{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:29:49Z","timestamp":1792114189701,"version":"4.4.0"},"reference-count":90,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Overweight and obesity are growing public health challenges, particularly concerning young adults. University life presents a unique set of stressors that may influence weight management alongside sleep quality. In this cross-sectional study, we aimed to investigate the association between overweight or obesity, stress, and sleep quality in a large sample of Greek university students. Materials and Methods: The study recruited 2116 active students from across various Greek universities. Participants completed questionnaires on sociodemographics, academic performance, and physical activity levels using the International Physical Activity Questionnaire (IPAQ). Stress and sleep quality were assessed using the Perceived Stress Scale (PSS) and the Pittsburgh Sleep Quality Index (PSQI), respectively. Body weight and height were directly measured to calculate Body Mass Index (BMI). Results: Our analysis of 2116 Greek university students revealed significant associations between various factors and overweight\/obesity. Compared to their rural counterparts, young adults in urban areas had an 88% higher prevalence of overweight\/obesity (p = 0.0056). Regular smokers were twice as likely to be overweight or obese (p = 0.0012). Notably, those with low physical activity levels displayed a more than two-fold increased risk (p = 0.0008) compared to those with moderate or high activity levels. Similarly, students with moderate or high perceived stress levels had a more than two-fold prevalence of overweight\/obesity compared to those with low stress (p = 0.0005). Inadequate sleep quality was also associated with an 86% higher risk of overweight\/obesity (p = 0.0007). Interestingly, good academic performance showed a 57% greater prevalence of overweight\/obesity compared to very good\/excellent performance (p = 0.0103). Conclusions: Our findings reveal that perceived stress and poor sleep quality are significant risk factors for overweight and obesity in this young adult population.<\/jats:p>","DOI":"10.3390\/medicina60060983","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T10:42:34Z","timestamp":1718361754000},"page":"983","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Overweight and Obesity Is Associated with Higher Risk of Perceived Stress and Poor Sleep Quality in Young Adults"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2328-3862","authenticated-orcid":false,"given":"Antonios","family":"Dakanalis","sequence":"first","affiliation":[{"name":"Department of Mental Health, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy"},{"name":"School of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavriela","family":"Voulgaridou","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences and Dietetics, Faculty of Health Sciences, International Hellenic University, 57001 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga","family":"Alexatou","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Lemnos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6408-6128","authenticated-orcid":false,"given":"Sousana K.","family":"Papadopoulou","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences and Dietetics, Faculty of Health Sciences, International Hellenic University, 57001 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantina","family":"Jacovides","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences and Dietetics, Faculty of Health Sciences, International Hellenic University, 57001 Thessaloniki, Greece"},{"name":"Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Lemnos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agathi","family":"Pritsa","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences and Dietetics, Faculty of Health Sciences, International Hellenic University, 57001 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Chrysafi","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Lemnos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Papacosta","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sport Sciences, School of Education and Social Sciences, Frederick University, 3080 Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria G.","family":"Kapetanou","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Lemnos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerasimos","family":"Tsourouflis","sequence":"additional","affiliation":[{"name":"Second Department of Propedeutic Surgery, Medical School, University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Antonopoulou","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Lemnos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Mitsiou","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Health Sciences, International Hellenic University, 57001 