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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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Autores principales: Du, Chen, Zan, Megan Chong Hueh, Cho, Min Jung, Fenton, Jenifer I., Hsiao, Pao Ying, Hsiao, Richard, Keaver, Laura, Lai, Chang-Chi, Lee, HeeSoon, Ludy, Mary-Jon, Shen, Wan, Swee, Winnie Chee Siew, Thrivikraman, Jyothi, Tseng, Kuo-Wei, Tseng, Wei-Chin, Doak, Stephen, Folk, Sara Yi Ling, Tucker, Robin M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7911351/
https://www.ncbi.nlm.nih.gov/pubmed/33572863
http://dx.doi.org/10.3390/nu13020442
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author Du, Chen
Zan, Megan Chong Hueh
Cho, Min Jung
Fenton, Jenifer I.
Hsiao, Pao Ying
Hsiao, Richard
Keaver, Laura
Lai, Chang-Chi
Lee, HeeSoon
Ludy, Mary-Jon
Shen, Wan
Swee, Winnie Chee Siew
Thrivikraman, Jyothi
Tseng, Kuo-Wei
Tseng, Wei-Chin
Doak, Stephen
Folk, Sara Yi Ling
Tucker, Robin M.
author_facet Du, Chen
Zan, Megan Chong Hueh
Cho, Min Jung
Fenton, Jenifer I.
Hsiao, Pao Ying
Hsiao, Richard
Keaver, Laura
Lai, Chang-Chi
Lee, HeeSoon
Ludy, Mary-Jon
Shen, Wan
Swee, Winnie Chee Siew
Thrivikraman, Jyothi
Tseng, Kuo-Wei
Tseng, Wei-Chin
Doak, Stephen
Folk, Sara Yi Ling
Tucker, Robin M.
author_sort Du, Chen
collection PubMed
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.
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spelling pubmed-79113512021-02-28 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 Du, Chen Zan, Megan Chong Hueh Cho, Min Jung Fenton, Jenifer I. Hsiao, Pao Ying Hsiao, Richard Keaver, Laura Lai, Chang-Chi Lee, HeeSoon Ludy, Mary-Jon Shen, Wan Swee, Winnie Chee Siew Thrivikraman, Jyothi Tseng, Kuo-Wei Tseng, Wei-Chin Doak, Stephen Folk, Sara Yi Ling Tucker, Robin M. Nutrients Article 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. MDPI 2021-01-29 /pmc/articles/PMC7911351/ /pubmed/33572863 http://dx.doi.org/10.3390/nu13020442 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Du, Chen
Zan, Megan Chong Hueh
Cho, Min Jung
Fenton, Jenifer I.
Hsiao, Pao Ying
Hsiao, Richard
Keaver, Laura
Lai, Chang-Chi
Lee, HeeSoon
Ludy, Mary-Jon
Shen, Wan
Swee, Winnie Chee Siew
Thrivikraman, Jyothi
Tseng, Kuo-Wei
Tseng, Wei-Chin
Doak, Stephen
Folk, Sara Yi Ling
Tucker, Robin M.
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 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_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_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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7911351/
https://www.ncbi.nlm.nih.gov/pubmed/33572863
http://dx.doi.org/10.3390/nu13020442
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