Association between Physical Activity and Sleep Quality among First-Year Nursing Student

Authors

  • Siti Nuryani Sekolah Tinggi Ilmu Kesehatan Permata Nusantara
  • M Dodik Prastiyo Sekolah Tinggi Ilmu Kesehatan Permata Nusantara https://orcid.org/0000-0002-5373-3289
  • Shinta Arini Ayu Sekolah Tinggi Ilmu Kesehatan Permata Nusantara

DOI:

https://doi.org/10.37287/ijghr.v8i4.1968

Keywords:

nursing students, physical activity, sleep quality, transition period

Abstract

Sleep is a biological necessity that is important for physical and mental recovery, especially for first-year students who are undergoing academic transition. Changes in activity patterns, academic workload and organizational involvement affect sleep quality. Physical activity is known to play a role in improving sleep quality, but empirical evidence varies. The study aims to determine the relationship between physical activity and sleep quality among early-level nursing students at STIKes Permata Nusantara. The design of this study is correlational with a cross-sectional approach. The study population consisted of 94 students, with 35 respondents selected using purposive sampling. Physical activity was measured using the Global Physical Activity Questionnaire (GPAQ) demonstrated acceptable validity when correlated with accelerometer data (r= 0,48) and reability (Cronbach’s α=0,73). Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) demonstrated acceptable validity (r=0,45-0,85) and reliability (Cronbach’s α=0,776). Bivariate analysis was performed using correlation tests. The results showed that most respondents had light physical activity (42,9%) and poor sleep quality (74,3%). The correlation test results showed a significant negative relationship between physical activity and sleep quality (p<0,032). Researchers concluded that physical activity has a significant negative relationship with sleep quality, and excessive physical activity during academic transitions can contribute to sleep disturbances.

References

Adawiyah, umiati L. S. (2022). Sleep Quality and Affecting Factors Among Elderly Living in a Nursing Home in East Nusa Tenggara Indonesia Sleep Quality and Affecting Factors Among Elderly Living in a Nursing Home in. Indonesian Journal of Public Health Nutrition ( IJPHN ), 3(1), 10–23. https://doi.org/10.7454/ijphn.v3i1.5888

Adjaye-gbewonyo, D., E, A., & Black, L. I. (2022). Sleep Difficulties in Adults : United States , 2020. CDC (Centers for Disease Control and Prevention), 436.

Ahmed, F., Faisal, D. A., Ghanim, A., & Abdullah, A. (2024). Video Game Addiction and its Relationship with Sleep Quality among Medical Students. Journal of Epidemiology and Global Health, 14, 1122–1129. https://doi.org/https://doi.org/10.1007/s44197-024-00265-x

Alahmadi, M. A., Almasoud, K. H., Aljahani, A. H., & Alzaman, N. S. (2024). The prevalence of sedentary behavior among university students in Saudi Arabia. BMC Public Health, 1–9. https://doi.org/10.1186/s12889-024-18107-7

Alhusami, M., Jatan, N., & Dsouza, S. (2024). Association between physical activity and sleep quality among healthcare students. Frontiers in Sports and Active Living, February, 1–9. https://doi.org/10.3389/fspor.2024.1357043

Alruwaili, N. W., Alqahtani, N., Alanazi, M. H., Alanazi, B. S., & Aljrbua, M. S. (2023). The effect of nutrition and physical activity on sleep quality among adults : a scoping review. Sleep Science and Practice. https://doi.org/10.1186/s41606-023-00090-4

Amanda, K., & Nugrahaeni, P. (2019). Hubungan antara kecemasan akademik dan sleep paralysis pada mahasiswa Fakultas Kedokteran Universitas Udayana tahun pertama. Jurnal Psikologi Udayana, 6(1), 1–10.

Andiani, S., & Udijono, A. (2024). Media Kesehatan Masyarakat Indonesia Hubungan Stres , Kecemasan , dan Depresi dengan Gangguan Tidur pada Mahasiswa Universitas Diponegoro. 2024(23), 180–186.

