Public Health · Vol. 11, No. 1 · 2026 · pp. 245–253 · e-ISSN 2472-3878

Prevalence of Nutritional and Lifestyle-Related Risk Factors Among Young Adults: A Health Screening Study

Gopal Krishna Purohit, Swadhin Palo

DOI: https://doi.org/10.17140/phoj.11.01.245 · Published 2026-03-29 · Licence: https://creativecommons.org/licenses/by/4.0 · © 2026 The Author(s)

Abstract

Early assessment of health modes is crucial in young adults (ages 18–25 years), who experience a critical period of health changes and risk exposure. Screening programs in institutions allow preventive health interventions in this population. Health status, lifestyle patterns, and risk indicators of college students in a screening program at Healthcare Private Limited, Bhubaneswar. A cross-sectional health screening was performed among students aged 18–25 years using a structured nine-section Healthcare & Wellness Assessment Format that included demographics, medical history, sleep patterns, physical activity, nutrition, mental health, lifestyle risks, awareness of preventive care, and clinical parameters. The health measurements assessed were blood pressure, pulse rate, body temperature, oxygen saturation (SpO₂), height, weight, and body mass index (BMI), blood glucose test, respiratory rate measurement, hemoglobin level in the blood sample analysis, urine test, and vision tests. Measurements were obtained using standardized instruments. Screening detected differences in nutritional status, lifestyle habits, and clinical parameters. Underweight and overweight BMI categories were also detected. Mild anemia and borderline high blood pressure were observed among the students. Lifestyle factors involved poor sleep, consistently lower physical activity levels, irregular diet, and screen time. The knowledge of preventive healthcare approaches was moderate. The results emphasize the value of health screening programs in the early detection of modifiable risk factors. Instead, institutional wellness assessments may be modelled on preventive healthcare strategies to convey health optimization and early intervention

Keywords: Health screening; screening, Preventive healthcare; Lifestyle assessment; Body mass index (BMI); Anaemia screening; Wellness evaluation; Healthscreening,Preventivehealthcare,Lifestyleassessment,Bodymassindex(BMI); Anaemia screening,Wellnessevaluation

Introduction

Theperiodofyoungadulthood,spanningages18–25, ismarkedbysignificantphysical,mental,andsocial transformations. During this stage, individuals encounter academic pressure, undergo lifestyle shifts, andmakenumeroushealth-relatedchoices[1][2].As reported by the WHO in 2022, many illnesses begin tomanifestduringtheseyears.Earlyidentificationof issuessuchashighbloodpressure, unusualweight, andimpairedsugarmetabolismcanhelpavertlongterm health complications. College students often eat poorly, are inactive, lack sleep, and experience stress,whichdisruptstheirmetabolism[3][4].Ensuringpropernutritioniscrucialduringyoungadulthood, asbothinsufficientandexcessiveeatingcanpresent majorissues.Thosewhoareunderweightmaylackvitalnutrientssuchasiron,whichcannegativelyimpact cognitiveabilitiesandweakentheimmunesystem,ultimatelyinfluencingtheirperformanceineducational andprofessionalsettings[5][6].Overweightindividualsareatriskofinsulinissues,highbloodpressure,and heartdiseases[7]. IncountriessuchasIndia,healthcaresystemsfacethechallengesofundernutritionand obesity[8][9].Anaemiaiswidespreadandparticularly affects young women and children globally. A 2017 WHOreportstatesthat29%ofmarriedwomenin29 citiesmightbeaffected.Inadults,anaemiacausedby insufficientironcausesfatigue,decreasedproductivity,andincreasedinfectionrisk.Earlydietaryguidance andsupplementationmaybebeneficial[10]. Young adultsareatanincreasedriskofcardiovasculardisease,withstudentsoftenexperiencingelevatedblood pressureduetostress,highsodiumintake,obesity,and inactivity[11][12].Evenslightlyelevatedbloodpressurecancontributetoheartdisease,andvariationsin bloodpressure,heartrate,breathingrate,andoxygen levelsofferimportanthealthinformation.Thelifestyle choicesmadeduringcollegesignificantlyaffectlongtermhealth.Studentsoftenparticipateinlessphysical activity,spendextendedhoursoncomputers,andface sleepdisruptions[13].Inadequatesleepimpairscognitivefunctionandcontributestomentalhealthproblems.Stressandemotionalchallengesexacerbateanxietyanddepressionamongyoungindividuals.Asyoung individualstransitiontoadulthood,theyfaceacademic stress,jobsearch,andsocialuncertainties.Inquiring aboutstressandriskybehavioursidentifiesthoseneedingcounselling[14]. Manystudentslackknowledge topreventhealthissuesortrackvaccinations,complicatinghealthcareineducation.HealthCareusesdata onage,gender,culture,lifestyle,nutrition,andexams topreventhealthproblems,aligningwithWHO’sstrategyforearlydetectionandlifestylechanges[15][16]. HerrickHealthcareinBhubaneswarstartedawellness projectforstudentsaged18-25.Theprogramassesses personaldetails,medicalhistory,sleep,exercise,diet, fitness,mentalhealth,lifestylerisk,anddiseaseprevention. Tests included the N-SPICES model, blood pressure,height,weight,BMI,bloodsugar,breathing rate,urinetests,andcolorvision. Youngadultshave changeableriskfactors,whichthisprogramhelpsidentify. Healthcheck-upsraiseawareness,encouraging habitchangesandreducingmedicaltreatments.With lifestyle diseases rising among youth, schools must teach prevention. This study examined the Herrick Healthcareprogramtoidentifyearlyhealthrisksand preventionstrategiesforyoungadults.

