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Yetişkinlerde uyku kalitesinin beslenme durumu ve beden kütle indeksi ile ilişkisi

Year 2023, Volume: 48 Issue: 2, 686 - 696, 02.07.2023
https://doi.org/10.17826/cumj.1282132

Abstract

Amaç: Uyku kalitesini etkileyen faktörlerin belirlenmesi, olası sağlık risklerinin minimalize edilmesine fayda sağlayacaktır. Bu çalışmada yetişkin bireylerde uyku kalitesi ile beslenme alışkanlıkları, beslenme durumu ve beden kütle indeksi (BKİ) arasındaki ilişkinin değerlendirilmesi amaçlanmaktadır.
Gereç ve Yöntem: Bu çalışma yaşları 18-65 yıl arasında değişen 293 erkek ve 283 kadın olmak üzere toplam 576 sağlıklı birey üzerinde yürütülmüştür. Kronik hastalığı olan bireyler, hamileler ve gebeler çalışmaya dahil edilmemiştir. Tüm katılımcıların tanımlayıcı bilgileri, beslenme alışkanlıkları, bazı antropometrik ölçümleri sorgulanmıştır. Ayrıca bireylere Pittsburgh Uyku Kalite İndeksi (PUKİ) uygulanmış ve bireylerden 24 saatlik geriye dönük hatırlatma yöntemi ile besin tüketim kayıtları alınmıştır.
Bulgular: Hem erkek hem de toplam katılımcılarda BKİ 18.50-24.99 kg/m2 aralığında olanların iyi uyku kalitesine sahip olma oranları BKİ ≥25 kg/m2 olanlardan daha düşüktür. Erkek bireylerde ve toplam katılımcılarda sigara kullanım sayısı ile PUKİ toplam puanı arasında pozitif bir korelasyon bulunmuştur. Ayrıca çalışmada, kadın bireyler ve toplam katılımcıların diyette doymuş yağ asitleri yüzdesi ile PUKİ toplam puanları arasında pozitif bir korelasyon tespit edilmişken, kadın bireylerin diyetle niasin (mg) ve bakır (mg) alımları ile PUKİ toplam puanları arasında ise negatif bir korelasyon saptanmıştır.
Sonuç: Çalışma sonuçları, uyku kalitesi ile beslenme durumu, yeme alışkanlıkları ve BKİ arasında bir ilişki olduğuna işaret etmektedir. Sigara kullanımının sonlandırılması/kullanım sayısının azaltılması ve sağlıklı beslenme alışkanlıklarının edinimi gibi bazı yaşam tarzı değişikliklerinin uyku kalitesinin iyileştirilmesi çabaları içinde önemli bir yere sahip olduğu sonucuna varılabilir

