Assessment of the predictors of lifestyles in university students from the Peruvian Amazon: a cross-sectional study
DOI:
https://doi.org/10.47197/retos.v66.113956Keywords:
Healthy habits, health and well-being, lifestyles, mental health, physical exerciseAbstract
Introducción: actualmente, los estilos de vida cumplen un rol importante en la salud física y mental, ya que influyen en la calidad de vida, el bienestar y el desempeño de las personas. En el ámbito universitario, factores como la depresión, la ansiedad y el estrés podrían tener un efecto negativo sobre los hábitos de vida, alterando su equilibrio y bienestar general.
Objetivo: determinar si la depresión, ansiedad y estrés predicen los estilos de vida de los estudiantes universitarios de la Amazonía pe-ruana.
Metodología: Se realizó un estudio cuantitativo, no experimental, predictivo y transversal. La muestra estuvo conformada por 652 estudiantes seleccionados mediante un muestreo probabilístico a quienes se les administró la Escala de Depresión, Ansiedad y Estrés (DASS-21) y el Perfil de Estilo de Vida (PEPS-I), instrumentos con adecua-das propiedades psicométricas.
Resultados: Se halló que solo la depresión tiene un efecto predictivo significativo en los estilos de vida (β= -0.420, p< 0.01), lo que indica que un mayor nivel de depresión se asocia con peores estilos de vida. Además, el modelo ajustó adecuadamente los datos (F = 78.218, p < 0.01), explican-do el 26.2% de la variabilidad en los estilos de vida (R² = 0.262).
Discusión: Si bien algunos estudios respaldan estos hallazgos, se requieren más investigaciones para con-firmar estos resultados y analizar cómo la depresión, ansiedad y estrés interactúan con otros factores en los estilos de vida.
Conclusiones: se determinó que la depresión predice significativamente los estilos de vida de los estudian-tes universitarios de la Amazonía peruana.
References
Abend R. (2023). Understanding anxiety symptoms as aberrant defensive responding along the threat imminence continuum. Neuroscience and Biobehavioral Reviews, 152, 105305. https://doi.org/10.1016/j.neubiorev.2023.105305
Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96(2), 358–372. https://doi.org/10.1037/0033-295X.96.2.358
Agyapong-Opoku, G., Agyapong, B., Obuobi-Donkor, G., & Eboreime, E. (2023). Depression and anxiety among undergraduate health science students: A scoping review of the literature. Behavioral Sciences, 13(12), 1002. https://doi.org/10.3390/bs13121002
Ali, S., y Çerkez, Y. (2020). El impacto de la ansiedad, la depresión y el estrés en la estabilidad emocional entre los estudiantes universitarios desde el punto de vista educativo. Propósitos y Representa-ciones, 8(3), e520. https://doi.org/10.20511/pyr2020.v8n3.520
Almarzouki, A. F. (2024). Stress, working memory, and academic performance: a neuroscience per-spective. Stress, 27(1), 2364333. https://doi.org/10.1080/10253890.2024.2364333
Alothman, S. A., Al Baiz, A. A., Alzaben, A. S., Khan, R., Alamri, A. F., & Omer, A. B. (2024). Factors associ-ated with lifestyle behaviors among university students: A cross-sectional study. Healthcare, 12(2), 154. https://doi.org/10.3390/healthcare12020154
Alzahrani, S. H., Malik, A. A., Bashawri, J., Shaheen, S. A., Shaheen, M. M., Alsaib, A. A., Mubarak, M. A., Ad-am, Y. S., & Abdulwassi, H. K. (2019). Health-promoting lifestyle profile and associated factors among medical students in a Saudi university. SAGE Open Medicine, 7, 2050312119838426. https://doi.org/10.1177/2050312119838426
Andraus, G. S., Vieira, F. M., Candido, G. M., Patino, G. P., Bernardelli, R. S., & de Palma, H. L. A. (2023). Associations between lifestyle and sociodemographic factors in medical students: A cross-sectional study. Journal of Lifestyle Medicine, 13(1), 73-82. https://doi.org/10.15280/jlm.2023.13.1.73
Arilha, M., Carvalho, A. P., Forster, T. A., Rodrigues, C. V. M., Briguglio, B., & Serruya, S. J. (2024). Wom-en's mental health and COVID-19: Increased vulnerability and inequalities. Frontiers in Global Women's Health, 5, 1414355. https://doi.org/10.3389/fgwh.2024.1414355
Attia, M., Ibrahim, F. A., Elsady, M. A., Khorkhash, M. K., Rizk, M. A., Shah, J., & Amer, S. A. (2022). Cogni-tive, emotional, physical, and behavioral stress-related symptoms and coping strategies among university students during the third wave of COVID-19 pandemic. Frontiers in Psychiatry, 13, 933981. https://doi.org/10.3389/fpsyt.2022.933981
