Diet quality in young adulthood and sleep at midlife: a prospective analysis in the Bogalusa Heart Study.

IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS Nutrition Journal Pub Date : 2024-10-22 DOI:10.1186/s12937-024-01033-0
Kaitlin S Potts, Jeanette Gustat, Maeve E Wallace, Sylvia H Ley, Lu Qi, Lydia A Bazzano
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Abstract

Background: Diet and sleep are both established risk factors for cardiometabolic diseases. Prior evidence suggests a potential link between these behaviors, though longitudinal evidence for how diet associates with sleep is scarce. This study aimed to determine the prospective association between diet quality in young adulthood and multiple sleep outcomes at midlife in the Bogalusa Heart Study (BHS).

Methods: This prospective study included 593 BHS subjects with dietary assessment at the 2001-2002 visit and sleep questionnaire responses from the 2013-2016 visit, after an average of 12.7 years (baseline mean age: 36 years, 36% male, 70%/30% White and Black persons). A culturally tailored, validated food frequency questionnaire assessed usual diet. Diet quality was measured with the Alternate Healthy Eating Index (AHEI) 2010, the Healthy Eating Index (HEI) 2015, and the alternate Mediterranean (aMed) dietary score. Robust Poisson regression with log-link function estimated risk ratios (RR) for insomnia symptoms, high sleep apnea score, and having a healthy sleep pattern by quintile and per standard deviation (SD) increase in dietary patterns. Models adjusted for potential confounders including multi-level socioeconomic factors, depression, and body mass index. Trends across quintiles and effect modification by sex, race, and education were tested.

Results: Higher diet quality in young adulthood, measured by both AHEI and HEI, was associated with lower probability of having insomnia symptoms at midlife. In the adjusted model, each SD-increase in AHEI (7.8 points; 7% of score range) conferred 15% lower probability of insomnia symptoms at follow-up (RR [95% confidence interval CI]: 0.85 [0.77, 0.93]), those in Q5 of AHEI had 0.54 times the probability as those in Q1 (95% CI: 0.39, 0.75), and there was a significant trend across quintiles (trend p = 0.001). There were no significant associations between young adult diet quality and having a high sleep apnea risk or a healthy sleep pattern at follow-up.

Conclusions: A healthy diet was associated with a lower probability of future insomnia symptoms. If replicated, these findings could have implications for chronic disease prevention strategies incorporating the lifestyle behaviors of sleep and diet.

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年轻时的饮食质量与中年时的睡眠:博加卢萨心脏病研究的前瞻性分析。
背景:饮食和睡眠都是心血管代谢疾病的既定风险因素。先前的证据表明这些行为之间存在潜在联系,但有关饮食与睡眠之间关系的纵向证据却很少。本研究旨在确定博格卢萨心脏研究(BHS)中青年时期饮食质量与中年时期多种睡眠结果之间的前瞻性关联:这项前瞻性研究纳入了 593 名 BHS 受试者,他们在平均 12.7 年后的 2001-2002 年进行了饮食评估,并在 2013-2016 年进行了睡眠问卷调查(基线平均年龄:36 岁,36% 为男性,70%/30% 为白人和黑人)。根据文化定制的、经过验证的食物频率问卷对通常的饮食进行了评估。饮食质量通过 2010 年替代健康饮食指数 (AHEI)、2015 年健康饮食指数 (HEI) 和替代地中海 (aMed) 饮食评分进行测量。使用对数链接函数的稳健泊松回归估算了失眠症状、睡眠呼吸暂停高分和拥有健康睡眠模式的风险比 (RR),并按五分位数和饮食模式每标准差 (SD) 的增加进行了调整。模型调整了潜在的混杂因素,包括多层次社会经济因素、抑郁症和体重指数。测试了五分位数之间的趋势以及性别、种族和教育程度的影响修正:结果:以AHEI和HEI衡量的青年时期较高的饮食质量与较低的中年失眠症状发生概率相关。在调整模型中,AHEI 每增加一个标准差(7.8 分;7% 的分数范围),随访时出现失眠症状的概率就会降低 15%(RR [95% 置信区间 CI]:0.85 [0.77, 0.93]),AHEI 第 5 组的概率是第 1 组的 0.54 倍(95% 置信区间 CI:0.39, 0.75),且五分位数之间存在显著趋势(趋势 p = 0.001)。年轻成人的饮食质量与高睡眠呼吸暂停风险或随访时的健康睡眠模式之间没有明显关联:结论:健康饮食与未来出现失眠症状的概率较低有关。结论:健康的饮食与未来出现失眠症状的概率较低有关。如果这些研究结果得到证实,将对结合睡眠和饮食等生活方式的慢性病预防策略产生影响。
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来源期刊
Nutrition Journal
Nutrition Journal NUTRITION & DIETETICS-
CiteScore
9.80
自引率
0.00%
发文量
68
审稿时长
4-8 weeks
期刊介绍: Nutrition Journal publishes surveillance, epidemiologic, and intervention research that sheds light on i) influences (e.g., familial, environmental) on eating patterns; ii) associations between eating patterns and health, and iii) strategies to improve eating patterns among populations. The journal also welcomes manuscripts reporting on the psychometric properties (e.g., validity, reliability) and feasibility of methods (e.g., for assessing dietary intake) for human nutrition research. In addition, study protocols for controlled trials and cohort studies, with an emphasis on methods for assessing dietary exposures and outcomes as well as intervention components, will be considered. Manuscripts that consider eating patterns holistically, as opposed to solely reductionist approaches that focus on specific dietary components in isolation, are encouraged. Also encouraged are papers that take a holistic or systems perspective in attempting to understand possible compensatory and differential effects of nutrition interventions. The journal does not consider animal studies. In addition to the influence of eating patterns for human health, we also invite research providing insights into the environmental sustainability of dietary practices. Again, a holistic perspective is encouraged, for example, through the consideration of how eating patterns might maximize both human and planetary health.
期刊最新文献
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