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http://dx.doi.org/10.5932/JKPHN.2019.33.1.85

The Relationship between Quality of Sleep and Body Mass Index of Adolescents: Focusing on Mediating Effect of Physical Activity, Dietary Habit, and Academic Stress and Moderating Effect of Gender  

Jang, Mi na (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University)
Oh, Su-mi (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University, National Evidence-based Healthcare Collaborating Agency)
Kim, Hee Soon (Korean Accreditation Board of Nursing Education)
Shin, Hyun a (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University, Samsung Medical Center)
Publication Information
Journal of Korean Public Health Nursing / v.33, no.1, 2019 , pp. 85-97 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the mediating effect of physical activity, dietary habit, and academic stress, as well as the moderating effect of gender on the relationship between adolescents' quality of sleep and body mass index (BMI). Methods: The data were collected from 181 adolescents and analyzed using SPSS WIN 23.0. Bootstrapping analysis was performed to analyze the mediating and moderating effects. Results: First, there was non-significant mediating effect between the quality of sleep and BMI. Second, there was significant moderating effect between the quality of sleep and BMI. Conclusion: Sleep quality should be considered as a component of an intervention program for the prevention and management of obesity. It is also necessary to consider then gender when constructing such program.
Keywords
Adolescent; Sleep; Body mass index; Health behavior; Gender;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 Bak, B. G., & Park, S. M.(2012). Development and validation of an academic stress scale. The Korean Journal of Educational Psychology, 26(2), 563-585.
2 Bidulescu, A., Din-Dzietham, R., Coverson, D. L., Chen, Z., Meng, Y. X., Buxbaum, S. G., et al.. (2010). Interaction of sleep quality and psychosocial stress on obesity in African Americans: the Cardiovascular Health Epidemiology Study (CHES). BMC Public Health, 10, 581. http://dx.doi.org/10.1186/1471-2458-10-581   DOI
3 Carrillo-Larco, R. M., Bernabe-Ortiz, A., & Miranda, J. J. (2014). Short sleep duration and childhood obesity: cross-sectional analysis in Peru and patterns in four developing countries. PLoS One, 9(11), e112433. http://dx.doi.org/10.1371/journal.pone.0112433   DOI
4 Chen, X., Beydoun, M. A., & Wang, Y. (2008). Is sleep duration associated with childhood obesity? A systematic review and metaanalysis. Obesity, 16(2), 265-274. http://dx.doi.org/10.1038/oby.2007.63   DOI
5 Cho, K. H., Cho, E. H., Hur, J. G., & Shin, D. Y. (2018). Association of sleep duration and obesity according to gender and age in Korean adults: Results from the Korea national health and nutrition examination survey 2007-2015. Journal of Korean Medical Science, 33(53), e345. http://dx.doi.org/10.3346/jkms.2018.33.e345   DOI
6 Choi, D. W. (2015). Physical activity level, sleep quality, attention control and self-regulated learning along to smartphone addiction among college students. Journal of the Korea Academia-Industrial Cooperation Society, 16(1), 429-437, https://doi.org/10.5762/KAIS.2015.16.1.429   DOI
7 Choi, I. J., Lee, K. B., Kim, C. S., & Kim, J. H. (2010). Comparative Study on adolescents health in gender and school level. Seoul: National Youth Policy Institute.
8 Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. Retrieved May 13, 2018. from http://www.personal.psu.edu/jxb14/M554/specreg/templates.pdf
9 Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., et al. (2015). National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40-43. https://doi.org/10.1016/j.sleh.2014.12.010   DOI
10 Hur, W. M. (2013). How researchers estimate indirect effect using bootstrapping : The case of simple, multiple, and double mediation. Korean Business Review, 6(3), 43-59.
11 Jwa, H. S. (2014). The effect of academic stress on depression in adolescents: Moderating effect of gender role stereotype. Health and Social Welfare Review, 34(2), 334-366. https://doi.org/10.15709/hswr.2014.34.2.334   DOI
12 Kim, H. S., Lee, Y. J., Kwon, I. S., Kim, H. M., Jeon, E. K., Koh, M. R., et al. (2010). Child healthcare services. Seoul: Yonsei University College of Nursing.
13 Kim, J. H., Moon, H. S., & Lee, H. W. (2014). Sleep patterns of middle & high School students in Seoul and their perceptions of their own sleep. Journal of Korean Sleep Research Society, 11(1), 21-32. https://doi.org/10.13078/jksrs.14005   DOI
14 Kim, M. J., Shin, J. H., Song, K. I., Kim, C. S., Lee, M. S., & Jeong, U. H. (2015). Related-factors of sleep quality among some adults. Korean Journal of Family Practice, 5(3, suppl. 2), 895-900.
