Next Article in Journal
Diverse Effects of Combinations of Maternal-Neonatal VDR Polymorphisms and 25-Hydroxyvitamin D Concentrations on Neonatal Birth Anthropometry: Functional Phenocopy Variability Dependence, Highlights the Need for Targeted Maternal 25-Hydroxyvitamin D Cut-Offs during Pregnancy
Next Article in Special Issue
Dietary Fibre Intervention for Gut Microbiota, Sleep, and Mental Health in Adults with Irritable Bowel Syndrome: A Scoping Review
Previous Article in Journal
Old Question Revisited: Are High-Protein Diets Safe in Pregnancy?
Article

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

1
Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USA
2
Division of Nutrition and Dietetics, International Medical University, Kuala Lumpur 57000, Malaysia
3
Global Public Health, Leiden University College, 2595 DG The Hague, The Netherlands
4
Department of Food and Nutrition, Indiana University of Pennsylvania, Indiana, PA 15705, USA
5
Department of Kinesiology, Health, and Sport Science, Indiana University of Pennsylvania, Indiana, PA 15705, USA
6
Department of Health and Nutritional Science, Institute of Technology Sligo, F91 YW50 Sligo, Ireland
7
Department of Exercise and Health Sciences, University of Taipei, Taipei 11153, Taiwan
8
Department of Human Services, Bowling Green State University, Bowling Green, OH 43403, USA
9
Department of Public and Allied Health, Bowling Green State University, Bowling Green, OH 43403, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Liborio Parrino
Nutrients 2021, 13(2), 442; https://doi.org/10.3390/nu13020442
Received: 14 December 2020 / Revised: 22 January 2021 / Accepted: 26 January 2021 / Published: 29 January 2021
(This article belongs to the Special Issue Diet and Sleep: The Towers of Lifestyle, Wellness, and Survival)
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. View Full-Text
Keywords: food intake; nutrition; substance use; college; university students; COVID-19; pandemic; health behaviors; mental health food intake; nutrition; substance use; college; university students; COVID-19; pandemic; health behaviors; mental health
Show Figures

Figure 1

MDPI and ACS Style

Du, C.; Zan, M.C.H.; Cho, M.J.; Fenton, J.I.; Hsiao, P.Y.; Hsiao, R.; Keaver, L.; Lai, C.-C.; Lee, H.; Ludy, M.-J.; Shen, W.; Swee, W.C.S.; Thrivikraman, J.; Tseng, K.-W.; Tseng, W.-C.; Doak, S.; Folk, S.Y.L.; Tucker, R.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. Nutrients 2021, 13, 442. https://doi.org/10.3390/nu13020442

AMA Style

Du C, Zan MCH, Cho MJ, Fenton JI, Hsiao PY, Hsiao R, Keaver L, Lai C-C, Lee H, Ludy M-J, Shen W, Swee WCS, Thrivikraman J, Tseng K-W, Tseng W-C, Doak S, Folk SYL, Tucker RM. 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. 2021; 13(2):442. https://doi.org/10.3390/nu13020442

Chicago/Turabian Style

Du, Chen, Megan C.H. Zan, Min J. Cho, Jenifer I. Fenton, Pao Y. Hsiao, Richard Hsiao, Laura Keaver, Chang-Chi Lai, HeeSoon Lee, Mary-Jon Ludy, Wan Shen, Winnie C.S. Swee, Jyothi Thrivikraman, Kuo-Wei Tseng, Wei-Chin Tseng, Stephen Doak, Sara Y.L. Folk, and Robin M. Tucker 2021. "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 13, no. 2: 442. https://doi.org/10.3390/nu13020442

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop