A Comparative Study of Mental Health, Body Composition, and Physical Activity in American vs Romanian College Students After COVID-19 Lockdown

Abstract

Introduction: The COVID-19 pandemic and its lockdown restrictions forced college students to spend less time on campuses and more time indoors at home, increasing their sedentary behaviors. We aimed to better understand trends among assumed decreased physical activity levels, increased mental health symptoms, and increased poor nutritional habits. The results will serve healthcare clinicians in developing targeted interventions for improving overall health in college students. Methods: American college students (n = 90) and Romanian college students (n = 85) were assessed for current self-reported levels of physical activity, mental health symptoms, and body composition values in the post-COVID-19 lockdown era. Results: All participants (N =185; 100 females) reported being highly active (82.3%) and experiencing a current level of heightened depressive and anxious symptomatology (58.2%). Differences were seen between the measured body fat percentages (BF) and skeletal muscle masses (SKMM) of the American (BF: males 26.66 12.24%, females 32.88  10.13%) and Romanian (BF: males 11.76  6.68%, females 18.07  9.30%) college students. Despite these differences, all participants collectively displayed a positive relationship between depressive and anxious symptomatology and BF (R = 0.23; p = 0.0018) and a negative relationship between depressive and anxious symptomatology and SKMM  (R = - 0.15; p = 0.04). Conclusions: Although cultural differences may help to explain the found differences among body fat percentages and skeletal muscle masses, both groups of college students did similarly struggle with symptoms of depression and anxiety. The post-lockdown coping mechanisms embraced by both groups of college students have not been fully effective in improving their mental health.