Physical Activity Levels And Influencing Factors Related To Work Among Outpatient And Emergency Nurses: A Cross Sectional

Physical Activity Levels And Influencing Factors Related To Work Among Outpatient And Emergency Nurses: A Cross Sectional | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Physical Activity Levels And Influencing Factors Related To Work Among Outpatient And Emergency Nurses: A Cross Sectional Nita Fitria, Putri Karisa, Geraldino Hendy Manseaur, Silvya Dwi Yanti, and 4 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-5906867/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 02 Sep, 2025 Read the published version in BMC Nursing → Version 1 posted 4 You are reading this latest preprint version Abstract Background Physical activity and nurses are inseparable because nurses have a great prevalence of standing, dynamic standing, sitting, lying, and walking, which are the significant factors that influence physical work behavior differences Purpose This study aimed to determine the demographic factors that correlate with the physical activity level of nurses Patients and methods: Our study used a correlational design with 117 nurses including 57 emergency nurses and 60 outpatient nurses. This study used the Global Physical Activity Questionnaire (GPAQ) as the instrument. Research analysis with the Spearman test. Results There is a relationship between room unit (p = 0.025), age (p = 0.022), and length of work (p = 0.046) and the level of physical activity of nurses. The room unit is the dominant factor affecting nurses' physical activity level (Stand. Estimate = 0.177; 95% CI = -0.046–0.621; p = 0.91). There is a significant relationship between room unit, age, and length of service compared with the nurses' activity level. Meanwhile, career level was not associated with nurses' activity level. Conclusion Physical activity levels among outpatient and emergency nurses in Indonesia vary significantly, with occupational factors such as shift patterns and workload playing a critical role. Tailored interventions aimed at promoting physical activity within these healthcare settings are necessary to enhance the health and performance of nurses. cross-sectional study emergency nurses occupational health outpatient nurses physical activity Introduction With almost 59% of all health professions, nursing is the largest occupational group in the healthcare industry. According to WHO data from 2020, Indonesia had 409,950 nursing personnel as of the previous year. This demonstrates the large number of nurses in Indonesia, and this shows that it is a high-demand and crucial profession for Indonesia’s health institutions, as indicated by the high projection for the enhancement of nursing personnel in 2030 ( 1 ). In developed countries, nurses have a critical role in increasing health services ( 2 ). As the largest group in the healthcare system, nurses have a crucial role in primary and community healthcare, disease prevention, and health promotion ( 3 ). Nurses tend to experience physical and mental burdens ( 4 ). Nurses are well educated regarding the significance of health-promoting behaviors, including physical activity, sleep hygiene, eating a balanced diet, stress management, and maintaining positive interpersonal relationships ( 5 ). Nursing, a profession that is also known for its physical demands, often involves low-intensity physical activity in providing patient care with moderate intensity tasks ( 6 ). Nonetheless, nurses might not apply this knowledge to their own self-care; for instance, they may not follow the recommended guidelines for a healthy diet and physical activity ( 5 ). The nursing profession also has a lot of different health and work-related issues, such as burnout, obesity, sleep difficulties, and job dissatisfaction, which result from long work hours, work overload, and shift work.The World Health Organization (WHO) defines physical activity as any bodily movement produced by skeletal muscles that involves the expenditure of energy ( 7 ). Physical activity enhances overall health, cognitive function, and quality of life while reducing the risk of several chronic diseases, such as diabetes, osteoarthritis, and hypertension ( 8 ). Three types of physical activity are categorized as mild, moderate, and strenuous physical activity ( 9 ). Physical activity and nurses are inseparable because nurses have a great prevalence in standing, dynamic standing, sitting, lying, and walking, which are the significant factors that influence physical work behavior differences ( 10 ). Therefore, physical activity is one of the aspects that must be taken into account to maintain the health of the nurse. If nurses do not perform physical activity according to their ability to work, then not only will their health decline, but people's quality of life will also be affected ( 11 ). In a recent systematic search and literature review of six studies that measured and defined physical activity in nurses, it is known that four of them were found to have met the World Health Organization's recommendations for physical activity, which indicate 150–300 minutes per week of moderate-intensity physical activity or 75–150 minutes per week of vigorous-intensity physical activity ( 12 , 13 ). There are factors that might impact physical activity level, including biological factors, environmental factors, and physical factors ( 9 ). In the general population, some of the crucial factors that can affect exercise compliance are age and sex ( 14 ). It is known that PA (physical activity) involvement and achievement in both men and women are induced by gender roles and sexual stereotypes ( 15 ). Adult males were 45% more likely to be physically active compared to women ( 16 ). WHO reports that in high-income countries, 26% of men and 35% of women did not engage in sufficient physical activity, whereas in low-income countries, the percentages were 12% of men and 24% of women ( 4 ). But there is evidence that indicates that during the past 15 years, the rate of insufficient physical activity has increased in low- and middle-income countries ( 17 ). This could be due to income inequality, where it is estimated that it has a large effect ( 18 ). The income inequality problem that could differentiate low and high-income countries is their variations in the type of physical activity and whether it is voluntary or utilitarian in character ( 19 ). With the high variety of physical activities that nurses do, we are interested in delving into what factors influence this activity level. Additionally, a systematic review of physical activity among nurses pointed out the need for further research on the impact of demographic characteristics on physical activity. The purpose of this study was to examine the factors that affect nurses' levels of physical activity in Bandung, Indonesia. Material and methods Study design A correlational quantitative study approach was conducted from July to August 2023. Sample/Participants/Informant The population in this study was 117 nurses at a hospital located in Bandung, Indonesia, which consisted of 57 emergency installation nurses and 60 outpatient installation nurses. The samples were taken using the total sampling method from both units after seeing the informed consent results. Consequently, the total sample size for this study amounted to 117 respondents. Instrument The instruments used in this study were demographic data questionnaires consisting of name, age, length of work, career level, and unit room. To gauge the degree of physical activity among nurses, this study uses the Global Physical Activity Questionnaire (GPAQ) developed by the World Health Organization (WHO). The questionnaire consists of 16 questions and covers three domains, namely activities at work (6 items), traveling to and from a place (3 items), and leisure activities (7 items). The measurement of physical activity levels is based on the Global Physical Activity Questionnaire (GPAQ), which is based on the large Metabolic