Anggraini, N. V., Ritanti, R., Rifai, A. R., Keperawatan, J., Kesehatan, F. I., Pembangunan, U., Veteran, N., Raya, J., Kecamatan, L., Kota, L., Kodepos, D., & Jakarta, D. K. I. (2025). Hubungan Sleep Hygiene Dengan Kualitas Tidur Pada Siswa SMA X Di Kabupaten Bogor. JPPNI, 10(1), 91–99. https://doi.org/DOI: http://dx.doi.org/10.32419/jppni.v10i1.652 HUBUNGAN

Binjabr, M. A., Alalawi, I. S., Alzahrani, R. A., Albalawi, O. S., & Hamzah, R. H. (2023). The Worldwide Prevalence of Sleep Problems Among Medical Students by Problem , Country , and COVID ‑ 19 Status : a Systematic Review , Meta ‑ analysis , and Meta ‑ regression of 109 Studies Involving 59427 Participants. Current Sleep Medicine Reports, 0123456789. https://doi.org/10.1007/s40675-023-00258-5

Cleland, C. L., Hunter, R. F., Kee, F., Cupples, M. E., Sallis, J. F., & Tully, M. A. (2014). Validity of the Global Physical Activity Questionnaire ( GPAQ ) in assessing levels and change in moderate-vigorous physical activity and sedentary behaviour. 1–11.

Deborah, E., & Immanuel, A. S. (2024). Faktor Risiko dan Perbandingan Stres Akademik Mahasiswa Baru Sebelum dan Sesudah COVID-19 (Risk Factors and Academic Stress Comparison in Freshman Before and After COVID-19) Evangeline. Jurnal Ilmu Psikologi Dan Kesehatan, 01(02), 37–50.

Dian Asyari , Ananda, F. H. (2024). Studi Deskriptif Tentang Gangguan Pola Tidur Terhadap Konsentrasi Belajar Pada Mahasiswa Program Studi Pendidikan Bahasa Inggris di Indonesia. APPLICARE JOURNAL, 1(4), 88–95. https://doi.org/DOI ; https://doi.org/10.37985/apj.v1i4.15

Frendy F. Pitoy, Denny M. Ruku, Jusuf Logo, A. F. T. (2022). The Stress Level Aand Sleep Quality Of Pre-Registed Nurse. Skolastik Keperawatan, 8(1), 67–74.

Gasril, P. (2024). Hubungan Tingkat Stress dengan Kejadian Insomnia pada Mahasiswa Keperawatan Tingkat Awal. MAHESA : Malahayati Health Student Journal, 4(3), 847–855. https://doi.org/Doi: https://doi.org/10.33024/mahesa.v4i3.13759

Harding, E. C., Franks, N. P., & Wisden, W. (2020). Sleep and thermoregulation. Current Opinion in Psychology, 15, 7–13. https://doi.org/10.1016/j.cophys.2019.11.008

Healy, K. L., Morris, A. R., & Liu, A. C. (2021). Circadian Synchrony : Sleep , Nutrition , and Physical Activity. 1(October), 1–22. https://doi.org/10.3389/fnetp.2021.732243

Ibrahim, A. A., Moussa-chamari, I., Farooq, A., Romdhani, M., Washif, J. A., Bakare, U., Helmy, M., Al-horani, R. A., Salamh, P., Robin, N., & Hue, O. (2024). The relationship between quality of life , sleep quality , mental health , and physical activity in an international sample of college students : a structural equation modeling approach. Frontiers, July, 1–10. https://doi.org/10.3389/fpubh.2024.1397924

Jose, J. E., & Das, S. (2024). Gaming habits , cognitive flexibility and sleep quality among gamers. World Journal of Advanced Research and Reviews, 22(February), 1371–1379.