Becerra, B., Hernández, E., Córdova, M., Pastor, N., Melgarejo, W. E., Balbuena, H., & Hernández, M. Á. (2024). Validez estructural y fiabilidad de la escala de depresión, ansiedad y estrés en universi-tarios peruanos. Revista del Hospital Psiquiátrico de La Habana, 21(1), e498. https://revhph.sld.cu/index.php/hph/article/view/498
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. Harper and Row
Brivio, F., Viganò, A., Paterna, A., Palena, N., & Greco, A. (2023). Narrative review and analysis of the use of "lifestyle" in health psychology. International Journal of Environmental Research and Public Health, 20(5), 4427. https://doi.org/10.3390/ijerph20054427
Carranza, R. F., Caycho, T., Salinas, S. A., Ramírez, M., Campos, C., Chuquista, K., & Pérez, J. (2019). Efec-tividad de intervención basada en modelo de Nola Pender en promoción de estilos de vida salu-dables de universitarios peruanos. Revista Cubana de Enfermería, 35(4), e2859. https://revenfermeria.sld.cu/index.php/enf/article/view/2859
Cassaretto, M., Vilela, P., & Gamarra, L. (2021). Estrés académico en universitarios peruanos: importan-cia de las conductas de salud, características sociodemográficas y académicas. LIBERABIT. Re-vista Peruana De Psicología, 27(2), e482. https://doi.org/10.24265/liberabit.2021.v27n2.07
Çelik, D. Ö., & Haney, M. Ö. (2023). The relationship between depression, healthy lifestyle behaviors and internet addiction: A cross-sectional study of the athlete university students in Turkey. Fron-tiers in Psychiatry, 14, 1222931. https://doi.org/10.3389/fpsyt.2023.1222931
Córdova, P., Gasser, P., Naranjo, H., La Fuente, I., Grajeda, A., & Sanjinés, A. (2023). Academic stress as a predictor of mental health in university students. Cogent Education, 10(2), 2232686. https://doi.org/10.1080/2331186X.2023.2232686
Domínguez, S. (2018). Magnitud del efecto, una guía rápida. Educación Médica, 19(4), 251-254. https://doi.org/10.1016/j.edumed.2017.07.002
Duche, A., Paredes, F., Gutiérrez, O., & Carcausto, L. (2020). Transición secundaria-universidad y la adaptación a la vida universitaria. Revista de Ciencias Sociales, 26(3), 244-258. https://doi.org/10.31876/rcs.v26i3.33245
Espinoza, F. V., & Cárdenas, C. M. (2021). Estrés y depresión en el entorno académico-social durante el 2020 en estudiantes de odontología. Revista Científica Odontológica, 9(4), e080. https://doi.org/10.21142/2523-2754-0904-2021-080
Estrada, E. G., Quispe, Y. A., Ayay, G., & Yupanqui, E. H. (2024). Depresión, ansiedad y estrés como pre-dictores del disfrute de la actividad física en estudiantes universitarios: Un estudio transversal. Retos, 61, 164–172. https://doi.org/10.47197/retos.v61.109802
Ezzatvar, Y., Calatayud, J., Andersen, L. L., Escriche-Escuder, A., Aguilar, M., & Casaña, J. (2021). The im-portance of lifestyle factors for work ability among physical therapists: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(13), 6714. https://doi.org/10.3390/ijerph18136714
Farfán, M., Estrada, E., Lavilla, W., Ulloa, N., Calcina, D., Meza, L., Yancachajlla, L., & Rengifo, S. (2023). Mental health in the post-pandemic period: Depression, anxiety, and stress in Peruvian universi-ty students upon return to face-to-face classes. Sustainability, 15(15), 11924. https://doi.org/10.3390/su151511924
Farhud D. D. (2015). Impact of Lifestyle on Health. Iranian journal of public health, 44(11), 1442-1444. https://ijph.tums.ac.ir/index.php/ijph/article/view/5299
Fell, J., Chaieb, L., & Hoppe, C. (2023). Mind wandering in anxiety disorders: A status report. Neurosci-ence & Biobehavioral Reviews, 155, 105432. https://doi.org/10.1016/j.neubiorev.2023.105432
Foster, H. M. E., Polz, P., Gill, J. M. R., Celis, C., Mair, F. S., & O'Donnell, C. A. (2023). The influence of soci-oeconomic status on the association between unhealthy lifestyle factors and adverse health outcomes: A systematic review. Wellcome Open Research, 8, 55. https://doi.org/10.12688/wellcomeopenres.18708.2
Freitas, P. H. B., Meireles, A. L., Ribeiro, I. K. Da S., Abreu, M. N. S., Paula, W., & Cardoso, C. S. (2023). Sín-tomas de depresión, ansiedad y estrés en estudiantes del área de la salud e impacto en la calidad de vida. Revista Latino-Americana de Enfermagem, 31, e3884. https://doi.org/10.1590/1518-8345.6315.3884
Gómez, M., Viejo, C., & Ortega, R. (2019). Well-being and romantic relationships: A systematic review in adolescence and emerging adulthood. International Journal of Environmental Research and Public Health, 16(13), 2415. https://doi.org/10.3390/ijerph16132415
Gravetter, F., & Wallnau, L. (2014). Essentials of statistics for the behavioral sciences (8th ed.). Wadsworth.