Equivalent (MET) to ascertain the level of physical activity in nurses. Bull, Maslin, and Amstrong's (2009) study states that the GPAQ instrument has a strong Kappa reliability value of 0.67 to 0.73. Meanwhile, according to the findings of the study conducted by Cleland et al. (2014), the physical activity values obtained using the GPAQ instrument demonstrated a moderate validity value, or a correlation of 0.48 with the data obtained using the accelerometer. Each question will be analyzed by dividing the three domains into six different "sub-domains." There is vigorous work, moderate work, travel, vigorous recreation, moderate recreation, and sitting. Those questions contain how long the participants took for that specific activity (minutes per week). Then those minutes per week will be used in a specific formula, resulting in the total MET score. Data collection The collection of data for this study took place from July to August 2023 using an online questionnaire through Google Form, which contains two questionnaires, namely the first questionnaire for demographic data and the Global Physical Activity Questionnaire (GPAQ) to determine the level of physical activity. The respondent voluntarily participated in this study, and all of the information about this study was provided. After the respondent agreed to participate in the study and filled out an informed consent form, the respondent was asked to be willing to fill out a questionnaire and return it to the researcher. If the respondent does not agree to be involved in the research, the researcher respects the respondent's decision. Therefore, respondents who were not willing were not used as the research sample. Respondents are also allowed to withdraw from the study without facing any repercussions. Furthermore, the data is only accessible to researchers, and respondents' names are kept secret by being replaced with codes. Data analysis Data analysis is presented in the form of frequency and percentage distribution tables. This study analyzed data using univariate, bivariate, and multivariate methods. Descriptive statistics using frequency distribution and percentages were used to summarize the characteristics of the respondents as a univariate analysis. Then, to examine the correlation between the MET score and the demographic data, a bivariate analysis was conducted using the Spearman Rank Test with a 95% significance level. These two results indicate that the analysis can be continued with multivariate analysis using multiple linear regression to test the relationship between variables to describe the dominant factors affecting physical activity. Ethical consideration This study has passed the ethical testing of the health research ethics commission of Universitas Padjadjaran with letter number 32/UN6.KEP/EC/2023. Results Characteristics of Respondents The characteristics of respondents in this study are presented in Table 1 (Table 1). Table 1 shows that it is known that out of 117 respondents, most were nurses from the outpatient room (51.3%). Almost half of the respondents were in the 36–45 year age group (47%) and had work experience of ≥ 22 years (38.5%). Most respondents were at PK III career level (57.3%). Table 1. Respondent Characteristics According to the Demographic Data (n= 117) Characteristics Frequency (f) Percentage (%) Unit Room Emergency room Outpatient room 57 60 48.7% 51.3% Age 26-35 years old 36-45 years old 46-55 years old 56-65 years old 22 55 28 12 18.8% 47% 23.9% 10.3% Lengths of Works 1-3 years 4-9 years 10-18 years 18-21 years ≥22 years 8 11 34 19 45 6.8% 9.4% 29.1% 16.2% 38.5% Career Level PK I PK II PK III PK IV 16 33 67 1 13.7% 28.2% 57.3% 0.9% Physical Activity Level During the study, nurses were assessed for their physical activity level, and 77 (65.8%) participants reported that their physical activity level was classified as high, while the remaining 16 (13.7%) were classified as moderate and 24 (20.5%) as low (Table 2). In the correlational analysis, we assessed the relationship between physical activity level and respondents' characteristics including room, age, length of service, and career level. It was found that nurses' physical activity level had a statistically significant relationship with unit room (p = 0.025), age (p = 0.022), and lengths of work (p = 0.046) (Table 3). On multivariate analysis, it showed that the unit room is the dominant factor affecting nurses' physical activity level (Stand. Estimate = 0.177; 95% CI = -0.046–0.621; p = 0.91) (Table 4). Table 2 Distribution of Respondents Based on Physical Activity Level (MET) Physical Activity Level Frequency (f) Percentage (%) Low 24 20.5% Moderate 16 13.7% High 77 65.8% Table 3 Correlation Between Characteristic of Respondents and Physical Activity Level (MET) Variable Physical Activity p-value r Unit room 0,025 0,207 Age 0,022 0,211 Lengths of works 0,046 0,185 Career level 0,131 0,141 Table 4 Factor Affecting Nurses Physical Activity Predictor Estimate SE 95% confidence interval t p- value Stand. estimate Lower Upper Unit room 0,287 0,169 -0,046 0,621 1,706 0,91 0,177 Age 0,005 0,027 -0,048 0,059 0,193 0,848 0,055 Lengths of works 0,009 0,027 -0,045 0,062 0,324 0,746 0,099 Career level 0,022 0,206 -0,387 0,431 0,106 0,916 0,020 Discussion Nurses are healthcare professionals who play a crucial role in providing direct patient care aimed at enhancing the quality of life for both patients and their families, while still respecting the patient's culture and beliefs ( 20 ). Furthermore, the public also has the view that nurses are someone who deserves to be a role model in health, especially regarding daily health behaviors such as a healthy diet and physical activity ( 21 ). The work environment for nurses is extremely complicated and involves a wide range of demands on a social, psychological, mental, and physical level ( 22 ). However, several studies have indicated that nurses have poor health habits, including insufficient physical activity, a poor diet, and smoking ( 23 ). Nurses have a workload that often involves physical activity such as walking, standing for a long period of time, moving, heavy lifting, and unfavorable posture for a long period of time, which could cause physical health problems ( 8 , 10 , 24 ). Therefore, physical activity is an important thing that nurses need to do to uphold their health and optimize their capacity to deliver exemplary patient care. According to Supardi et al. the work of nurses in the emergency room requires experts who have high performance ( 25 ). This is because the ER functions to provide health services for emergency conditions and requires fast and precise treatment, such as in surgical cases (traumatology and related to internal body organs) and non-surgical cases (internal, pediatric, and neurological diseases), so it requires maximum work. Nurses in the emergency room carry out various tasks, such as lifting and pushing patients, standing for a long time, doing work in poor body posture, carrying and installing medical equipment, and so on. This could lead to complaints in several musculoskeletal areas among emergency room nurses due to the high level of physical activity, which increases lactic acid ( 26 ). Which is in line with our research results, where the majority of respondents have high activity. However, research conducted by Rahmadani et al. shows that most outpatient installation nurses have moderate activities ( 27 ). The task of the nurse on duty in the outpatient room is to help the doctor prepare equipment, weigh the patient, check the patient's blood pressure, and administer any necessary medication. They work on doctors's orders or instructions. From the previous discussion, it is known that there are significant physical activity differences and levels in different units. Therefore, this study's results show that the room unit is the dominant factor affecting nurses' physical activity level. The environmental noise within service areas was the main predictor of physical exertion. This