STATS 1202 Introductory Statistics AY 2023 - 2024, Term 1 Group Project Report: The effects of exercise on BMI Section: G1 Instructor: Professor Wu Zheng Xiao Group: 6 Group members Ryan Ng See Jinyan Reyna Seah Liew Zi Ying Terence Tan I. Executive Summary According to a report by the National Institute of Health, the beneficial effects of exercise participation were keeping a normal weight and low BMI.1As university students juggling 5 mods, CCAs and maintaining a healthy study-life balance at the same time, exercise would more often than not be neglected. Hence, our study aims to determine if the amount of exercise done by university students will affect their chances of maintaining a healthy weight and BMI. We hypothesised that a. Not exercising results in weight gain and an increase in BMI. b. Exercising results in weight loss and a decrease in BMI To test our hypothesis, we surveyed 60 students from sports CCAs in SMU through convenience sampling. We then subjected each student to certain amounts of exercise over a duration of 2 weeks, in which the first week no exercise is conducted while in the second week every individual is to do 30 mins of exercise a day. Afterwards, we used the results to draw conclusions regarding the 2 variables. From the results that we have obtained, albeit some anomalies, we have concluded that a. Not exercising does not result in an increase in BMI b. Exercising results in a decrease in BMI II. Introduction A. Problem It is important to lead a healthy and active lifestyle, but it is often overlooked by university students due to their busy schedules. With them being constantly busy, it is unlikely for many university students to have the time to exercise. As a result, they are susceptible to living a sedentary lifestyle since they spend the majority of their time studying and sitting still in school.2 According to the World Health Organization (WHO), we should inculcate the practice of exercising regularly since it reduces the associated risks posed by living a sedentary lifestyle.3 1 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7967650/#:~:text=The%20beneficial%20effects%20of %20exercise,and%20fat%20mass%20%5B8%5D. 2 Physical exercise and body-mass index in young adults: A national survey of Norwegian university students - Grasdalsmoen, et al. 2019 https://doi.org/10.1186/s12889-019-7650-z Accessed 20 Oct. 2023 3 “Physical Activity - WHO. “ https://www.who.int/news-room/fact-sheets/detail/physical-activity. Accessed 20 Oct. 2023. 1 Fig. 1 Recommended amount of exercise By Different Age Groups The amount of exercise recommended for university students is 150 minutes of moderate-intensity activity and at least 2 days a week of activities that strengthen muscles as seen in Figure 1.4 It is vital for students to stay active in their daily lives given the health benefits from staying physically active since it improves our brain health and strengthens our bones and muscles. B. Choice of Population and Justification 1. Sampling method A convenience sampling method was used in the research methodology, whereby we collected the BMI of SMU students from sports CCAs. We intend to generate insights for quick and straightforward purposes as our respondents are readily available which saves time and resources. The population identified consisted of individuals who are SMU students during the academic year 2023-2024. From the population, we obtained a sample size of 60 students from sports CCAs and subjected them to an experimental study over 2 weeks and got them to report their data at the end of the experiment. 2. Justification The rationale behind choosing SMU students as our population (in the approximate age group between 19-25) in finding the relationship between exercise duration and BMI as a variable of interest is due to the lack of perceived importance pertaining to physical activity. According to a 2015 study, 42.1% of university students in 4 "Physical Activity Recommendations - CDC." https://www.cdc.gov/physicalactivity/basics/pdfs/FrameworkGraphicV9.pdf. Accessed 17 Oct. 2023. 2 Singapore were classified as having ‘low physical activity’ and not meeting the minimum requirement of walking 30 minutes per day or having a comparable amount of low and high-intensity activity5. This is further supported by the fact that there is a decreasing trend of physical activity among them, with many lacking interest in increasing their physical activity as they are less aware of their physical condition and do not intend to pursue measures since they perceive that they do not develop diseases6. Consequently, this may correlate with the idea as to why university students in Singapore are not pursuing a lifestyle of greater physical activity as advised by the CDC based on Figure 1. Our selection criteria for the experiment sample involved exclusively enrolling students engaged in sports CCAs, a deliberate choice aimed at enhancing the precision of our findings regarding the influence of exercise on BMI. By instructing students who maintain a consistent exercise regimen to temporarily cease physical activity for one week before resuming, we