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Article

Association between Physical Activity Level, Body Composition, and Phase Angle in University Students from Bioelectrical Impedance Analysis (BIA)

by
Monika Musijowska
1,* and
Edyta Kwilosz
2,*
1
Department of Physical Education, State University of Applied Sciences in Krosno, Rynek 1, 38-400 Krosno, Poland
2
Department of Nursing, State University of Applied Sciences in Krosno, St. Kazimierza Wielkiego 6, 38-400 Krosno, Poland
*
Authors to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(10), 2743; https://doi.org/10.3390/jcm13102743
Submission received: 15 March 2024 / Revised: 23 April 2024 / Accepted: 27 April 2024 / Published: 7 May 2024
(This article belongs to the Section Sports Medicine)

Abstract

:
Background: The aim of this study is to determine the relationship between selected components of body composition and the phase angle specified by bioelectrical impedance analysis, depending on the level of physical activity among students. Materials and Methods: The study group consisted of 484 university students from Krosno. The diagnostic survey method (IPAQ-SF), measurements of highs, and analysis of body composition components (BIA) were used. The relationship between variables was determined using the χ2 test, the V-Kramer coefficient, and Spearman’s rho coefficient. Results: University students in physical education demonstrated the highest level of physical activity and the lowest incidence of excessive body mass. Among the participants, 28.1% did not engage in any physical activity, or their level was insufficient. The PhA level was correlated with lean body mass and muscle mass. The correlation between higher levels of PA and PhA values was statistically significant, as was the relationship between self-assessment of physical fitness and the level of PA determined by IPAQ-SF. Conclusions: Preventive actions and educational programs, especially about spending leisure time in active ways, should be particularly targeted at students of disciplines with a significant amount of sedentary classes.

1. Background

Physical activity has positive effects on somatic and mental health and improves well-being. Individuals with inadequate physical activity levels have a 20–30% higher risk of mortality compared to those with sufficient activity levels. According to the World Health Organization (WHO) recommendations, adults should engage in at least 150–300 min of moderate-intensity aerobic physical activity or at least 75–150 min of vigorous-intensity aerobic physical activity per week. Additional health benefits can be obtained by performing strengthening exercises that engage all major muscle groups on two or more days per week [1].
Data indicating low levels of physical activity are alarming, especially among young people. In 2016, only 39% of Poles aged 18–64 met the WHO recommendations for leisure-time physical activity levels [2]. One-third of European adults do not follow these guidelines, and nearly half of adults in Europe never exercise or participate in sports. The COVID-19 pandemic has exacerbated the situation, with many reporting reduced physical activity due to restrictions and isolation [3]. According to the World Health Organization, one in four adults does not meet the recommended levels of physical activity [1].
Insufficient physical activity and improper dietary patterns are the main causes of excess body weight. The most commonly used and straightforward indicator for assessing excess body weight is the Body Mass Index (BMI) [4]. Studies indicate that physical activity is inversely proportional to BMI values and the percentage of body fat. Individuals with the same BMI score but higher levels of physical activity have lower percentages of body fat, and interventions aimed at increasing physical activity result in its reduction [5,6,7]. Despite its usefulness, the BMI index does not provide information about individual body composition components or nutritional status. Excess body weight is associated not only with excess body fat but also with changes in the metabolic, structural, and functional characteristics of skeletal muscles [8]. Bioelectrical Impedance Analysis (BIA) is a technique that allows the assessment of body composition. It is a simple, inexpensive, rapid, and non-invasive method [9]. The research conducted using the BIA method has been utilized worldwide for many years among young and older populations. Numerous scientific studies confirm the validity and reliability of BIA methods for assessing body composition and PhA [10,11,12,13,14]. The basic principle of BIA is the different passage times of low-voltage electrical current through body elements. It allows the determination of fat mass (FM), which consists of body components devoid of water, and fat-free mass (FFM), which includes skeletal muscles, internal organs, and intracellular fat tissue. BIA also enables the monitoring of body fluids (extracellular to intracellular ratio) and tracking changes in body composition over time, such as weight loss during acute or chronic illnesses or weight gain, providing forecasting capabilities [10].
The phase angle (PhA) is an extremely important and sensitive indicator of nutritional status, reflecting the health of body cells and the integrity of the cell membrane. Lower PhA values may be associated with cell death or disruption of selective permeability of its membrane, while higher values indicate better cell functioning, health of cell membranes, and appropriate mass [11,12,13]. The parameter that most significantly influences PhA in normally hydrated adults with normal body weight is fat-free body mass [14], particularly skeletal muscle mass, its quality (fiber composition), metabolism, aerobic capacity, and insulin resistance [15].
Many studies confirm the relationship between PhA and nutritional status, age, and various medical conditions [16,17,18,19,20,21]. Among publications concerning PhA developed based on studies conducted in the Polish population, articles investigating the level of phase angle in individuals with various medical conditions predominate. These conditions include pancreatic cancer [22], anorexia nervosa [23], juvenile idiopathic arthritis [24], inflammatory bowel diseases [25], liver tumors [26], coexisting chronic wounds and extended [27], dementia [28], and central sleep apnea syndrome [29].
In a healthy population, gender, age, body mass index (BMI), as well as physical activity, muscle mass, and muscle strength [15,30,31] are the main determinants of PhA [12].
Available research data offer limited reports on the level of phase angle in healthy individuals and correlations of body composition with indicators reflecting physical fitness among students. This justifies the need for conducting studies with precisely defined body composition components to compare them with the level of physical activity and sedentary time.
The research aim is to determine the relationship between selected components of body composition and the phase angle, determined using the bioelectrical impedance analysis (BIA) method, depending on the level of physical activity among students of the State University of Applied Sciences in Krosno. An additional aspect of the study is to assess the level of excessive body weight in the study group.

