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
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...
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doaj-af2b6ded175743e58be14aa53167d6922021-01-30T00:03:05ZengMDPI AGNutrients2072-66432021-01-011344244210.3390/nu13020442The 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 PandemicChen Du0Megan Chong Hueh Zan1Min Jung Cho2Jenifer I. Fenton3Pao Ying Hsiao4Richard Hsiao5Laura Keaver6Chang-Chi Lai7HeeSoon Lee8Mary-Jon Ludy9Wan Shen10Winnie Chee Siew Swee11Jyothi Thrivikraman12Kuo-Wei Tseng13Wei-Chin Tseng14Stephen Doak15Sara Yi Ling Folk16Robin M. Tucker17Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USADivision of Nutrition and Dietetics, International Medical University, Kuala Lumpur 57000, MalaysiaGlobal Public Health, Leiden University College, 2595 DG The Hague, The NetherlandsDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USADepartment of Food and Nutrition, Indiana University of Pennsylvania, Indiana, PA 15705, USADepartment of Kinesiology, Health, and Sport Science, Indiana University of Pennsylvania, Indiana, PA 15705, USADepartment of Health and Nutritional Science, Institute of Technology Sligo, F91 YW50 Sligo, IrelandDepartment of Exercise and Health Sciences, University of Taipei, Taipei 11153, TaiwanDepartment of Human Services, Bowling Green State University, Bowling Green, OH 43403, USADepartment of Public and Allied Health, Bowling Green State University, Bowling Green, OH 43403, USADepartment of Public and Allied Health, Bowling Green State University, Bowling Green, OH 43403, USADivision of Nutrition and Dietetics, International Medical University, Kuala Lumpur 57000, MalaysiaGlobal Public Health, Leiden University College, 2595 DG The Hague, The NetherlandsDepartment of Exercise and Health Sciences, University of Taipei, Taipei 11153, TaiwanDepartment of Exercise and Health Sciences, University of Taipei, Taipei 11153, TaiwanDepartment of Health and Nutritional Science, Institute of Technology Sligo, F91 YW50 Sligo, IrelandDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USADepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USABackground: 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.https://www.mdpi.com/2072-6643/13/2/442food intakenutritionsubstance usecollegeuniversity studentsCOVID-19 |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chen Du Megan Chong Hueh Zan Min Jung Cho Jenifer I. Fenton Pao Ying Hsiao Richard Hsiao Laura Keaver Chang-Chi Lai HeeSoon Lee Mary-Jon Ludy Wan Shen Winnie Chee Siew Swee Jyothi Thrivikraman Kuo-Wei Tseng Wei-Chin Tseng Stephen Doak Sara Yi Ling Folk Robin M. Tucker |
spellingShingle |
Chen Du Megan Chong Hueh Zan Min Jung Cho Jenifer I. Fenton Pao Ying Hsiao Richard Hsiao Laura Keaver Chang-Chi Lai HeeSoon Lee Mary-Jon Ludy Wan Shen Winnie Chee Siew Swee Jyothi Thrivikraman Kuo-Wei Tseng Wei-Chin Tseng Stephen Doak Sara Yi Ling Folk Robin M. Tucker 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 food intake nutrition substance use college university students COVID-19 |
author_facet |
Chen Du Megan Chong Hueh Zan Min Jung Cho Jenifer I. Fenton Pao Ying Hsiao Richard Hsiao Laura Keaver Chang-Chi Lai HeeSoon Lee Mary-Jon Ludy Wan Shen Winnie Chee Siew Swee Jyothi Thrivikraman Kuo-Wei Tseng Wei-Chin Tseng Stephen Doak Sara Yi Ling Folk Robin M. Tucker |
author_sort |
Chen Du |
title |
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 |
title_short |
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 |
title_full |
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 |
title_fullStr |
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 |
title_full_unstemmed |
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 |
title_sort |
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 |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-01-01 |
description |
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. |
topic |
food intake nutrition substance use college university students COVID-19 |
url |
https://www.mdpi.com/2072-6643/13/2/442 |
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