Juniasi, A. F., & Huwae, A. (2023). Problematika Stres Akademik Mahasiswa Tahun Pertama: Bagaimana Keterhubungannya Dengan Konsep Diri? JIVA: Journal of Behaviour and Mental Health, 4(1), 49–65. https://doi.org/10.30984/jiva.v4i1.2530

Li, C., Yu, Q., Wu, Y., Fan, L., & He, J. (2024). Internet gaming disorder and cognitive failures in daily life among university students: the mediating role of sleep quality and the moderating role of mindfulness. Current Psychology, 43(38), 30446–30458. https://doi.org/10.1007/s12144-024-06660-8

Ma, W., Yuan, P., Zhang, H., & Kong, L. (2023). Adenosine and P1 receptors : Key targets in the regulation of sleep , torpor , and hibernation. Fronitiers in Pharmacology, 14, 1–14. https://doi.org/10.3389/fphar.2023.1098976

Mccarthy, S. F., Bornath, D. P. D., Jarosz, C., Tucker, J. A. L., Medeiros, P. J., Kenno, K. A., & Hazell, T. J. (2023). Intense interval exercise induces lactate accumulation and a greater suppression of acylated ghrelin compared with submaximal exercise in middle- aged adults. Journal of Applied Physiology, 134(5), 1177–1187. https://doi.org/10.1152/japplphysiol.00709.2022

Miliyanti Cindy Lowsa Peranginangin, & Jeanny Rantung. (2024). Hubungan Kualitas Tidur Dengan Tingkat Stres Mahasiswa Keperawatan Yang Menjalani PKL Di Rumah Sakit Advent Bandung. INNOVATIVE: Journal Of Social Science Research, 4, 9808–9818. https://doi.org/https://doi.org/10.31004/innovative.v4i4.14295

Naibaho, T. S., Sitanggang, H. D., & Sari, P. (2025). Faktor-Faktor yang Mempengaruhi Kualitas Tidur Mahasiswa Ilmu Kesehatan Masyarakat UNJA. Jurnal Kesehatan Tambusai, 6(3), 12544–12554.

Nakie, G., Takelle, G. M., & Rtbey, G. (2024). Sleep quality and associated factors among university students in Africa : a systematic review and meta-analysis study. March, 1–15. https://doi.org/10.3389/fpsyt.2024.1370757

Nappoe, B. C., & Palupi Triwahyuni. (2025). Tingkat Stres Akademik pada Mahasiswa Keperawatan Tahun Pertama. Journal of Telenursing (JOTING), 7(2), 342–349.

NSF. (2025). National Sleep Foundation ’ s 2025 Sleep in America. National Sleep Foundation.

Octania, S. D., Sari, T., & Ningrum, R. (2024). Determinants of Lack of Physical Activity in Students in Yogyakarta. FISIO MU: Physiotherapy Evidences, 4(3), 47–53. https://doi.org/https://10.23917/fisiomu.v5i1.2753

Padila, L. O. M. (2025). Hubungan Antara Sleep Hygiene Dengan Gangguan Tiudr pada Remaja Di SMKN 1 Jayakerta. Jurnal Sains, Teknologi Dan Kesehatan, 2(1), 166–175.

Putra, A. H., & Ahmad, R. (2020). Improving Academic Self Efficacy in Reducing First Year Student Academic Stress. Jurnal Neo Konseling, 2(2), 1–9. https://doi.org/10.24036/00282kons2020

Putri, N. K. W. U. (2024). Tingkat Aktivitas Fisik Berhubungan Terhadap Kualitas Tidur Mahasiswa Fisioterapi Fakultas Kedokteran Universitas Udayana. Majalah Ilmiah Fisioterapi Indonesia, 12, 216–220.

Putu, N., Santika, N., Saputra, I. K., & Juniartha, I. G. N. (2025). Gambaran Tingkat dan Tuntutan Stres Akademik Mahasiswa Baru Tahun Pertama PSSKPPN dalam Menjalani Semester Awal. Community of Publishing in Nursing (COPING), 13(1), 110–118.