2. Research Methods

The research was carried out in 2023 by trained staff among students of the State University of Applied Sciences in Krosno. The study group comprised adult students attending daytime courses in the following fields: construction, bilingual studies for translators, philology, computer science, internet marketing, pedagogy, nursing, midwifery, physical education, and management.
In this study, the following methods were utilized: diagnostic survey, anthropometric measurements, and analysis of body composition components obtained by applying the four-limb analyzer.
The research instrument included a short version of the International Physical Activity Questionnaire (IPAQ-SF), which is a validated tool widely used in global studies of adults for assessing physical activity level (PA) [32,33]. Before the commencement of the study, researchers in each group thoroughly explained the nature of the research and how responses should be provided. Researchers consulted participants at every stage of the completion of the survey (if needed), ensuring that questions were properly understood and responses were given with the utmost accuracy. In addition, students completed the questionnaire, which contained questions regarding, among other things, the respondent’s demographic and social situation and health-related behaviors.
After completing the IPAQ-SF questionnaires, each participant had their height measured while standing barefoot. Body height was measured to the nearest 0.1 cm using a SECA 213 stadiometer (Seca GmbH & Co., Ltd., KG., Hamburg, Germany). Then, the participant stood on the electrode platform barefoot, wearing only light sportswear (the estimated weight of clothing was subtracted). Body mass, body composition, and PhA were evaluated using a Tanita MC-780 S MA device (Tanita Corporation, Tokyo, Japan) employing BIA (bioelectrical impedance analysis). The analyzer provides results with an accuracy of 0.1 kg. To conduct measurements among all study participants, the same equipment was used. Additionally, the participating students were informed a week in advance that they would be participating in the study. The tests were conducted in the morning hours. Students refrain from excessive physical activity minimum twelve hours before the study, refrain from eating for three hours prior, and refrain from consuming beverages immediately before the examination. Using the body composition analyzer, the following components were analyzed: body fat content (BF%), visceral tissue, sarcopenic index, muscle tissue, and the phase angle value (PhA).
The body mass index (BMI) was calculated by the body composition analyzer directly during the examination after the researcher entered the data into the program, including height, date of birth, and gender. According to the WHO recommendations [34], the following classification for adults was applied in this study: BMI < 18.5 indicates underweight, BMI 18.5–24.9 indicates normal weight, BMI ≥ 25 indicates overweight, and BMI ≥ 30 indicates obesity. For the study, it was assumed that BF% ≥ 35% in women and BF% ≥ 25% in men indicate obesity [35].
The inclusion criteria for the study were age above 18 years, completion of the questionnaire sheet, and a health condition allowing for normal physical activity in the week preceding the survey and measurements. This study excluded individuals who did not meet these criteria and, in addition, pregnant women. Over 500 students expressed interest in participating in the study; ultimately, the results of 484 individuals (294 females and 190 males) who completed the full set of examinations were included in the analysis.
The research was conducted following ethical principles (the Helsinki Declaration). Each participant was assured of anonymity and the use of the obtained data solely for scientific purposes. Questionnaires were handed out to students personally, including instructions on how to respond, with no imposed time restrictions.
The characteristics of the study group were presented using frequency (n) and percentage (%), and data analysis was performed using IBM SPSS 26.0 software along with the Exact Tests module. To determine relationships between variables, the chi-square independence test (χ2) was applied. Due to the sample size, the Monte Carlo method was used to check the estimated test probability “p”. Additionally, when a relationship between variables was confirmed, the strength of the relationship was assessed using the V-Kramer coefficient. It was assumed that V (0.1–0.3) represents weak dependence, V (0.3–0.5) represents moderate dependence, and V > 0.5 represents strong dependence. Correlations between ordinal and quantitative variables (when conditions for using parametric tests were not met) were conducted using Spearman’s rho coefficient, which indicates the strength and direction of the relationship—positive or negative. The obtained value ranges from −1 to 1, where (−1) indicates a perfect negative correlation and (1) indicates a perfect positive correlation. In the case of ordinal variables, Kendall’s Tau-b was used for tables with the same number of columns and rows, while Kendall’s Tau-c was used for tables with different numbers of columns and rows. Statistical significance was considered at p ≤ 0.05 [36].

3. Characteristics of the Study Group

This study involved 484 students, with a mean age of 22.02 ± 4.39 years. The majority of the group was female (60.5%), and rural areas were more commonly reported as their place of residence (65.4%). Most students believed that their financial situation and health status were good, while the majority rated their level of physical fitness as average. A detailed socio-demographic characterization of the study group is presented in Table 1.

