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

Moussa-Chamari I 1 , Farooq A 2 , Romdhani M 3 , Washif JA 4 , Bakare U 5 , Helmy M 6 Show all authors , Al-Horani RA 7 , Salamh P 8 , Robin N 9 , Hue O 9

Affiliations 

  • 1 Physical Education Department, College of Education, Qatar University, Doha, Qatar
  • 2 Aspetar, Orthopaedic and Sports Medicine Hospital, FIFA Medical Centre of Excellence, Doha, Qatar
  • 3 Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS (Faculty of Sport Sciences), Paris Nanterre University, Nanterre, France
  • 4 Sports Performance Division, Institut Sukan Negara Malaysia (National Sports Institute of Malaysia), Kuala Lumpur, Malaysia
  • 5 Nigeria Olympic Committee, Medical and Scientific Commission, Lagos, Nigeria
  • 6 Psychology Department, College of Education, Sultan Qaboos University, Muscat, Oman
  • 7 Department of Sports Sciences, Yarmouk University, Irbid, Jordan
  • 8 College of Health Sciences, University of Indianapolis, Indianapolis, IN, United States
  • 9 Laboratoire ACTES, UFR-STAPS, Université des Antilles, Pointe-à-Pitre, France
Front Public Health, 2024;12:1397924.
PMID: 39050600 DOI: 10.3389/fpubh.2024.1397924

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 (β = -0.22, -0.19, -0.31, respectively, p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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