys Act. 2008; 5:10.

27.     Taras H. Physical activity and student performance at school.  J Sch Health. 2005; 75(6):214-218.

 

Appendix-1: Questionnaire

Please take a few minutes to answer the following questions. Please tick in the appropriate boxes and thank you for your involvement.

1.       What is your gender?

          Male                               Female

2.       Currently studying in year

          1                            2                  3                  4                  5

3.       How frequent do you go to exercise

          None                    1 – 2 times per week       3 – 4 times per week

          More than 5 times per week

4.       What is the duration of exercise per session

          15 – 30 minutes             30 – 60 minutes          More than 1 hour

5.       Type of exercise you prefer

          Yoga                    Meditation                    TaiChiSilat    Taekwondo              Futsal         Badminton                   Swimming           Aerobics              Jogging                           Cycling

          Others (Please Specify) _________________________

6.       When do you start indulging in sports

          Primary school                       Secondary school       

          Pre-university level                                    University 

7.       What is your SPM result

          __________________________( Please list )

8.       What is your result in matriculation or any pre-university        programme

          CGPA: _____________

9.       What is your result obtained in UniSZA medical programme

          Year 1: ______Year 2: _____Year 3: _____Year 4: ________

          Does exercise helps you to release your stress? (If yes, please                     select the level)

          Yes                                                                No

          (If yes, please select the level)

          Poor                  Moderate                    Good                   Very        Good          Excellent

10.     Do exercise helps you in your study

          Agree                                        PartiallyAgree                       Disagree