MaterialsandMethods

StudyDesign

Thiscross-sectionalobservationalhealthscreeninginvolvedcollegestudentsaged18-25toevaluatehealth status, habits, and risk signals. Screening was conducted under the Healthcare & Wellness program atHerrickHealthcarePrivateLimited,Bhubaneswar, Odisha,apreventiveandmoleculardiagnosticfacilitywithstandardclinicalequipmentandtrainedpersonnel.Physicalexaminationswereperformedatthe healthcenterorthroughcampsorganizedbycolleges withparticipatingschools.

StudyPopulation

Thiscross-sectionalhealthscreeninginvolvedcollege studentsaged18-25toevaluatehealthstatus,habits, andrisksignals. ConductedundertheHealthcare& WellnessprogramatHerrickHealthcarePrivateLimited,Bhubaneswar,Odisha,adiagnosticfacilitywith standard clinical equipment and trained personnel, physical examinations were at the health center or throughcollege-organizedcamps.

InclusionCriteria

Individualsaged18–25yearswhoshowedinterestwere invitedtoparticipateinthestudy.Uponinitialparticipation, all participants were briefed on the study’s objectives,methods,andbenefits.Theythensigned an "informed consent form." Only students in good health who completed the entire screening process wereselected.Thisapproachensuredthatdatawere collectedfromagenuinecaseofapatient’ssullenconditionratherthanfromsymptomsspecifictocertain diseases.

ExclusionCriteria

Participantswereeliminatedtomaintainreliablesurveyresultsandtoprotecthumansubjects. Individualswithacuteorseverediseasesrequiringimmediate treatment were excluded, as their conditions might affecttheresults.Individualsunwillingtoprovideinformedconsentorunaccustomedtoscreeningwere also excluded to respect ethical considerations and ensureparticipantautonomy.

SampleSize

Thestudyonlyusedpeoplewhoprovidedwrittenconsentandmetgeneralstandards,includingallofthem duringthetestingperiod,guaranteeingaconvenient andrepresentativesample.Collegestudentswhoprovidedwrittenconsentwereincludedinthestudy.All participantswhoprovidedwrittenconsentwereenrolledinthestudy.

DataCollectionTool

Astandardized,slickHealthCare&WellnessPhysical ExaminationBookwascompiledandintroducedduring the study. It included nine major sections designedforathoroughexaminationdescribingvarious detailsaboutdemography,clinicaltreatmentbehavior, lifestylemedicalcare,infectiousdiseasepractice,and otheraspects,suchasprogressongenitalcounselling.

Healthcare&WellnessScreeningAssessment

Thisisthefirstexperimentalstudyaimedatassessing the overall health status, lifestyle patterns, and risk factorsofparticipantsthroughstructuredsession-wise healthcareandwellnessscreening.Theevaluationwas dividedintosectionstocomprehensivelycaptureall thedataandconsistentlyinterpretclinicalandbehavioralparameters.

Session1(DemographicAssessment) recordedbaselineinformation,includingage,sex,institution,year of study, and optional contact details. Blood group information,whenpresent,wasalsorecorded. This exerciseassistedinsegmentingparticipantdataand providesinsightofpopulationdistributionforfurther studies.

