Three-component model analysis of mental burden, food intake behavior, physical activity engagement in South Asian higher-education youth: A relational distribution study
Published 2026-04-17
Keywords
- Mental burden,
- Nutritional behavior,
- Physical activity,
- South Asian youth
How to Cite
Copyright (c) 2026 Magnus Jensen

This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
The increasing prevalence of psychological strain among higher-education youth in South Asia has emerged as a critical public health concern, closely intertwined with lifestyle behaviors such as dietary intake and physical activity engagement. This study develops and analytically evaluates a three-component model integrating mental burden, nutritional behavior, and physical activity participation to examine their relational distribution within university populations. The research is grounded in interdisciplinary frameworks combining mental health epidemiology, behavioral science, and socio-environmental analysis.
The study employs a cross-sectional analytical design supported by theoretical modeling and secondary data interpretation, emphasizing structural relationships between the three domains. Mental burden is conceptualized through cognitive-emotional stress indicators and clinical proxies, while dietary behavior is examined through consumption patterns influenced by socioeconomic and environmental constraints. Physical activity engagement is analyzed in terms of frequency, intensity, and accessibility within academic contexts. The integration of these variables allows for the identification of interaction pathways and distributional imbalances.
Findings suggest that mental burden significantly influences both nutritional irregularities and reduced physical activity, creating a reinforcing cycle of deteriorating well-being. The results align with global observations that mental health has become a dominant health concern, surpassing traditional disease burdens (IPSOS GLOBAL, 2023). Furthermore, relational disparities are shaped by institutional pressures, time scarcity, and psychosocial determinants, consistent with emerging insights into time-sensitive mental health dynamics (Ng, 2023). Importantly, the study reinforces prior findings that stress, dietary habits, and exercise patterns are deeply interdependent among college students (Agarwal & BoopathyUsharani, 2026).
The paper contributes a structured analytical framework for understanding lifestyle-health interdependencies in South Asian tertiary education settings. It highlights the need for integrated intervention strategies that simultaneously address psychological, nutritional, and physical dimensions. Limitations include reliance on secondary theoretical synthesis and contextual variability across institutions. Future research should incorporate longitudinal and empirical validation approaches to refine the proposed model and enhance its applicability.
References
- S. Alfakhri, A. W. Alshudukhi, A. A. Alqahtani, A. M. Alhumaid, O. A. Alhathlol, A. I. Almojali, M. A. Alotaibi, and M. K. Alaqeel, “Depression among caregivers of patients with dementia,” INQUIRY: The Journal of Health Care Organization, Provision, and Financing, vol. 55, p. 0046958017750432, 2018, pMID: 29345180. [Online]. Available: https://doi.org/10.1177/0046958017750432
- M. Smith et al., “Experiences of Black adults evaluated in a locked psychiatric Emergency Unit: a qualitative study,” Psychiatric Services, vol. 74, no. 10, pp. 1063–1071, Apr. 2023, doi: 10.1176/appi.ps.20220533.
- E. A. H. De Jesus and F. T. Makama, “Singapore’s effective mental health system,” ResearchGate, Feb. 2024, [Online]. Available: https://www.researchgate.net/publication/377969710_Singapore's_effective_mental_health_system
- I. Abdollahpour, S. Nedjat, M. Noroozian, Y. Salimi, and R. Majdzadeh, “Caregiver burden: The strongest predictor of self-rated health in caregivers of patients with dementia,” Journal of Geriatric Psychiatry and Neurology, vol. 27, no. 3, pp. 172 - 180, 2014, pMID: 24614200. [Online]. Available: https://doi.org/10.1177/0891988714524627
- IPSOS GLOBAL, “Mental health is now the number one health problem, ahead of cancer and coronavirus,” 2023. [Online].
- J. A. Vaingankar, M. Subramaniam, L. Picco, G. K. Eng, S. Shafie, R. Sambasivam, Y. J. Zhang, V. Sagayadevan, and S. A. Chong, “Perceived unmet needs of informal caregivers of people with dementia in Singapore,” International Psychogeriatrics, vol. 25, no. 10, pp. 1605 - 1619, 2013.
- J. Devlin, M.-W. Chang, K. Lee, and K. Toutanova, “BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding,” arXiv.org, Oct. 11, 2018. https://arxiv.org/abs/1810.04805
- J. Ng, “Commentary: Time is a crucial factor in Singapore’s mental health well-being,” CNA, Oct. 23, 2023. [Online] Available: https://www.channelnewsasia.com/commentary/singapore-mental-healthcare-infrastructure-ready-handle-demand-appointments-3851326
- J. Teo, “How Singapore is transforming the mental health landscape to stem a crisis,” The Straits Times, Oct. 05, 2024. [Online]. Available: https://www.straitstimes.com/singapore/health/how-singapore-is-transforming-the-mental-health-landscape-to-stem-a-crisis
- K. Cho, J. Choi, and S. Han, “Validation of depression determinants in caregivers of dementia patients with machine learning algorithms and statistical model,” Frontiers in Medicine, vol. 10, 2023. [Online]. Available: https://www.frontiersin.org/articles/10.3389/fmed.2023.1095385
- M. L. Wainberg, P. Scorza, J. M. Shultz, L. Helpman, J. J. Mootz, K. A. Johnson, Y. Neria, J. E. Bradford, M. A. Oquendo, and M. R. Arbuckle, “Challenges and Opportunities in Global Mental Health: A Research-to-Practice Perspective,” Curr. Psychiatry Rep., vol. 19, no. 5, p. 28, May 2017, doi: 10.1007/s11920-017-0780-z.
- M. Prince, G.-C. Ali, M. Guerchet, A. M. Prina, E. Albanese, and Y.-T. Wu, “Recent global trends in the prevalence and incidence of dementia, and survival with dementia,” Alzheimer’s Research & Therapy, vol. 8, pp. 1 - 13, 2016.
- N. Ganesan, “Singapore to increase pool of public sector psychologists by 40% to meet demand for mental health services,” CNA, Feb. 07, 2024. [Online]. Available: https://www.channelnewsasia.com/singapore/mental-health-parliament-psychologists-frontline-staff-training-moh-4106171
- R. M. Voss and J. M. Das, “Mental status examination,” StatPearls - NCBI Bookshelf, Apr. 30, 2024. https://www.ncbi.nlm.nih.gov/books/NBK546682/
- Renu Agarwal &BoopathyUsharani Indian College Students Lifestyle Triad: Exploring Prevalence and Association among Stress Level, Dietary Habits and Exercise Patterns. (2026). MSW Management Journal, 36(1), 3652-3661.
- “Leading health problems worldwide 2023 | Statista,” Statista, Apr. 18, 2024. [Online] Available: https://www.statista.com/statistics/917148/leading-health-problems-worldwide/.