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Antasouras","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Lemnos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2878-4831","authenticated-orcid":false,"given":"Constantinos","family":"Giaginis","sequence":"additional","affiliation":[{"name":"Department of Food Science and Nutrition, School of the Environment, University of the Aegean, 81400 Lemnos, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2073","DOI":"10.1001\/jama.2021.16685","article-title":"Trends in Obesity Prevalence Among Adults Aged 18 through 25 Years, 1976\u20132018","volume":"326","author":"Johnson","year":"2021","journal-title":"JAMA"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1136340","DOI":"10.3389\/fcvm.2023.1136340","article-title":"Obesity and Cardiovascular Disease: An Executive Document on Pathophysiological and Clinical Links Promoted by the Italian Society of Cardiovascular Prevention (SIPREC)","volume":"10","author":"Volpe","year":"2023","journal-title":"Front. Cardiovasc. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2218","DOI":"10.1093\/eurjpc\/zwac187","article-title":"Obesity and Cardiovascular Disease: Mechanistic Insights and Management Strategies. A Joint Position Paper by the World Heart Federation and World Obesity Federation","volume":"29","author":"Almahmeed","year":"2022","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1002\/oby.22801","article-title":"Overweight and Obesity Impair Academic Performance in Adolescence: A National Cohort Study of 10,279 Adolescents in China","volume":"28","author":"Ma","year":"2020","journal-title":"Obesity"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Lindberg, L., Hagman, E., Danielsson, P., Marcus, C., and Persson, M. (2020). Anxiety and Depression in Children and Adolescents with Obesity: A Nationwide Study in Sweden. BMC Med., 18.","DOI":"10.1186\/s12916-020-1498-z"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Safaei, M., Sundararajan, E.A., Driss, M., Boulila, W., and Shapi\u2019i, A. (2021). A Systematic Literature Review on Obesity: Understanding the Causes & Consequences of Obesity and Reviewing Various Machine Learning Approaches Used to Predict Obesity. Comput. Biol. Med., 136.","DOI":"10.1016\/j.compbiomed.2021.104754"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1038\/s41366-023-01398-y","article-title":"Economic Costs of Obesity: A Systematic Review","volume":"48","author":"Nagi","year":"2024","journal-title":"Int. J. Obes."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Mahmoud, R., Kimonis, V., and Butler, M.G. (2022). Genetics of Obesity in Humans: A Clinical Review. Int. J. Mol. Sci., 23.","DOI":"10.3390\/ijms231911005"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Kerkadi, A., Sadig, A.H., Bawadi, H., Al Thani, A.A.M., Al Chetachi, W., Akram, H., Al-Hazzaa, H.M., and Musaiger, A.O. (2019). The Relationship between Lifestyle Factors and Obesity Indices among Adolescents in Qatar. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16224428"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"104","DOI":"10.12688\/f1000research.21066.1","article-title":"The Challenges and Mental Health Issues of Academic Trainees","volume":"9","author":"Eleftheriades","year":"2020","journal-title":"F1000Research"},{"key":"ref_11","first-page":"77","article-title":"Prevalence and Associated Factors of Stress, Anxiety and Depression among Medical Fayoum University Students","volume":"53","author":"Hassan","year":"2017","journal-title":"Alex. J. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.bbr.2014.12.047","article-title":"A Systems Approach to Stress, Stressors and Resilience in Humans","volume":"282","author":"Oken","year":"2015","journal-title":"Behav. Brain Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1017\/S0033291708002894","article-title":"The Role of Fear and Anxiety in the Familial Risk for Major Depression: A Three-Generation Study","volume":"38","author":"Warner","year":"2008","journal-title":"Psychol. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.psychres.2011.06.006","article-title":"Diagnostic and Statistical Manual of Mental Disorders","volume":"189","author":"Mittal","year":"2011","journal-title":"Psychiatry Res."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1080\/07448489709595597","article-title":"How Sleep Deprivation Affects Psychological Variables Related to College Students\u2019 Cognitive Performance","volume":"46","author":"Pilcher","year":"1997","journal-title":"J. Am. Coll. Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e13533","DOI":"10.1111\/jsr.13533","article-title":"Sleep Quality Is Associated with Emotion Experience and Adaptive Regulation of Positive Emotion: An Experience Sampling Study","volume":"31","author":"Parsons","year":"2022","journal-title":"J. Sleep Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1111\/nuf.12659","article-title":"Sleep Quality: An Evolutionary Concept Analysis","volume":"57","author":"Nelson","year":"2022","journal-title":"Nurs. Forum."