Session2(MedicalHistoryEvaluation) focusedon identifyingpre-existinghealthconditionsandriskfactors.Participantswerequeriedaboutmedicalconditions,includingchronicdiseases,diabetes,hypertension,asthma,andthyroiddisorders,aswellasfamily historyofchronicconditions,currentmedicationuse, previoushospitalizationsduringtheirlifespan,allergies,andmenstrualhistoryinthecaseoffemales.This sessionprovidedkeyunderstandingintounderlying healthvulnerabilities.

Insession3(sleepbehaviourassessment), theyre-

portedtheiraveragesleeptime,presenceofsleepdisturbances,daytimefatigue,mobilephoneusagebeforesleepandperceivedqualityofsleep. Thisaided the process of evaluating sleep-related behavioural patterns,whicharefactorsthatimpactbothphysical andmentalhealthoutcomes.

Session4(PhysicalActivityAssessment) assessed

theparticipantsengagementinphysicalactivity. Exercisedatawerecollectedforfrequency,typeofexercise(walking/gym/sports/yoga),numberofhoursper session,andhistoryofsedentaryworkforhoursper day.Participantswereclassifiedasphysicallyactiveor sedentarybasedontheirresponses.

DuringSession5(NutritionandHydrationScreen-

ing), dietaryhabitswereevaluated,includingthefrequencyofeatingmeals,consumptionofbreakfast,fast foodintake,fruit,vegetable,andiron-richfoodintakes, anddailywaterconsumption.Thepurposeofthissessionwastoassesstheadequacyofnutritionandhydrationoftheparticipants.

Session6(MentalHealthandEmotionalWellbeing)

was distributed with psychological frameworks, aspectsofacademicstress,anxiety,mooddisturbance, andconcentrationissues,aswellastheavailabilityof emotionalsupportsystems. Simpleyes/noorLikertscaleformatswereusedtorecordresponsesforclarity andeaseofinterpretation.

Session 7 (Lifestyle Habits and Risk Factors) in-

cludedtobaccouse,alcoholconsumption,screentime, caffeineintake,andsubstanceusehistory.Participants werethensortedintolow-orhigh-riskgroupsbased onthesebehaviours.

Session 8 (Preventive Care Awareness) assessed

awarenessofvaccinationstatus,routinehealthcheckups,BMIandbloodpressurestatus,andparticipation inhealthawarenessprograms.Thisprovidedinsight intopreventivecarepractices.

Finally,in Session9(clinicalhealthassessment), basichealthparameterswereevaluatedatHerrickHealthcareusingstandardizedandcalibratedinstruments. Theseincludebloodpressure,pulserate,bodytemperature,oxygensaturation,height,weight,BMI,randombloodglucose,respiratoryrate,hemoglobinlevels,urineanalysis,andvisionscreening. Thesemeasurementswereobjectiveandsupplementedwithsubjectivequestionnairedata,thusallowingforamore completeassessmentofparticipanthealth.

InstrumentCalibrationandQualityControl

Calibrationsforallequipmentusedinstudyfollowed manufacturer specifications. Health care providers weretrainedonhowtoensureconsistencyinmeasure-

Session Section ParametersAssessed Purpose

Session Demographic 1 Assessment

Session Medical 2 History

Session

SleepPatterns fatigue,mobileusebeforesleep,

Session Physical Exercisefrequency,type, Classificationofactivevs 4 Activity duration,sedentaryhours sedentarylifestyle Session Nutrition& 5 Hydration Session Stress,anxiety,mood, Screeningof MentalHealth 6 concentration,emotionalsupport psychologicalwellbeing Session Lifestyle Tobacco,alcohol,caffeineintake, Identificationoflifestyle 7 Habits screentime,substanceuse riskbehaviors Session Preventive Vaccinationstatus,healthcheck-ups, Assessmentofpreventive 8 Awareness BMIawareness,BPknowledge healthcareawareness

Session ClinicalHealth SpO ,height,weight,BMI, Objectivemeasurement 9 Tests bloodglucose,respiratoryrate, ofhealthparameters

menttechniques.Priortoeachscreeningsession,internalqualitycheckswereconducted.

DataManagementandStatisticalAnalysis

DatawereenteredintoMicrosoftExcelandanalysedby descriptivestatisticalmethods.Continuousvariables arepresentedasmean±standarddeviation,andcategoricalvariablesarepresentedasfrequenciesandpercentages. Whereappropriate,associationsbetween lifestyle factors and clinical parameters were evaluated.

