Diet, physical activity, and screen time to sleep better : Multiple mediation analysis of lifestyle factors in school-aged children with and without Attention Deficit Hyperactivity Disorder

Journal article

Hong, George C.C., Conduit, Russell, Wong, Jason, Benedetto, Mirella and Lee, Eunro. (2021). Diet, physical activity, and screen time to sleep better : Multiple mediation analysis of lifestyle factors in school-aged children with and without Attention Deficit Hyperactivity Disorder. Journal of Attention Disorders. 25(13), pp. 1847-1858. https://doi.org/10.1177/1087054720940417

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Authors	Hong, George C.C., Conduit, Russell, Wong, Jason, Benedetto, Mirella and Lee, Eunro
Abstract	Objective: This study examined the mediation roles of multiple lifestyle factors in school-aged children. Structural equation modeling (SEM) tested how lifestyle factors play mechanism roles one another in the impact of ADHD to seek theoretical and intervention insights. Method: An online survey assessed children’s lifestyle factors including diet, physical activity, screen time, sleep difficulties, and having ADHD diagnosis. A multi-country sample from English speaking nations included 309 caregivers. Multiple regression and SEM were planned to identify significant correlates and mediators of ADHD in explaining lifestyle differences. Results: Preliminary multiple regression showed only sleep quality was significantly different between children with and without ADHD. Significant triple mediation effects suggested diet, physical activity, and screen time mediated the ADHD impact on sleep quality. Conclusion: Researchers and practitioners may incorporate the findings to develop intervention models for children with ADHD attending to the mediational roles of lifestyle factors to improve sleep quality.
Keywords	attention deficit hyperactivity disorder; lifestyle factors; mediation effect; school-aged children; structural equation modeling
Year	2021
Journal	Journal of Attention Disorders
Journal citation	25 (13), pp. 1847-1858
Publisher	Sage Publications Inc.
ISSN	1087-0547
Digital Object Identifier (DOI)	https://doi.org/10.1177/1087054720940417
Scopus EID	2-s2.0-85087898571
Research or scholarly	Research
Page range	1847-1858
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	14 Jul 2020
Publication process dates
Deposited	02 Jun 2022

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