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.jad.2019.11.121","article-title":"Gender Differences in Depression, Anxiety, and Stress among College Students: A Longitudinal Study from China","volume":"263","author":"Gao","year":"2020","journal-title":"J. Affect Disord"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e03656","DOI":"10.1590\/s1980-220x2019013903656","article-title":"Anxiety, sleep quality, and binge eating in overweight or obese adults","volume":"54","author":"Fusco","year":"2020","journal-title":"Rev. Esc. Enferm. USP"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1016\/j.nut.2007.08.008","article-title":"Relationship between Stress, Eating Behavior, and Obesity","volume":"23","author":"Torres","year":"2007","journal-title":"Nutrition"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1877","DOI":"10.5664\/jcsm.10706","article-title":"The Association between Sleep Quality and Obstructive Sleep Apnea with Health-Related Quality of Life in Children with Obesity","volume":"19","author":"Xiao","year":"2023","journal-title":"J. Clin. Sleep Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"2821","DOI":"10.1007\/s40519-022-01435-1","article-title":"Can the Relationship between Overweight\/Obesity and Sleep Quality Be Explained by Affect and Behaviour?","volume":"27","author":"Eid","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1016\/j.jacc.2022.01.038","article-title":"Effects of Experimental Sleep Restriction on Energy Intake, Energy Expenditure, and Visceral Obesity","volume":"79","author":"Covassin","year":"2022","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Masini, A., Dallolio, L., Sanmarchi, F., Lovecchio, F., Falato, M., Longobucco, Y., Lanari, M., and Sacchetti, R. (2024). Adherence to the Mediterranean Diet in Children and Adolescents and Association with Multiple Outcomes: An Umbrella Review. Healthcare, 12.","DOI":"10.3390\/healthcare12040449"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1007\/s40520-023-02686-3","article-title":"The Mediterranean diet: A historical perspective","volume":"36","author":"Capurso","year":"2024","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.numecd.2009.11.006","article-title":"Greater Mediterranean diet adherence is observed in Dutch compared with Greek university students","volume":"21","author":"Scholten","year":"2011","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/09637480500086141","article-title":"Evaluation of diet quality with the mediterranean dietary quality index in university students","volume":"55","author":"Keser","year":"2004","journal-title":"Int. J. Food Sci. Nutr."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Wang, J., Ran, X., Ye, J., Deng, R., Dang, W., Fan, Y., Hu, Z., Yang, L., Dong, W., and Lv, Y. (2022). Obesity-Associated Anxiety Is Prevalent among College Students and Alleviated by Calorie Restriction. Nutrients, 14.","DOI":"10.3390\/nu14173518"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Chen, Y., Liu, X., Yan, N., Jia, W., Fan, Y., Yan, H., Ma, L., and Ma, L. (2020). Higher Academic Stress Was Associated with Increased Risk of Overweight and Obesity among College Students in China. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17155559"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Sa, J., Choe, S., Cho, B., Chaput, J.-P., Kim, G., Park, C.-H., Chung, J., Choi, Y., Nelson, B., and Kim, Y. (2020). Relationship between Sleep and Obesity among U.S. and South Korean College Students. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-8182-2"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"GBD 2015 Obesity Collaborators (2017). Health effects of overweight and obesity in 195 countries over 25 years. N. Engl. J. Med., 377, 13\u201327.","DOI":"10.1056\/NEJMoa1614362"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"S120","DOI":"10.1038\/ijo.2008.247","article-title":"WHO Recognition of the Global Obesity Epidemic","volume":"32","author":"James","year":"2008","journal-title":"Int. J. Obes."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","article-title":"International Physical Activity Questionnaire: 12-Country Reliability and Validity","volume":"35","author":"Craig","year":"2003","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A Global Measure of Perceived Stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/s12955-020-01343-x","article-title":"Measuring Stress in Australia: Validation of the Perceived Stress Scale (PSS-14) in a National Sample","volume":"18","author":"Nielsen","year":"2020","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s12955-017-0637-5","article-title":"Validation of the Pittsburgh Sleep Quality Index in Community Dwelling Ethiopian Adults","volume":"15","author":"Salahuddin","year":"2017","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"13","DOI":"10.2991\/j.jegh.2018.09.100","article-title":"Lifestyle Habits in Relation to Overweight and Obesity among Saudi Women Attending Health Science Colleges","volume":"8","author":"Alhakbany","year":"2018","journal-title":"J. Epidemiol. Glob. Health"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2284","DOI":"10.1001\/jama.2016.6458","article-title":"Trends in Obesity Among Adults in the United States, 2005 to 2014","volume":"315","author":"Flegal","year":"2016","journal-title":"JAMA"},{"key":"ref_39","unstructured":"(2024, January 12). Italian Observatory on Healthcare Report 2015. Health Status and Quality of Care in the Italian Regions. Available online: https:\/\/www.osservatoriosullasalute.it\/wp-content\/uploads\/2016\/09\/synthesis_2015.pdf."