4. Results

Using the TANITA MC-780 S MA analyzer, measurements of individual body composition components of the examined students were obtained, and the mean values are presented in Table 2.
Analyzing the students’ body mass using the BMI index, 31.4% of students were classified as overweight. Through BIA analysis, the %BF was determined, and considering this value, 19.4% of students were classified as obese. Obesity in the study group was primarily observed among students in the computer science field, while the highest number of individuals with normal body mass studied in the physical education field. The data are presented in Table 3.
Among the participants, individuals whose level of physical activity (PA), based on the IPAQ-SF, met the basic recommendations regarding frequency and duration predominated; however, 28.1% of the surveyed students did not engage in any physical activity or their level was insufficient.
Students majoring in physical education statistically exhibited higher levels of physical activity compared to students in other majors. The lowest level of physical activity was observed among students in computer science, marketing, management, and philology, respectively (Table 4). The level of obesity among students may be associated with a lack of physical activity.
The self-assessment of physical fitness made by the participants was associated with the level of physical activity (PA) assessed based on IPAQ-SF. The correlation coefficient is statistically significant (p < 0.001) and characterized by a fairly clear strength of association (Table 5).
Students majoring in physical education more frequently than others spent their free time engaging in sports and exercising at the gym. Additionally, this group of students least frequently used screen time, which was more commonly chosen by computer science and English philology students. The data are presented in Table 6.
A higher level of phase angle (PhA) among the participants was associated with a higher level of physical activity (PA), which was assessed based on IPAQ-SF. The correlation is statistically significant (two-sided significance), but the strength of the relationship was found to be insignificant (Spearman’s rho = 0.237) (Table 7).
Similarly, when differentiating the results by gender, the findings were confirmed. The correlation is statistically significant (two-sided significance), and the strength of the relationship was found to be insignificant for women (Spearman’s rho = 0.222) and expressed for men (Spearman’s rho = 0.398) (Table 8).
It has been observed that with higher levels of BMI, FFM, muscle mass, and sarcopenic index, there is a higher level of phase angle. The most pronounced associations were observed when considering the sarcopenic index and FFM. The most pronounced relationships are seen when considering sarcopenic index (Spearman’s rho = 0.726), lean tissue (Spearman’s rho = 0.709), and muscle mass (%) (Spearman’s rho = 0.631) (Table 9).
Both for women and men, statistically significant correlations were observed between higher levels of FFM, muscle mass (%), sarcopenic index, and higher values of phase angle (PhA). Analyzing the results among women, it is observed that higher BMI, FFM, muscle mass (%), and sarcopenic index are associated with higher phase angle scores. Have a clear strength of association (Spearman’s rho above 0.40). Among men with higher scores of FFM, muscle mass (%), and sarcopenic index, there is a higher phase angle. The correlations are statistically significant (p < 0.05), but clear strengths of the association are found only between lean tissue and phase angle (Spearman’s rho = 0.403) and between the sarcopenic index and phase angle (Spearman’s rho = 0.384) (Table 10).

5. Discussion

The main aim of this study was to assess the level of physical activity and prevalence of obesity and examine the individual components of body composition while investigating their correlation with the phase angle (PhA) among healthy students at Krosno University.
The WHO has recognized obesity as the disease of the 21st century, and numerous studies and statistics based on them indicate that the increasing prevalence of obesity worldwide will continue to accelerate. According to data published in the World Obesity Atlas in 2020, 18% of women and 14% of men in the global population were obese, and it is estimated that by 2035, these numbers will increase to 23% and 27%, respectively. Furthermore, the situation in Europe is even more dramatic because already in 2020, 26% of men and 28% of women were obese, and it is predicted that by 2035, over one-third of the European adult population will be obese (39% of men and 35% of women) [37]. The prevalence of overweight and obesity in Poland is also significant. As shown by recent cross-sectional studies conducted among the adult population of Poland before the COVID-19 pandemic, considering the BMI index, 42.2% of our society is overweight, and 16.4% are obese [38]. Meanwhile, the World Obesity Federation estimates that by 2035, one-third of adult Poles (33%) will be obese [37]. In a study conducted among medical students in Wrocław, normal body weight was observed in 80% of the students [39]. The situation among students in Krosno looks somewhat better, but already 22.7% of the respondents are overweight, and 8.7% are obese. Based on the BF% measurement, 19.4% of students are obese. Considering the forecasts and the fact that young people participated in the study, the percentage of individuals with excess body weight will continue to increase. Prado et al. presented intriguing data in their review, indicating that university students experience weight and fat gain throughout their academic life, especially during their first year [40]. This may justify the validity of conducting research on this group.
Currently, all social groups suffer from a deficit of physical activity, regardless of age. As estimated in cross-sectional studies conducted among 17,928 students from 23 countries, over 41% of individuals were physically inactive [41]. In studies conducted among European university students, Marciaszek et al. indicated that students from Poland exhibited the lowest levels of physical activity [42]. Research conducted at the Silesian Medical University showed that 19.2% of students do not engage in physical activity at the recommended level [43]. Similarly, in the studies conducted for this publication, it was found that among students at Krosno University, 28.1% of students do not engage in any physical activity, or their level of activity is insufficient. Furthermore, it was demonstrated that students majoring in physical education achieve the highest level of physical activity, while those in computer science achieve the lowest level.
Students are a population particularly prone to adopting a sedentary lifestyle due to the time spent in classes, studying, or in front of a computer [44]. Carballo-Francez et al., in their research on the level of physical activity among students and its determinants, identified lack of time as the most popular reason for refraining from physical activity (75.1%), followed by laziness (70.8%) [45]. Studies conducted among student groups in Finland showed relatively low achievement of physical activity recommendations. High health awareness and high self-assessment of health status were the strongest predictors of engaging in physical activity [46]. Researchers conducting studies in Libya indicated that better academic performance was correlated with higher levels of physical activity among students [47]. Lipert et al.’s analysis of 216 students in physiotherapy, dietetics, and pharmacy majors at medical universities revealed a low level of physical activity during leisure time, with physiotherapy students being the most active and engaging in exercises with higher intensity [48]. In our own studies, students majoring in physical education most frequently chose active forms of leisure time, while computer science students chose them least frequently. Furthermore, differentiating the subjects based on the BMI index, the highest obesity rate was observed among computer science students, while the lowest was among physical education students.
The Kotarska et al. study partially confirmed the hypothesis about the existence of a relationship between the self-assessment of physical fitness, the self-assessment of health, and the motivational functions of sports goals [49]. In our own studies, a statistically significant correlation was found between self-assessment of physical fitness and the score obtained using the IPAQ questionnaire, and these associations are also confirmed by the research of Carballo-Francez et al., unlike the perception of health and diet [45].
Phase angle (PhA) is a health marker that provides information about the nutritional status of the body at the cellular level [50]. Many studies confirm that regular physical training affects the increase in the phase angle, whose value is directly related to muscle strength and aerobic capacity in various age groups (children, adolescents, adults, and elderly individuals) [11,51,52,53]. Research indicates that individuals who exercise regularly, regardless of the type of training (resistance or aerobic), have a higher level of PhA values [31].
The results from studies conducted by Yamada et al. [31] in a group of 115 individuals at the Institute of Health and Nutrition in Tokyo clearly indicated that the group of individuals with high PhA, BMI, and FFM values were also higher. Higher BMI in the group with higher levels of physical activity resulted from a higher body cell mass (p < 0.01) but not from a percentage difference in body fat (p > 0.4) [31]. A related study found that the amount of vigorous physical activity correlated significantly with the basal metabolic rate (BMR), fat, water, and muscle content, fat-free mass (FFM), bone mass, extracellular to intracellular water ratio (ECW/ICW), and phase angle (PA) [39]. Similar results were obtained in our own studies, with a statistically significant correlation between a higher level of PhA and higher levels of physical activity among students. Skeletal muscles are the largest conducting tissue in the body, so the value of the phase angle is strongly correlated with FFM [54].
In our own studies, both among women and men, statistically significant correlations were found between higher levels of FFM, muscle mass (%), sarcopenic index, and a higher value of the phase angle.

