INS and insomnia measurement: In addition, sleep quality is associated with the body’s hormone secretion, which is highly susceptible to mood changes and the onset of anxiety symptoms, as demonstrated by a study of university students that confirmed that insomnia was associated with elevated fasting insulin (β = 0.12, p = 0.04) and elevated triglyceride levels (β = 1.85, p < 0.001), and that Stress (p = 0.020) and anxiety (p = 0.013) from university students’ life events mediated the relationship between insomnia and hypertriglyceridemia (Hsu and Chang, 2022).