TY - JOUR
T1 - The effects of sleep quality and resilience on perceived stress, dietary behaviors and alcohol misuse
T2 - A mediation-moderation analysis of higher education students from asia, europe and north america during the COVID-19 pandemic
AU - Du, Chen
AU - Zan, Megan Chong Hueh
AU - Cho, Min Jung
AU - Fenton, Jenifer I.
AU - Hsiao, Pao Ying
AU - Hsiao, Richard
AU - Keaver, Laura
AU - Lai, Chang Chi
AU - Lee, Heesoon
AU - Ludy, Mary Jon
AU - Shen, Wan
AU - Swee, Winnie Chee Siew
AU - Thrivikraman, Jyothi
AU - Tseng, Kuo Wei
AU - Tseng, Wei Chin
AU - Doak, Stephen
AU - Folk, Sara Yi Ling
AU - Tucker, Robin M.
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/2
Y1 - 2021/2
N2 - Background: The coronavirus disease 2019 (COVID-19) pandemic has increased the al-ready high levels of stress that higher education students experience. Stress influences health be-haviors, 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 behav-iors, 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 mis-use. Conclusion: Based on these results, higher education students are likely to benefit from sleep education and resilience training, especially during stressful events.
AB - Background: The coronavirus disease 2019 (COVID-19) pandemic has increased the al-ready high levels of stress that higher education students experience. Stress influences health be-haviors, 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 behav-iors, 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 mis-use. Conclusion: Based on these results, higher education students are likely to benefit from sleep education and resilience training, especially during stressful events.
KW - COVID-19
KW - College
KW - Food intake
KW - Health behaviors
KW - Mental health
KW - Nutrition
KW - Pandemic
KW - Substance use
KW - University students
UR - http://www.scopus.com/inward/record.url?scp=85099922834&partnerID=8YFLogxK
U2 - 10.3390/nu13020442
DO - 10.3390/nu13020442
M3 - Article
C2 - 33572863
AN - SCOPUS:85099922834
SN - 2072-6643
VL - 13
SP - 1
EP - 22
JO - Nutrients
JF - Nutrients
IS - 2
M1 - 442
ER -