potentially indicates congestion in these areas, contributing to perceptions of physical effort. Besides that, it is known that the physical workload is impacted by a more congested and noisier service area, as is the physical activity in the patient room ( 28 ). This is in line with the results of research by Philbrick et al. which states that the total weekly minutes of all physical activities were slightly higher in participants who worked in the community or other areas compared to the inpatient group (p = 0.057) ( 29 ). In this study, of the nurses who became respondents, it was found that most of them were 36–45 years old. Another factor that affects the nurse's physical activity level would be age. Age, in its literal definition according to the Cambridge Dictionary, is the number of years that an individual has lived. Research indicates that physical activity tends to decrease with age and to stay relatively stable in middle age, as aging results in the loss of muscle mass and strength ( 30 ). Research findings indicate that despite their ability to engage in leisure and recreational activities after retirement, older adults had a decline in moderate physical activity ( 31 , 32 ). Age-related changes have been linked to aspects of human life that are social, psychological, and biological. For example, chronic diseases, cognitive decline, poor social interaction, and obesity from insufficient physical activity are all inevitable for older people ( 30 ). In this study, it was found that there is a significant correlation between age characteristics and physical activity level. Chang & Cho concluded that there is a statistically significant association between younger age and a high number of steps during a shift (p < .001) ( 33 ). The results of the study by Philbrick et al. also showed that total weekly minutes of all physical activity showed a marginally significant difference for those aged 18–34 years compared to 35–54 years and a significant difference for those aged 18–34 years compared to over 55 years ( 29 ). In addition, the results of another study conducted by McCarthy et al. showed that older nurses with an age above 40 years old were significantly less likely to engage in the recommended levels of physical activity at work than younger nurses [OR 0.47, 95% CI (0.25–0.88), p = 0.02] ( 34 ). Furthermore, the period of work is known to have an influence on the level of work fatigue (burnout) and the level of physical activity. By definition, the work period or length of work is the time to carry out an activity, the length of time a person has worked in a place, or the time span that a nurse has taken in implementing ethical principles along with their duties and functions ( 35 ). Someone who has worked for a long time is usually accustomed to their work patterns and work experience, which will make them better adapted to their work ( 36 ). This is different from someone with a new work period who has to adapt to their job, and the lack of work experience they have will cause work fatigue, so they need guidance from a senior nurse or clinical supervisor to guide new nurses in carrying out the orientation period or adaptation period to their work. Based on research by Chang & Cho, nurses with a bachelor's or higher degree had a higher number of steps on all shifts, and this difference was significant for the night shift (p = .015) and all shifts (p = .049) ( 33 ). The shorter the unit experience was also significantly associated with a longer distance traveled on all three shifts (p < .001 for all). This concludes that the higher the degrees’s are and the longer the unit experiences, the higher the physical activity level. It is also known that nurses’ perception of support was impacted by the assessment and application of nurses' competencies in relation to their duty as nurses as well as their individual knowledge and experience ( 37 ). Health-care professionals not only acquire knowledge but also integrate it into their own experiences, skills, emotions, and attitudes. Moreover, PBS claims that knowledge is the situated result of work practices; therefore, the locus of individual understanding is more in situated practice than in the head. Knowledge is not just an object that individuals possess, but rather an activity situated in time and space, and taking place within work practices ( 38 ). Apart from that, based on the results of research conducted by Walukow et al. which also states that there is a relationship between the length of service and the performance of nurses in the inpatient room ( 39 ). The career level in this study is known to be dominant for nurses at the PK III career level. Nursing careers are structured to achieve excellence in nursing care and participation to achieve competency according to career level ( 40 ). A professional career path is a system for improving performance and professionalism, according to the field of work, through increasing competence. According to the regulation of the minister of health, the career levels and competencies of nurses in hospitals are described according to the level of the clinical nurse career ladder (PK I-PK V). The results of this study showed that of the 117 respondents, there was no significant relationship between career level characteristics and nurses' physical activity levels. Conclusion The present study concluded that the majority of nurses 77 (65.8%) have a high level of physical activity. Moreover, there was a relationship between demographic factors and physical activity levels among outpatient and emergency department nurses. There was a positive correlation between unit room, age, length of work and physical activity level. It is also known that unit room is the dominant factor affecting nurses’ physical activity level. However, it was found that career level is not related to physical activity level. This study implied that there is a significant correlation between demographic factors and physical activity level (MET) among nurses that work in the ICU or ER. This could be the start of another research project by another researcher who wants to explain how physical activity level could affect the health level of nurses or maybe other professions and which demographic factors affect them the most. This could also galvanize ideas for trials on the factors that could affect physical activity levels. Declarations Ethics approval and consent to participate The study protocol was approved by the Ethics Commission of Universitas Padjadjaran (No.32/UN6.KEP/EC/2023) after obtaining the required permit for the research. The participants provided written informed consent and were assured of confident. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee with the Helsinki declaration. Clinical trial number: not applicable. Consent for publication Not applicable Availability of data and materials The datasets used and analysed for the current study are available from the corresponding author (NF) upon reasonable request Acknowledgements We want to thank Universitas Padjadjaran for funding this research. Competing Interest The author(s) report no competing of interest in this work Funding This research and the APC were funded by Universitas Padjadjaran Authors’ contributions Conceptualization, N, F., P, K., G, H, M., S, D, Y., and M, G, A ,F.; Methodology, N, F., P, K., G, H, M., S, D, Y., and M, G, A ,F.; Software, A, F., N, R., D, P., and., G, H, M; Validation, N, F., P, K., and M, G, A, F.; Formal Analysis, P, K., G, H, M., S, D, Y., A, F.; Investigation, N, F., M, G, A, F., D, P.; Resources, N, F., P, K., and M, G, A, F.; Data Curation, G, H, M., M, G, A, F., S, D, Y., A, F., and, N, R.; Writing-Original Draft Preparation, P,K., G, H, M., S, D, Y., and A, F.; Writing-Review and Editing, N, F., N, R., D, P and, M, G, A, F.; Visualization, P, K., G, H, M, and M, G, A, F.; Supervision, NF. All authors have read and agreed to the published version of the manuscript References Organization WH. State of the world’s nursing report - 2020 [Internet]. 