EthicalConsiderations

Allproceduresfollowedthestandardethicalguidelines forhumanparticipantresearch.Participantsprovided informedconsentafterbeingbriefedonthepurposeof thestudy.Personalinformationremainedconfidential, anddataweresecurelyprocessed.Healthassessment reportswerekeptprivateandreturnedtotheparticipantsindividually.Participantswithabnormalfindings werereferredforfurtherevaluationandmanagement.

RESULTS SECTION1:DemographicCharacteristicsofPartic- ipantsintheHealthcareScreeningProgram Ato-

talof161studentsofhealthcareandwellnessscreeningwereenrolledintheprogrammeatHerrickHealthcare, Bhubaneswar. Table-2 demonstrates that the Age,gender,institution, Participantcategorization academicyear,contactdetails, andbaselineprofiling bloodgroup Chronicdiseases,familyhistory, Identificationof medications,hospitalization, pre-existingriskfactors allergies,menstrualhistory Sleepduration,disturbances, Assessmentofsleep-related healthrisks sleepquality

Mealfrequency,breakfasthabits, Evaluationofnutritional fastfoodintake,fruits/vegetables, statusandhydration waterintake,iron-richdiet

BP,pulserate,temperature,

hemoglobin,urinetest,vision

mostcommonagegroupwas21–23years(44.7%),followedby18–20years(36.0%)and24–25years(19.3%). Therewasaslightpredominanceoffemaleparticipants (54.7%)overmales(45.3%);analysisaccordingtogender. Suchtypicalscreeningdemographicsshowparity between the sexes and a greater engagement of youngeradultfemalesinourprogram.

Table 2. DemographicDistributionofParticipantsin HealthcareandWellnessScreeningProgramat HerrickHealthcare,Bhubaneswar

Frequency Percentage Variable (n=161) (%)

Age 58 36.0 18–20 Age 72 44.7 21–23 Age 31 19.3 24–25 Male 73 45.3 Female 88 54.7

SECTION2:AssessmentofMedicalHistory,Family RiskFactors,MedicationUse,andAllergies When

lookingatmedicalhistories,fewparticipantsreported healthproblems.However,manyofthemhadfamily memberswithlong-termillnesses.Amongallparticipants,18(11.2%)reportedhavingconditionssuchasdiabetes,highbloodpressure,asthma,orthyroidissues. Notably,52participants(32.3%)hadfamilymembers withdiabetesorhighbloodpressure,showingariskof thesediseasesinthegroup(Table-3).Regardingmedication,14participants(8.7%)weretakingprescribed drugs,indicatingthatsomeweremanaginghealthissues. Additionally,21participants(13.0%)hadallergiesthatcouldaffecttheirmedicalcareandlifestyle.

Table 3. Distributionofmedicalhistory,familydisease prevalence,medicationuse,andallergystatusamong participants

Yes Percentage Parameter (n) (%)

Known Medical 18 11.2 Condition FamilyHistory ofDiabetes/ 52 32.3 Hypertension Current Medication 14 8.7 Use AllergyHistory 21 13.0

SECTION 3: Distribution of Sleep Duration and PrevalenceofDaytimeFatigueAmongParticipants

Manyparticipantshadirregularandpoorsleephabits. Approximately 39.8% slept less than 6 hours a day, showing that many did not get enough sleep. Most participants(50.9%)slept6–8hperday,whichisthe recommendedamountforadults. Onlyafew(9.3%) sleptformorethan8hoursdaily(Table-4).Inaddition tosleeptime,44.1%oftheparticipantsfelttiredduring theday.Thissuggeststhattheyhadpoorsleepquality ordisruptedsleep,eveniftheysleptforenoughhours. Daytimetirednessinnearlyhalfoftheparticipantsmay havebeenduetoirregularsleepschedules,excessive screentime,oracademicstress.

