Family Medicine & Primary Care Review

Full text

3/2026 vol. 28
Original paper

Physical activity and health-promoting behaviors among nursing students in the Podlaskie Voivodeship: contextualizing socio-health changes in Poland (2016–2026)

Aliaksandr Shpakau 1
,
Wojciech Kułak 2
,
Dorota Sokołowska 3
,
Rafał Modzelewski 2
,
Maria Gacek 4
,
Andriej Szpakow 5

  1. Independent Researcher, Cracow, Poland

  2. Children’s Rehabilitation Clinic, Medical University of Bialystok, Bialystok, Poland

  3. Department of Physical Education and Tourism, The Eastern European University of Applied Sciences in Bialystok, Bialystok, Poland

  4. Department of Sports Medicine and Human Nutrition, University of Physical Culture in Cracow, Cracow, Poland

  5. International Academy of Applied Sciences in Lomza, Lomza, Poland

Family Medicine & Primary Care Review 2026; 28(3): 269–276

DOI: https://doi.org/10.5114/fmpcr.2026.164656
Data publikacji online: 2026/09/29
Article file
06 FM&PCR 3 26 - O - Shpakau - 2022 - Physical activity.pdf
  1. Caron RM, Noel K, Reed RN, et al. Health promotion, health protection, and disease prevention: Challenges and opportunities in a dynamic landscape. AJPM Focus 2023; 3(1): 100167, doi: 10.1016/j.focus.2023.100167.
  2. Bejda G, Lewko J, Krajewska-Kułak E, eds. Zachowania prozdrowotne jako element aktywności życiowej człowieka. Białystok: Uniwersytet Medyczny w Białymstoku; 2020 (in Polish).
  3. Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020; 54(24): 1451–1462, doi: 10.1136/bjsports-2020-102955.
  4. Non-Communicable Disease Branch. Make physical activity a “must do” habit. Non-Communicable Diseases Watch 2023 Jul. (cited 22.11.2025). Available from URL: http://www.chp.gov.hk.
  5. Mazur J, Dzielska A, Małkowska-Szkutnik A, eds. Zdrowie i zachowania zdrowotne uczniów 17-letnich na tle zmian w drugiej dekadzie życia. Warszawa: Instytut Matki i Dziecka; 2020 (in Polish).
  6. GBD 2023 Poland Collaborators. The burden of diseases, injuries, and risk factors by voivodship in Poland, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023. Lancet Reg Health Eur 2025; 58: 101431, doi: 10.1016/j.lanepe.2025.101431.
  7. Zawadzka M, Ejchman-Pac E, Kowalska A, et al. Epidemiological analysis of cardiovascular diseases with consideration of risk factors, health awareness, and preventive behaviors in civilian and military populations. J Clin Med 2025; 14(16): 5844, doi: 10.3390/jcm14165844.
  8. World Health Organization. Global action plan on physical activity 2018–2030: More active people for a healthier world. Geneva: WHO; 2018.
  9. Organisation for Economic Co-operation and Development. Health at a Glance: Europe 2022 – State of Health in the EU Cycle. Paris: OECD Publishing; 2022.
  10. Soroń M, Dudziak J, Gancarz K, et al. Zachowania zdrowotne a samoocena w grupie młodych dorosłych. Rzeszów: Uniwersytet Rzeszowski; 2022, doi: 10.15584/978-83-8277-138-1.14 (in Polish).
  11. COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet 2021; 398(10312): 1700–1712, doi: 10.1016/S0140-6736(21)02143-7.
  12. Pfefferbaum B, North CS. Mental health and the COVID-19 pandemic. N Engl J Med 2020; 383(6): 510–512, doi: 10.1056/NEJMp2008017.
  13. Sallis R, Young DR, Tartof SY, et al. Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients. Br J Sports Med 2021; 55(19): 1099–1105, doi: 10.1136/bjsports-2021-104080.
  14. Hunt MG, Marx R, Lipson C, et al. No more FOMO: Limiting social media decreases loneliness and depression. J Soc Clin Psychol 2018; 37(10): 751–768, doi: 10.1521/jscp.2018.37.10.751.
