The relationship between quality of life, sleep quality, mental health, and physical activity in an international sample of college students: a structural equation modeling approach.
Front Public Health
; 12: 1397924, 2024.
Article
em En
| MEDLINE
| ID: mdl-39050600
ABSTRACT
Objective:
We assessed the direct and indirect relationships between sleep quality, mental health, and physical activity with quality of life (QOL) in college and university students.Methods:
In a cross-sectional design, 3,380 college students (60% females; age = 22.7 ± 5.4) from four continents (Africa 32%; America 5%; Asia 46%; and Europe 15%; others 2%) completed the Pittsburgh Sleep Quality Index (PSQI); Insomnia Severity Index (ISI); Epworth Sleepiness Scale (ESS); the Depression, Anxiety, and Stress Scale 21 (DASS); the International Physical Activity Questionnaire short-form (IPAQ); and the World Health Organization Quality of Life-BREF (WHOQOL-Brief).Results:
We showed that sleep quality, insomnia, and depression had direct negative effects on the physical domain of QOL (ß = -0.22, -0.19, -0.31, respectively, p < 0.001). There was a strong negative direct association between depression and the psychological domain of QOL (ß = -0.60, z = -22.21, p < 0.001). Both stress and PSQI had direct effects on social relationships QOL (ß = 0.11; z = 4.09; and ß = -0.13; z = -7.40, respectively, p < 0.001). However, depression had the strongest direct impact on social relationships QOL (ß = -0.41, z = -15.79, p < 0.001).Conclusion:
The overall QOL of university students is associated with their sleep quality, mental health, and physical activity warranting further interventional studies aiming at improving students' quality of life.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
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Estudantes
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Exercício Físico
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Saúde Mental
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Qualidade do Sono
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article