6. Conclusions

The highest level of physical activity was observed among physical education students, among whom the lowest obesity rate was also noted. Demonstrating the association of the phase angle (PhA) values with indicators that are documented predictors of organism well-being (BMI, BF%, FFM, muscle mass, and sarcopenic index), as well as the level of physical activity, provides significant insights into the ability to forecast the health status of university students. Although the PhA has been utilized in lots of studies on populations with health issues, it still remains only partially understood. There is a lack of research on the relationship between PhA (phase angle) and physical activity, as well as body composition components, among a larger group of young adults. The obtained data indicate the need to implement preventive measures and direct educational programs, especially for students in fields where the amount of sedentary activity is high. Encouraging these individuals to spend their free time in physically active ways may protect them not only from overweight and obesity but also from many other diseases associated with a low PhA index. This study was single-center and provided preliminary data, but it should be expanded. An important aspect would be determining dietary habits and cardiorespiratory fitness, which could provide valuable data.

Author Contributions

Conceptualization, M.M.; methodology, M.M. and E.K.; formal analysis, M.M. and E.K.; investigation, M.M. and E.K.; resources, M.M. and E.K.; data curation, M.M. and E.K.; writing—original draft preparation, E.K.; writing—review and editing, M.M.; supervision, M.M. and E.K.; project administration, M.M. and E.K. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

This study was conducted in accordance with the Declaration of Helsinki.

Informed Consent Statement

Written informed consent has been obtained from the respondents to publish this paper.

Data Availability Statement

Data will be provided on request.

Conflicts of Interest

The authors declare no conflicts of interest.