Table 4. PrevalenceofSleepDurationPatternsand DaytimeFatigueAmongParticipants

Parameter Frequency

Sleep 64 39.8 <6hrs/day Sleep 82 50.9 6–8hrs/day Sleep 15 9.3 >8hrs/day Daytime 71 44.1 Fatigue

SECTION 4: Assessment of Physical Activity Pat- ternsandSedentaryBehaviorAmongStudyPartici-

pants Analysisoftheparticipants’physicalactivitylevelsrevealedaheterogeneouspatternofengagementin regularexercise.Amongthetotalstudycohort,90participants(55.9%)reportedengaginginregularphysical activity,whereas71participants(44.1%)wereclassifiedasleadingasedentarylifestyle.Thisindicatesthat nearlyhalfoftheparticipantsexhibitedaninadequate levelofphysicalactivity.Furtherexaminationdemonstratedthatonly63participants(39.1%)exercisedat leastthreetimesperweek,whichisgenerallyregarded astheminimumrecommendedfrequencyformaintaining optimal health status. This finding suggests thatalthoughaportionofparticipantsreportedbeing physicallyactive,theintensityandconsistencyoftheir exerciseregimenmaystillbeinsufficient(Table-5).

Table 5. PhysicalActivityPatternsandExercise FrequencyAmongStudyParticipants

Percentage Parameter Frequency (%)

RegularExercise 90 55.9 SedentaryLifestyle 71 44.1 Exercise 63 39.1 ≥ 3 times/week

SECTION5:AssessmentofDietaryPatternsandNu- tritionalDeficienciesinYoungAdults:Evidenceof HighJunkFoodConsumptionandPoorHydration

Nutritionalassessmentidentifiedasignificantprevalence of dietary imbalance among the study participants.Asubstantialproportionofindividualsreported frequent consumption of junk food, with 82 participants(50.9%)indicatingaregularintakeoffastorprocessedfoods.Additionally,49participants(30.4%)reportedskippingbreakfast,suggestingirregularmeal patternsthatmayadverselyaffectmetabolichealth (Table-6).Adequatefruitconsumptionwasobservedin only59participants(36.6%),indicatingthatthemajorityofthepopulationhadinsufficientintakeofessential micronutrients.Furthermore,67participants(41.6%) reportedadailywaterintakeoflessthan2liters,highlightingsuboptimalhydrationpractices.

Percentage (%)

Table 6. DistributionofDietaryHabitsandNutritional IntakeAmongStudyParticipants

Parameter Frequency Percentage(%)

SkipsBreakfast 49 30.4 FrequentJunk 82 50.9 FoodIntake AdequateFruit 59 36.6 Intake WaterIntake 67 41.6 <2L/day

SECTION 6: Prevalence and Impact of Academic Stress,Anxiety,andCognitiveDifficultiesAmong

Students Theevaluationofmentalhealthindicatorsrevealedasignificantprevalenceofpsychologicalstress amongparticipants.Mostparticipantsreportedexperiencingacademicstress,with96(59.6%)indicating moderate to high stress levels associated with academic responsibilities. This underscores academic pressure as a substantial contributor to the mental healthburdenwithinthestudypopulation(Table-7). Additionally,anxietysymptomswerereportedby54 participants (33.5%), indicating that a considerable proportion of individuals experience emotional distressthatmayimpacttheirdailyfunctioningandoverallwell-being.Furthermore,difficultyinconcentration wasobservedin61participants(37.9%),whichmaybe linkedtobothacademicstressandunderlyinganxiety.

Table 7. DistributionofMentalHealthIndicators AmongStudyParticipants

Parameter Frequency Percentage(%)

AcademicStress 96 59.6 AnxietySymptoms 54 33.5 Difficulty 61 37.9 Concentrating

SECTION7:LifestyleRiskBehaviorPatternsAmong StudyParticipantswithEmphasisonDigitalExpo-

sure An evaluation of the lifestyle behaviors of the studyparticipantsidentifiedthepresenceofspecific riskfactors.Althoughsubstanceusewasobservedin arelativelysmallproportionofthecohort,behavioral riskpatterns,suchasextendedscreenexposure,were notablyprevalent. Amongtheparticipants,tobacco usewasreportedby19individuals(11.8%),andalcoholconsumptionwasnotedin27participants(16.8%), indicatingmoderateengagementinsubstance-related riskbehaviors.Incontrast,excessivescreentime(>6 hours/day)wasreportedbyamajorityofparticipants, totalling89individuals(55.3%),therebyhighlightinga significanttrendtowardsasedentarylifestyle(Table-8). Thefindingssuggestthatwhiletraditionallifestylerisk factors,suchastobaccoandalcoholuse,werecomparativelylower,digitallifestylehabits,particularlyprolongedscreentime,emergedasmajorbehavioralrisk factorswithinthestudypopulation.Thispatternmay contributetoassociatedhealthconcerns,includingreducedphysicalactivity,sleepdisturbances,andmental healthproblems.