References

  • Gruber R, Carrey N, Weiss SK, Frappier JY, Rourke L, Brouillette RT et al. Position statement on pediatric sleep for psychiatrists. J Can Acad Child Adolesc Psychiatry. 2014;23:174.
  • Åkerstedt T, Nilsson PM. Sleep as restitution: an introduction. J Intern Med. 2003;254:6-12.
  • Matricciani L, Olds T, Petkov J. In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents. Sleep Med Rev. 2012;16:203-11.
  • Chaput J-P, Klingenberg L, Sjödin A. Do all sedentary activities lead to weight gain: sleep does not. Curr Opin Clin Nutr Metab Care. 2010;13:601-7.
  • Chaput J-P. Sleep patterns, diet quality and energy balance. Physiol Behav. 2014;134:86-91.
  • Chaput J-P, Tremblay A. Insufficient sleep as a contributor to weight gain: an update. Curr Obes Rep. 2012;1:245-56.
  • Magee L, Hale L. Longitudinal associations between sleep duration and subsequent weight gain: a systematic review. Sleep Med Rev. 2012;16:231-41.
  • McNeil J, Chaput J-P, Forest G, Doucet E. Altered energy balance in response to sleep restriction. In Hormones and behavior: Nova Science Publishers New York, (Eds D Simonsen): 105-19. Nova Science Publishers, 2013.
  • Spiegel K, Tasali E, Penev P, Cauter EV. Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med. 2004;141:846-50.
  • Nielsen L, Danielsen K, Sørensen T. Short sleep duration as a possible cause of obesity: critical analysis of the epidemiological evidence. Obes Rev. 2011;12:78-92.
  • St-Onge M-P, Mikic A, Pietrolungo CE. Effects of diet on sleep quality. Adv Nutr. 2016;7:938-49.
  • Zhao M, Tuo H, Wang S, Zhao L. The effects of dietary nutrition on sleep and sleep disorders. Mediators Inflamm. 2020.
  • Shilo L, Sabbah H, Hadari R, Kovatz S, Weinberg U, Dolev S et al. The effects of coffee consumption on sleep and melatonin secretion. Sleep Med. 2002;3:271-3.
  • Han M, Yuan S, Zhang J. The interplay between sleep and gut microbiota. Brain Res Bull. 2022;180:131-46.
  • Who J, Consultation FE. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003;916:1-149.
  • Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213.
  • Ağargün MY, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7:107-15.
  • Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G. The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci. 2013;17:370-4.
  • Farah NM, Saw Yee T, Mohd Rasdi HF. Self-reported sleep quality using the Malay version of the pittsburgh sleep quality index (PSQI-M) in Malaysian adults. Int J Environ Res Public Health. 2019;16:4750.
  • Rakicioğlu N, Tek N, Ayaz A, Pekcan A. Yemek Ve Besin Fotoğraf Kataloğu Ölçü Ve Miktarlar, 3rd Ed. Ankara, Ata Ofset Press, 2012.
  • Merdol TK. Toplu Beslenme Servisi Yapılan Kurumlar Için Standart Yemek Tarifeleri. 5th Ed. Ankara, Hatiboğlu Press, 2014.
  • Merdol TK, Ciğerim N, Sacır H, Başoğlu S. Türk Mutfağından Örnekler. 2nd Ed. Ankara, Hatiboğlu Press, 2000.
  • Be Bi S. Nutrition Data Base Software Data Base. The German Food Code And Nutrient Data Base (BLS II 3, 1999) With Additions From USDA-sr and Other Sources. Istanbul, Turkey. 2004.
  • Hoefelmann LP, da Silva Lopes A, da Silva KS, Moritz P, Nahas MV. Sociodemographic factors associated with sleep quality and sleep duration in adolescents from Santa Catarina, Brazil: what changed between 2001 and 2011? Sleep Med. 2013;14:1017-23.
  • Mello AdC, Engstrom EM, Alves LC. Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cad Saude Publica. 2014;30:1143-68.
  • World Health Organization. Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.html (accessed March 2023).
  • Cooper AJ, Gupta SR, Moustafa AF, Chao AM. Sex/gender differences in obesity prevalence, comorbidities, and treatment. Curr Obes Rep. 2021;10:458–466.
  • Bakanlığı TS. Türkiye beslenme ve sağlık araştırması (TBSA). Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu. Sağlık Bakanlığı Yayın. 2019;931.
  • August KJ. Marital status, marital transitions, and sleep quality in mid to late life. Res Aging. 2022;44:301-11.
  • Mukamal KJ. The effects of smoking and drinking on cardiovascular disease and risk factors. Alcohol Res Health. 2006;29:199.
  • Sağlık Bakanlığı. Türkiye Beslenme ve Sağlık Araştırması TBSA 2019. Ankara: TC Sağlık Bakanlığı. 2019.
  • Ünal B, Ergör G, Horasan G, Kalaça S, Sözmen K. Türkiye Kronik Hastalıklar ve Risk Faktörleri Sıklığı Çalışması. Ankara, Sağlık Bakanlığı, 2013.
  • Kahleova H, Lloren JI, Mashchak A, Hill M, Fraser GE. Meal frequency and timing are associated with changes in body mass index in Adventist Health Study 2. J Nutr. 2017;147:1722-8.
  • Jon Schoenfeld B, Albert Aragon A, Krieger JW. Effects of meal frequency on weight loss and body composition: a meta-analysis. Nutr Rev. 2015;73:69-82.
  • Van Der Heijden AA, Hu FB, Rimm EB, Van Dam RM. A prospective study of breakfast consumption and weight gain among US men. Obesity. 2007;15:2463-9.
  • Koopman KE, Caan MW, Nederveen AJ, Pels A, Ackermans MT, Fliers E, et al. Hypercaloric diets with increased meal frequency, but not meal size, increase intrahepatic triglycerides: a randomized controlled trial. Hepatology. 2014;60:545-53.
  • Garaulet M, Gómez-Abellán P, Alburquerque-Béjar J, Lee Y, Ordovás J, Scheer F. " Timing of food intake predicts weight loss effectiveness": Corrigendum. Int J Obes. 2013;37:624.
  • Patel SR, Hu FB. Short sleep duration and weight gain: a systematic review. Obesity. 2008;16:643-53.
  • Chen H, Wang L-J, Xin F, Liang G, Chen Y. Associations between sleep duration, sleep quality, and weight status in Chinese children and adolescents. BMC Public Health. 2022;22:1-15.
  • Akdevelioglu Y, Sahin TO, Yesildemir O. Sleep quality and its relationship with night eating syndrome, the risk of diabetes, and nutritional status among university students. Prog Nutr. 2020;22:304-15.
  • Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle‐aged female Japanese workers. J Occup Health. 2014;56:359-68.
  • Behbahani HB, Borazjani F, Sheikhi L, Amiri R, Angali KA, Nejad SB et al. The association between diet quality scores with sleep quality among employees: a cross-sectional study. Ethiop J Health Sci. 2022;32:145.
  • Wilson K, St-Onge M-P, Tasali E. Diet composition and objectively assessed sleep quality: a narrative review. J Acad Nutr Diet. 2022;122:1182-1195.
  • Jyväkorpi SK, Urtamo A, Kivimäki M, Strandberg TE. Associations of sleep quality, quantity and nutrition in oldest-old men The Helsinki Businessmen Study (HBS). Eur Geriatr Med. 2021;12:117-22.
  • St-Onge M-P, Roberts A, Shechter A, Choudhury AR. Fiber and saturated fat are associated with sleep arousals and slow wave sleep. J Clin Sleep Med. 2016;12:19-24.
  • Hashimoto A, Inoue H, Kuwano T. Low energy intake and dietary quality are associated with low objective sleep quality in young Japanese women. Nutr Res. 2020;80:44-54.
  • Liu J-T, Lee I-H, Wang C-H, Chen K-C, Lee C-I, Yang Y-K. Cigarette smoking might impair memory and sleep quality. J Formos Med Assoc. 2013;112:287-90