References

  1. WHO. WHO Guidelines on Physical Activity and Sedentary Behaviour; World Health Organization: Geneva, Switzerland, 2020. [Google Scholar]
  2. Baran, J.; Lis, M.; Magda, I. Ocena Korzyści Społecznych Inwestycji w Sport w Odniesieniu do Ponoszonych Kosztów; Instytut Badań Strukturalnych: Warszawa, Poland, 2016. [Google Scholar]
  3. OECD/WHO. Step Up! Tackling the Burden of Insufficient Physical Activity in Europe; OECD: Paris, France, 2023. [Google Scholar]
  4. WHO Recommendations—A Healthy Lifestyle, 2010. Available online: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations (accessed on 21 February 2024).
  5. Conn, V.S.; Hafdahl, A.; Phillips, L.J.; Ruppar, T.M.; Chase, J.A. Impact of physical activity interventions on anthropometric outcomes: Systematic review and meta-analysis. J. Prim. Prev. 2014, 35, 203–215. [Google Scholar] [CrossRef] [PubMed]
  6. Bradbury, K.E.; Guo, W.; Cairns, B.J.; Armstrong, M.E.; Key, T.J. Association between physical activity and body fat percentage, with adjustment for BMI: A large cross-sectional analysis of UK Biobank. BMJ Open 2017, 7, e011843. [Google Scholar] [CrossRef] [PubMed]
  7. Dewi, R.C.; Rimawati, N.; Purbodjati, P. Body mass index, physical activity, and physical fitness of adolescence. J. Public Health Res. 2021, 10, jphr-2021. [Google Scholar] [CrossRef] [PubMed]
  8. Tallis, J.; James, R.S.; Seebacher, F. The effects of obesity on skeletal muscle contractile function. J. Exp. Biol. 2018, 221, jeb163840. [Google Scholar] [CrossRef] [PubMed]
  9. Borga, M.; West, J.; Bell, J.D.; Harvey, N.C.; Romu, T.; Heymsfield, S.B.; Dahlqvist, L.O. Advanced body composition assessment: From body mass index to body composition profiling. J. Investig. Med. 2018, 66, 1–9. [Google Scholar] [CrossRef]
  10. Marra, M.; Sammarco, R.; De Lorenzo, A.; Iellamo, F.; Siervo, M.; Pietrobelli, A.; Donini, L.M.; Santarpia, L.; Cataldi, M.; Pasanisi, F.; et al. Assessment of Body Composition in Health and Disease Using Bioelectrical Impedance Analysis (BIA) and Dual Energy X-Ray Absorptiometry (DXA): A Critical Overview. Contrast Media Mol. Imaging 2019, 2019, 3548284. [Google Scholar] [CrossRef] [PubMed]
  11. Mundstock, E.; Amaral, M.A.; Baptista, R.R.; Sarria, E.E.; Dos Santos, R.R.G.; Filho, A.D.; Rodrigues, C.A.S.; Forte, G.C.; Castro, L.; Padoin, A.V.; et al. Association between phase angle from bioelectrical impedance analysis and level of physical activity: Systematic review and meta-analysis. Clin. Nutr. 2019, 38, 1504–1510. [Google Scholar] [CrossRef] [PubMed]
  12. Norman, K.N.; Stobaus, M.; Pirlich, A. Bosy-Westphal Bioelectrical phase angle and impedance vector analysis--clinical relevance and applicability of impedance parameters. Clin. Nutr. 2012, 31, 854–861. [Google Scholar] [CrossRef] [PubMed]
  13. Kumar, S.; Dutt, A.; Hemraj, S.; Bhat, S.; Manipadybhima, B. Phase Angle Measurement in Healthy Human Subjects through Bio-Impedance Analysis. Iran. J. Basic Med. Sci. 2012, 15, 1180–1184. [Google Scholar]
  14. Gonzalez, M.C.; Barbosa-Silva, T.G.; Bielemann, R.M.; Gallagher, D.; Heymsfield, S.B. Phase angle and its determinants in healthy subjects: Influence of body composition. Am. J. Clin. Nutr. 2016, 103, 712–716. [Google Scholar] [CrossRef]
  15. Skrzypek, M.; Szponar, B.; Drop, B.; Panasiuk, L.; Malm, M. Anthropometric, body composition and behavioural predictors of bioelectrical impedance phase angle in polish young adults—Preliminary results. Ann. Agric. Environ. Med. 2020, 27, 91–98. [Google Scholar] [CrossRef] [PubMed]
  16. Mattiello, R.; Amaral, M.A.; Mundstock, E.; Ziegelmann, P.K. Reference values for the phase angle of the electrical bioimpedance: Systematic review and meta-analysis involving more than 250,000 subjects. Clin. Nutr. 2020, 39, 1411–1417. [Google Scholar] [CrossRef] [PubMed]
  17. Lukaski, H.C.; Kyle, U.G.; Kondrup, J. Assessment of adult malnutrition and prognosis with bioelectrical impedance analysis: Phase angle and impedance ratio. Curr. Opin. Clin. Nutr. Metab. Care 2017, 20, 330–339. [Google Scholar] [CrossRef] [PubMed]
  18. Machado, F.V.C.; Bloem, A.E.M.; Schneeberger, T.; Jarosch, I.; Gloeckl, R.; Winterkamp, S.; Franssen, F.M.E.; Koczulla, A.R.; Pitta, F.; Spruit, M.A.; et al. Relationship between body composition, exercise capacity and health-related quality of life in idiopathic pulmonary fibrosis. BMJ Open Respir. Res. 2021, 8, e001039. [Google Scholar] [CrossRef] [PubMed]
  19. Chen, G.; Lv, Y.; Ni, W.; Shi, Q.; Xiang, X.; Li, S.; Song, C.; Xiao, M.; Jin, S. Associations between Phase Angle Values Obtained by Bioelectrical Impedance Analysis and Nonalcoholic Fatty Liver Disease in an Overweight Population. Can. J. Gastroenterol. Hepatol. 2020, 2020, 8888405. [Google Scholar] [CrossRef] [PubMed]
  20. Gutiérrez-Santamaría, B.; Martinez Aguirre-Betolaza, A.; García-Álvarez, A.; Arietaleanizbeaskoa, M.S.; Mendizabal-Gallastegui, N.; Grandes, G.; Castañeda, B.A.; Coca, A. Association between PhA and Physical Performance Variables in Cancer Patients. Int. J. Environ. Res. Public Health 2023, 20, 1145. [Google Scholar] [CrossRef] [PubMed]
