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Peer-reviewedCC BYHealthcare (Basel, Switzerland)

Adherence to the 24 h Movement Guidelines and Associated Factors Among First-Year University Students in Spain: UNILIFE-M Study at Universidad Loyola Andalucía.

3 more authors
18 affiliations
  1. 1School of Medicine, Universidad Espíritu Santo, Samborondón 092301, Ecuador.
  2. 2Faculty of Health Sciences, Universidad Tecnológica Atlántico Mediterráneo-UTAMED, 29590 Málaga, Spain.
  3. 3Department of Communication and Education, Universidad Loyola Andalucía, 41704 Dos Hermanas, Spain.
  4. 4Universidad Autónoma del Paraguay, Asunción 001010, Paraguay.
  5. 5Vicerrectoría de Investigación y Postgrado, Universidad de Los Lagos, Osorno 5290000, Chile.
  6. 6Department of Health Research, Icen Cognis, Carretera General, 32, 38370 La Matanza de Acentejo, Spain.
  7. 7Departamento de Educación Física y Deporte, Universidad de Sevilla, 41013 Seville, Spain.
  8. 8Psychiatry Institute, Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil.
  9. 9Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria 97105-900, Brazil.
  10. 10Faculty of Education and Social Sciences, Universidad Andrés Bello, Viña del Mar 8370035, Chile.
  11. 11Department of Sport Sciences, Faculty of Sport and Health Sciences, Fit Generation Research Institute, AD500 Andorra la Vella, Andorra.
  12. 12Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile.
  13. 13Food and Mood Centre, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University, Geelong 3220, Australia.
  14. 14Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong 3220, Australia.
  15. 15Carver University, Orlando, FL 32804, USA.
  16. 16Universidad Internacional para el Desarrollo (UNINDE), 06005 Badajoz, Spain.
  17. 17Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, College of Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.
  18. 18Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University, Seoul 02447, Republic of Korea.

Abstract

Background/Objectives: University students are at a critical stage for establishing healthy lifestyle habits, yet little is known about their adherence to integrated 24 h movement guidelines that include physical activity, sedentary behavior, and sleep. We examined the proportion of students meeting the Canadian 24 h movement guidelines and associated factors among first-year students at a single Spanish university (UNILIFE-M). Methods: This cross-sectional analysis included 671 first-year students from Universidad Loyola Andalucía (Spain) participating in the UNIversity Students' LIFEstyle Behaviours and Mental Health (UNILIFE-M) study. Combined guideline adherence used complete cases (n = 646). Behaviors were assessed with the Spanish Physical Activity Scale 2.1 (PAS-2.1S). Adherence required ≥150 min/week of moderate-to-vigorous physical activity, ≤8 h/day of total sedentary time including ≤3 h/day of recreational screen time (both sedentary criteria required), and 7-9 h/night of sleep. Multivariable logistic regression estimated adjusted odds ratios (complete cases on covariates, n = 644). Results: Overall, 137/646 students (21.2%) met all three guidelines, while 54 (8.4%) met none. Male sex was associated with higher odds of adherence (adjusted odds ratio [aOR] = 1.65; 95% confidence interval [95% CI] 1.10 to 2.47), and a lifetime mental health diagnosis was associated with lower odds (aOR = 0.28; 95% CI 0.08 to 0.72). Age > 18 years (aOR = 0.64; 95% CI 0.39 to 1.03) and non-health sciences enrollment (aOR = 0.69; 95% CI 0.46 to 1.03) showed borderline associations that were not robust across sensitivity analyses. Conclusions: In this single-university first-year sample, adherence to the 24 h movement guidelines was relatively low. Associations should be interpreted as cross-sectional correlates, not causal determinants.

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BibTeX
@article{lopezgil2026adherence,
  title = {{Adherence to the 24 h Movement Guidelines and Associated Factors Among First-Year University Students in Spain: UNILIFE-M Study at Universidad Loyola Andalucía.}},
  author = {José Francisco López-Gil and Samuel Manzano-Carrasco and José Adrián Montenegro-Espinosa and María Mendoza-Muñoz and Fiorella Quiroz-Cárdenas and Alejandro Lara-Bocanegra and Aline Josiane Waclawovsky and Debora Tornquist and Andrea Camaz Deslandes and Rodrigo Yáñez-Sepúlveda and Felipe Barreto Schuch and Lucille Ridgell and Camila Miño and Dong Keon Yon and Pablo Galan-Lopez},
  journal = {Healthcare (Basel, Switzerland)},
  year = {2026},
  month = oct,
  doi = {10.3390/healthcare14203415},
  url = {https://europepmc.org/article/MED/42940460},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Adherence to the 24 h Movement Guidelines and Associated Factors Among First-Year University Students in Spain: UNILIFE-M Study at Universidad Loyola Andalucía.
AU  - José Francisco López-Gil
AU  - Samuel Manzano-Carrasco
AU  - José Adrián Montenegro-Espinosa
AU  - María Mendoza-Muñoz
AU  - Fiorella Quiroz-Cárdenas
AU  - Alejandro Lara-Bocanegra
AU  - Aline Josiane Waclawovsky
AU  - Debora Tornquist
AU  - Andrea Camaz Deslandes
AU  - Rodrigo Yáñez-Sepúlveda
AU  - Felipe Barreto Schuch
AU  - Lucille Ridgell
AU  - Camila Miño
AU  - Dong Keon Yon
AU  - Pablo Galan-Lopez
PY  - 2026
DA  - 2026/10/13
JO  - Healthcare (Basel, Switzerland)
DO  - 10.3390/healthcare14203415
UR  - https://europepmc.org/article/MED/42940460
AB  - Background/Objectives: University students are at a critical stage for establishing healthy lifestyle habits, yet little is known about their adherence to integrated 24 h movement guidelines that include physical activity, sedentary behavior, and sleep. We examined the proportion of students meeting the Canadian 24 h movement guidelines and associated factors among first-year students at a single Spanish university (UNILIFE-M). Methods: This cross-sectional analysis included 671 first-year students from Universidad Loyola Andalucía (Spain) participating in the UNIversity Students' LIFEstyle Behaviours and Mental Health (UNILIFE-M) study. Combined guideline adherence used complete cases (n = 646). Behaviors were assessed with the Spanish Physical Activity Scale 2.1 (PAS-2.1S). Adherence required ≥150 min/week of moderate-to-vigorous physical activity, ≤8 h/day of total sedentary time including ≤3 h/day of recreational screen time (both sedentary criteria required), and 7-9 h/night of sleep. Multivariable logistic regression estimated adjusted odds ratios (complete cases on covariates, n = 644). Results: Overall, 137/646 students (21.2%) met all three guidelines, while 54 (8.4%) met none. Male sex was associated with higher odds of adherence (adjusted odds ratio [aOR] = 1.65; 95% confidence interval [95% CI] 1.10 to 2.47), and a lifetime mental health diagnosis was associated with lower odds (aOR = 0.28; 95% CI 0.08 to 0.72). Age > 18 years (aOR = 0.64; 95% CI 0.39 to 1.03) and non-health sciences enrollment (aOR = 0.69; 95% CI 0.46 to 1.03) showed borderline associations that were not robust across sensitivity analyses. Conclusions: In this single-university first-year sample, adherence to the 24 h movement guidelines was relatively low. Associations should be interpreted as cross-sectional correlates, not causal determinants.
SN  - 2227-9032
ER  -