Herazo, Y., Nuñez, N., Sánchez, L., Vásquez, F., Lozano, A., Torres-, E., & Valdelamar, A. (2020). Estilos de vida relacionados con la salud en estudiantes universitarios. Retos, 38, 547–551. https://doi.org/10.47197/retos.v38i38.72871
Hoang, V. T. H., & Nguyen, H. T. H. (2022). Factors associated with depression, anxiety, and stress symp-toms among men in a rural area in Vietnam during COVID-19. Frontiers in Psychiatry, 13, 987686. https://doi.org/10.3389/fpsyt.2022.987686
Hoying, J., Melnyk, B. M., Hutson, E., & Tan, A. (2020). Prevalence and correlates of depression, anxiety, stress, healthy beliefs, and lifestyle behaviors in first-year graduate health sciences students. Worldviews on Evidence-Based Nursing, 17(1), 49-59. https://doi.org/10.1111/wvn.12415
Kolhar, M., Kazi, R. N. A., & Alameen, A. (2021). Effect of social media use on learning, social interac-tions, and sleep duration among university students. Saudi Journal of Biological Sciences, 28(4), 2216–2222. https://doi.org/10.1016/j.sjbs.2021.01.010
Li, M., Xia, L., Yang, Y., Zhang, L., Zhang, S., Liu, T., Liu, Y., Kaslow, N. J., Jiang, F., Tang, Y., & Liu, H. (2022). Depression, anxiety, stress, and their associations with quality of life in a nationwide sample of psychiatrists in China during the COVID-19 pandemic. Frontiers in Psychology, 13, 881408. https://doi.org/10.3389/fpsyg.2022.881408
Liu, Y., Zhang, H., & Xu, R. (2023). The impact of technology on promoting physical activities and men-tal health: A gender-based study. BMC Psychology, 11(1), 298. https://doi.org/10.1186/s40359-023-01348-3
Maniaci, G., La Cascia, C., Giammanco, A., Ferraro, L., Palummo, A., Saia, G. F., Pinetti, G., Zarbo, M., & La Barbera, D. (2023). The impact of healthy lifestyles on academic achievement among Italian adolescents. Current Psychology, 42(6), 5055-5061. https://doi.org/10.1007/s12144-021-01614-w
Martinez, R., Pardo, I., Amo, E., & Escribano, F. (2018). Socioeconomic, demographic and lifestyle-related factors associated with unhealthy diet: A cross-sectional study of university students. BMC Public Health, 18, 1241. https://doi.org/10.1186/s12889-018-6149-3
Martínez-Líbano, J., Torres-Vallejos, J., Oyanedel, J. C., González-Campusano, N., Calderón-Herrera, G., & Yeomans-Cabrera, M.-M. (2023). Prevalence and variables associated with depression, anxiety, and stress among Chilean higher education students, post-pandemic. Frontiers in Psychiatry, 14, 1139946. https://doi.org/10.3389/fpsyt.2023.1139946
Montoya, M. R., Fierro, J. C., Madriz, D. A., Ugueto, M. G., Nieto, Z., Moreno, Y., & Bravo, A. J. (2021). Ac-ciones orientadoras para controlar el estrés académico y durante las prácticas profesionales en los estudiantes de enfermería. Archivos Venezolanos de Farmacología y Terapéutica, 40(8), 867-877. https://doi.org/10.5281/zenodo.5792270
Moreno, P., Bellón, J. Á., Huibers, M. J. H., Mestre, J. M., García-López, L. J., Taubner, S., Rodríguez, A., Bo-linski, F., Sales, C. M. D., & Conejo, S. (2020). Mediators in psychological and psychoeducational interventions for the prevention of depression and anxiety. A systematic review. Clinical Psy-chology Review, 76, 101813. https://doi.org/10.1016/j.cpr.2020.101813
Nabors, L., Fiser-Gregory, K., Olaniyan, A., Stanton, T., & Merianos, A. (2024). College students' attitudes about ways family, friends, significant others, and media affect their eating and exercise behav-iors and weight perceptions. Journal of American College Health, 72(4), 1296-1308. https://doi.org/10.1080/07448481.2022.2076101
Organización Mundial de la Salud (1998). Glosario de promoción de la salud. OMS. https://iris.who.int/handle/10665/64546