Quittmann, O. J. (2026). ̇ La max ): Current evidence Maximal lactate accumulation rate ( c and future directions for exercise testing and training. In European Journal of Applied Physiology (Vol. 126, Issue 1). Springer Berlin Heidelberg. https://doi.org/10.1007/s00421-025-06022-7

Rahma, S. (2022). Aktivitas Fisik Berhubungan dengan Kualitas Tidur pada Mahasiswa. Journal of Pubic Health Education, 02(01), 13–20. https://doi.org/10.53801/jphe.v2i1.106

Reichert, C. F., Deboer, T., & Landolt, H. (2022). Adenosine , caffeine , and sleep – wake regulation : state of the science and perspectives. March, 1–21. https://doi.org/10.1111/jsr.13597

Saat, N. Z. M., Hanawi, S. A., Farah, N. M. F., Amin, H. M., Hanafiah, H., & Selvaraj, T. (2021). Associations of Physical Activity , Sleep Quality and Cardiovascular Risk Factors in University Students. 1–13.

Sofyan, M., Suwarno, A., & Kusnanik, N. W. (2025). Hubungan Aktivitas Fisik Dengan Kualitas Tidur Mahasiswa PKO Angakatan 2023. Jurnal Prestasi Olahraga, 8, 861–866.

Tahir, M. J., Iqbal, N., Malik, I. U., Khan, H. R., Perveen, S., Ramalho, R., Rizwan, A., Siddiqi, Waheed, S., Mohamed, M., Shalaby, M., Berardis, D. De, Jain, S., Ahsan, M., Shafiq, Fatima, N. T., & Maria Abeysekera. (2021). Internet addiction and sleep quality among medical students during the COVID-19 pandemic : A multinational cross-sectional survey. PLOS ONE, 1–14. https://doi.org/10.1371/journal.pone.0259594

Tahlil., A. R. A. T. (2021). Determinan Aktifitas Fisik Pada Aggreagte Dewasa. Jurnal Keperawatan Silampari, 5(1), 371–382. https://doi.org/DOI: https://doi.org/10.31539/jks.v5i1.2191

Vijayan, L. S., Raja, S., Khang, Y. Y., & Harbaksh, A. (2025). Sleep quality , sleep hygiene practices and their influencing factors among Malaysian university students : A cross-sectional study. Malaysian Family Physician, 1–11.

Warastri. (2024). Separuh Orang Indonesia Kurang Tidur. Kompas. https://www.kompas.id/artikel/apakah-anda-tidur-cukup-tadi-malam

Wulandari & Pranata. (2024). Deskripsi Kualitas Tidur dan Pengaruhnya terhadap Konsentrasi Belajar Mahasiswa. Jurnal Pendidikan Kesehatan Rekreasi, 10(1), 101–108. https://doi.org/DOI : https://doi.org/10.59672/jpkr.v10i1.3414 P-ISSN

Yin, Z., Yang, C., Liu, T., Yu, J., & Yu, X. (2024). The relationship between physical activity and sleep quality among college students : The chain-mediating effects of self-control and mobile phone addiction. PLOS ONE, 1–19. https://doi.org/10.1371/journal.pone.0315930

Zaiyati, N., & Ridwan, A. (2023). Sleep Quality Among Students with Final Project Nura. JIM Fkep, VII(3), 1–5.

Zhao, H., Lu, C., & Yi, C. (2023). Physical Activity and Sleep Quality Association in Different Populations : A Meta-Analysis. International Journal of Environmental Research and Public Health, 20(1864), 2–11. https://doi.org/https://doi.org/10.3390/ijerph20031864

Zhao, M., Tuo, H., Wang, S., & Zhao, L. (2020). Review Article The Effects of Dietary Nutrition on Sleep and Sleep Disorders. Mediators of Inflammation, 1–7. https://doi.org/DOI: 10.1155/2020/3142874

Zhu, W., Lou, H., Zuo, H., Wang, W., Yang, L., & Li, B. (2025). The effect of physical exercise on sleep quality in university students : chain mediation of health literacy and life satisfaction. Frontiers in Psychology, 16, 1–13. https://doi.org/10.3389/fpsyg.2025.1604916

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Published

2026-08-20

How to Cite

Nuryani, S., Prastiyo, M. D., & Ayu, S. A. (2026). Association between Physical Activity and Sleep Quality among First-Year Nursing Student. Indonesian Journal of Global Health Research, 8(4), 1269–1276. https://doi.org/10.37287/ijghr.v8i4.1968

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