The unique social context of college predisposes students to higher level of psychological distress that affects their health behaviors and obesity risk. This study examined social context, lifestyle behaviors of diet, physical activity, and sleep in the association between psychological distress and BMI. Participants from a large public university in Southern California (N = 690, 70.4% female, mean age = 22.15) completed an in-class survey and 7-day at-home food questionnaire. Results indicated that higher level of distress was associated with unhealthy diet, less physical activity, and poor sleep quality. Gender stratified analyses showed significant distress × sleep interaction with BMI among males, and living in fraternity housing associated with less physical activity. Among females, sorority membership and living in dorms associated with unhealthy diet. Future research and behavioral interventions should consider the unique social context of college, and design intervention strategies that aim to lower psychological distress and improve sleep quality.
American College Health Association (ACHA) (2021) American College Health Association-National College Health Assessment III: Reference Group Executive Summary Spring 2021. Silver Spring, MD: American College Health Association.
2.
ArnettJJ (2014) Adolescence and Emerging Adulthood. Boston, MA: Pearson.
3.
BlancoCOkudaMWrightC, et al. (2008) Mental health of college students and their non-college-attending peers: Results from the national epidemiologic study on alcohol and related conditions. Archives of General Psychiatry65(12): 1429–1437.
BullardJB (2016) Academic motivation, learning strategies, and sports anxiety of first-year student–athletes. Journal for the Study of Sports and Athletes in Education10(2): 99–108.
6.
BuysseDJReynoldsCF3rdMonkTH, et al. (1989) The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research28(2): 193–213.
7.
CarruthersCKÖzekU (2016) Losing HOPE: Financial aid and the line between college and work. Economics of Education Review53: 1–15.
8.
ChengCEThomas TobinCSWeissJW (2020) Psychological distress, social context, and gender patterns in obesity among a multiethnic sample of US college students. Journal of American College Health70(6): 1615–1623.
9.
ChengCHEKazemiSBakerM, et al. (2023) Racial/ethnic and gender disparities in perceived stress and physical activity in college. Journal of American College Health72(9): 3243–3249.
10.
ChengCHEWeissJWSiegelJM (2015) Personality traits and health behaviors as predictors of subjective wellbeing among a multiethnic sample of university-attending emerging young adults. International Journal of Wellbeing5(3): 21–43.
11.
CohenSKamarckTMermelsteinR (1983) A global measure of perceived stress. Journal of Health and Social Behavior24(4): 385–396.
12.
CunninghamTJWheatonAGGilesWH (2015) The association between psychological distress and self-reported sleep duration in a population-based sample of women and men. Sleep Disorders2015: 172064.
13.
DoaneLDGress-SmithJLBreitensteinRS (2015) Multi-method assessments of sleep over the transition to college and the associations with depression and anxiety symptoms. Journal of Youth and Adolescence44(2): 389–404.
14.
EaganMKStolzenbergEBZimmermanHB, et al. (2017) The American Freshman: National Norms Fall 2016. Los Angeles, CA: Higher Education Research Institute, UCLA.
15.
FatimaYDoiSAMamunAA (2015) Longitudinal impact of sleep on overweight and obesity in children and adolescents: A systematic review and bias adjusted meta-analysis. Obesity Reviews16(2): 137–149.
16.
FentonTBastidaE (2024) Weight misperception and weight-related behaviors in non-Hispanic Black youth. Journal of Health Psychology30: 212–223. DOI: 10.1177/13591053241242548.
17.
FungXCCSiuAMHLinCY, et al. (2024) Weight stigma and eating behaviors in young adults across weight status. American Journal of Health Behavior48(3): 628–668.
18.
GuimarãesKCSilvaCMLatorracaCOC, et al. (2022) Is self-reported short sleep duration associated with obesity? A systematic review and meta-analysis of cohort studies. Nutrition Reviews80(5): 983–1000.
19.
HalesCMCarrollMDFryarCD, et al. (2017) Prevalence of Obesity Among Adults and Youth: United States, 2015-2016. Hyattsville, MD: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
20.
HuangPCLeeCHGriffithsMD, et al. (2022) Sequentially mediated effects of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction among Taiwanese university students: A cross-sectional study. Journal of Eating Disorders10(1): 177.
21.
LarsonNINeumark-SztainerDRHarnackLJ, et al. (2008) Fruit and vegetable intake correlates during the transition to young adulthood. American Journal of Preventive Medicine35(1): 33–37.
22.
LeskeSStrodlEHarperC, et al. (2015) Psychological distress may affect nutrition indicators in Australian adults. Appetite90: 144–153.
23.
LinYCLinCYSaffariM, et al. (2023) Weight stigma is associated with body mass index among college students in Taiwan: The mediated role of internalized weight stigma. BMC Psychology11(1): 365.
24.
LukJWFairlieAMLeeCM (2018) Daily-level associations between negative mood, perceived stress, and college drinking: Do associations differ by sex and fraternity/sorority affiliation?Substance Use & Misuse53(6): 989–997.
25.