  21. Kurmaev, D.P.; Bulgakova, S.V.; Treneva, E.V. [Sarcopenia and type 2 diabetes mellitus in geriatric patients (literature review)]. Adv. Gerontol. Uspekhi Gerontol. 2022, 35, 294–301. [Google Scholar]
  22. Kowalska, M.; Kamocki, Z. Skład ciała chorych na raka trzustki. Pol. J. Surg. 2023, 95, 53–59. [Google Scholar] [CrossRef]
  23. Małecka-Massalska, T.; Popiołek, J.; Teter, M.; Homa-Mlak, I.; Dec, M.; Makarewicz, A.; Karakuła-Juchnowicz, H. Application of phase angle for evaluation of the nutrition status of patients with anorexia nervosa. Psychiatr. Pol. 2017, 51, 1121–1131. [Google Scholar] [CrossRef]
  24. Więch, P.; Sałacińska, I.; Bazaliński, D.; Dąbrowski, M. Body composition and phase angle as an indicator of nutritional status in children with juvenile idiopathic arthritis. Pediatr. Rheumatol. Online J. 2018, 16, 82. [Google Scholar] [CrossRef]
  25. Więch, P.; Dąbrowski, M.; Bazaliński, D.; Sałacińska, I.; Korczowski, B.; Binkowska-Bury, M. Bioelectrical Impedance Phase Angle as an Indicator of Malnutrition in Hospitalized Children with Diagnosed Inflammatory Bowel Diseases-A Case Control Study. Nutrients 2018, 10, 499. [Google Scholar] [CrossRef]
  26. Skroński, M.; Andrzejewska, M.; Fedosiejew, M.; Ławiński, M.; Włodarek, D.; Ukleja, A.; Nyckowski, P.; Słodkowski, M. Assessment of changes in the body composition in patients qualified for the operational treatment of the primary and metastatic liver tumors with the use of bioelectric impedance. Pol. J. Surg. 2018, 90, 27–31. [Google Scholar] [CrossRef]
  27. Skórka, M.; Więch, P.; Przybek-Mita, J.; Malisiewicz, A.; Pytlak, K.; Bazaliński, D. Nutritional Status of People with a Coexisting Chronic Wound and Extended Assessment Using Bioelectrical Impedance. Nutrients 2023, 15, 2869. [Google Scholar] [CrossRef]
  28. Antczak-Domagała, K.; Magierski, R.; Wlazło, A.; Sobów, T. Nutritional status and methods of its evaluation inelderly and indemented patients. Psychiatr. Psychol. Klin. 2013, 13, 271–277. [Google Scholar]
  29. Kosacka, M.; Korzeniowska, A.; Jankowska, R. The Evaluation of Body Composition, Adiponectin, C-Reactive Protein and Cholesterol Levels in Patients with Obstructive Sleep Apnea Syndrome. Adv. Clin. Exp. Med. 2013, 22, 817–824. [Google Scholar]
  30. Joensuu, L.; Kujala, U.M.; Kankaanpää, A.; Syväoja, H.J.; Kulmala, J.; Hakonen, H.; Oksanen, H.; Kallio, J.; Tammelin, T.H. Physical fitness development in relation to changes in body composition and physical activity in adolescence. Scand J. Med. Sci. Sports 2021, 31, 456–464. [Google Scholar] [CrossRef]
  31. Yamada, Y.; Yoshida, T.; Murakami, H.; Kawakami, R.; Gando, Y.; Ohno, H.; Tanisawa, K.; Konishi, K.; Julien, T.; Kondo, E.; et al. Phase angle obtained via bioelectrical impedance analysis and objectively measured physical activity or exercise habits. Sci. Rep. 2022, 12, 17274. [Google Scholar] [CrossRef]
  32. Biernat, E.; Stupnicki, R.; Gajewski, A.K. Międzynarodowy Kwestionariusz Aktywności Fizycznej (IPAQ)—Wersja polska. Wych. Fiz. Sport 2007, 51, 47–54. [Google Scholar]
  33. Meh, K.; Jurak, G.; Sorić, M.; Rocha, P.; Sember, V. Validity and Reliability of IPAQ-SF and GPAQ for Assessing Sedentary Behaviour in Adults in the European Union: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2021, 18, 4602. [Google Scholar] [CrossRef]
  34. WHO. WHO Expert Committee on Physical Status. In Physical Status: The Use and Interpretation of Anthropometry; Report of WHO Expert Committee, World Health Organization: Geneva, Switzerland, 1995. [Google Scholar]
  35. Macek, P.; Biskup, M.; Terek-Derszniak, M.; Stachura, M.; Król, M.; Gozdz, S.; Zak, M. Optimal Body Fat Percentage Cut-Off Values in Predicting the Obesity-Related Cardiovascular Risk Factors: A Cross-Sectional Cohort Study. Diabets Metab. Syndr. Obes. 2021, 13, 1587–1597. [Google Scholar] [CrossRef]
  36. Cyrus, R.M.; Patel, N.R. IBM SPSS Exact Tests; IBM Corporation: Armonk, NY, USA, 1989. [Google Scholar]
  37. World Obesity Federation. World Obesity Atlas 2023; World Obesity Federation: London, UK, 2023. [Google Scholar]
  38. Stoś, K.; Rychlik, E.; Woźniak, A.; Ołtarzewski, M.; Jankowski, M.; Gujski, M.; Juszczyk, G. Prevalence and Sociodemographic Factors Associated with Overweight and Obesity among Adults in Poland: A 2019/2020 Nationwide Cross-Sectional Survey. Int. J. Environ. Res. Public Health 2022, 19, 1502. [Google Scholar] [CrossRef]
  39. Jaremków, A.; Markiewicz-Górka, I.; Hajdusianek, W.; Czerwińska, K.; Gać, P. The Relationship between Body Composition and Physical Activity Level in Students of Medical Faculties. J. Clin. Med. 2024, 13, 50. [Google Scholar] [CrossRef]
  40. Prado, L.; Silva, N.; Nascimento, M.; Cabral, P. Changes in weight and body composition among students after entering the university: A systematic review. Rev. Chil. Nutr. 2019, 46, 614–621. [Google Scholar] [CrossRef]