SECTION8: AssessmentofPreventiveHealthcare Awareness and Practices Among Participants: A

Cross-SectionalStudy Analysisofpreventivehealthcareawarenessshowedamoderatelevelofawareness among participants. The majority (95.0%) reported receiving the COVID-19 vaccination, demonstrating AmongStudyParticipants

Parameter Frequency Percentage(%)

TobaccoUse 19 11.8 AlcoholConsumption 27 16.8 ScreenTime 89 55.3 >6hrs/day

highcompliancewithpublichealthinitiatives(Table-9). However,awarenessofotherpreventivemeasureswas low. Only26.1%oftheparticipantsunderwentregularhealthcheckups,suggestinglimitedengagementin routinemonitoring.Similarly,only36.0%wereaware oftheirBodyMassIndex(BMI)status,indicatingagap inpersonalhealthknowledge.

Table 9. PreventiveHealthcareAwarenessand PracticesAmongParticipants

Parameter Frequency Percentage(%)

RegularHealth 42 26.1 Check-up Vaccination 153 95.0 (COVID-19) AwareofBMI 58 36.0 Status

SECTION9:BasicHealthTestsEvaluatedatHerrick

Healthcare ClinicalevaluationatHerrickHealthcare identifiedbaselinehealthindicatorsandriskfactors fortheparticipants.Anthropometricandvitalparameterswerewithinthenormalrange,althoughindividual variabilityshowedundernutritionandlifestyle-related healthrisks.Themeanheightandweightwere165.4 ±8.1cmand61.8±11.5kg,respectively,withamean BMIof22.6±3.8kg/m2,indicatinganormalnutritional status.Vitalparameters,includingpulserate(78±10 beats/min),respiratoryrate(18±3breaths/min),temperature(98.4±0.6°F),andoxygensaturation(97.8± 1.2%)werewithinphysiologicallimits.Theanalysisof clinicalriskindicatorsrevealedsignificanthealthconcerns. Oftheparticipants,17.4%wereunderweight, while25.5%wereoverweightorobese,showingadual burdenofmalnutrition. Cardiovascularassessment revealedthat11.8%werepre-hypertensiveand5.0% werehypertensive.Hematologicalevaluationshowed that24.2%ofthepatientshadmildanemia,suggesting nutritionaldeficiencies.Additionally,6.2%hadabnormalurinefindings,18.0%hadvisiondefects,and1.8% showedelevatedrandombloodglucoselevels,indicatingpotentialmetabolicdisorders.

Discussion

Thecross-sectionalhealthscreeningstudyatHerrick HealthcareinBhubaneswarprovidesinsightsintothe

Parameter Mean±SD

Height(cm) 165.4±8.1 Weight(kg) 61.8±11.5 BMI(kg/m2) 22.6±3.8 PulseRate(beats/min) 78±10 RespiratoryRate (breaths/min) Temperature(°F) 98.4±0.6 SpO (%) 97.8±1.2

Table 9B. ClinicalRiskIndicators

Parameter Mean±SD

Height(cm) 165.4±8.1 Weight(kg) 61.8±11.5 BMI(kg/m2) 22.6±3.8 PulseRate(beats/min) 78±10 RespiratoryRate (breaths/min) Temperature(°F) 98.4±0.6 SpO (%) 97.8±1.2

