Ollyvia Freeska Dwi Marta, Satwika Arya Pratama, Safiruddin Al Baqi, Fergi Patricia Essing, Rudy Kurniawan, Hsiao-Yean Chiu, Faizul Hasan, Debby Syahru Romadlon
Purpose: The purpose of the study was to examine the associations between fatigue, sleep quality, and mental health (depression and anxiety) among undergraduate students with prediabetes. Methods: A cross-sectional study was conducted among 327 undergraduate students (ages 18-25) from 3 universities in Indonesia. Participants completed surveys on fatigue, sleep quality, depression, and anxiety. Fasting blood glucose were measured to determine prediabetes. Multivariate logistic regression analyzed associations between psychological, behavioral, and metabolic factors. Results: Prediabetes was found in 21.4% (n = 70) of participants. Students with prediabetes had significantly higher fatigue, poorer sleep quality, and shorter sleep duration (<6 hours) more often. They also had higher depression scores and more anxiety symptoms. Multivariate analysis, adjusting for age, sex, body mass index, smoking, physical activity, and family history, revealed that higher fatigue, poor sleep quality, short sleep duration, and depression were independent predictors of prediabetes. Conclusion: Fatigue, poor sleep quality, and mental health symptoms are key factors associated with prediabetes risk in undergraduate students. These findings highlight the importance of addressing psychological and behavioral factors in prediabetes prevention. © The Author(s) 2025
Nursing Department, Faculty of Health Sciences, Universitas Muhammadiyah Malang, Malang, Indonesia; Department of Nutrition, Faculty of Sport and Health Sciences, Universitas Negeri Surabaya, Surabaya, Indonesia; Faculty of Education and Teaching Sciences, State Islamic Institute of Ponorogo, Ponorogo, Indonesia; School of Health Sciences, Sint Carolus, Jakarta, Indonesia; Diabetes Connection Care, Eka Hospital Bumi Serpong, Damai Tangerang, Indonesia; School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan; Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei, Taiwan; Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