Association of sleep quality with nutritional status and body mass index in adults

Year 2023, Volume: 48 Issue: 2, 686 - 696, 02.07.2023
https://doi.org/10.17826/cumj.1282132

Abstract

Purpose: Identifying the factors that affect sleep quality will help minimize potential health risks. This study aimed to evaluate the association of sleep quality with dietary habits, nutritional status and body mass index (BMI) in adults.
Materials and Methods: This study was conducted on 576 healthy individuals, 293 males and 283 females, aged between 18-65 years. The study did not include individuals with chronic diseases, pregnant and lactating women. The participants' descriptive information, dietary habits, and some anthropometric measurements were questioned. Additionally, Pittsburgh Sleep Quality Index (PSQI) was applied to the participants and 24-hour dietary recalls were recorded.
Results: In both male and total participants, the rate of good sleep quality of those with a BMI between 18.50-24.99 kg/m2 was lower than those with a BMI ≥25 kg/m2. The number of cigarette smoked in a day and the total PSQI score of the male and total participants were positively correlated. Additionally, there was a positive correlation between the percentage of saturated fatty acids in the diet and the total PSQI scores in female and total participants, while a negative relationship was found between dietary niacin (mg) and copper (mg) intakes and total PSQI scores in female.
Conclusion: The results of the study indicate that there is a relationship between sleep quality and nutritional status, and BMI. It can be concluded that some lifestyle modifications such as smoking cessation/reduction and the acquisition of healthy eating habits can be used to improve sleep quality.