aim to establish a distinct and demonstrable correlation between exercise and BMI. C. Our Hypothesis Our first hypothesis is that no exercise being done results in an increase in BMI. In 2016, an observational study conducted by the UK Biobank showed that people who do comparatively more physical activity have a lower BMI than less active people7. It is a common belief that such activities would be the solution to having a healthy lifestyle and body weight. The research has also asserted the fact that individuals were associated with a lower BMI and body fat percentage within each category of the BMI with an average of 1-2% lower than those that are less active. Therefore, we construct our first hypothesis to test whether this claim is indeed true. Our second hypothesis is that physical activity lowers an individual’s BMI. According to a 2012 study by Hall, Klein, Speakman & Kemnitz, exercise programmes are unlikely to produce weight loss. The researchers have shown that there are other factors affecting one’s BMI such as calorie intake. Hence, we construct our second hypothesis to test whether this claim is indeed true. 5 “Physical inactivity and associated factors among university students in 23 low-, middle- and high-income countries.” - Pengpid, Supa et al. (2015) International journal of public health vol. 60,5 (2015): 539-49. https://pubmed.ncbi.nlm.nih.gov/25926342/ 6 Ministry of Health, Labour and Welfare. 2022 National health and nutrition survey. https://www.mext.go.jp/content/20200324-mxt_kouhou01-000004520_4. Pdf 7 Besson H, Ekelund U, Luan J, et al. A cross-sectional analysis of physical activity and obesity indicators in European participants of the EPIC-PANACEA study. Int J Obes 2009;33:497–506. https://bmjopen.bmj.com/content/bmjopen/7/3/e011843.full.pdf 3 III. Data Collection A. Methodology This is an experimental study to observe the effect that exercise has on BMI and data collection was done over a period of 2 weeks. We gathered a group of 60 people from sports CCAs to take part in our experiment. Each individual would measure their BMI 3 times over the course of the experiment, at the beginning of the experiment (Initial), after a week with no exercise, and then again after exercising for 1 week. After the experiment was completed, they would each do an anonymous online survey to submit their results. Rationale Sample: We chose people from sports CCAs in order to better highlight the effects that exercise has on BMI and because it is generally more feasible to encourage individuals who were already engaged in physical activity to temporarily pause their exercise routines than to initiate exercise in those who may not have had a regular exercise habit. Measurement: The students will measure their weight when they wake up so as to minimise water weight and get a more accurate measurement of their weight. Exercise: All participants will do the same exercise for the same duration to ensure the experiment is equal and fair. At the end of our experiment, the data concluded that exercising leads to an overall decrease in BMI. B. Collected Data Initial After 1st week (no exercise) After 2nd week (with exercise) Sample size 60 60 60 Min 15.24357 15.30924 15.19747 Max 30.95813 31.07721 30.66110 Average 21.47011 21.53760 21.11585 Median 20.63039 20.63145 20.03297 Std dev 4.01452 4.06572 4.00165 Figure 1.1 4 IV. Data Analysis A. Hypothesis Testing In our experiment, we will be using two hypothesis tests to determine the accuracy of our hypothesis. Our hypotheses are: 1. Not exercising increases your BMI 2. Exercising decreases your BMI 1. Hypothesis testing 1 𝐻0 : µ1 = 0 𝐻1 : µ1 > 0 Let µ1 be the mean difference in BMI from their BMI at the end of week 1 to their initial BMI (Week 1 BMI - Initial BMI), showcasing the effects that not exercising will have on BMI change. Since sample size (n=60) is sufficiently large, by CLT, the sample mean is 2 approximately normal. 𝑋 ∼ 𝑁(µ1, σ /𝑛) At 5% significance level: Mean BMI of students initially, µ𝑎 21.47011 Mean BMI of students after week 1,µ𝑏 21.53760 Mean difference, 𝐷 0.06749 5.77554 2 ∑ (𝐷𝑖 − 𝐷 ) 2 Point estimate for population variance, 𝑆𝐷 5.77554 60−1 𝑡𝑠𝑡𝑎𝑡 , where t has (n-1) degrees of freedom 0.06749−0 ( 0.09789 60 = 0. 09789 ) = 1. 67088 Using critical value method, Reject 𝐻0 if 𝑡𝑠𝑡𝑎𝑡 > 𝑡0.05,59= 1.6711 Since 𝑡𝑠𝑡𝑎𝑡 = 1.67088 < 1.6711, we do not reject 𝐻 0 Using p-value method, Reject 𝐻0 if p-value < 0.05 From the GC, p value = 0.05002 thus p value > 0.05, we do not reject 𝐻0 5 Since 𝑡𝑠𝑡𝑎𝑡 < 1.6711 and p-value > 0.05, we do not reject 𝐻0 and conclude that there is insufficient evidence showing that there is an increase in mean BMI after not exercising for a week. 2. Hypothesis testing 2 𝐻0 : µ2 = 0 𝐻1 : µ2 < 0 Let µ2 be the mean difference in BMI change from their week 2 BMI to their BMI at the end of week 1 (Week 2 BMI - Week 1 BMI), showcasing the effects that exercise has on BMI. Since sample size (n=60) is sufficiently large, by CLT, the sample mean is 2 approximately normal. 