The role of mental health and physical activity in the association between sleep quality and quality of life among rural elderly in China: A moderated mediation model

Yuan, Yemin; Li, Jie; Jing, Zhengyue; Yu, Cheng-Hao; Zhao, Dan; Wu, Hao; Zhou, Chengchao

doi:10.1016/j.jad.2020.05.093

Cited by 31 publications

(27 citation statements)

References 26 publications

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“…Yuan et al. ( 2020) used a similar design to ours in examining and identifying a partially mediating role of mental health between sleep quality and HRQoL in older adults in China. While these studies used different scales to assess mental health, the findings resonate with the current ones in suggesting a mediating role of mental health.…”

Section: Discussionmentioning

confidence: 99%

A mediating role for mental health in associations between COVID‐19‐related self‐stigma, PTSD, quality of life, and insomnia among patients recovered from COVID‐19

et al. 2021

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Introduction Patients with COVID‐19 often suffer from psychological problems such as post‐traumatic stress disorder (PTSD) and self‐stigmatization that may negatively impact their quality of life and sleep. This study examined mental health as a potential mediating factor linking self‐stigmatization and PTSD to quality of life and sleep. Methods Using a cross‐sectional design, 844 people who had recovered from COVID‐19 were called and interviewed. Data were collected using structured scales. Structural equation modeling was applied to assess fitness of a mediation model including self‐stigma and PTSD as independent factors and quality of life and insomnia as dependent variables. Results Mental health, COVID‐19‐related self‐stigma, and mental quality of life were associated. Insomnia, PTSD, and COVID‐19‐related self‐stigma displayed significant direct associations (r = .334 to 0.454; p < .01). A mediation model indicated satisfactory goodness of fit (CFI = 0.968, TLI = 0.950, SRMR = 0.071, RMSEA = 0.068). Mental health as a mediator had negative relationships with COVID‐19‐related self‐stigma, PTSD, and insomnia and positive associations with quality of life. Conclusion Mental health may mediate effects of COVID‐19‐related self‐stigma and PTSD on quality of life and insomnia. Designing programs to improve mental health among patients with COVID‐19 may include efforts to reduce negative effects of PTSD and COVID‐19‐related self‐stigma on quality of life and insomnia.

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Section: Discussionmentioning

confidence: 99%

A mediating role for mental health in associations between COVID‐19‐related self‐stigma, PTSD, quality of life, and insomnia among patients recovered from COVID‐19

et al. 2021

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“…In 2020, a cross‐sectional study was done in China to evaluate the relationship between mental health and physical activity with quality of sleep and quality of life in the elderly, which showed a significant relationship between these variables, so that the quality of sleep in the elderly who had more physical activity and better mental health was better 34 . It can be said that in our study, by emphasizing daily physical activity programs and paying attention to mental health in the elderly in the form of an educational program based on self‐care, the quality of sleep and general health were improved.…”

Section: Discussionmentioning

confidence: 99%

Effect of a self‐care training program using smartphones on general health, nutrition status, and sleep quality in the elderly

Vizeshfar

Ghelbash

2021

Psychogeriatrics

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Background Self‐care training programs can be an important means for educating the elderly in behaviours that promote health and the quality of life. Since sleep disorders, and problems related to eating patterns and general health, become more apparent with age, we aimed to investigate the effect of a self‐care training program using smartphones on general health, nutritional status, and sleep quality of the elderly. Methods In this randomized quality improvement trial with a pretest/post‐test design, 54 healthy and independent elderly were enrolled and randomly allocated to intervention and control groups. The interventions included 21 sessions of self‐care training that were presented virtually using smartphones. Results Significant differences before and after the intervention were observed for the intervention group with respect to measures of general health, nutrition, and sleep quality. Conclusion Training in health‐promoting self‐care behaviours, delivered by smartphone, should be considered as a major strategy for maintaining and promoting health among the elderly.

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“…Significance of the mediation effect was conducted using 5000 bootstrapped iterations mean indirect and direct effect. The bootstrapping test was performed using the SPSS PROCESS macro to test the statistical significance of the mediating effect [29].…”

Section: Discussionmentioning

confidence: 99%

Association of three missense mutations in the homocysteine-related MTHFR and MTRR gene with risk of polycystic ovary syndrome in Southern Chinese women

Feng

Zhang

Pan

et al. 2021

Reprod Biol Endocrinol

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Background The etiology between homocysteine and polycystic ovary syndrome (PCOS) is unclear. In humans, the level of homocysteine is mainly affected by two enzymes: methylene tetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR). While the activity of these two enzymes is mainly affected by three missense mutations, namely C677T (MTHFR), A1298C (MTHFR), and A66G (MTRR). This study aims to examine the association between the three missense mutations and PCOS and investigate whether the three missense mutations exerted their effect on PCOS by affecting the homocysteine level. Methods A case-control study was designed, comprising 150 people with PCOS and 300 controls. Logistic regression analysis was used to assess the association between the three missense mutations and PCOS. Linear regression analysis was used to assess the association between the three missense mutations and the homocysteine level. Mediation analysis was used to investigate whether the three missense mutations exerted their effect on PCOS by affecting the homocysteine level. Results Following adjustments and multiple rounds of testing, MTHFR A1298C was found to be significantly associated with PCOS in a dose-dependent manner (compared to AA, OR = 2.142 for AC & OR = 3.755 for CC; P < 0.001). MTRR A66G was nominally associated with PCOS. Mutations in MTHFR A1298C and MTRR A66G were significantly associated with the homocysteine level. Mediation analysis suggested the effect of MTHFR A1298C on PCOS was mediated by homocysteine. Conclusions MTHFR A1298C and MTRR A66G were associated with PCOS, and MTHFR A1298C might affect the risk of PCOS by influencing the homocysteine level.

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The role of mental health and physical activity in the association between sleep quality and quality of life among rural elderly in China: A moderated mediation model

Cited by 31 publications

References 26 publications

A mediating role for mental health in associations between COVID‐19‐related self‐stigma, PTSD, quality of life, and insomnia among patients recovered from COVID‐19

A mediating role for mental health in associations between COVID‐19‐related self‐stigma, PTSD, quality of life, and insomnia among patients recovered from COVID‐19

Effect of a self‐care training program using smartphones on general health, nutrition status, and sleep quality in the elderly

Association of three missense mutations in the homocysteine-related MTHFR and MTRR gene with risk of polycystic ovary syndrome in Southern Chinese women

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