Exam Stress, Changes in Food Choice and the Mediating Role of Sleep Quality Among Students

The exam period can be stressful for students, significantly impacting their lifestyle behaviours. Research indicates that students tend to have poorer diets during exam periods, with stress and sleep quality potentially influencing this pattern. The decline in diet quality among university students during examinations is a significant social issue that needs to further understanding. The aim of this study was to assess the relationship between exam stress and perceived changes in food choice -healthy or unhealthy eating- during an exam period among university students aged 18 to 25 and to assess to what extent this relationship is mediated by sleep quality during an exam period. Utilizing a cross-sectional design, data was collected from 200 Dutch university students who completed three questionnaires, the Examination Stress Scale, a questionnaire about changes in food choice during an exam period and the Regensburg Insomnia Scale. A mediation analysis was conducted using linear...Show moreThe exam period can be stressful for students, significantly impacting their lifestyle behaviours. Research indicates that students tend to have poorer diets during exam periods, with stress and sleep quality potentially influencing this pattern. The decline in diet quality among university students during examinations is a significant social issue that needs to further understanding. The aim of this study was to assess the relationship between exam stress and perceived changes in food choice -healthy or unhealthy eating- during an exam period among university students aged 18 to 25 and to assess to what extent this relationship is mediated by sleep quality during an exam period. Utilizing a cross-sectional design, data was collected from 200 Dutch university students who completed three questionnaires, the Examination Stress Scale, a questionnaire about changes in food choice during an exam period and the Regensburg Insomnia Scale. A mediation analysis was conducted using linear regressions in SPSS. The results indicated no significant relationship between exam stress and changes in food choice (β = .042 , p = .558). There was a significant positive relationship between exam stress and poor sleep quality (β = .44, p < .001). No significant association was found between sleep quality and changes in food choice (β = -.02, p < .770). When controlling for sleep quality, exam stress was still not associated with changes in food choices (β = .05, p < .514). Thus, the present study concluded that there is no relationship between exam stress and perceived changes in food choice -healthy or unhealthy eating- among university students ages 18 to 25 and that this relationship is not mediated by sleep quality during exams. However, there was a significant relationship between exam stress and poor sleep quality. Prevention strategies for exam stress and poor sleep should include stress management and education about the importance of sufficient sleep.Show less

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Exam Stress, Changes in Food Choice and the Mediating Role of Sleep Quality Among Students