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1007\/s11113-008-9115-4","article-title":"Life Course Perspectives on the Links Between Poverty and Obesity During the Transition to Young Adulthood","volume":"28","author":"Lee","year":"2009","journal-title":"Popul. Res. Policy Rev."},{"key":"ref_41","unstructured":"Kniivil\u00e4, M. (2007). Industrial Development and Economic Growth: Implications for Poverty Reduction and Income Inequality. Industrial Development for the 21st Century: Sustainable Development Perspectives, United Nations."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e042561","DOI":"10.1136\/bmjopen-2020-042561","article-title":"Urban\u2013Rural Differences in Overweight and Obesity among 25\u201364 Years Old Myanmar Residents: A Cross-Sectional, Nationwide Survey","volume":"11","author":"Thapa","year":"2021","journal-title":"BMJ Open"},{"key":"ref_43","first-page":"222","article-title":"Rural-Urban Epidemiologic Transition of Risk Factors for Coronary Artery Disease in College Students of Hyderabad and Nearby Rural Area--a Pilot Study","volume":"59","author":"Bhongir","year":"2011","journal-title":"J. Assoc. Physicians India"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1037\/0278-6133.17.5.454","article-title":"The Relationship between Smoking and Body Weight in a Population of Young Military Personnel","volume":"17","author":"Klesges","year":"1998","journal-title":"Health Psychol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1038\/sj.ijo.0802936","article-title":"Body Mass Index and Weight Change from Adolescence into Adulthood, Waist-to-Hip Ratio and Perceived Work Ability among Young Adults","volume":"29","author":"Laitinen","year":"2005","journal-title":"Int. J. Obes."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"59","DOI":"10.5455\/msm.2024.36.59-64","article-title":"Investigating the Interrelationships Between Obesity, Academic Achievement, Physical Activity, and Social Support Among Jazan University Students","volume":"36","author":"Oraibi","year":"2024","journal-title":"Mater. Socio-Medica"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1186\/s12937-018-0408-0","article-title":"An Empirical Investigation of the Impact of Smoking on Body Weight Using an Endogenous Treatment Effects Model Approach: The Role of Food Consumption Patterns","volume":"17","author":"Raptou","year":"2018","journal-title":"Nutr. J."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"348","DOI":"10.2105\/AJPH.2007.123851","article-title":"Association of Smoking in Adolescence With Abdominal Obesity in Adulthood: A Follow-Up Study of 5 Birth Cohorts of Finnish Twins","volume":"99","author":"Saarni","year":"2009","journal-title":"Am. J. Public Health"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1034\/j.1600-0838.2002.00250.x","article-title":"Stability of Leisure-Time Physical Activity during Adolescence\u2014a Longitudinal Study among 16-, 17- and 18-Year-Old Finnish Youth","volume":"12","author":"Aarnio","year":"2002","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_50","first-page":"238","article-title":"Smoking and Physical Activity in Healthy Adults: A Cross-Sectional Study in Tehran","volume":"14","author":"Heydari","year":"2015","journal-title":"Tanaffos"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1007\/s00038-015-0730-7","article-title":"Cigarette Smoking Is Associated with Unhealthy Patterns of Food Consumption, Physical Activity, Sleep Impairment, and Alcohol Drinking in Chinese Male Adults","volume":"60","author":"Masood","year":"2015","journal-title":"Int. J. Public Health"},{"key":"ref_52","first-page":"A51","article-title":"Are Diet and Physical Activity Patterns Related to Cigarette Smoking in Adolescents? Findings From Project EAT","volume":"4","author":"Larson","year":"2007","journal-title":"Prev. Chronic Dis."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.ijpsycho.2005.10.012","article-title":"The Hypothalamic-Pituitary-Adrenal (HPA) Axis in Habitual Smokers","volume":"59","author":"Rohleder","year":"2006","journal-title":"Int. J. Psychophysiol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1007\/s00392-007-0512-1","article-title":"Perceived Psychosocial Stress and Cardiovascular Risk Factors in Obese and Non-Obese Patients","volume":"96","author":"Lahiri","year":"2007","journal-title":"Clin. Res. Cardiol."