  41. Pengpid, S.; Peltzer, K.; Kassean, H.K.; Tsala Tsala, J.P.; Sychareun, V.; Muller-Riemenshneider, F. Physical inactivity and associated factors among university students in 23 low-, middle- and high-income countries. Int. J. Public Health 2015, 60, 539–549. [Google Scholar] [CrossRef]
  42. Marciaszek, J.; Ołpińska-Lischka, M.; Pospieszna, B.; Knisel, E.; Hosnova, S.; Epping, R.; Bronikowski, M. Physical activity rates of male and female students from selected European physical education universities. Trends Sport Sci. 2020, 27, 63–69. [Google Scholar] [CrossRef]
  43. Dąbrowska-Galas, M.; Ptaszkowski, K.; Dąbrowska, J. Physical activity level, insomnia and related impact in medical students in Poland. Int. J. Environ. Res. Public Health. 2021, 18, 3081. [Google Scholar] [CrossRef]
  44. Cotton, E.; Prapavessis, H. Increasing Nonsedentary Behaviors in University Students Using Text Messages: Randomized Controlled Trial. JMIR Mhealth Uhealth 2016, 4, e5411. [Google Scholar] [CrossRef]
  45. Carballo-Fazanes, A.; Rico-Díaz, J.; Barcala-Furelos, R.; Rey, E.; Rodríguez-Fernández, J.E.; Varela-Casal, C.; Abelairas-Gómez, C. Physical Activity Habits and Determinants, Sedentary Behaviour and Lifestyle in University Students. Int. J. Environ. Res. Public Health 2020, 17, 3272. [Google Scholar] [CrossRef]
  46. El Ansari, W.; Suominen, S.; Draper, S. Correlates of Achieving the Guidelines of Four Forms of Physical Activity, and the Relationship between Guidelines Achievement and Academic Performance: Undergraduate Students in Finland. Cent. Eur. J. Public Health 2017, 25, 87–95. [Google Scholar] [CrossRef]
  47. El Ansari, W.; Khalil, K.; Crone, D.; Stock, C. Physical activity and gender differences: Correlates of compliance with recommended levels of five forms of physical activity among students at nine universities in Libya. Cent. Eur. J. Public Health 2014, 22, 98–105. [Google Scholar] [CrossRef]
  48. Lipert, A.; Matusiak-Wieczorek, E.; Kochan, E.; Szymczyk, P.; Wrzesińska, M.; Jegier, A. Physical activity of future health care professionals: Adherence to current recommendations. Med. Pr. 2020, 71, 539–549. [Google Scholar] [CrossRef] [PubMed]
  49. Kotarska, K.; Timoszyk-Tomczak, C.; Nowak, L.; Sygit, K.; Gąska, I.; Nowak, M.A. Self-Assessment of Physical Fitness and Health versus Motivational Value of Physical Activity Goals in People Practicing Fitness, Football, Martial Arts and Wheelchair Rugby. Int. J. Environ. Res. Public Health 2022, 19, 11004. [Google Scholar] [CrossRef] [PubMed]
  50. Popiołek-Kalisz, J.; Małecka-Massalska, T. Kąt fazowy—Nowoczesny wskaźnik odżywienia. In Postępy w Diagnostyce Medycznej; Instytut Promocji Kultury i Nauki Dr Jerzy Bednarski: Lublin, Poland, 2020; pp. 23–30. [Google Scholar]
  51. Custódio Martins, P.; de Lima, T.R.; Silva, A.M.; Santos Silva, D.A. Association of phase angle with muscle strength and aerobic fitness in different populations: A systematic review. Nutrition 2022, 93, 111489. [Google Scholar] [CrossRef]
  52. Ribeiro, A.S.; Schoenfeld, B.J.; Souza, M.F.; Tomeleri, C.M.; Silva, A.M.; Teixeira, D.C.; Sardinha, L.B.; Cyrino, E.S. Resistance training prescription with different load-management methods improves phase angle in older women. Eur. J. Sport Sci. 2017, 17, 913–921. [Google Scholar] [CrossRef] [PubMed]
  53. Otsuka, Y.; Yamada, Y.; Maeda, A.; Izumo, T.; Rogi, T.; Shibata, H.; Fukuda, M.; Arimitsu, T.; Miyamoto, N.; Hashimoto, T. Effects of resistance training intensity on muscle quantity/quality in middle-aged and older people: A randomized controlled trial. J. Cachexia Sarcopenia Muscle 2022, 13, 894–908. [Google Scholar] [CrossRef]
  54. Lukaski, H.C.; Garcia-Almeida, J.M. Phase angle in applications of bioimpedance in health and disease. Rev. Endocr. Metab. Disord. 2023, 24, 367–370. [Google Scholar] [CrossRef]
Table 1. Full descriptive statistics of the study group.
Table 1. Full descriptive statistics of the study group.
ParametersDescriptive Statistics
N = 484 (%)
Student’s middle age22.02 year (SD-4.39)
Student’s BMI24 (SD-4.91)
Place of residence
      Urban168 (34.7)
      Rural316 (65.3)
Student’s gender
      Female294 (60.5)
      Male190 (39.5)
Material situation
      very good66 (13.6)
      good308 (63.6)
      medium96 (19.8)
      bad4 (0.8)
      unknown10 (2.1)
Self-assessment of health status
      very good114 (23.6)
      good268 (55.4)
      medium86 (17.8)
      bad6 (1.2)
      unknown10 (2.1)
Self-assessment of physical condition
      low38 (7.9)
      medium372 (76.8)
      high74 (15.3)
Table 2. The results of the measurements examined the student’s body composition.
Table 2. The results of the measurements examined the student’s body composition.
Components of Body Composition
N = 484
AverageStandard DeviationMinimumMaximum
BF%24.828.346.5049.80
FFM52.2210.9734.5088.00
PhA5.930.793.908.40
Visceral fat rating3.193.061.0023.00
Muscle mass [%]50.3611.2821.5083.70
Muscle mass [kg]70.239.7138.3088.80
Sarcopenic index7.591.405.5213.29
Table 3. Classification of non-normative and normative body mass in the study group by BMI index and percentage of body fat (%BF).