ManoreMMLarson-MeyerDELindsayAR, et al. (2017) Dynamic energy balance: An integrated framework for discussing diet and physical activity in obesity prevention—Is it more than eating less and exercising more?Nutrients9(8): 905.
26.
MarquesAEkelundUSardinhaLB (2016) Associations between organized sports participation and objectively measured physical activity, sedentary time and weight status in youth. Journal of Science and Medicine in Sport19(2): 154–157.
27.
MohsenSLinYCHuangPC, et al. (2024) Tendency to avoid physical activity and sport: Associations with weight stigma, and psychological distress in a two-wave longitudinal study. International Journal of Mental Health Promotion26: 633–641.
28.
MontaltoCPPhillipsELMcDanielA, et al. (2019) College student financial wellness: Student loans and beyond. Journal of Family and Economic Issues40(1): 3–21.
29.
MorrisMJBeilharzJEManiamJ, et al. (2015) Why is obesity such a problem in the 21st century? The intersection of palatable food, cues and reward pathways, stress, and cognition. Neuroscience and Biobehavioral Reviews58: 36–45.
30.
National Center for Education Statistics (2021) U.S. Department of Education, National Center for Education Statistics, IPEDS, Spring 2022, Fall Enrollment component. Available at: https://nces.ed.gov/fastfacts/display.asp?id=372 (accessed 24 June 2024).
31.
O’BrienKSLatnerJDPuhlRM, et al. (2016) The relationship between weight stigma and eating behavior is explained by weight bias internalization and psychological distress. Appetite102: 70–76.
32.
OliverGWardleJGibsonEL (2000) Stress and food choice: A laboratory study. Psychosomatic Medicine62(6): 853–865.
33.
PelletierJELytleLALaskaMN (2016) Stress, health risk behaviors, and weight status among community college students. Health Education & Behavior43(2): 139–144.
34.
RafiqueNAl-AsoomLIAlsunniAA, et al. (2020) Effects of mobile use on subjective sleep quality. Nature and Science of Sleep12: 357–364.
35.
Roshanaei-MoghaddamBKatonWJRussoJ (2009) The longitudinal effects of depression on physical activity. General Hospital Psychiatry31(4): 306–315.
36.
SaJChoeSChoBY, et al. (2020) Relationship between sleep and obesity among US and South Korean college students. BMC Public Health20(1): 96–11.
37.
SchultchenDReichenbergerJMittlT, et al. (2019) Bidirectional relationship of stress and affect with physical activity and healthy eating. British Journal of Health Psychology24(2): 315–333.
38.
SchweinfurthNWalterMBorgwardtS, et al. (2016) Depression and obesity. In: AhmadSIImamSK (eds) Obesity: A Practical Guide. New York, NY: Springer, pp.235–244.
39.
Scott-SheldonLAJCareyKBKaiserTS, et al. (2016) Alcohol interventions for Greek letter organizations: A systematic review and meta-analysis, 1987 to 2014. Health Psychology35(7): 670–684.
40.
SneddenTRScerpellaJKliethermesSA, et al. (2019) Sport and physical activity level impacts health-related quality of life among collegiate students. American Journal of Health Promotion33(5): 675–682.
41.
StiermanBAffulJCarrollMD, et al. (2021) National Health and Nutrition Examination Survey 2017–March 2020 prepandemic data files—Development of files and prevalence estimates for selected health outcomes. National health statistics reports158: 1–20.
42.
TeixeiraPJMarquesMM (2018) Health behavior change for obesity management. Obesity Facts10(6): 666–673.
43.
TomiyamaAJFinchLECummingsJR (2015) Did that brownie do its job? Stress, eating, and the biobehavioral effects of comfort food. In: ScottRKosslynS (eds) Emerging Trends in the Social and Behavioral Sciences. Hoboken, NJ: John Wiley & Sons, pp.1–15.
44.
VgontzasANFernandez-MendozaJMiksiewiczT, et al. (2014) Unveiling the longitudinal association between short sleep duration and the incidence of obesity: The Penn State Cohort. International Journal of Obesity38(6): 825–832.
45.
VgontzasANLinHMPapaliagaM, et al. (2008) Short sleep duration and obesity: The role of emotional stress and sleep disturbances. International Journal of Obesity32(5): 801–809.
46.
WhippsJByraMGerowKG, et al. (2018) Evaluation of nighttime media use and sleep patterns in first-semester college students. American Journal of Health Behavior42(3): 47–55.
47.
YiJChenIHChenHP, et al. (2024) Tendency to avoid physical activity mediates the association between perceived weight stigma and physical activity levels among university students. Mental Health and Physical Activity26: 1–10.
48.
ZhengYMansonJEYuanC, et al. (2017) Associations of weight gain from early to middle adulthood with major health outcomes later in life. Journal of the American Medical Association318(3): 255–269.
49.
ZouPWangXSunL, et al. (2020) Poorer sleep quality correlated with mental health problems in college students: A longitudinal observational study among 686 males. Journal of Psychosomatic Research136: 110177.