2020. 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Available from: file:///C:/Users/GERAL DINO/Downloads/56-Article Text-44-1-10-20220706.pdf Pujiarti P, Idealistiana L. PENGARUH LAMA KERJA DAN BEBAN KERJA PERAWAT TERHADAP BURNOUT: The Influence of Long Work and Nurse Workload on Burnout. J Ilm Keperawatan (Scientific J Nursing). 2023;9:354–60. Sciences H, Gadolin C, Nilsson MS, Marianne T. Preconditions for nurses ’ perceived organizational support in in healthcare healthcare : a qualitative explorative study. 2021;35(9):281–97. Available from: file:///C:/Users/GERAL DINO/Downloads/10-1108_JHOM-03-2020-0091.pdf Agrifoglio R, Briganti P, Varriale L, Metallo C, Ferrara M. Understanding knowledge sharing through the working practices. 2021;29(4):920–34. Available from: file:///C:/Users/GERAL DINO/Downloads/10-1108_IJOA-02-2020-2049.pdf Walukow PA, Mandagi CKF, Rumayar AA. HUBUNGAN MASA KERJA DAN KEPEMIMPINAN DENGAN KINERJA PERAWAT DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH (RSUD) MINAHASA SELATAN. In 2018. Available from: https://api.semanticscholar.org/CorpusID:150956582 Haryanto MS, Nurhidayah S. HUBUNGAN PELAKSANAAN JENJANG KARIR PERAWAT PELAKSANA DENGAN KEPUASAN KERJA DI RUMAH SAKIT UMUM DAERAH CIMAHI. J KEPERAWATAN [Internet]. 2023;11(2):187–95. Available from: https://ejournal.unsrat.ac.id/v3/index.php/jkp/article/view/50411 Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 02 Sep, 2025 Read the published version in BMC Nursing → Version 1 posted Editorial decision: Revision requested 30 Jan, 2025 Editor assigned by journal 29 Jan, 2025 Submission checks completed at journal 29 Jan, 2025 First submitted to journal 26 Jan, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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According to WHO data from 2020, Indonesia had 409,950 nursing personnel as of the previous year. This demonstrates the large number of nurses in Indonesia, and this shows that it is a high-demand and crucial profession for Indonesia\u0026rsquo;s health institutions, as indicated by the high projection for the enhancement of nursing personnel in 2030 (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e). In developed countries, nurses have a critical role in increasing health services (\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e). As the largest group in the healthcare system, nurses have a crucial role in primary and community healthcare, disease prevention, and health promotion (\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e). Nurses tend to experience physical and mental burdens (\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eNurses are well educated regarding the significance of health-promoting behaviors, including physical activity, sleep hygiene, eating a balanced diet, stress management, and maintaining positive interpersonal relationships (\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e). Nursing, a profession that is also known for its physical demands, often involves low-intensity physical activity in providing patient care with moderate intensity tasks (\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e). Nonetheless, nurses might not apply this knowledge to their own self-care; for instance, they may not follow the recommended guidelines for a healthy diet and physical activity (\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e). The nursing profession also has a lot of different health and work-related issues, such as burnout, obesity, sleep difficulties, and job dissatisfaction, which result from long work hours, work overload, and shift work.The World Health Organization (WHO) defines physical activity as any bodily movement produced by skeletal muscles that involves the expenditure of energy (\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e). Physical activity enhances overall health, cognitive function, and quality of life while reducing the risk of several chronic diseases, such as diabetes, osteoarthritis, and hypertension (\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThree types of physical activity are categorized as mild, moderate, and strenuous physical activity (\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e). Physical activity and nurses are inseparable because nurses have a great prevalence in standing, dynamic standing, sitting, lying, and walking, which are the significant factors that influence physical work behavior differences (\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e). Therefore, physical activity is one of the aspects that must be taken into account to maintain the health of the nurse. If nurses do not perform physical activity according to their ability to work, then not only will their health decline, but people's quality of life will also be affected (\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e). In a recent systematic search and literature review of six studies that measured and defined physical activity in nurses, it is known that four of them were found to have met the World Health Organization's recommendations for physical activity, which indicate 150\u0026ndash;300 minutes per week of moderate-intensity physical activity or 75\u0026ndash;150 minutes per week of vigorous-intensity physical activity (\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e, \u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThere are factors that might impact physical activity level, including biological factors, environmental factors, and physical factors (\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e). In the general population, some of the crucial factors that can affect exercise compliance are age and sex (\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e). It is known that PA (physical activity) involvement and achievement in both men and women are induced by gender roles and sexual stereotypes (\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e). Adult males were 45% more likely to be physically active compared to women (\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eWHO reports that in high-income countries, 26% of men and 35% of women did not engage in sufficient physical activity, whereas in low-income countries, the percentages were 12% of men and 24% of women (\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e). But there is evidence that indicates that during the past 15 years, the rate of insufficient physical activity has increased in low- and middle-income countries (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e). This could be due to income inequality, where it is estimated that it has a large effect (\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e). The income inequality problem that could differentiate low and high-income countries is their variations in the type of physical activity and whether it is voluntary or utilitarian in character (\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eWith the high variety of physical activities that nurses do, we are interested in delving into what factors influence this activity level. Additionally, a systematic review of physical activity among nurses pointed out the need for further research on the impact of demographic characteristics on physical activity. The purpose of this study was to examine the factors that affect nurses' levels of physical activity in Bandung, Indonesia.\u003c/p\u003e"},{"header":"Material and methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eStudy design\u003c/h2\u003e \u003cp\u003eA correlational quantitative study approach was conducted from July to August 2023.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eSample/Participants/Informant\u003c/h3\u003e\n\u003cp\u003eThe population in this study was 117 nurses at a hospital located in Bandung, Indonesia, which consisted of 57 emergency installation nurses and 60 outpatient installation nurses. The samples were taken using the total sampling method from both units after seeing the informed consent results. Consequently, the total sample size for this study amounted to 117 respondents.