  15. Twenge JM, Campbell WK. Associations between screen time and lower psychological well-being among children and adolescents: Evidence from a population-based study. Prev Med Rep 2018; 12: 271–283, doi: 10.1016/j.pmedr.2018.10.003.
  16. Kwilosz E, Musijowska M, Badora-Musiał K, et al. Eating habits, physical activity, body composition and cardiorespiratory fitness in university students: A cross-sectional study. Nutrients 2025; 17(19): 3166, doi: 10.3390/nu17193166.
  17. Edelmann D, Pfirrmann D, Heller S, et al. Physical activity and sedentary behavior in university students: The role of gender, age, field of study, targeted degree, and study semester. Front Public Health 2022; 10: 821703, doi: 10.3389/fpubh.2022.821703.
  18. Brickwood KJ, Watson G, O’Brien J, et al. Consumer-based wearable activity trackers increase physical activity participation: Systematic review and meta-analysis. JMIR Mhealth Uhealth 2019; 7(4): e11819, doi: 10.2196/11819.
  19. Lewandowska MA. Dieta w leczeniu chorób cywilizacyjnych – najnowsze doniesienia. Lublin: Tygiel; 2025 (in Polish).
  20. Whitehead D. Exploring health promotion and health education in nursing. Nurs Stand 2018, doi: 10.7748/ns.2018.e11220. Online ahead of print.
  21. Kemppainen V, Tossavainen K, Turunen H. Nurses’ roles in health promotion practice: an integrative review. Health Promot Int 2013; 28(4): 490–501, doi: 10.1093/heapro/das034.
  22. McCleary-Jones V. A systematic review of the literature on health literacy in nursing education. Nurse Educ 2016; 41(2): 93–97, doi: 10.1097/NNE.0000000000000204.
  23. Kelly M, Wills J, Jester R, et al. Should nurses be role models for healthy lifestyles? Results from a modified Delphi study. J Adv Nurs 2017; 73(3): 665–678, doi: 10.1111/jan.13173.
  24. Gacek M, Kosiba G, Wojtowicz A. Sense of generalised self-efficacy and body mass index, diet health quality and pro-health behaviours of nursing students and active professional nurses. Med Pr Work Health Saf 2023; 74(4): 251–261, doi: 10.13075/mp.5893.01382.
  25. Ross A, Bevans M, Brooks AT, et al. Nurses and health-promoting behaviors: Knowledge may not translate into self-care. AORN J 2017; 105(3): 267–275, doi: 10.1016/j.aorn.2016.12.018.
  26. Kułak-Bejda A, Waszkiewicz N, Shpakau A, et al. Używanie narkotyków, palenie papierosów, nadużywanie alkoholu w grupie studentów kierunków medycznych z Polski i Białorusi. In: Kułak-Bejda A, Waszkiewicz N, eds. Współczesny wymiar uzależnień. Białystok: Uniwersytet Medyczny w Białymstoku; 2020: 257–279 (in Polish).
  27. Biernat E, Stupnicki R, Gajewski AK. Międzynarodowy Kwestionariusz Aktywności Fizycznej (IPAQ) – wersja polska. Wychowanie Fizyczne i Sport 2007; 51(1): 47–54 (in Polish).
  28. Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. 2nd ed. Warszawa: Pracownia Testów Psychologicznych; 2009 (in Polish).
  29. Shafiee A, Nakhaee Z, Bahri RA, et al. Global prevalence of obesity and overweight among medical students: a systematic review and meta-analysis. BMC Public Health 2024; 24(1): 1673, doi: 10.1186/s12889-024-19184-4.
  30. Szemik S, Zieleń-Zynek I, Szklarek E, et al. Prevalence and determinants of overweight or obesity among medical students over a 2-year observation. Front Nutr 2024; 11: 1437292, doi: 10.3389/fnut.2024.1437292.
  31. Adamczak BB, Kosendiak AA, Kuźnik Z, et al. Gender differences in physical activity levels among overweight and obese medical students during and after the COVID-19 pandemic: a single-center cross-sectional study. Obesities 2025; 5(1): 2, doi: 10.3390/obesities5010002.
