Body Mass Index, Sleep, and Food Insecurity Predict Prevalence of Anxiety and Depression in College Students

This study aimed to assess the relationship between mental health, health behaviors, and food security in young adults in a university environment. Young adults (N = 536) at two United States universities completed a survey assessing health behaviors and characteristics. Logistic regression determined the odds of anxiety and/or depression based on gender identity, body mass index (BMI), food security status (FSS), and sleep restfulness. Over one-third of students were food insecure (36.7%), and almost all reported anxiety (57%) and/or depression (39.1%). Students who identified as female, reported very low FSS, poor sleep, and had higher BMI were at greater odds for the prevalence of depression. Students with poor sleep and low FSS were more likely to report mental health challenges. Universities should focus on priorities and interventions among at-risk students.