\u003c/p\u003e\n\u003ch3\u003eInstrument\u003c/h3\u003e\n\u003cp\u003eThe instruments used in this study were demographic data questionnaires consisting of name, age, length of work, career level, and unit room. To gauge the degree of physical activity among nurses, this study uses the Global Physical Activity Questionnaire (GPAQ) developed by the World Health Organization (WHO). The questionnaire consists of 16 questions and covers three domains, namely activities at work (6 items), traveling to and from a place (3 items), and leisure activities (7 items). The measurement of physical activity levels is based on the Global Physical Activity Questionnaire (GPAQ), which is based on the large Metabolic Equivalent (MET) to ascertain the level of physical activity in nurses. Bull, Maslin, and Amstrong's (2009) study states that the GPAQ instrument has a strong Kappa reliability value of 0.67 to 0.73. Meanwhile, according to the findings of the study conducted by Cleland et al. (2014), the physical activity values obtained using the GPAQ instrument demonstrated a moderate validity value, or a correlation of 0.48 with the data obtained using the accelerometer. Each question will be analyzed by dividing the three domains into six different \"sub-domains.\" There is vigorous work, moderate work, travel, vigorous recreation, moderate recreation, and sitting. Those questions contain how long the participants took for that specific activity (minutes per week). Then those minutes per week will be used in a specific formula, resulting in the total MET score.\u003c/p\u003e\n\u003ch3\u003eData collection\u003c/h3\u003e\n\u003cp\u003eThe collection of data for this study took place from July to August 2023 using an online questionnaire through Google Form, which contains two questionnaires, namely the first questionnaire for demographic data and the Global Physical Activity Questionnaire (GPAQ) to determine the level of physical activity. The respondent voluntarily participated in this study, and all of the information about this study was provided. After the respondent agreed to participate in the study and filled out an informed consent form, the respondent was asked to be willing to fill out a questionnaire and return it to the researcher. If the respondent does not agree to be involved in the research, the researcher respects the respondent's decision. Therefore, respondents who were not willing were not used as the research sample. Respondents are also allowed to withdraw from the study without facing any repercussions. Furthermore, the data is only accessible to researchers, and respondents' names are kept secret by being replaced with codes.\u003c/p\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eData analysis\u003c/h2\u003e \u003cp\u003eData analysis is presented in the form of frequency and percentage distribution tables. This study analyzed data using univariate, bivariate, and multivariate methods. Descriptive statistics using frequency distribution and percentages were used to summarize the characteristics of the respondents as a univariate analysis. Then, to examine the correlation between the MET score and the demographic data, a bivariate analysis was conducted using the Spearman Rank Test with a 95% significance level. These two results indicate that the analysis can be continued with multivariate analysis using multiple linear regression to test the relationship between variables to describe the dominant factors affecting physical activity.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eEthical consideration\u003c/h2\u003e \u003cp\u003e This study has passed the ethical testing of the health research ethics commission of Universitas Padjadjaran with letter number 32/UN6.KEP/EC/2023.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec10\"\u003e\n \u003ch2\u003eCharacteristics of Respondents\u003c/h2\u003e\n \u003cp\u003eThe characteristics of respondents in this study are presented in Table 1 (Table 1). Table 1 shows that it is known that out of 117 respondents, most were nurses from the outpatient room (51.3%). Almost half of the respondents were in the 36\u0026ndash;45 year age group (47%) and had work experience of \u0026ge;\u0026thinsp;22 years (38.5%). Most respondents were at PK III career level (57.3%).\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eTable 1. Respondent Characteristics According to the Demographic Data (n= 117)\u003c/strong\u003e\u003c/p\u003e\n \u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCharacteristics\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eFrequency (f)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePercentage (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eUnit Room\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003eEmergency room\u003c/p\u003e\n \u003cp\u003eOutpatient room\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e57\u003c/p\u003e\n \u003cp\u003e60\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e48.7%\u003c/p\u003e\n \u003cp\u003e51.3%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e26-35 years old\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e36-45 years old\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e46-55 years old\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e56-65 years old\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e22\u003c/p\u003e\n \u003cp\u003e55\u003c/p\u003e\n \u003cp\u003e28\u003c/p\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e18.8%\u003c/p\u003e\n \u003cp\u003e47%\u003c/p\u003e\n \u003cp\u003e23.9%\u003c/p\u003e\n \u003cp\u003e10.3%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eLengths of Works\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e1-3 years\u003c/p\u003e\n \u003cp\u003e4-9 years\u003c/p\u003e\n \u003cp\u003e10-18 years\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e18-21 years\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026ge;22 years\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003cp\u003e11\u003c/p\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003cp\u003e19\u003c/p\u003e\n \u003cp\u003e45\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e6.8%\u003c/p\u003e\n \u003cp\u003e9.4%\u003c/p\u003e\n \u003cp\u003e29.1%\u003c/p\u003e\n \u003cp\u003e16.2%\u003c/p\u003e\n \u003cp\u003e38.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCareer Level\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003ePK I\u003c/p\u003e\n \u003cp\u003ePK II\u003c/p\u003e\n \u003cp\u003ePK III\u003c/p\u003e\n \u003cp\u003ePK IV\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003cp\u003e33\u003c/p\u003e\n \u003cp\u003e67\u003c/p\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 33.3333%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e13.7%\u003c/p\u003e\n \u003cp\u003e28.2%\u003c/p\u003e\n \u003cp\u003e57.3%\u003c/p\u003e\n \u003cp\u003e0.9%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec11\"\u003e\n \u003ch2\u003ePhysical Activity Level\u003c/h2\u003e\n \u003cp\u003eDuring the study, nurses were assessed for their physical activity level, and 77 (65.8%) participants reported that their physical activity level was classified as high, while the remaining 16 (13.7%) were classified as moderate and 24 (20.5%) as low (Table 2). In the correlational analysis, we assessed the relationship between physical activity level and respondents\u0026apos; characteristics including room, age, length of service, and career level. It was found that nurses\u0026apos; physical activity level had a statistically significant relationship with unit room (p\u0026thinsp;=\u0026thinsp;0.025), age (p\u0026thinsp;=\u0026thinsp;0.022), and lengths of work (p\u0026thinsp;=\u0026thinsp;0.046) (Table 3). On multivariate analysis, it showed that the unit room is the dominant factor affecting nurses\u0026apos; physical activity level (Stand. Estimate\u0026thinsp;=\u0026thinsp;0.177; 95% CI = -0.046\u0026ndash;0.621; p\u0026thinsp;=\u0026thinsp;0.91) (Table 4).