The Relationship between Fluid Intake Levels and Anxiety Levels among Medical Students at Tanjungpura University
Research
DOI:
https://doi.org/10.55175/cdk.v53i08.1990Keywords:
Fluids, hydration, daily fluid requirements, anxietyAbstract
Introduction: Insufficient fluid intake is associated with an increase in one's negative emotions, whereas prevalence of increased anxiety is high among medical students, and could affect their academic performance. This study aims to determine the correlation between the level of daily fluid requirement fulfillment and anxiety level of medical students in Tanjungpura University class 2019. Methods: A cross-sectional analytical research design with research subjects of 78 people recruited via total sampling method. The questionnaires used in this research are the BEVQ-15, translated and modified by the authors and the Indonesian Zung's SAS, both with established validity and reliability. Analysis of the relationship between the 2 variables used the Spearman rank-order correlation coefficient test (non-parametric). Results: Most students (74.4%) had insufficient fluid intake levels; while the average student met 87.3% of their daily fluid requirements. Meanwhile, students’ anxiety level was found to be at a mild (88.5%) and moderate (11.5%) level. The Spearman correlation test showed that the correlation between the level of daily fluid requirement fulfillment and anxiety level of medical students in Tanjungpura University class 2019 had a significance value of 0.580 (p > 0.05). Conclusion: No significant correlation between the level of daily fluid requirement fulfillment and anxiety level of medical students in Tanjungpura University class 2019.
Downloads
References
Tortora GJ, Derrickson BH. Principles of anatomy and physiology. 15th ed. Hoboken: Wiley; 2017.p.1248.
Stookey JJD. Negative, null and beneficial effects of drinking water on energy intake, energy expenditure, fat oxidation and weight change in randomized trials: a qualitative review. Nutrients 2016;8(1):19. https://doi.org/10.3390/nu8010019.
Edmonds CJ, Crosbie L, Fatima F, Hussain M, Jacob N, Gardner M. Dose-response effects of water supplementation on cognitive performance and mood in children and adults. Appetite. 2017;108:464–70. doi:10.1016/j.appet.2016.11.011.
Pross N, Demazieres A, Girard N, Barnouin R, Metzger D, Klein A, et al. Effects of changes in water intake on mood of high and low drinkers. PLoS One. 2014;9(4):e94754. doi:10.1371/journal.pone.0094754.
Rowe AD, Fitness J. Understanding the role of negative emotions in adult learning and achievement: a social functional perspective. BehavSci(Basel). 2018;8(2):27. doi: 10.3390/bs8020027.
Benton D, Jenkins KT, Watkins HT, Young HA. Minor degree of hypohydration adversely influences cognition: a mediator analysis. Am J Clin Nutr. 2016;104(3):603–12. doi: 10.3945/ajcn.116.132605.
Nurrezki S, Irawan R. Hubungan stres, cemas, dan depresi dengan kejadian migrain pada mahasiswa kedokteran di Jakarta. Damianus J Med.2020;19(1):1–7. https://doi.org/10.25170/djm.v19i1.1200.
Astutik E, Sebayang SK, Puspikawati S, Tama TD, Dewi DMSK. Depression, anxiety, and stress among students in newly established remote university campus in Indonesia. Malaysian J Med Heal Sci. 2020;16(1):270–7.
Shrivastava A, Rajan D. Assessment of depression, anxiety and stress among students preparing for various competitive exams. Int J Healthc Sci. 2019;6(1):50–72. doi:10.13140/RG.2.2.10711.42406.
Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015;141(3):354–7. doi:10.4103/0971-5916.156571.
Quek TTC, Tam WWS, Tran BX, Zhang M, Zhang Z, Ho CSH, et al. The global prevelance of anxiety among medical students: a meta-analysis Int J Environ Res Public Health. 2019;16(15):2735. doi:10.3390/ijerph16152735.
Moreira de Sousa J, Moreira CA, Telles-Correia D. Anxiety, depression and academic performance: a study amongst Portuguese medical students versus non-medical students. Acta Med Port. 2018;31(9):454–62. https://doi.org/10.20344/amp.9996.
Awadalla S, Davies EB, Glazebrook C. A longitudinal cohort study to explore the relationship between depression, anxiety and academic performance among Emirati university students. BMC Psychiatry. 2020;20(1):448. doi:10.1186/s12888-020-02854-z.
Gliner JA, Morgan GA, Leech NL. Research methods in applied settings: An integrated approach to design and analysis. 3rd ed. New York: Routledge; 2017.
Kent RA. Analysing quantitative data: variable-based and case-based approaches to non-experimental datasets. London, United Kingdom: Sage Publications Limited; 2021.
Nelms M, Sucher KP. Nutrition therapy and pathophysiology. 3rd ed. Boston, MA: Cengage Learning; 2016.
Oria M, Harrison M, Stallings VA, editors. Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. Washington (DC): National Academies Press; 2005. https://doi.org/10.17226/10925.
