Effects of Diet Components on the Sleep Quality of First-year Medical Students of a Medical University of Northern India

S. Roy, Archna Ghildiyal
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Abstract

Aim: The primary aim was to find out the effect of diet components: protein-rich food (represented by the non-vegetarians) or carbohydrate- rich food (represented by the vegetarians) on the sleep quality of first-year medical students. The secondary aim was to find whether the total calorie intake and the sleep quality of the subjects had any relation. Materials and methods: Students were divided into four groups according to gender and whether they are vegetarians or non-vegetarians. All of them were required to fill their daily food consumption questionnaire, at the end of each day, for 28 days. At the end of this period, they had to fill the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The total calorie intake and PSQI scores were calculated and analyzed. Results: The average calorie intake and PSQI score of non-vegetarians are ± SD = 50747.78 ± 15068.05 kcal and 5.76 ± 2.57, respectively. The average calorie intake and PSQI score of vegetarians are ± SD = 60342.63 ± 18309.56 kcal and 6.02 ± 2.66, respectively. No significant correlation was found to exist between calorie intake and sleep quality, in any of the individual groups nor overall. Conclusion: The average calorie intake of vegetarians was higher, but their sleep quality was worse, due to more carbohydrate consumption and less protein consumption as compared to the non-vegetarians. More of carbohydrate and less of protein had resulted into their poorer sleep quality. Boys had overall better sleep quality than girls. Excess intake of snacks and fast food and consuming less variety of foods, as mostly seen in girls, were also found to be the dietary reasons behind their poorer sleep quality. Clinical significance: This study will help hostellers in finding the balanced combination of food components that are best for them to lead a healthy life and get the very needed sound sleep and can be beneficial for different institutions in designing their balanced hostel mess menu.
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饮食成分对北印度某医科大学一年级医学生睡眠质量的影响
目的:主要目的是了解饮食成分:富含蛋白质的食物(以非素食者为代表)或富含碳水化合物的食物(由素食者代表)对一年级医学生睡眠质量的影响。第二个目的是找出受试者的总热量摄入和睡眠质量是否有任何关系。材料和方法:根据性别和是否为素食者,将学生分为四组。他们都被要求在每天结束时填写28天的每日食物消费问卷。在此期间结束时,他们必须填写匹兹堡睡眠质量指数(PSQI)问卷。计算并分析了总热量摄入和PSQI评分。结果:非素食者的平均卡路里摄入量和PSQI得分分别为±SD=50747.78±15068.05 kcal和5.76±2.57。素食者的平均卡路里摄入量和PSQI得分分别为±SD=60342.63±18309.56 kcal和6.02±2.66 kcal。在任何一个单独的组中,也没有发现热量摄入和睡眠质量之间存在显著的相关性。结论:与非素食者相比,素食者的平均卡路里摄入量较高,但睡眠质量较差,这是因为他们摄入了更多的碳水化合物和更少的蛋白质。碳水化合物含量高,蛋白质含量低,导致他们的睡眠质量较差。男孩的睡眠质量总体上比女孩好。零食和快餐摄入过多,食物种类较少,这主要发生在女孩身上,也是她们睡眠质量较差的饮食原因。临床意义:这项研究将帮助寄宿者找到最适合他们健康生活和获得所需良好睡眠的食物成分的平衡组合,并有助于不同机构设计平衡的宿舍餐单。
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