𝑋 ∼ 𝑁(µ2, σ /𝑛) At 5% significance level: Mean BMI of students after week 1, µ𝑐 21.53760 Mean BMI of students after week 2,µ𝑑 21.11585 Mean difference,𝐷 - 0.42175 2.03386 2 ∑ (𝐷𝑖 − 𝐷 ) 2 Point estimate for population variance, 𝑆𝐷 2.03386 60−1 𝑡𝑠𝑡𝑎𝑡 , where t has (n-1) degrees of freedom −0.42175−0 ( 0.03447 60 = 0. 03447 ) = − 17. 59709 Using critical value method, Reject 𝐻0 𝑡𝑠𝑡𝑎𝑡 < - 𝑡0.05,59= -1.6711 Since 𝑡𝑠𝑡𝑎𝑡 = -17.59709 < -1.6711, we reject 𝐻 0 Using p-value method, Reject 𝐻0 if p-value < 0.05 −25 From the GC, p value = 1.8833 * 10 thus we reject 𝐻0 6 Since 𝑡𝑠𝑡𝑎𝑡 = -17.59709 < -1.6711 and p-value < 0.05, we reject 𝐻0 and conclude that there is sufficient evidence showing that there is a difference in the mean BMI when exercise is conducted. In fact, the mean BMI when there is exercise is lower than the mean BMI without exercise. Error identified in testing? The test subjects' BMI may have been affected by several other factors such as their calorie intake, quality of sleep etc, potentially affecting the results obtained from the experiment. V. Conclusion A. Conclusion on experiments From our results in the survey, the mean BMI of students after they exercised is lower than the mean BMI of students before they started the exercise. Hence, we can conclude that exercise results in a decrease in BMI. B. Recommendations Students should exercise more frequently in order to have a greater change in BMI and maintain a healthy BMI. Considering the results of our experiment, SMU should implement mandatory exercise programs which focus on cardiovascular and strength training as they are known to reduce one’s BMI more significantly and keep one fit and healthy. SMU should also organise special events like field days, sports days, or charity walks/runs to create excitement around physical activity, encouraging students to exercise. C. Limitations The results collected may be affected by some or all of the following factors. 1. Confounding factors present Some students may naturally maintain their weight and hence, a good BMI without exercising. This is possible due to their genetics or a healthy and balanced diet as they play significant roles in one individual's weight and overall health. Furthermore, maintaining a healthy lifestyle beyond diet alone can help regulate weight. Hence, there are other factors that can positively affect the BMI of students, affecting the results of our test. 2. Self-Reported Data leading to response bias Some students who filled out our survey could have a BMI of more than 25 (overweight) and yet choose to report an inaccurate BMI (less than 25) since they may be ashamed of their 7 weight. This may lead to measurement error in our experiment as they were not truthful in the survey they participated in. We recognise the errors during our experiment and have tried to minimise them. Take for instance, the identities of the participants are kept anonymous and we do not require them to submit their names during our survey so that they would be more truthful when answering the questions. This ensures that our survey results are accurate and reliable. VI. Appendix A. Survey Questions 1) What is your initial BMI (to 5 d.p.) before exercise? 2) What is your BMI after 1 (to 5 d.p.) week of not exercising? 3) What is your BMI after 1 (to 5 d.p.) week of exercise? The BMIs are computed based on kg/m². B. Raw data of our participants Initial BMI before exercise After 1 week no exercise after 1 week of exercise 17.28673 17.30947 17.37253 15.70316 15.30924 15.19747 18.18584 18.50140 18.36375 30.67827 30.78285 30.26438 28.01186 27.58686 27.04553 25.33733 25.32435 24.94765 25.55991 25.86061 25.48049 15.24357 15.41750 15.25399 27.07148 27.20479 26.66800 28.53384 28.36509 28.01491 27.28719 27.76991 27.22067 27.20393 27.42605 26.82959 17.56345 17.62821 17.48651 20.97782 21.11424 20.65519 28.63415 28.50029 28.06047 24.40618 24.50373 23.97201 15.85334 15.94661 15.96531 20.87043 21.21282 21.09617 28.42972 28.51703 28.14290 8 22.46652 21.96304 21.27279 17.78765 17.79232 17.65487 17.25269 16.89750 16.50055 22.98474 22.98333 22.41463 17.72609 17.44965 17.27814 18.88290 18.38868 17.99215 20.52388 20.03533 19.46714 18.01498 17.38618 17.47455 27.54065 27.87370 27.52865 20.92970 20.79674 20.33681 18.45812 18.19596 17.77909 17.89315 17.48741 16.83342 19.97456 19.50673 19.10028 20.45506 19.87786 19.39343 17.92222 18.01266 17.62602 18.81327 19.39693 18.78375 22.13285 22.57236 22.11896 17.21201 17.51073 17.13825 20.95316 21.53804 20.95822 22.94572 23.10328 22.76694 30.95813 31.07721 30.66110 18.55229 18.78752 18.19164 26.06455 26.10693 25.51500 18.46593 18.60268 18.29121 24.19471 24.39304 23.86396 21.10081 21.11170 20.56303 19.00669 19.57938 19.18685 18.20728 18.26793 17.74375 19.32584 19.65354 18.95786 22.99929 23.54818 22.99192 17.77641 18.08354 17.62097 18.67398 18.94863 18.52628 22.57196 22.63570 22.17424 17.44096 17.45848 17.00956 21.88387 22.24466 21.81786 19.85619 20.15238 19.49672 9 C. BMI Table for men and women Fig. 28 BMI Table for men and women Figure 1.2 (Initial week) 8 "BMI Chart For Men And Women – Forbes Health." 1 Jun. 2023, https://www.forbes.com/health/body/bmi-chart-for-men-and-women/. Accessed 25 Oct. 2023. 10 Figure 1.3 (After 1st week) Figure 1.4 (After 2nd week) 11