{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:37:32Z","timestamp":1789706252349,"version":"4.0.1"},"reference-count":49,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100017481","name":"Ulusal Metroloji Enstit\u00fcs\u00fc, T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ftirma Kurumu","doi-asserted-by":"publisher","award":["1919B012207352"],"award-info":[{"award-number":["1919B012207352"]}],"id":[{"id":"10.13039\/501100017481","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to examine physical activity levels, sleep quality, and musculoskeletal discomfort in university students during the academic and exam periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach or Design<\/jats:title>\n                    <jats:p>A cross-sectional comparative design was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted at a University.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      A total of 227 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 199 female) undergraduate students participated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Data were collected face-to-face using the Cornell Musculoskeletal Discomfort Questionnaire, Pittsburgh Sleep Quality Index (PSQI), and International Physical Activity Questionnaire-Short Form (IPAQ-SF) during both periods. Daily sitting durations and preferred study postures were also recorded. Data were analyzed using paired t-tests, with significance set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the exam period, musculoskeletal discomfort was highest in the back, lower back, and neck regions. PSQI scores showed worse subjective sleep quality, longer sleep latency, shorter duration, and increased disturbances during exams (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). IPAQ-SF results indicated reduced physical activity and significantly increased daily sitting time in the exam period (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>University students experience more musculoskeletal discomfort, poorer sleep quality, and decreased physical activity during exams. These findings highlight the need for preventive strategies during high-stress academic periods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171251391599","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T06:25:18Z","timestamp":1761114318000},"page":"561-567","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Physical Activity, Sleep Quality, and Musculoskeletal Pain in University Students: A Comparison of Academic and Exam Periods"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5607-1641","authenticated-orcid":false,"given":"Serife Seyma","family":"Yaylaci","sequence":"first","affiliation":[{"name":"KTO Karatay University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senem","family":"Demirdel","sequence":"additional","affiliation":[{"name":"University of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Erdem","family":"Deniz","sequence":"additional","affiliation":[{"name":"University of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilara","family":"Yapici","sequence":"additional","affiliation":[{"name":"University of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101482"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265913"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010158"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.849093"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.800515"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.2991\/978-2-494069-35-0_88"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2017.00219"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2013.01.012"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2810"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11031-018-9699-x"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11020300"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2022.2052690"},{"issue":"2","key":"e_1_3_5_14_2","first-page":"5","article-title":"Effects on interpretation bias, mood, and physical tension during Mobile device usage: an examination of slumped, upright, and lying Down postures","volume":"12","author":"Flores-Cruz G","year":"2021","unstructured":"Flores-Cruz G. Effects on interpretation bias, mood, and physical tension during Mobile device usage: an examination of slumped, upright, and lying Down postures. 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