Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional study

Background: Anxiety and depression are common among university students and may negatively affect their wellbeing and academic performance. However, evidence regarding their co-occurrence and their relationship with BMI and lifestyle-related factors in Peruvian students remains limited. This study a...

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Autor principal: Jacksaint Saintila
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Publicado: 2026
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author Jacksaint Saintila
author_browse Jacksaint Saintila
author_facet Jacksaint Saintila
author_sort Jacksaint Saintila
collection Producción científica
description Background: Anxiety and depression are common among university students and may negatively affect their wellbeing and academic performance. However, evidence regarding their co-occurrence and their relationship with BMI and lifestyle-related factors in Peruvian students remains limited. This study aimed to analyze the association between anxiety, depression, BMI, and lifestyle-related factors among nutrition students at a private university in northern Peru. Methods: A cross-sectional study was conducted with 405 university students. Anxiety and depressive symptoms were assessed using the Generalized Anxiety Disorder-2 (GAD-2) and the Patient Health Questionnaire-2 (PHQ-2). A cut-off score of ≥3 was used to identify clinically relevant symptoms. Data were collected on body mass index (BMI), sleep duration, physical activity (PA), and fruit and vegetable (F/V) consumption. Associations were evaluated using Poisson regression models with robust variance to estimate prevalence ratios (PR) and 95% confidence intervals (95% CI). Results: The prevalence of anxiety and depression symptoms was 57.3 and 26.4%, respectively. Anxiety symptoms was significantly associated with depression (aPR = 4.53; 95% CI: 2.63-7.80). Compared with normal weight, overweight and obesity were associated with a higher prevalence of anxiety (overweight: aPR = 1.22; 95% CI: 1.01-1.48; obesity: aPR = 1.43; 95% CI: 1.10-1.87) and depression (overweight: aPR = 1.27; 95% CI: 1.00-1.62; obesity: aPR = 1.61; 95% CI: 1.12-2.32). Engaging in PA ≥ 5 times per week was associated with a lower prevalence of depression (aPR = 0.35; 95% CI: 0.14-0.85), whereas consuming <5 servings/day of F/V was associated with a higher prevalence of depression (aPR = 1.52; 95% CI: 1.14-2.02). Conclusion: Anxiety and depression symptoms were highly prevalent and strongly interrelated. Excess body weight, low PA, and low F/V consumption were associated with poorer mental health indicators, highlighting the importance of integrated health-promotion strategies among university students.
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spelling openalex:W7167624383Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional studyJacksaint Saintilaanxietydepressionbody mass indexobesityoverweightfruit and vegetable intakephysical activitysleep durationnutrition studentsuniversity studentsmental healthlifestyle factorsPeruhealth promotiondiet and mental healthcomorbid depression and anxietyHealth and Lifestyle StudiesObesity, Physical Activity, DietHealthcare professionals’ stress and burnoutBackground: Anxiety and depression are common among university students and may negatively affect their wellbeing and academic performance. However, evidence regarding their co-occurrence and their relationship with BMI and lifestyle-related factors in Peruvian students remains limited. This study aimed to analyze the association between anxiety, depression, BMI, and lifestyle-related factors among nutrition students at a private university in northern Peru. Methods: A cross-sectional study was conducted with 405 university students. Anxiety and depressive symptoms were assessed using the Generalized Anxiety Disorder-2 (GAD-2) and the Patient Health Questionnaire-2 (PHQ-2). A cut-off score of ≥3 was used to identify clinically relevant symptoms. Data were collected on body mass index (BMI), sleep duration, physical activity (PA), and fruit and vegetable (F/V) consumption. Associations were evaluated using Poisson regression models with robust variance to estimate prevalence ratios (PR) and 95% confidence intervals (95% CI). Results: The prevalence of anxiety and depression symptoms was 57.3 and 26.4%, respectively. Anxiety symptoms was significantly associated with depression (aPR = 4.53; 95% CI: 2.63-7.80). Compared with normal weight, overweight and obesity were associated with a higher prevalence of anxiety (overweight: aPR = 1.22; 95% CI: 1.01-1.48; obesity: aPR = 1.43; 95% CI: 1.10-1.87) and depression (overweight: aPR = 1.27; 95% CI: 1.00-1.62; obesity: aPR = 1.61; 95% CI: 1.12-2.32). Engaging in PA ≥ 5 times per week was associated with a lower prevalence of depression (aPR = 0.35; 95% CI: 0.14-0.85), whereas consuming <5 servings/day of F/V was associated with a higher prevalence of depression (aPR = 1.52; 95% CI: 1.14-2.02). Conclusion: Anxiety and depression symptoms were highly prevalent and strongly interrelated. Excess body weight, low PA, and low F/V consumption were associated with poorer mental health indicators, highlighting the importance of integrated health-promotion strategies among university students.Articlehttps://doi.org/10.3389/fnut.2026.1833831https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1833831/pdfW7167624383enFrontiers in Nutrition2296-861X2026-07-07
spellingShingle anxiety
depression
body mass index
obesity
overweight
fruit and vegetable intake
physical activity
sleep duration
nutrition students
university students
mental health
lifestyle factors
Peru
health promotion
diet and mental health
comorbid depression and anxiety
Health and Lifestyle Studies
Obesity, Physical Activity, Diet
Healthcare professionals’ stress and burnout
Jacksaint Saintila
Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional study
title Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional study
title_full Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional study
title_fullStr Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional study
title_full_unstemmed Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional study
title_short Anxiety and depression symptoms in relation to body mass index, fruit and vegetable intake, and physical activity among nutrition students in Peru: a cross-sectional study
title_sort anxiety and depression symptoms in relation to body mass index fruit and vegetable intake and physical activity among nutrition students in peru a cross sectional study
topic anxiety
depression
body mass index
obesity
overweight
fruit and vegetable intake
physical activity
sleep duration
nutrition students
university students
mental health
lifestyle factors
Peru
health promotion
diet and mental health
comorbid depression and anxiety
Health and Lifestyle Studies
Obesity, Physical Activity, Diet
Healthcare professionals’ stress and burnout
topic_facet anxiety
depression
body mass index
obesity
overweight
fruit and vegetable intake
physical activity
sleep duration
nutrition students
university students
mental health
lifestyle factors
Peru
health promotion
diet and mental health
comorbid depression and anxiety
Health and Lifestyle Studies
Obesity, Physical Activity, Diet
Healthcare professionals’ stress and burnout
url https://doi.org/10.3389/fnut.2026.1833831
https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2026.1833831/pdf
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