Ferreira-Pego C, Guelinckx I, Moreno LA, Kavouras SA, Gandy J, Martinez H, et al. Total fluid intake and its determinants: cross-sectional surveys among adults in 13 countries worldwide. Eur J Nutr. 2015;54 Suppl 2(Suppl 2):35–43. doi:10.1007/s00394-015-0943-9.
Guelinckx I, Ferreira-Pego C, Moreno LA, Kavouras SA, Gandy J, Martinez H, et al. Intake of water and different beverages in adults across 13 countries. Eur J Nutr. 2015;54 Suppl 2(Suppl 2):45–55. doi:10.1007/s00394-015-0952-8.
Rehman R, Zafar A, Mohib A, Baig M. A gender-based comparison in health behaviors and state of happiness among university students. Cureus. 2018;10(3):e2342. doi: 10.7759/cureus.2342.
Zhang J, Zhang N, Liu S, Du S, He H, Ma G. The comparison of water intake patterns and hydration biomarkers among young adults with different hydration statuses in Hebei, China. Nutr Metab (Lond). 2021;18(1):2. doi: 10.1186/s12986-020-00531-2.
Jin Y, He L, Kang Y, Chen Y, Lu W, Ren X, et al. Prevalence and risk factors of anxiety status among students aged 13–26 years. Int J Clin Exp Med. 2014;7(11):4420–6. PMID: 25550963.
Goodwin RD, Weinberger AH, Kim JH, Wu M, Galea S. Trends in anxiety among adults in the United States, 2008–2018: rapid increases among young adults. J Psychiatr Res. 2020;130:441–6. doi:10.1016/j.jpsychires.2020.08.014.
Mohamad NE, Sidik SM, Akhtari-Zavare M, Gani NA. The prevalence risk of anxiety and its associated factors among university students in Malaysia: a national cross-sectional study. BMC Public Health. 2021;21(1):438. doi: 10.1186/s12889-021-10440-5.
Nurunnabi M, Hossain SFAH, Chinna K, Sundarasen S, Khoshaim HB, Kamaludin K, et al. Coping strategies of students for anxiety during the COVID-19 pandemic in China: a cross-sectional study. F1000Research. 2020;9:1115. doi: 10.12688/f1000research.25557.1.
Aucoin M, LaChance L, Naidoo U, Remy D, Shekdar T, Sayar N, et al. Diet and anxiety: a scoping review. Nutrients. 2021;13(12):4418. doi:10.3390/nu13124418.
Kose J, Cheung A, Fezeu LK, Peneau S, Debras C, Touvier M, et al. A comparison of sugar intake between individuals with high and low trait anxiety: result from the NutriNet-Santé study. Nutrients. 2021;13(5):1526. doi: 10.3390/nu13051526.
Morales-Rodriguez FM, Perez-Marmol JM. The role of anxiety, coping strategies, and emotional intelligence on general perceived self-efficacy in university students. Front Psychol. 2019;10:1689. doi: 10.3389/fpsyg.2019.01689.
Haghighatdoost F, Feizi A, Esmaillzadeh A, Rashidi-Pourfard N, Keshteli AH, Roohafza H, et al. Drinking plain water is associated with decreased risk of depression and anxiety in adults: results from a large cross-sectional study. World J Psychiatry. 2018;8(3):88–96. doi: 10.5498/wjp.v8.i3.88.
Young HA, Cousins A, Johnston S, Fletcher JM, Benton D. Autonomic adaptations mediate the effect of hydration on brain functioning and mood: evidence from two randomized controlled trials. Sci Rep. 2019;9(1):16412. doi:10.1038/s41598-019-52775-5.
Carretero-Krug A, Ubeda N, Velasco C, Medina-Font J, Laguna TT, Varela-Moreiras G, et al. Hydration status, body composition, and anxiety status in aeronautical military personnel from Spain: a cross-sectional study. Mil Med Res. 2021;8(1):35. doi: 10.1186/s40779-021-00327-2.
Liska D, Mah E, Brisbois T, Barrios PL, Baker LB, Spriet LL. Narative review of hydration and selected health outcomes in the general population. Nutrients 2019;11(1):70. doi: 10.3390/nu11010070.
Cheong Q, Kazanjian A, Puyat JH. Easing anxiety symptoms through leisure activities during social isolation: findings from nationally representative samples. PLoS One. 2024;19(6):e0303585. doi: 10.1371/journal.pone.0303585.
Setyowati A, Chung M, Yusuf Ah. Development of self-report assessment tool for anxiety among adolescents: Indonesian version of the Zung self-rating anxiety scale. J Public Health Afr. 2019;10(s1):1172. doi: 10.4081/jphia.2019.1172.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Belinda Phelia, Ery Hermawati, Agustina Arundina Triharja Tejoyuwono

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.