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Pojednic, R., D\u2019Arpino, E., Halliday, I., and Bantham, A. (2022). The Benefits of Physical Activity for People with Obesity, Independent of Weight Loss: A Systematic Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19094981"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1373\/clinchem.2017.272443","article-title":"Role of Physical Activity and Exercise in Treating Patients with Overweight and Obesity","volume":"64","author":"Jakicic","year":"2018","journal-title":"Clin. Chem."},{"key":"ref_57","unstructured":"Boul\u00e9, N.G., and Prud\u2019homme, D. (2024, January 22). Physical Activity in Obesity Management. Available online: https:\/\/obesitycanada.ca\/guidelines\/physicalactivity\/."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1159\/000365833","article-title":"Effectiveness of Three Different Walking Prescription Durations on Total Physical Activity in Normal- and Overweight Women","volume":"7","author":"Schutz","year":"2014","journal-title":"Obes. Facts"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1159\/000496183","article-title":"European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care","volume":"12","author":"Busetto","year":"2019","journal-title":"Obes. Facts"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1056\/NEJMoa003277","article-title":"Decline in Physical Activity in Black Girls and White Girls during Adolescence","volume":"347","author":"Kimm","year":"2002","journal-title":"N. Engl. J. Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1093\/ije\/dyq272","article-title":"Physical Activity Change during Adolescence: A Systematic Review and a Pooled Analysis","volume":"40","author":"Dumith","year":"2011","journal-title":"Int. J. Epidemiol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"e1077","DOI":"10.1016\/S2214-109X(18)30357-7","article-title":"Worldwide Trends in Insufficient Physical Activity from 2001 to 2016: A Pooled Analysis of 358 Population-Based Surveys with 1\u00b79 Million Participants","volume":"6","author":"Guthold","year":"2018","journal-title":"Lancet Glob. Health"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1038\/oby.2007.72","article-title":"Physical Inactivity and Obesity: A Vicious Circle","volume":"16","author":"Kaprio","year":"2008","journal-title":"Obesity (Silver Spring)"},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Grasdalsmoen, M., Eriksen, H.R., L\u00f8nning, K.J., and Sivertsen, B. (2019). Physical Exercise and Body-Mass Index in Young Adults: A National Survey of Norwegian University Students. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7650-z"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"211","DOI":"10.2147\/PRBM.S236953","article-title":"Food Selection Under Stress Among Undergraduate Students in Riyadh, Saudi Arabia","volume":"13","author":"Mohamed","year":"2020","journal-title":"Psychol. Res. Behav. Manag"},{"key":"ref_66","first-page":"5","article-title":"Evaluating Mediterranean Diet Adherence in University Student Populations: Does This Dietary Pattern Affect Students\u2019 Academic Performance and Mental Health?","volume":"35","author":"Antonopoulou","year":"2020","journal-title":"Health Plan. Manag."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"12","DOI":"10.36348\/sjnhc.2022.v05i02.001","article-title":"Association between Stress and Obesity among Female Student during COVID 19 Pandemic at Health Colleges in Qassim University","volume":"5","author":"Qalawa","year":"2022","journal-title":"Saudi. J. Nurs. Health Care"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s40519-018-0559-1","article-title":"Association of Meal Skipping with Subjective Health Complaints in Children and Adolescents: The CASPIAN-V Study","volume":"25","author":"Azemati","year":"2020","journal-title":"Eat Weight Disord."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1555","DOI":"10.5665\/sleep.6020","article-title":"Sleep Duration Associated with the Lowest Risk of Depression\/Anxiety in Adolescents","volume":"39","author":"Ojio","year":"2016","journal-title":"Sleep"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1038\/npp.2015.357","article-title":"High-Fat Diet Induced Anxiety and Anhedonia: Impact on Brain Homeostasis and Inflammation","volume":"41","author":"Dutheil","year":"2016","journal-title":"Neuropsychopharmacology"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3389\/fnbeh.2017.00009","article-title":"Gut to Brain Dysbiosis: Mechanisms Linking Western Diet Consumption, the Microbiome, and Cognitive Impairment","volume":"11","author":"Noble","year":"2017","journal-title":"Front. Behav. Neurosci."