Eating, Sleep, Attitudes, and Stress Risk in Physical Therapy Students

This observational study explores how lifestyle-related psychological factors-including eating attitudes, sleep attitudes, and perceived stress-interrelate and contribute to early behavioral indicators of cardiovascular risk among undergraduate physical therapy students. The study focuses on a population frequently exposed to academic pressure, irregular schedules, and altered lifestyle habits, which may predispose them to long-term health risks.

Participants will complete three standardized self-report instruments: the Eating Attitudes Test (EAT-26), the Pittsburgh Sleep Quality Index (PSQI), and the Perceived Stress Scale (PSS-10). These tools were selected for their established validity in assessing eating behaviors, sleep quality, and stress perception in young adult populations. Scores from each measure will be analyzed to determine correlations among the variables and their combined ability to predict early cardiovascular risk patterns.

Data collection occurs once for each participant, with no intervention or follow-up required. Responses will remain anonymous, and no clinical procedures, biological samples, or physical assessments will be conducted. The study aims to generate foundational evidence that may inform future preventive strategies and wellness programs targeted at university students, particularly those in health-related fields.

• complete validated questionnaires (Behavioral): Participants will only complete validated questionnaires (EAT-26, PSQI, PSS-10). No therapeutic or behavioral intervention will be administered.

Primary outcomes

• Eating Attitudes Score (EAT-26) [1 month, collected at baseline]: Total score on the Eating Attitudes Test (EAT-26) used to assess disordered eating patterns and attitudes toward food. The total score ranges from 0 to 78, with higher scores indicating a greater risk of unhealthy eating behaviors.
• Sleep Quality Score (PSQI) [1 month, collected at baseline]: Global score from the Pittsburgh Sleep Quality Index (PSQI) evaluating sleep quality and sleep disturbances. The global score ranges from 0 to 21, with higher scores indicating poorer sleep quality.
• Perceived Stress Level (PSS-10) [1 month, collected at baseline]: Total score on the Perceived Stress Scale (PSS-10), measuring the degree to which participants perceive their lives as stressful. The total score ranges from 0 to 40, with higher scores indicating greater perceived stress.

Sex: All, ages: 18 Years to 30 Years, accepts healthy volunteers

Inclusion Criteria:

* Age 18-30 years.
* Enrolled as an undergraduate Physical Therapy student.
* Able and willing to provide informed consent.

Exclusion Criteria:

* History of cardiovascular, metabolic, or psychiatric disorders.
* Current use of medications that affect appetite, sleep, or mood.
* Incomplete or inconsistent responses to the study questionnaires.