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Williams CD, Gade S, Johnson K, Peterson RE, Moreno O, Hood KB, Santana A, Vassileva J, Dick DM, Amstadter AB, Chartier KG, Bravo DY. The longitudinal mediating role of sleep in associations between COVID-19 stressors predicting mental and physical health outcomes among emerging adult college students. Stress Health 2024:e3416. [PMID: 38748463 DOI: 10.1002/smi.3416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Revised: 04/05/2024] [Accepted: 04/18/2024] [Indexed: 06/29/2024]
Abstract
The current study tested a longitudinal mediation model throughout the COVID-19 pandemic focused on whether students' housing instability stress and food/financial instability stress at the beginning of the pandemic in spring 2020 (T1) informed sleep dissatisfaction and duration in fall 2020 (T2) and, in turn, physical and mental health in spring 2021 (T3). Further, we tested whether relations varied based on students' ethnic-racial backgrounds. Participants included 879 Asian, Black, Latine, Multiracial, and White emerging adult college students (Mage = 19.95, SD = 0.33) from a large public university in the mid-Atlantic region of the United States who attended college during the COVID-19 pandemic and completed surveys about their experiences. Findings indicated a significant mediation process, such that T1 housing instability stress predicted greater T2 sleep dissatisfaction and, in turn, less physical health, greater depressive symptoms, and greater anxiety symptoms at T3. Additionally, T1 food/financial instability stress was significantly associated with less T2 sleep duration but was not, in turn, associated with any T3 outcomes. Findings did not vary by students' ethnicity/race. Results highlight that sleep dissatisfaction is an important factor that accounts for relations between COVID-19 stressors predicting mental and physical health outcomes throughout the pandemic.
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Affiliation(s)
| | - Sneha Gade
- Virginia Commonwealth University, Richmond, Virginia, USA
| | | | - Roseann E Peterson
- Virginia Commonwealth University, Richmond, Virginia, USA
- State University of New York Downstate Health Sciences University, Brooklyn, New York, USA
| | - Oswaldo Moreno
- Virginia Commonwealth University, Richmond, Virginia, USA
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Jaiswal SJ, Aggarwal A, Zhang Y, Orr J, Mishra K, Lu CY, Johnson E, Wineinger NE, Owens RL. The freshman sleep and health (FRoSH) study: Examining sleep and weight gain in incoming college freshmen. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:285-292. [PMID: 35294331 PMCID: PMC9477977 DOI: 10.1080/07448481.2022.2032720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 12/03/2021] [Accepted: 01/16/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE Examine how changes in sleep duration, objectively measured by activity trackers, impact weight gain in incoming college freshman. Participants: Incoming college freshmen, age ≥ 18. Methods: We measured weight and daily sleep duration before college entry and through the 1st college quarter. Additionally, we examined changes in sleep variability, activity levels and smartphone screen time use as possible predictors of weight gain. Results: 75 participants completed the study. Total sleep duration decreased from 437.9 ± SD 57.3 minutes at baseline to 416.5 ± SD 68.6 minutes by the end of the first quarter (p = 6.6 × 10-3). (BMI) did not change significantly in this cohort. Higher sleep variability at baseline and an increase in sleep variability were associated with increases in BMI. Smartphone screen use was note to be high (235.2 ± SD 110.3 minutes/day) at the end of the first quarter. Conclusions: College weight gain may be affected by factors other than sleep duration, including sleep variability. Supplemental data for this article can be accessed online at https://doi.org/10.1080/07448481.2022.2032720.