Table 3. Classification of non-normative and normative body mass in the study group by BMI index and percentage of body fat (%BF).
Field of Study BMIBF%
NUnderweight %Standard %Overweight %Obesity %Standard %Obesity %
Construction1006020208020
English Philology807.565207.572.527.5
Computer Science365.644.427.822.261.138.9
Internet Marketing468.756.526.18.773.926.1
Pedagogy6415.656.315.612.584.415.6
Nursing984.163.322.410.283.716.3
Midwifery32062.52512.57525
Physical Education86081.418.6095.44.7
Management326.35043.8081.318.8
Total4845.862.822.78.780.619.4
Table 4. Level of physical activity (PA) by field of study.
Table 4. Level of physical activity (PA) by field of study.
Field of StudyNPAStatistical Analysis
InsufficientAdequateHigh
%%%
Construction1020800V = 0.414
χ2 = 82.969
df-16
p = 0.00
English Philology8042.54512.5
Computer Science3661.138.90
Internet Marketing4647.847.84.3
Pedagogy6431.356.312.5
Nursing9816.377.66.1
Midwifery3212.581.36.3
Physical Education862.348.848.8
Management3243.856.30
Total48428.157.414.5
Table 5. Correlation between self-assessment of physical fitness level and physical activity level (PA) determined by IPAQ-SF results.
Table 5. Correlation between self-assessment of physical fitness level and physical activity level (PA) determined by IPAQ-SF results.
PASelf-Assessment of Physical FitnessTotal
LowAverageModerateHigh
%%%%%
Insufficient%63.232.523.913.528.1
N24505210136
Adequate%31.662.364.240.557.4
N129614030278
High%5.35.211.945.914.5
N28263470
TotalN3815421874484
Kendall’s Tau-c Standard Error
Approx. T
0.280 *
0.055
5.065
* p < 0.001.
Table 6. Correlation between chosen ways of spending leisure time and field of study.
Table 6. Correlation between chosen ways of spending leisure time and field of study.
Way of Spending Free TimeField of Study (N = 484)Statistical Analysis
Construction (N = 10)English Philology (N = 80)Computer Science (N = 36)Internet Marketing (N = 46)Pedagogy (N = 64)Nursing (N = 98)Midwifery (N = 32)Physical Education (N = 86)Management (N = 32)V-Kramerχ2p Monte Carlo
  Social gathering [%]40.062.555.665.281.367.375.069.850.00.1898.6730.242
  Reading books [%]0.027.516.726.137.528.66.3014.031.30.22111.8070.129
  Doing sports [%]40.020.033.313.09.434.731.372.118.80.44247.1730.00
  Gym [%]0.012.55.64.33.110.225.048.818.80.42543.6160. 00
  Dance [%]0.015.00.08.79.416.30.04.76.30.2029.8830.254
  Hiking [%]20.022.511.126.128.134.725.011.66.30.2211.7450.159
  Cycling [%]0.00.00.013.018.88.26.320.912.50.25515.7220.076
  Water tourism [%]0.02.50.00.06.30.00.04.70.00.1696.9050.524
  Listening to music [%]60.030.044.452.246.918.425.025.637.50.25615.8990.05
  Screen time [%]20.067.588.947.828.144.943.814.056.30.4344.8410.00
  Tv [%]0.02.50.04.30.00.00.00.00.00.1626.3380.593
  Going to cinema [%]0.07.55.64.39.44.112.50.00.00.1737.2540.536
  Sleeping [%]60.017.516.713.06.322.425.014.031.30.2312.8420.063
  Learning [%]20.02.50.00.06.30.06.30.00.00.25115.2810.095
Table 7. Correlation between PhA and physical activity level (PA) in the study group.
Table 7. Correlation between PhA and physical activity level (PA) in the study group.
PhAPA
PhA1.0000.237 **
PA0.237 **1.000
** p < 0.01.
Table 8. Correlation between PhA and physical activity level (PA) by gender.
Table 8. Correlation between PhA and physical activity level (PA) by gender.
Women
(N = 294)
Men
(N = 190)
PhAPAPhAPA
PhA1.0000.222 **1.0000.398 **
PA0.222 **1.0000.398 **1.000
** p < 0.01.
Table 9. The correlation between BMI, FFM, percentage of muscle mass, sarcopenic index, and PhA in examined students.
Table 9. The correlation between BMI, FFM, percentage of muscle mass, sarcopenic index, and PhA in examined students.
Students
(N = 484)
BMIFFMMuscle Mass %Sarcopenic Index
PhA0.401 **0.709 **0.631 **0.726 **
** p < 0.01.
Table 10. Correlation between BMI, FFM, Muscle Mass (%), Sarcopenic Index, and PhA by gender of the participants.
Table 10. Correlation between BMI, FFM, Muscle Mass (%), Sarcopenic Index, and PhA by gender of the participants.
BMIFFMMuscle Mass Sarcopenic Index
PhAWomen
(N = 294)
0.439 **0.435 **0.400 **0.487 **
Men
(N = 190)
0.1910.403 **0.271 **0.384 **
** p < 0.01.
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Musijowska, M.; Kwilosz, E. Association between Physical Activity Level, Body Composition, and Phase Angle in University Students from Bioelectrical Impedance Analysis (BIA). J. Clin. Med. 2024, 13, 2743. https://doi.org/10.3390/jcm13102743

AMA Style

Musijowska M, Kwilosz E. Association between Physical Activity Level, Body Composition, and Phase Angle in University Students from Bioelectrical Impedance Analysis (BIA). Journal of Clinical Medicine. 2024; 13(10):2743. https://doi.org/10.3390/jcm13102743

Chicago/Turabian Style

Musijowska, Monika, and Edyta Kwilosz. 2024. "Association between Physical Activity Level, Body Composition, and Phase Angle in University Students from Bioelectrical Impedance Analysis (BIA)" Journal of Clinical Medicine 13, no. 10: 2743. https://doi.org/10.3390/jcm13102743

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