\u0026nbsp;\u003c/p\u003e\n \u003ctable id=\"Tab2\" border=\"1\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv\u003eTable 2\u003c/div\u003e\n \u003cdiv\u003e\n \u003cp\u003eDistribution of Respondents Based on Physical Activity Level (MET)\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ePhysical Activity Level\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eFrequency (f)\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ePercentage (%)\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eLow\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e20.5%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eModerate\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e13.7%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eHigh\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e77\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e65.8%\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\u0026nbsp;\u003ctable id=\"Tab3\" border=\"1\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv\u003eTable 3\u003c/div\u003e\n \u003cdiv\u003e\n \u003cp\u003eCorrelation Between Characteristic of Respondents and Physical Activity Level (MET)\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003eVariable\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\" colspan=\"2\"\u003e\n \u003cp\u003ePhysical Activity\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003ep-value\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003er\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eUnit room\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,025\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,207\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,022\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,211\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eLengths of works\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,046\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,185\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eCareer level\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,131\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,141\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n \u003ctable id=\"Tab4\" border=\"1\"\u003e\n \u003ccaption language=\"En\"\u003e\n \u003cdiv\u003eTable 4\u003c/div\u003e\n \u003cdiv\u003e\n \u003cp\u003eFactor Affecting Nurses Physical Activity\u003c/p\u003e\n \u003c/div\u003e\n \u003c/caption\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n \u003cth align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003ePredictor\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003eEstimate\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003eSE\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\" colspan=\"2\"\u003e\n \u003cp\u003e95% confidence interval\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003et\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003ep- value\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\" rowspan=\"2\"\u003e\n \u003cp\u003eStand. estimate\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eLower\u003c/p\u003e\n \u003c/th\u003e\n \u003cth align=\"left\"\u003e\n \u003cp\u003eUpper\u003c/p\u003e\n \u003c/th\u003e\n \u003c/tr\u003e\n \u003c/thead\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eUnit room\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,287\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,169\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-0,046\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,621\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e1,706\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,91\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,177\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,005\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,027\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-0,048\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,059\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,193\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,848\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,055\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eLengths of works\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,009\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,027\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-0,045\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,062\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,324\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,746\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,099\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003eCareer level\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,022\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,206\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"left\"\u003e\n \u003cp\u003e-0,387\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,431\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,106\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,916\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd align=\"char\"\u003e\n \u003cp\u003e0,020\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\n\u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eNurses are healthcare professionals who play a crucial role in providing direct patient care aimed at enhancing the quality of life for both patients and their families, while still respecting the patient's culture and beliefs (\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e). Furthermore, the public also has the view that nurses are someone who deserves to be a role model in health, especially regarding daily health behaviors such as a healthy diet and physical activity (\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e). The work environment for nurses is extremely complicated and involves a wide range of demands on a social, psychological, mental, and physical level (\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e). However, several studies have indicated that nurses have poor health habits, including insufficient physical activity, a poor diet, and smoking (\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e). Nurses have a workload that often involves physical activity such as walking, standing for a long period of time, moving, heavy lifting, and unfavorable posture for a long period of time, which could cause physical health problems (\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e, \u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e, \u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e). Therefore, physical activity is an important thing that nurses need to do to uphold their health and optimize their capacity to deliver exemplary patient care.\u003c/p\u003e \u003cp\u003eAccording to Supardi \u003cem\u003eet al.\u003c/em\u003e the work of nurses in the emergency room requires experts who have high performance (\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e). This is because the ER functions to provide health services for emergency conditions and requires fast and precise treatment, such as in surgical cases (traumatology and related to internal body organs) and non-surgical cases (internal, pediatric, and neurological diseases), so it requires maximum work. Nurses in the emergency room carry out various tasks, such as lifting and pushing patients, standing for a long time, doing work in poor body posture, carrying and installing medical equipment, and so on. This could lead to complaints in several musculoskeletal areas among emergency room nurses due to the high level of physical activity, which increases lactic acid (\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e). Which is in line with our research results, where the majority of respondents have high activity. However, research conducted by Rahmadani \u003cem\u003eet al.