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Affiliation(s)
- Stuti J Jaiswal
- Scripps Research Translational Institute, The Scripps Research Institute, La Jolla, California, USA
| | - Ashna Aggarwal
- Scripps Research Translational Institute, The Scripps Research Institute, La Jolla, California, USA
| | - Yunyue Zhang
- Scripps Research Translational Institute, The Scripps Research Institute, La Jolla, California, USA
| | - Jeremy Orr
- Scripps Research Translational Institute, The Scripps Research Institute, La Jolla, California, USA
| | - Kratika Mishra
- Division of Pulmonary, Critical Care & Sleep Medicine, University of California San Diego School of Medicine, La Jolla, California, USA
| | - Cathy Y Lu
- Scripps Research Translational Institute, The Scripps Research Institute, La Jolla, California, USA
| | - Eric Johnson
- Scripps Research Translational Institute, The Scripps Research Institute, La Jolla, California, USA
| | - Nathan E Wineinger
- Scripps Research Translational Institute, The Scripps Research Institute, La Jolla, California, USA
| | - Robert L Owens
- Division of Pulmonary, Critical Care & Sleep Medicine, University of California San Diego School of Medicine, La Jolla, California, USA
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Meinerding M, Weinstock J, Vander Wal J, Weaver TL. Failure to confirm the factor structure of the CEBRACS: An assessment of food and alcohol disturbance. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-11. [PMID: 36084273 DOI: 10.1080/07448481.2022.2119401] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 07/19/2022] [Accepted: 08/25/2022] [Indexed: 06/15/2023]
Abstract
Objectives: Food and Alcohol Disturbance (FAD) is the phenomenon in which individuals exhibit co-occurring hazardous alcohol and eating behaviors to either negate caloric intake associated with alcohol and/or maximize intoxication. While the Compensatory Eating and Behaviors in Response to Alcohol Scale (CEBRACS) is the most widely used measure to assess FAD to date, its factor-structure has yet to be confirmed. Methods: The current study utilized confirmatory factor analysis (CFA) to examine the CEBRACS' four factor subscales as well as recently proposed alternative scoring structures. Participants: Participants (N = 582) were American college students from seven universities (18-24 years; 67% cisgender women; 70% non-Hispanic White). Results: The CFA failed to provide optimal fit for all models tested. Results of invariance testing found no measurement variance by sex, suggesting the failure of the four-factor solution was not due to noninvariance. Conclusions: Overall, findings do not support continued use of the original 21-item CEBRACS.
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Affiliation(s)
- Maria Meinerding
- Department of Psychology, Saint Louis University, Saint Louis, Missouri, USA
| | - Jeremiah Weinstock
- Department of Psychology, Saint Louis University, Saint Louis, Missouri, USA
| | - Jillon Vander Wal
- Department of Psychology, Saint Louis University, Saint Louis, Missouri, USA
| | - Terri L Weaver
- Department of Psychology, Saint Louis University, Saint Louis, Missouri, USA
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Toth S, Jenkins I, Highfill C. Investigating Exercise Readiness and Life Stress among Undergraduate Students at an Historically Black University. AMERICAN JOURNAL OF HEALTH EDUCATION 2021. [DOI: 10.1080/19325037.2021.1955227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Crimarco A, Turner-McGrievy GM, Wirth MD. The effects of meal-timing on self-rated hunger and dietary inflammatory potential among a sample of college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2019; 67:328-337. [PMID: 29979952 DOI: 10.1080/07448481.2018.1481074] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 04/10/2018] [Accepted: 05/18/2018] [Indexed: 06/08/2023]
Abstract
College is an important time for young adults to establish healthy eating habits since students are at risk for gaining weight during the college years. An emerging area of research is examining the effect of meal-timing, which involves the timing of food intake throughout the day, in an effort to improve satiety and bodyweight. The purpose of this study was to examine the use of meal-timing among a sample of college students and to assess what aspects from an intervention could help them to adhere to meal-timing long term. Participants were randomly assigned to either a daytime group (≤30% total kcals after 5 pm) or a nighttime group (≥50% total kcals after 5 pm). After completing the intervention, almost half of participants (49%) reported they could adhere to meal-timing long-term. Having more resources that support meal-timing are needed to help students potentially achieve a healthy weight and prevent chronic diseases.
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Affiliation(s)
- Anthony Crimarco
- a Department of Health Promotion , Education, and Behavior, Arnold School of Public Health, University of South Carolina , Columbia , South Carolina , USA
| | - Gabrielle M Turner-McGrievy
- a Department of Health Promotion , Education, and Behavior, Arnold School of Public Health, University of South Carolina , Columbia , South Carolina , USA
| | - Michael D Wirth
- b Department of Epidemiology and Biostatistics, Cancer Control and Prevention Program Arnold School of Public Health, and College of Nursing , University of South Carolina , Columbia , South Carolina , USA
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