health status, lifestyle behaviours, and risk factors amongstudentsaged18–25. Althoughyoungadults areseenashealthy,ourfindingsshowednutritional imbalances, early cardiovascular risk markers, anemia, and psychosocial stress, highlighting lifestyleassociated health concerns in this age group. Most participants were within the 21–23 years, a period markedbyacademicpressure,careerplanning,and lifestyle changes. Health behaviors in young adulthoodsignificantlyimpactlong-termmorbiditypatterns [17].Studentsreportingirregularsleepandextended screen time (>6 hours/day) align with global universitytrends. Sleepdeprivationisassociatedwithimpairedmetabolism, reducedcognitiveperformance, andcardiovascularrisk[18]. Halfoftheparticipants exhibitedsedentarybehaviorandfrequentjunkfood consumption. ThesepatternsmatchthoseofIndian andglobalcollegepopulations,wheremodernization reducesphysicalactivityandincreasesprocessedfood intake.Sedentarylifestylesandpoordietselevatethe riskofobesityandmetabolicsyndromeinearlyadulthood[19].TheBMIevaluationrevealedthat17.4%of studentswereclassifiedasunderweight,while25.5% wereoverweightorobese,illustratingthe"doubleburdenofmalnutrition,"whichreferstothesimultaneous presenceofundernutritionandovernutrition. Being underweightsuggestsinsufficientnutrientconsumption,whereasbeingoverweightislinkedtoaheightenedriskofinsulinresistanceandcardiovascularissues[7].Therateofobesityamongyoungadultshas increasedoverthelast20years[23]. Earlydetection ofabnormalBMIisvitalbecauseweight-relatedhealth riskscancontinueintoadulthood.Screeninginitiatives canfacilitateearlylifestyleinterventions,focusingon dietandphysicalactivity. Aboutone-thirdofparticipantsshowedmild-to-moderateanemia,moreprevalentamongfemalestudents. Irondeficiencyanemia isamajorpublichealthissueindevelopingnations, 18±3 especiallyamongyoungwomen[24].Anemiainearly adulthoodcannegativelyimpactphysicalendurance, cognitivefunction, andacademicachievement. Untreatedanemiainreproductive-agewomenmayaffect futurematernalhealth. Thesefindingshighlightthe need for regular hemoglobin assessments and educationalinitiativesonnutrition,promotingiron-rich dietsandsupplements[25].Addressinganemiainstitutionallycouldimproveacademicperformanceand long-termhealthoutcomes. Moststudentshadnormalbloodpressure,but16%showedpre-hypertension 18±3 orhypertension. Highbloodpressureinyouthindicatespotentialcardiovasculardiseases[11]. Factors like high sodium intake, stress, obesity, and lack of sleepmaycontribute.Earlyscreeningidentifiesat-risk individuals, allowing preventive measures like exercise,dietchanges,andstressreduction.Cardiovasculardiseasesaretheleadingglobalcauseofdeath[17], makingearlyinterventioncrucial.Almost60%ofparticipantsreportedacademicstress,whileoverathird hadanxietyorconcentrationdifficulties.Mentalhealth issuesamongcollegestudentsaredocumentedglobally[22]. Academicpressure,careeruncertainty,societalexpectations,andlifestyledisruptionsheighten stress.Chronicstressposesmentalandphysiological risks,affectingsleep,eatinghabits,andcardiovascular function[26].Incorporatingmentalhealthcounseling andstressmanagementworkshopsintoinstitutional healthprogramscouldenhancestudentwell-being.Althoughonlyasmallnumberofyoungadultsreported using tobacco and alcohol, the prevalence of these habitsisconcerning.Startingsubstanceuseatanearly ageincreasestheriskoflong-termaddictionandrelatedhealthissues[17]. Healtheducationprograms thatemphasizepreventiveawarenessarecrucialfor reducingthesedangers.Approximately25%ofparticipantsindicatedthattheyregularlyunderwenthealth check-ups,highlightingalackofawarenessregarding preventivehealthmeasures.Preventivecareisfundamentaltopublichealth,asearlyidentificationofrisk factorscangreatlydiminishthefutureimpactofdiseases[23].Screeningprogramsatinstitutionssuchas HerrickHealthcareexemplifysuccessfulstrategiesfor promotingpreventivehealth.

Conclusion

This study highlights the importance of structured healthscreeningforyoungadults,particularlycollege students aged 18–25, undergoing significant transitions.Findingsshowthateveninhealthypopulations, manyhaveearlyhealthriskindicatorslikeabnormal BMI,mildanemia,andborderlinehypertension,which mayleadtochronicdiseasesifunaddressed.Thestudy also emphasizes the impact of lifestyle factors such asinadequatesleep,lowphysicalactivity,poordiet, andexcessivescreentimeonhealth.Moderateawarenessofpreventivehealthcareindicatesagapbetween knowledgeandpractice.Resultssupporttheneedfor regular,institution-basedwellnessscreeningforearly detection,healtheducation,andtimelyintervention. Theseinitiativespromotehealthierlifestyles,improve awareness, and reduce disease burden. Integrating preventivehealthcareineducationalinstitutionsisa proactiveapproachtobuildingahealthieryoungpopulationandstrengtheningpublichealthoutcomes.

Acknowledgements

Funding

Thisresearchdidnotreceiveanyexternalfunding.

Authors’contributions

The author contributed to data analysis, as well as thewritingandrevisionofthemanuscript.Theyhave agreedtoassumeresponsibilityforallaspectsofthis work.