15 Kwon, M., & Lee, J. H. (2017). Physical activity and suicidal thoughts in male and demale adolescents. Journal of the Korean Society of School Health, 30(3), 325-335. https://doi.org/10.15434/kssh.2017.30.3.325   DOI
16 Lee, B. I. (2015). Association between sleep duration and body mass index among South Korean adolescents. Korean Journal of Health Promotion, 15(1), 16-23 http://dx.doi.org/10.15384/kjhp.2015.15.1.16   DOI
17 Ministry of Education, Ministry of Health and Welfare, & Korea Centers for Disease Control and Prevention. (2018). Korea Centers for Disease Control and Prevention. The tenth Korea youth risk behavior web-based survey. Osong: Korea Centers for Disease Control and Prevention.
18 Park, K. Y. (2011). Breakfast and health in adolescents. Korean Journal of Pediatric Gastroenterology and Nutrition, 14(4), 340-349. http://dx.doi.org/10.5223/kjpgn.2011.14.4.340   DOI
19 Oh, J. Y., Yang, Y. J., Kim, B. S., & Kang, J. H. (2007). Validity and reliability of Korean version of international physical activity questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine, 28(7), 532-541.
20 Park, H. S., Kim, G. D., Kim, K. H., & Chung, B. Y. (2000). Comparison of quality of sleep and factors which are influenced on sleep among adolescents, adults and elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 9(4), 429-439.
21 Pervanidou, P., & Chrousos, G. P. (2012). Metabolic consequences of stress during childhood and adolescence. Metabolism, 61(5), 611-619. https://doi.org/10.1016/j.metabol.2011.10.005   DOI
22 Ra, J. S., & Cho, Y. H. (2014). Combined influence of screen based sedentary behavior and sleep duration on obesity, depression, and suicidal ideation in Korean adolescents. Journal of Korean Public Health Nursing, 28(2). 241-257. https://doi.org/10.5932/JKPHN.2014.28.2.241   DOI
23 Seong, J. H., & Choi, Y. H. (2013). Effects of the traditional play-centered obesity control program for obese elementary school children based on cooperative learning theory. Journal of Korean Public Health Nursing, 27(3), 513-526. http://dx.doi.org/10.5932/JKPHN.2013.27.3.513   DOI
24 Song, H. Y., Yang, S. J., & Choi, Y. (2018). Systematic review and meta-analysis of dietary and exercise intervention effects of obesity elementary school students in Korea. Journal of Korean Public Health Nursing, 32(2), 194-207. http://dx.doi.org/10.5932/JKPHN.2018.32.2.194   DOI
25 Wu J, Wu H, Wang J, Guo L, Deng X, & Lu C. (2015). Associations between sleep duration and overweight/obesity: Results from 66,817 Chinese adolescents. Scientific Reports, 5, 16686. https://doi.org/10.1038/srep16686   DOI
26 Sivertsen, B. Pallesen, S. Sand, L., & Hysing, M. (2014). Sleep and body mass index in adolescence: results from a large population-based study of Norwegian adolescents aged 16 to 19 years. BMC Pediatrics, 14, 204. http://dx.doi.org/10.1186/1471-2431-14-204   DOI
27 Sohn, S. I., Kim, D. H., Lee, M. Y., & Cho, Y. W.(2012). The reliability and validity of the Korean version of the pittsburgh sleep quality index. Sleep & breathing, 16(3), 803-812. http://dx.doi.org/10.1007/s11325-011-0579-9   DOI
28 Timmermans, M., Mackenbach, J. D., Charreire, H., Bardos, H., Compernolle, S., De Bourdeaudhuij, I., et al. (2017). Exploring the mediating role of energy balance-related behaviours in the association between sleep duration and obesity in European adults. The SPOTLIGHT project. Preventive Medicine, 100, 25-32. http://dx.doi.org/10.1016/j.ypmed.2017.03.021   DOI
29 Umairah, S. N., Yahya, B. T., Datin, M., & Yusof, S. (2012). Relationship between dietary pattern and body mass index among primary school children. Asian Journal of Clinical Nutrition, 4(4), 142-150. https://doi.org/10.3923/ajcn.2012.142.150   DOI
30 Wu, I. H. C., Nguyen, N. Balachandran, D. D., Lu, Q., & McNeill, L. H. (2019). Sleep and obesity: the mediating role of health behaviors among African Americans. Journal of the National Sleep Foundation, 5(2), 193-200. https://doi.org/10.1016/j.sleh.2018.12.005