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.psyneuen.2015.09.023","article-title":"Short-Term Calorie Restriction Enhances Adult Hippocampal Neurogenesis and Remote Fear Memory in a Ghsr-Dependent Manner","volume":"63","author":"Hornsby","year":"2016","journal-title":"Psychoneuroendocrinology"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.neuroscience.2019.05.067","article-title":"Acute But Not Chronic Calorie Restriction Defends against Stress-Related Anxiety and Despair in a GHS-R1a-Dependent Manner","volume":"412","author":"Lu","year":"2019","journal-title":"Neuroscience"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.2147\/NSS.S311415","article-title":"Short Sleep Duration and Its Association with Obesity and Other Metabolic Risk Factors in Kuwaiti Urban Adults","volume":"13","author":"Sindhu","year":"2021","journal-title":"Nat. Sci. Sleep"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1016\/j.pedhc.2017.09.008","article-title":"Impact of Degree of Obesity on Sleep, Quality of Life, and Depression in Youth","volume":"32","author":"Whitaker","year":"2018","journal-title":"J. Pediatr. Health Care"},{"key":"ref_76","doi-asserted-by":"crossref","unstructured":"Milojevich, H.M., and Lukowski, A.F. (2016). Sleep and Mental Health in Undergraduate Students with Generally Healthy Sleep Habits. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0156372"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1053\/smrv.2001.0162","article-title":"Sleep, Sleepiness, Sleep Disorders and Alcohol Use and Abuse","volume":"5","author":"Roehrs","year":"2001","journal-title":"Sleep Med. Rev."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.jpsychores.2007.10.016","article-title":"A Bidirectional Relationship between Anxiety and Depression, and Insomnia? A Prospective Study in the General Population","volume":"64","author":"Lindblom","year":"2008","journal-title":"J. Psychosom. Res."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1152\/physrev.00043.2008","article-title":"Pathophysiology of Sleep Apnea","volume":"90","author":"Dempsey","year":"2010","journal-title":"Physiol. Rev."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"2881","DOI":"10.1210\/jc.2011-2858","article-title":"Poor Sleep Quality and Sleep Apnea Are Associated with Higher Resting Energy Expenditure in Obese Individuals with Short Sleep Duration","volume":"97","author":"Zhao","year":"2012","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"317","DOI":"10.2147\/NSS.S220436","article-title":"The Relationship Between Global Sleep Score And Inflammatory Markers In Obese Adults From The United States","volume":"11","author":"Huang","year":"2019","journal-title":"Nat. Sci. Sleep"},{"key":"ref_82","first-page":"217","article-title":"Height, weight, body mass index (BMI) and academic performance (AP) of university students in Sri Lanka: With special reference to the University of Kelaniya","volume":"7","author":"Wehigaldeniya","year":"2017","journal-title":"Int. J. Sci. Res. Publ."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"186","DOI":"10.15537\/smj.2017.2.16320","article-title":"The Association between Body Mass Index and Academic Performance","volume":"38","author":"Alswat","year":"2017","journal-title":"Saudi Med. J."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Alhazmi, A., Aziz, F., and Hawash, M.M. (2021). Association of BMI, Physical Activity with Academic Performance among Female Students of Health Colleges of King Khalid University, Saudi Arabia. Int. J. Environ. Res Public Health, 18.","DOI":"10.3390\/ijerph182010912"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.puhe.2018.11.002","article-title":"Is There a Relationship between Body Mass Index and Academic Achievement? A Meta-Analysis","volume":"167","author":"He","year":"2019","journal-title":"Public Health"},{"key":"ref_86","unstructured":"Aleidi, S., Elayah, E., Zraiqat, D., Abdallah, R., and AL-Iede, M. (2020). Factors Affecting the Academic Performance of Medical, Dental, and Pharmacy Students in Jordan. Jordan J. Pharm. Sci., 13, Available online: https:\/\/archives.ju.edu.jo\/index.php\/jjps\/article\/view\/103185."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1080\/07448481.2016.1266639","article-title":"Can Weight Predict Academic Performance in College Students? An Analysis of College Women\u2019s Self-Efficacy, Absenteeism, and Depressive Symptoms as Mediators","volume":"65","author":"Villatte","year":"2017","journal-title":"J. Am. Coll. Health"},{"key":"ref_88","first-page":"89","article-title":"A Pilot Study: A Descriptive Correlational Study of Factors Associated with Weight in College Nursing Students","volume":"22","author":"Singleton","year":"2011","journal-title":"ABNF J."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.neuint.2010.05.015","article-title":"Maternal Obesity Impairs Hippocampal BDNF Production and Spatial Learning Performance in Young Mouse Offspring","volume":"57","author":"Tozuka","year":"2010","journal-title":"Neurochem. Int."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1080\/07315724.2012.10720012","article-title":"Effects of Intentional Weight Loss on Physical and Cognitive Function in Middle-Aged and Older Obese Participants: A Pilot Study","volume":"31","author":"Siervo","year":"2012","journal-title":"J. Am. Coll. 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