This randomized controlled trial aims to compare the effects of a regular weekly physical activity program versus a "Weekend Warrior" activity pattern on sleep quality, physical well-being, and mental well-being in sedentary university students. Participants will be randomly assigned to one of the intervention groups or to a control group and assessed at baseline and after the intervention.
Sedentary behavior is a growing concern among university students and is associated with poor sleep quality, fatigue, and lower mental well-being. Physical activity interventions can improve these outcomes, but the optimal frequency and pattern of activity remain unclear. This randomized controlled trial will evaluate and compare the effects of a regular weekly physical activity schedule with those of a "Weekend Warrior" pattern, in which the recommended amount of exercise is concentrated in two sessions per week. Sedentary university students will be randomly assigned to one of two intervention groups or to a control group for an 8-10 week period. Sleep quality (measured by actigraphy), physical well-being, and mental well-being will be assessed before and after the intervention. The findings of this study may help to inform public health recommendations for physical activity patterns among young adults.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
100
Structured physical activity sessions three times per week, 50 minutes each, over 8 weeks. Includes aerobic exercises, supervised by trained instructors. Goal is to distribute the recommended weekly activity evenly.
Same total weekly activity as Arm 1, but concentrated in 2 weekend sessions of 75 minutes each. Includes aerobic exercises, supervised by the same trained instructors.
Private Faculty of Health Sciences Sfax, Tunisia
Sfax, Tunisia
Sleep Efficiency (Actigraphy)
Sleep efficiency calculated as the ratio of total sleep time to time in bed, expressed as a percentage (%). ≥85% is considered good sleep, \<85% indicates impaired sleep quality. Range: 0-100%. Higher percentages indicate better sleep efficiency.
Time frame: Baseline (Week 0) and Post-intervention (Week 8)
Subjective Sleep Quality (Pittsburgh Sleep Quality Index, PSQI)
Pittsburgh Sleep Quality Index total score ranges 0-21. Score ≤5 indicates good sleep quality, \>5 indicates poor sleep quality. Higher scores indicate worse sleep.
Time frame: Baseline (Week 0) and End of Intervention (Week 8)
Psychological Well-Being (WHO-5 Well-Being Index)
WHO-5 score ranges 0-25, converted to 0-100%. Higher scores indicate better well-being. Raw score \<13 (\<52%) suggests poor well-being.
Time frame: Baseline (Week 0) and End of Intervention (Week 8)
Mental Health (Depression, Anxiety and Stress Scale, DASS-21)
DASS-21 measures depression, anxiety, and stress. Each subscale score ranges 0-42; higher scores indicate greater severity.
Time frame: Baseline (Week 0) and End of Intervention (Week 8)
Perceived Fatigue (Fatigue Severity Scale, FSS)
FSS is a 9-item questionnaire. Items scored 1-7; final score = mean (range 1-7). Higher scores indicate more severe fatigue. Score ≥4 indicates clinically significant fatigue.
Time frame: Baseline (Week 0) and End of Intervention (Week 8)
Functional Endurance (6-Minute Walk Test, 6MWT)
6-Minute Walk Test measures distance (meters) walked in 6 minutes along a flat corridor. Higher distance indicates better functional endurance.
Time frame: Baseline (Week 0) and End of Intervention (Week 8)
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