DeclarationofConflictsofInterests

Theauthordeclaresthatthereisnoconflictofinterest.

Availabilityofdataandmaterials

NotApplicable

Declarations

Authors declare that all works are original and this manuscripthasnotbeenpublishedinanyotherjournal.

References

  1. RodNH,DaviesM,deVriesTR,KreshpajB,Drews H,NguyenTL,ElsenburgLK.Youngadulthood: atransitionalperiodwithlifelongimplications forhealthandwellbeing. BMCGlobPublicHealth. 2025;3(1):25.doi:10.1186/s44263-025-00148-8 https://doi.org/10.1186/s44263-025-00148-8
  2. CommitteeonImprovingtheHealth,Safety,and Well-BeingofYoungAdults;BoardonChildren, Youth, andFamilies; InstituteofMedicine; NationalResearchCouncil. InvestingintheHealth andWell-BeingofYoungAdults.Washington(DC): NationalAcademiesPress;2015
  3. AhmedSK,MohammedRA.Obesity:Prevalence, causes, consequences, management, preventive strategies and future research directions. MetabolOpen.2025;27:100375
  4. Clemente-SuárezVJMartín-RodríguezARedondo-FlórezLLópez-MoraCYáñez-SepúlvedaRTornero-AguileraJF. New insights and potential therapeutic interventions in metabolic diseases. Int J Mol Sci. 2023;24(13):10672
  5. KianiAK,DhuliK,DonatoK,AquilantiB,Velluti V,MateraG,IaconelliA,ConnellyST,BellinatoF, GisondiP,BertelliM.Mainnutritionaldeficiencies. JPrevMedHyg.2022;63:E93–E101
  6. Morales F, Montserrat-de la Paz S, Leon MJ, Rivero-Pino F. Effects of malnutrition on the immune system and infection. Nutrients. 2023;16(1):1
  7. NgM,FlemingT,RobinsonM,etal. Global,regional,andnationalprevalenceofoverweight andobesity. Lancet.2014;384(9945):766–781
  8. JindalH,SureshV,AgarwalS,VyasP,BariN.UnderstandingthedynamicsofmalnutritioninIndia. DialoguesHealth.2025;6:100209
  9. PopkinBM.Thedoubleburdenofmalnutrition in low- and middle-income countries. Lancet. 2020;395(10217):65–66
  10. Hwalla N, Al Dhaheri AS, Radwan H, et al. MicronutrientdeficienciesintheMiddleEast. Nutrients.2017;9(3):229
  11. WheltonPKCareyRMAronowWS. Hypertension guideline. Hypertension. 2018;71(6):e13–e115
  12. MeherMPradhanSPradhanSR. Risk factors associated with hypertension. Cureus. 2023;15(4):e37467
  13. TranDTSilvestri-ElmoreASojobiA. Lifestyle choicesandcardiovascularrisk. IntJExercSci. 2022;15(2):808–819
  14. KellerTE,CusickGR,CourtneyME.Transitionto adulthood. SocServRev.2007;81(3):453–484
  15. WorldHealthOrganization. Globalhealthestimates.WHOPress;2022
  16. MalikZI,KhanSE,AhmadAMR.Lifestyleinterventions. FrontPublicHealth.2025
  17. WorldHealthOrganization.Noncommunicable diseasesfactsheet.WHO;2022
  18. MedicG,WilleM,HemelsME.Sleepdisruption consequences. NatSciSleep.2017;9:151–161
  19. KirtiK,SinghSK.Obesogenicdietandmetabolic syndrome. BMCCardiovascDisord.2023;23:393
  20. HembromSSKujurMSagarV. Double burdenofmalnutrition. Cureus.2024
  21. DuttaM,SelvamaniY,SinghP,PrashadL.MalnutritionamongadultsinIndia. EpidemiolHealth. 2019;41:e2019050
  22. AuerbachRP,etal.Mentaldisordersamongcollegestudents. PsycholMed.2018
  23. GBD 2019 Risk Factors Collaborators. Global burden of risk factors. Lancet. 2020;396(10258):1223–1249
  24. WorldHealthOrganization.Globalprevalenceof anaemia.WHO;2017
  25. OwaisAMerrittCLeeCBhuttaZA. Anemia overview. Nutrients.2021;13(8):2745
  26. FabioRADi PietroASurianoR. Sleep, stress, andmentalhealth. PsychiatryInt.2026;7(1):5