Oster, H., & Chaves, I. (2023). Effects of healthy lifestyles on chronic diseases: Diet, sleep and exercise. Nutrients, 15, 4627. https://doi.org/10.3390/nu15214627
Paricahua, J. N., Estrada, E. G., Ayay, G., Malaga, Y., Romaní, A., Atahuaman, S. M., & Meza, L. A. (2024). Calidad de vida, estilos de vida y actividad física de los estudiantes de la Amazonía peruana: Un estudio transversal. Retos, 61, 606-615. https://doi.org/10.47197/retos.v61.109939
Rabanal-León, H. C., Aguilar-Chávez, P. V., Figueroa-Rojas, P. del V., Peralta-Iparraguirre, A. V., Rodri-guez-Azabache, J., & Yupari-Azabache, I. L. (2023). Características asociadas a la depresión, an-siedad y estrés en estudiantes universitarios. Enfermería Global, 22(71), 152-178. https://dx.doi.org/10.6018/eglobal.553991
Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical assessment of OECD countries for the period 1995–2015. Archives of Public Health, 78, 20. https://doi.org/10.1186/s13690-020-00402-5
Ramón, E., Gea, V., Granada, J. M., Juárez, R., Pellicer, B., & Antón, I. (2020). The prevalence of depres-sion, anxiety and stress and their associated factors in college students. International Journal of Environmental Research and Public Health, 17(19), 7001. https://doi.org/10.3390/ijerph17197001
Ramón-Arbués, E., Gea-Caballero, V., Granada-López, J. M., Juárez-Vela, R., Pellicer-García, B., & Antón-Solanas, I. (2020). The prevalence of depression, anxiety and stress and their associated factors in college students. International Journal of Environmental Research and Public Health, 17(19), 7001. https://doi.org/10.3390/ijerph17197001
Remes, O., Mendes, J. F., & Templeton, P. (2021). Biological, psychological, and social determinants of depression: A review of recent literature. Brain Sciences, 11(12), 1633. https://doi.org/10.3390/brainsci11121633
Rezende, A., & Nihei, O. K. (2021). Depression, anxiety and stress symptoms in Brazilian university stu-dents during the COVID-19 pandemic: Predictors and association with life satisfaction, psycho-logical well-being and coping strategies. PLOS ONE, 16(10), e0258493. https://doi.org/10.1371/journal.pone.0258493
Rippe, J. M. (2018). Lifestyle medicine: The health-promoting power of daily habits and practices. American Journal of Lifestyle Medicine, 12(6), 499-512. https://doi.org/10.1177/1559827618785554
Ruiz, A., Benítez, V., Rodríguez, J. A., Rivera, R. C., & Rea, H. (2023). Análisis del estrés académico en es-tudiantes universitarios del área de la salud. CISA, 4(4), 54-82. https://doi.org/10.58299/cisa.v4i4.27
Ruiz, J., Guillén, Á., Pina, D., & Puente, E. (2022). Mental health and healthy habits in university students: A comparative associative study. European Journal of Investigation in Health, Psychology and Education, 12(2), 114-126. https://doi.org/10.3390/ejihpe12020010
Sahin, S., & Tuna, R. (2022). The effect of anxiety on thriving levels of university students during the COVID-19 pandemic. Collegian, 29(3), 263-270. https://doi.org/10.1016/j.colegn.2021.10.004
Saintila, J., Javier-Aliaga, D., Valle-Chafloque, A., Casas-Gálvez, C., Barreto-Espinoza, L. A., & Calizaya-Milla, Y. E. (2024). Sociodemographic aspects, beliefs about lifestyles, and religiosity as predic-tors of life satisfaction in Peruvian university students: A cross-sectional study. Frontiers in Public Health, 12, 1476544. https://doi.org/10.3389/fpubh.2024.1476544
Santana, T. T., Sheets, D., Ribeiro, F. M. S. e S., Santos, C. A. de S. T., Patrão, A. L., & Mussi, F. C. (2023). So-ciodemographic and academic factors associated with unhealthy lifestyle among Brazilian nursing students. Nursing & Health Sciences, 25(2), 239–246. https://doi.org/10.1111/nhs.13021