\u003c/em\u003e shows that most outpatient installation nurses have moderate activities (\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e). The task of the nurse on duty in the outpatient room is to help the doctor prepare equipment, weigh the patient, check the patient's blood pressure, and administer any necessary medication. They work on doctors's orders or instructions.\u003c/p\u003e \u003cp\u003eFrom the previous discussion, it is known that there are significant physical activity differences and levels in different units. Therefore, this study's results show that the room unit is the dominant factor affecting nurses' physical activity level. The environmental noise within service areas was the main predictor of physical exertion. This potentially indicates congestion in these areas, contributing to perceptions of physical effort. Besides that, it is known that the physical workload is impacted by a more congested and noisier service area, as is the physical activity in the patient room (\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e). This is in line with the results of research by Philbrick \u003cem\u003eet al.\u003c/em\u003e which states that the total weekly minutes of all physical activities were slightly higher in participants who worked in the community or other areas compared to the inpatient group (p\u0026thinsp;=\u0026thinsp;0.057) (\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eIn this study, of the nurses who became respondents, it was found that most of them were 36\u0026ndash;45 years old. Another factor that affects the nurse's physical activity level would be age. Age, in its literal definition according to the Cambridge Dictionary, is the number of years that an individual has lived. Research indicates that physical activity tends to decrease with age and to stay relatively stable in middle age, as aging results in the loss of muscle mass and strength (\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e). Research findings indicate that despite their ability to engage in leisure and recreational activities after retirement, older adults had a decline in moderate physical activity (\u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e, \u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e). Age-related changes have been linked to aspects of human life that are social, psychological, and biological. For example, chronic diseases, cognitive decline, poor social interaction, and obesity from insufficient physical activity are all inevitable for older people (\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e). In this study, it was found that there is a significant correlation between age characteristics and physical activity level. Chang \u0026amp; Cho concluded that there is a statistically significant association between younger age and a high number of steps during a shift (p\u0026thinsp;\u0026lt;\u0026thinsp;.001) (\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e). The results of the study by Philbrick \u003cem\u003eet al.\u003c/em\u003e also showed that total weekly minutes of all physical activity showed a marginally significant difference for those aged 18\u0026ndash;34 years compared to 35\u0026ndash;54 years and a significant difference for those aged 18\u0026ndash;34 years compared to over 55 years (\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e). In addition, the results of another study conducted by McCarthy \u003cem\u003eet al.\u003c/em\u003e showed that older nurses with an age above 40 years old were significantly less likely to engage in the recommended levels of physical activity at work than younger nurses [OR 0.47, 95% CI (0.25\u0026ndash;0.88), p\u0026thinsp;=\u0026thinsp;0.02] (\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eFurthermore, the period of work is known to have an influence on the level of work fatigue (burnout) and the level of physical activity. By definition, the work period or length of work is the time to carry out an activity, the length of time a person has worked in a place, or the time span that a nurse has taken in implementing ethical principles along with their duties and functions (\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e). Someone who has worked for a long time is usually accustomed to their work patterns and work experience, which will make them better adapted to their work (\u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e). This is different from someone with a new work period who has to adapt to their job, and the lack of work experience they have will cause work fatigue, so they need guidance from a senior nurse or clinical supervisor to guide new nurses in carrying out the orientation period or adaptation period to their work. Based on research by Chang \u0026amp; Cho, nurses with a bachelor's or higher degree had a higher number of steps on all shifts, and this difference was significant for the night shift (p\u0026thinsp;=\u0026thinsp;.015) and all shifts (p\u0026thinsp;=\u0026thinsp;.049) (\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e). The shorter the unit experience was also significantly associated with a longer distance traveled on all three shifts (p\u0026thinsp;\u0026lt;\u0026thinsp;.001 for all). This concludes that the higher the degrees\u0026rsquo;s are and the longer the unit experiences, the higher the physical activity level. It is also known that nurses\u0026rsquo; perception of support was impacted by the assessment and application of nurses' competencies in relation to their duty as nurses as well as their individual knowledge and experience (\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eHealth-care professionals not only acquire knowledge but also integrate it into their own experiences, skills, emotions, and attitudes. Moreover, PBS claims that knowledge is the situated result of work practices; therefore, the locus of individual understanding is more in situated practice than in the head. Knowledge is not just an object that individuals possess, but rather an activity situated in time and space, and taking place within work practices (\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e). Apart from that, based on the results of research conducted by Walukow et al. which also states that there is a relationship between the length of service and the performance of nurses in the inpatient room (\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe career level in this study is known to be dominant for nurses at the PK III career level. Nursing careers are structured to achieve excellence in nursing care and participation to achieve competency according to career level (\u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e). A professional career path is a system for improving performance and professionalism, according to the field of work, through increasing competence. According to the regulation of the minister of health, the career levels and competencies of nurses in hospitals are described according to the level of the clinical nurse career ladder (PK I-PK V). The results of this study showed that of the 117 respondents, there was no significant relationship between career level characteristics and nurses' physical activity levels.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThe present study concluded that the majority of nurses 77 (65.8%) have a high level of physical activity. Moreover, there was a relationship between demographic factors and physical activity levels among outpatient and emergency department nurses. There was a positive correlation between unit room, age, length of work and physical activity level. It is also known that unit room is the dominant factor affecting nurses\u0026rsquo; physical activity level. However, it was found that career level is not related to physical activity level.\u003c/p\u003e \u003cp\u003eThis study implied that there is a significant correlation between demographic factors and physical activity level (MET) among nurses that work in the ICU or ER. This could be the start of another research project by another researcher who wants to explain how physical activity level could affect the health level of nurses or maybe other professions and which demographic factors affect them the most. This could also galvanize ideas for trials on the factors that could affect physical activity levels.