  32. Sadali UB, Kamal KKBN, Park J, et al. The global prevalence of overweight and obesity among nurses: A systematic review and meta-analyses. J Clin Nurs 2023; 32(23–24): 7934–7955, doi: 10.1111/jocn.16861.
  33. Zalewska A, Gałczyk M, Mierzejewska A. Fatigue and physical activity levels in Poles living in Poland and the United Kingdom in the further year of the COVID-19 pandemic: a pilot study. BMC Public Health 2023; 23(1): 2260, doi: 10.1186/s12889-023-17191-5.
  34. Stratakis K, Todorovic J, Mirkovic M, et al. Examination of factors associated with physical activity among medical students pre and post-COVID-19 in Serbia. Sci Rep 2025; 15: 5791, doi: 10.1038/s41598-025-90544-9.
  35. Ziemba M, Groffik D, Frömel K, et al. Surveillance of physical activity and sedentary behavior in Polish children and adolescents: a scoping review of literature from 2000 to 2022. Health Prob Civil 2024; 18(2): 215–244, doi: 10.5114/hpc.2023.133886.
  36. Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA 2009; 301(19): 2024–2035, doi: 10.1001/jama.2009.681.
  37. Forte C, O’Sullivan D, McDowell CP, et al. Associations between screen-time, physical activity and depressive symptoms differ based on gender and screen-time mode. Eur Child Adolesc Psychiatry 2023; 32(11): 2313–2322, doi: 10.1007/s00787-022-02080-w.
  38. Rezende LF, de, Rodrigues Lopes M, Rey-López JP, et al. Sedentary behavior and health outcomes: an overview of systematic reviews. PLOS ONE 2014; 9(8): e105620, doi: 10.1371/journal.pone.0105620.
  39. Alzahrani SH, Malik AA, Bashawri J, et al. Health-promoting lifestyle profile and associated factors among medical students in a Saudi university. SAGE Open Med 2019; 7: 2050312119838426, doi: 10.1177/2050312119838426.
  40. Olfert MD, Wattick RA, Saurborn EG, et al. Impact of COVID-19 on college student diet quality and physical activity. Nutr Health 2022; 28(4): 721–731, doi: 10.1177/02601060221086772.
  41. Ilić M, Pang H, Vlaški T, et al. Prevalence and associated factors of overweight and obesity among medical students from the Western Balkans (South-East Europe Region). BMC Public Health 2024; 24: 29, doi: 10.1186/s12889-023-17389-7.
  42. Bartosiewicz A, Matłosz P, Wyszyńska J, et al. Levels of actigraphy-derived physical activity among Polish nurses: factors associated with the prevalence of selected metabolic disorders. Front Public Health 2023; 11: 1300662, doi: 10.3389/fpubh.2023.1300662.
  43. Dmitruk A, Hołub W. Physical activity and other forms of spending free time by first-year nursing students depending on their age. Social Dissertations 2024; 18(1): 398–414, doi: 10.29316/rs/190734.
  44. Lee SWH, Ng KY, Chin WK. The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: a systematic review and meta-analysis. Sleep Med Rev 2017; 31: 91–101, doi: 10.1016/j.smrv.2016.02.001.
  45. Forte C, O’Sullivan D, McDowell CP, et al. Associations between screen-time, physical activity and depressive symptoms differ based on gender and screen-time mode. Eur Child Adolesc Psychiatry 2023; 32(11): 2313–2322, doi: 10.1007/s00787-022-02080-w.
  46. Machul M, Bieniak M, Chałdaś-Majdańska J, et al. Lifestyle practices, satisfaction with life and the level of perceived stress of Polish and foreign medical students studying in Poland. Int J Environ Res Public Health 2020; 17(12): 4445, doi: 10.3390/ijerph17124445.
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