The Effects of Sleep Quality and Resilience on Perceived Stress, Dietary Behaviors, and Alcohol Misuse: A Mediation-Moderation Analysis of Higher Education Students from Asia, Europe and North America during the COVID-19 Pandemic

Nutrients

Chang-Chi Lai¹  Kuo-Wei Tseng¹  Wei-Chin Tseng¹  Robin M. Tucker²  Sara Yi Ling Folk²  Jenifer I. Fenton²  Chen Du²  Pao Ying Hsiao³  Stephen Doak⁴  Laura Keaver⁴  HeeSoon Lee⁵  Richard Hsiao⁶  Mary-Jon Ludy⁷  Wan Shen⁷  Winnie Chee Siew Swee⁸  Megan Chong Hueh Zan⁸  Min Jung Cho⁹  Jyothi Thrivikraman⁹ 

[1] Department of Exercise and Health Sciences, University of Taipei, Taipei 11153, Taiwan;Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USA;Department of Food and Nutrition, Indiana University of Pennsylvania, Indiana, PA 15705, USA;Department of Health and Nutritional Science, Institute of Technology Sligo, F91 YW50 Sligo, Ireland;Department of Human Services, Bowling Green State University, Bowling Green, OH 43403, USA;Department of Kinesiology, Health, and Sport Science, Indiana University of Pennsylvania, Indiana, PA 15705, USA;Department of Public and Allied Health, Bowling Green State University, Bowling Green, OH 43403, USA;Division of Nutrition and Dietetics, International Medical University, Kuala Lumpur 57000, Malaysia;Global Public Health, Leiden University College, 2595 DG The Hague, The Netherlands;

关键词: food intake;    nutrition;    substance use;    college;    university students;    COVID-19;   

DOI  :  10.3390/nu13020442

来源: DOAJ

【 摘 要 】

Background: The coronavirus disease 2019 (COVID-19) pandemic has increased the already high levels of stress that higher education students experience. Stress influences health behaviors, including those related to dietary behaviors, alcohol, and sleep; yet the effects of stress can be mitigated by resilience. To date, past research studying the connections between dietary behaviors, alcohol misuse, sleep, and resilience commonly investigated singular relationships between two of the constructs. The aim of the current study was to explore the relationships between these constructs in a more holistic manner using mediation and moderation analyses. Methods: Higher education students from China, Ireland, Malaysia, South Korea, Taiwan, the Netherlands, and the United States were enrolled in a cross-sectional study from April to May 2020, which was during the beginning of the COVID-19 pandemic for most participants. An online survey, using validated tools, was distributed to assess perceived stress, dietary behaviors, alcohol misuse, sleep quality and duration, and resilience. Results: 2254 students completed the study. Results indicated that sleep quality mediated the relationship between perceived stress and dietary behaviors as well as the relationship between perceived stress and alcohol misuse. Further, increased resilience reduced the strength of the relationship between perceived stress and dietary behaviors but not alcohol misuse. Conclusion: Based on these results, higher education students are likely to benefit from sleep education and resilience training, especially during stressful events.

【 授权许可】

Unknown