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The chain-mediated role of sleep duration and anxiety in the relationship between dietary diversity and depression in older adults
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Xin SUI1, Ge GAO2, Ke-ying ZHANG1, Yun-na GONG1, Wen-chao WANG1, Xiao-lin ZHANG1, Yong MA1
Modern Preventive Medicine | 2026, 53(3) : 502 - 506
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Modern Preventive Medicine | 2026, 53(3): 502-506
• Health and Social Behavior •
The chain-mediated role of sleep duration and anxiety in the relationship between dietary diversity and depression in older adults
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Xin SUI1, Ge GAO2, Ke-ying ZHANG1, Yun-na GONG1, Wen-chao WANG1, Xiao-lin ZHANG1, Yong MA1
Affiliations
  • School of Management, Shandong Second Medical University, Weifang, Shandong 261053, China
Published: 2026-02-10 doi: 10.20043/j.cnki.MPM.202508318
Outline
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Objective

To explore the mediating role of sleep duration and anxiety in the association between dietary diversity and depression in older adults, so as to inform improvements in their mental health.

Methods

This study utilised data from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), selecting 7 744 participants. Spearman’s correlation analysis was employed to investigate the relationships between dietary diversity, sleep duration, anxiety, and depression among older adults. The mediating effects of sleep duration and anxiety on the association between dietary diversity and depression were analysed using Model 6 of the Process 4.2 plugin in SPSS.

Results

There was a statistically significant direct effect of dietary diversity on depression in older adults (β=-0.348,95% CI: -0.408~-0.288), a statistically significant separate mediated effect of sleep duration (β=-0.027,95% CI: -0.037~-0.018), a statistically significant separate mediated effect of anxiety (β=-0.181,95% CI: -0.220~-0.142), and a statistically significant chain mediated effect of sleep duration and anxiety (β=-0.016,95% CI:-0.022~-0.011).

Conclusion

Dietary diversity can directly and negatively affect the level of depression in older adults, or it can affect the level of depression in older adults through the separate or chain-mediated effects of sleep duration and anxiety.Therefore, it is recommended that the dietary structure of the elderly should be improved, nutritional intake should be guaranteed, and attention should be paid to sleep regulation to alleviate the anxiety of the elderly, thereby alleviating their depressive conditions.

Dietary diversity  /  Older adults  /  Sleep duration  /  Anxiety  /  Depression
隋欣, 高歌, 张克莹, 宫云娜, 王文超, 张晓林, 马勇. 睡眠时长和焦虑在膳食多样性与老年人抑郁间的链式中介作用. 现代预防医学, 2026 , 53 (3) : 502 -506 . DOI: 10.20043/j.cnki.MPM.202508318
Xin SUI, Ge GAO, Ke-ying ZHANG, Yun-na GONG, Wen-chao WANG, Xiao-lin ZHANG, Yong MA. The chain-mediated role of sleep duration and anxiety in the relationship between dietary diversity and depression in older adults[J]. Modern Preventive Medicine, 2026 , 53 (3) : 502 -506 . DOI: 10.20043/j.cnki.MPM.202508318
Year 2026 volume 53 Issue 3
32
17
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Article Info
doi: 10.20043/j.cnki.MPM.202508318
  • Receive Date:2025-08-19
  • Online Date:2026-11-02
  • Published:2026-02-10
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  • Received:2025-08-19
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    School of Management, Shandong Second Medical University, Weifang, Shandong 261053, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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