Major dietary patterns and sleep quality in relation to overweight/obesity among school children: A case-control study

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Perspectives Pub Date : 2023-12-16 DOI:10.34172/hpp.2023.38
Maedeh Massoudi, Bahram Pourghassem Gargari, Mohammad Asghari Jafarabadi, Solmaz Norouzi
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Abstract

Background: Childhood overweight/obesity is increasing worldwide. There is evidence on the role of dietary patterns (DPs) and sleep quality on body weight in adults, but studies on the association of major DPs, sleep quality and overweight/obesity among school-age children are scarce, so the present study was done to shade a light on the subject. Methods: This study was a case-control study, conducted on school-age (7-13 years) children. Cases were healthy children who had a body mass index (BMI) percentile of≥85th for age and sex (n=102). Sex-matched children with a BMI percentile between 5th and 85th were considered as control group (n=102). Dietary data were collected using a validated 168-item food frequency questionnaire. Sleep quality was assessed by Pittsburgh sleep quality index. Binary logistic regression was used to assess the association between DPs, sleep quality, and overweight/obesity. Results: Three DPs were identified: "Low-energy healthy", "High-energy healthy" and "Unhealthy diet". Adherence to the first and second DPs was associated with 51%-62% lower odds of overweight/obesity (Odds ratio [OR]: 0.49, 95% CI: 0.24-0.97, and 0.38, 95% CI: 0.15-0.94, respectively, P<0.050). However, we found no significant association for the third DP with overweight/obesity. Furthermore, there was no significant association between sleep quality/duration and overweight/obesity. The interactions of DPs and sleep quality/duration with overweight/obesity were not significant. Conclusion: Eating a diet high in white meats, eggs, vegetables, fruits and juices, nuts, dairy products, whole grains, and low in refined grains and snacks is associated with a lower likelihood of overweight/obesity in children. This inverse association does not depend on sleep quality/duration.
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与学龄儿童超重/肥胖有关的主要饮食模式和睡眠质量:病例对照研究
背景:儿童超重/肥胖症在全球范围内呈上升趋势。有证据表明膳食模式(DP)和睡眠质量对成年人体重的影响,但有关学龄儿童主要膳食模式、睡眠质量和超重/肥胖之间关系的研究却很少,因此本研究旨在揭示这一问题。研究方法本研究是一项病例对照研究,对象为学龄儿童(7-13 岁)。病例为体重指数(BMI)百分位数≥年龄和性别第 85 位的健康儿童(102 人)。体重指数百分位数介于第 5 和第 85 之间的性别匹配儿童被视为对照组(102 人)。饮食数据采用经过验证的 168 项食物频率问卷进行收集。睡眠质量通过匹兹堡睡眠质量指数进行评估。采用二元逻辑回归评估DP、睡眠质量和超重/肥胖之间的关系。结果确定了三个DP:"低能量健康"、"高能量健康 "和 "不健康饮食"。坚持第一种和第二种饮食习惯与超重/肥胖几率降低 51%-62% 相关(Odds ratio [OR]:分别为 0.49(95% CI:0.24-0.97)和 0.38(95% CI:0.15-0.94),P<0.050)。然而,我们发现第三个 DP 与超重/肥胖没有明显关联。此外,睡眠质量/持续时间与超重/肥胖之间也没有明显关联。DP和睡眠质量/持续时间与超重/肥胖的交互作用不显著。结论多吃白肉、鸡蛋、蔬菜、水果和果汁、坚果、奶制品、全谷物,少吃精制谷物和零食与降低儿童超重/肥胖的可能性有关。这种反比关系与睡眠质量/睡眠时间无关。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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