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003eEthics approval and consent to participate\u003c/p\u003e\n\u003cp\u003eThe study protocol was approved by the Ethics Commission of Universitas Padjadjaran (No.32/UN6.KEP/EC/2023) after obtaining the required permit for the research. The participants provided written informed consent and were assured of confident. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee with the Helsinki declaration. Clinical trial number: not applicable.\u003c/p\u003e\n\u003cp\u003eConsent for publication\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp\u003eAvailability of data and materials\u003c/p\u003e\n\u003cp\u003eThe datasets used and analysed for the current study are available from the corresponding author (NF) upon reasonable request\u003c/p\u003e\n\u003cp\u003eAcknowledgements \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eWe want to thank Universitas Padjadjaran for funding this research.\u003c/p\u003e\n\u003cp\u003eCompeting Interest\u003c/p\u003e\n\u003cp\u003eThe author(s) report no competing of interest in this work\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis research and the APC were funded by Universitas Padjadjaran\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026rsquo; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eConceptualization, N, F., P, K., G, H, M., S, D, Y., and M, G, A ,F.; Methodology, N, F., P, K., G, H, M., S, D, Y., and M, G, A ,F.; Software, A, F., N, R., D, P., and., G, H, M; Validation, N, F., P, K., and M, G, A, F.; Formal Analysis, P, K., G, H, M., S, D, Y., A, F.; Investigation, N, F., M, G, A, F., D, P.; Resources, N, F., P, K., and M, G, A, F.; Data Curation, G, H, M., M, G, A, F., S, D, Y., A, F., and, N, R.; Writing-Original Draft Preparation, P,K., G, H, M., S, D, Y., and A, F.; Writing-Review and Editing, N, F., N, R., D, P and, M, G, A, F.; Visualization, P, K., G, H, M, and M, G, A, F.; Supervision, NF. 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Nurses, age, job demands and physical activity at work and at leisure: A cross-sectional study. Appl Nurs Res. 2018 Apr;40:116\u0026ndash;21. \u003c/li\u003e\n\u003cli\u003eBannepadang C, Palamba A, Aris L. Hubungan masa kerja perawat dengan penerapan etika keperawatan kepada pasien di rs elim rantepao. 2021;2021. Available from: file:///C:/Users/GERAL DINO/Downloads/56-Article Text-44-1-10-20220706.pdf\u003c/li\u003e\n\u003cli\u003ePujiarti P, Idealistiana L. PENGARUH LAMA KERJA DAN BEBAN KERJA PERAWAT TERHADAP BURNOUT: The Influence of Long Work and Nurse Workload on Burnout. J Ilm Keperawatan (Scientific J Nursing). 2023;9:354\u0026ndash;60. \u003c/li\u003e\n\u003cli\u003eSciences H, Gadolin C, Nilsson MS, Marianne T. Preconditions for nurses \u0026rsquo; perceived organizational support in in healthcare healthcare : a qualitative explorative study. 2021;35(9):281\u0026ndash;97. Available from: file:///C:/Users/GERAL DINO/Downloads/10-1108_JHOM-03-2020-0091.pdf\u003c/li\u003e\n\u003cli\u003eAgrifoglio R, Briganti P, Varriale L, Metallo C, Ferrara M. Understanding knowledge sharing through the working practices. 2021;29(4):920\u0026ndash;34. Available from: file:///C:/Users/GERAL DINO/Downloads/10-1108_IJOA-02-2020-2049.pdf\u003c/li\u003e\n\u003cli\u003eWalukow PA, Mandagi CKF, Rumayar AA. HUBUNGAN MASA KERJA DAN KEPEMIMPINAN DENGAN KINERJA PERAWAT DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH (RSUD) MINAHASA SELATAN. In 2018. Available from: https://api.semanticscholar.org/CorpusID:150956582\u003c/li\u003e\n\u003cli\u003eHaryanto MS, Nurhidayah S. HUBUNGAN PELAKSANAAN JENJANG KARIR PERAWAT PELAKSANA DENGAN KEPUASAN KERJA DI RUMAH SAKIT UMUM DAERAH CIMAHI. J KEPERAWATAN [Internet]. 2023;11(2):187\u0026ndash;95. Available from: https://ejournal.unsrat.ac.id/v3/index.php/jkp/article/view/50411\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-nursing","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"nurs","sideBox":"Learn more about [BMC Nursing](http://bmcnurs.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/nurs/default.aspx","title":"BMC Nursing","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"cross-sectional study, emergency nurses, occupational health, outpatient nurses, physical activity","lastPublishedDoi":"10.21203/rs.3.rs-5906867/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-5906867/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003ePhysical activity and nurses are inseparable because nurses have a great prevalence of standing, dynamic standing, sitting, lying, and walking, which are the significant factors that influence physical work behavior differences\u003c/p\u003e\u003ch2\u003ePurpose\u003c/h2\u003e \u003cp\u003eThis study aimed to determine the demographic factors that correlate with the physical activity level of nurses\u003c/p\u003e\u003ch2\u003ePatients and methods:\u003c/h2\u003e \u003cp\u003eOur study used a correlational design with 117 nurses including 57 emergency nurses and 60 outpatient nurses. This study used the Global Physical Activity Questionnaire (GPAQ) as the instrument. Research analysis with the Spearman test.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThere is a relationship between room unit (p\u0026thinsp;=\u0026thinsp;0.025), age (p\u0026thinsp;=\u0026thinsp;0.022), and length of work (p\u0026thinsp;=\u0026thinsp;0.046) and the level of physical activity of nurses. The room unit is the dominant factor affecting nurses' physical activity level (Stand. Estimate\u0026thinsp;=\u0026thinsp;0.177; 95% CI = -0.046\u0026ndash;0.621; p\u0026thinsp;=\u0026thinsp;0.91). There is a significant relationship between room unit, age, and length of service compared with the nurses' activity level. Meanwhile, career level was not associated with nurses' activity level.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003ePhysical activity levels among outpatient and emergency nurses in Indonesia vary significantly, with occupational factors such as shift patterns and workload playing a critical role. Tailored interventions aimed at promoting physical activity within these healthcare settings are necessary to enhance the health and performance of nurses.\u003c/p\u003e","manuscriptTitle":"Physical Activity Levels And Influencing Factors Related To Work Among Outpatient And Emergency Nurses: A Cross Sectional","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-02-05 05:29:09","doi":"10.21203/rs.3.rs-5906867/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-01-30T12:09:51+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-01-29T12:15:38+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-01-29T12:15:16+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Nursing","date":"2025-01-26T14:13:42+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-nursing","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"nurs","sideBox":"Learn more about [BMC Nursing](http://bmcnurs.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/nurs/default.aspx","title":"BMC Nursing","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"146dd0a1-a2df-4b15-b0fc-d2e29b41342a","owner":[],"postedDate":"February 5th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2025-09-08T16:00:04+00:00","versionOfRecord":{"articleIdentity":"rs-5906867","link":"https://doi.org/10.1186/s12912-025-03792-5","journal":{"identity":"bmc-nursing","isVorOnly":false,"title":"BMC Nursing"},"publishedOn":"2025-09-02 15:57:25","publishedOnDateReadable":"September 2nd, 2025"},"versionCreatedAt":"2025-02-05 05:29:09","video":"","vorDoi":"10.1186/s12912-025-03792-5","vorDoiUrl":"https://doi.org/10.1186/s12912-025-03792-5","workflowStages":[]},"version":"v1","identity":"rs-5906867","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-5906867","identity":"rs-5906867","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}