Silva, M. F., López, J. J., & Meza, M. E. C. (2020). Estrés académico en estudiantes universitarios. Investi-gación y Ciencia de La Universidad Autónoma de Aguascalientes, 28(79), 75-83. https://doi.org/10.33064/iycuaa2020792960
Sinval, J., Oliveira, P., Novais, F., Almeida, C. M., & Telles, D. (2025). Exploring the impact of depression, anxiety, stress, academic engagement, and dropout intention on medical students’ academic performance: A prospective study. Journal of Affective Disorders, 368, 665-673. https://doi.org/10.1016/j.jad.2024.09.116
Slimmen, S., Timmermans, O., Mikolajczak-Degrauwe, K., & Oenema, A. (2022). How stress-related fac-tors affect mental wellbeing of university students: A cross-sectional study to explore the asso-ciations between stressors, perceived stress, and mental wellbeing. PloS One, 17(11), e0275925. https://doi.org/10.1371/journal.pone.0275925
Tan, G. X. D., Soh, X. C., Hartanto, A., Goh, A. Y. H., & Majeed, N. M. (2023). Prevalence of anxiety in col-lege and university students: An umbrella review. Journal of Affective Disorders Reports, 14, 100658. https://doi.org/10.1016/j.jadr.2023.100658
Taques, F. da S., Muraro, A. P., Rodrigues, P. R. M., Sichieri, R., Pereira, R. A., & Ferreira, M. G. (2021). Lifestyle-related behaviors and depressive symptoms in college students. Cadernos de Saúde Pública, 37(10), e00202920. https://doi.org/10.1590/0102-311x00202920
Tolentino, J. C., & Schmidt, S. L. (2018). DSM-5 criteria and depression severity: Implications for clinical practice. Frontiers in Psychiatry, 9, 450. https://doi.org/10.3389/fpsyt.2018.00450
Usher, W., & Curran, C. (2019). Predicting Australia's university students' mental health status. Health Promotion International, 34(2), 312–322. https://doi.org/10.1093/heapro/dax091
Valencia, K. B., Sánchez, H., Vázquez, P., Zarate, P., & Paz, D. B. (2023). Stress: A brief update. Interna-tional Journal of Psychological Research, 16(2), 105-121. https://doi.org/10.21500/20112084.5815
Valentim, O., Vilelas, J., Carvalho, J. C., Andrade, C. M. S. M., Tomás, C., Costa, P. S., & Sequeira, C. (2022). The relation between lifestyles and positive mental health in Portuguese higher education stu-dents. Global Health Promotion, 30(1), 23-32. https://doi.org/10.1177/17579759221112552
Veramendi, N. G., Portocarero, E., & Espinoza, F. E. (2020). Estilos de vida y calidad de vida en estudian-tes universitarios en tiempo de Covid-19. Revista Universidad y Sociedad, 12(6), 246-251. https://rus.ucf.edu.cu/index.php/rus/article/view/1839
Whatnall, M., Patterson, A., Brookman, S., Convery, P., Swan, C., Pease, S., & Hutchesson, M. (2020). Life-style behaviors and related health risk factors in a sample of Australian university students. Journal of American College Health, 68(7), 734-741. https://doi.org/10.1080/07448481.2019.1611580
Woessner, M. N., Tacey, A., Levinger, A., Parker, A. G., Levinger, P., & Levinger, I. (2021). The evolution of technology and physical inactivity: The good, the bad, and the way forward. Frontiers in Pub-lic Health, 9, 655491. https://doi.org/10.3389/fpubh.2021.655491
Zhang, Y., Jia, X., Yang, Y., Sun, N., Shi, S., & Wang, W. (2024). Change in the global burden of depression from 1990–2019 and its prediction for 2030. Journal of Psychiatric Research, 178, 16-22. https://doi.org/10.1016/j.jpsychires.2024.07.054
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Edwin Gustavo Estrada-Araoz, Elizabeth Orfelia Cruz-Laricano, Jhemy Quispe-Aquise, Gilber Chura-Quispe, Yolanda Paredes-Valverde, Rosel Quispe-Herrera, Néstor Antonio Gallegos-Ramos

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.