References

  • Gruber R, Carrey N, Weiss SK, Frappier JY, Rourke L, Brouillette RT et al. Position statement on pediatric sleep for psychiatrists. J Can Acad Child Adolesc Psychiatry. 2014;23:174.
  • Åkerstedt T, Nilsson PM. Sleep as restitution: an introduction. J Intern Med. 2003;254:6-12.
  • Matricciani L, Olds T, Petkov J. In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents. Sleep Med Rev. 2012;16:203-11.
  • Chaput J-P, Klingenberg L, Sjödin A. Do all sedentary activities lead to weight gain: sleep does not. Curr Opin Clin Nutr Metab Care. 2010;13:601-7.
  • Chaput J-P. Sleep patterns, diet quality and energy balance. Physiol Behav. 2014;134:86-91.
  • Chaput J-P, Tremblay A. Insufficient sleep as a contributor to weight gain: an update. Curr Obes Rep. 2012;1:245-56.
  • Magee L, Hale L. Longitudinal associations between sleep duration and subsequent weight gain: a systematic review. Sleep Med Rev. 2012;16:231-41.
  • McNeil J, Chaput J-P, Forest G, Doucet E. Altered energy balance in response to sleep restriction. In Hormones and behavior: Nova Science Publishers New York, (Eds D Simonsen): 105-19. Nova Science Publishers, 2013.
  • Spiegel K, Tasali E, Penev P, Cauter EV. Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med. 2004;141:846-50.
  • Nielsen L, Danielsen K, Sørensen T. Short sleep duration as a possible cause of obesity: critical analysis of the epidemiological evidence. Obes Rev. 2011;12:78-92.
  • St-Onge M-P, Mikic A, Pietrolungo CE. Effects of diet on sleep quality. Adv Nutr. 2016;7:938-49.
  • Zhao M, Tuo H, Wang S, Zhao L. The effects of dietary nutrition on sleep and sleep disorders. Mediators Inflamm. 2020.
  • Shilo L, Sabbah H, Hadari R, Kovatz S, Weinberg U, Dolev S et al. The effects of coffee consumption on sleep and melatonin secretion. Sleep Med. 2002;3:271-3.
  • Han M, Yuan S, Zhang J. The interplay between sleep and gut microbiota. Brain Res Bull. 2022;180:131-46.
  • Who J, Consultation FE. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003;916:1-149.
  • Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213.
  • Ağargün MY, Kara H, Anlar O. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7:107-15.
  • Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G. The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci. 2013;17:370-4.
  • Farah NM, Saw Yee T, Mohd Rasdi HF. Self-reported sleep quality using the Malay version of the pittsburgh sleep quality index (PSQI-M) in Malaysian adults. Int J Environ Res Public Health. 2019;16:4750.
  • Rakicioğlu N, Tek N, Ayaz A, Pekcan A. Yemek Ve Besin Fotoğraf Kataloğu Ölçü Ve Miktarlar, 3rd Ed. Ankara, Ata Ofset Press, 2012.
  • Merdol TK. Toplu Beslenme Servisi Yapılan Kurumlar Için Standart Yemek Tarifeleri. 5th Ed. Ankara, Hatiboğlu Press, 2014.
  • Merdol TK, Ciğerim N, Sacır H, Başoğlu S. Türk Mutfağından Örnekler. 2nd Ed. Ankara, Hatiboğlu Press, 2000.
  • Be Bi S. Nutrition Data Base Software Data Base. The German Food Code And Nutrient Data Base (BLS II 3, 1999) With Additions From USDA-sr and Other Sources. Istanbul, Turkey. 2004.
  • Hoefelmann LP, da Silva Lopes A, da Silva KS, Moritz P, Nahas MV. Sociodemographic factors associated with sleep quality and sleep duration in adolescents from Santa Catarina, Brazil: what changed between 2001 and 2011? Sleep Med. 2013;14:1017-23.
  • Mello AdC, Engstrom EM, Alves LC. Health-related and socio-demographic factors associated with frailty in the elderly: a systematic literature review. Cad Saude Publica. 2014;30:1143-68.
  • World Health Organization. Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.html (accessed March 2023).
  • Cooper AJ, Gupta SR, Moustafa AF, Chao AM. Sex/gender differences in obesity prevalence, comorbidities, and treatment. Curr Obes Rep. 2021;10:458–466.
  • Bakanlığı TS. Türkiye beslenme ve sağlık araştırması (TBSA). Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu. Sağlık Bakanlığı Yayın. 2019;931.
  • August KJ. Marital status, marital transitions, and sleep quality in mid to late life. Res Aging. 2022;44:301-11.
  • Mukamal KJ. The effects of smoking and drinking on cardiovascular disease and risk factors. Alcohol Res Health. 2006;29:199.
  • Sağlık Bakanlığı. Türkiye Beslenme ve Sağlık Araştırması TBSA 2019. Ankara: TC Sağlık Bakanlığı. 2019.
  • Ünal B, Ergör G, Horasan G, Kalaça S, Sözmen K. Türkiye Kronik Hastalıklar ve Risk Faktörleri Sıklığı Çalışması. Ankara, Sağlık Bakanlığı, 2013.
  • Kahleova H, Lloren JI, Mashchak A, Hill M, Fraser GE. Meal frequency and timing are associated with changes in body mass index in Adventist Health Study 2. J Nutr. 2017;147:1722-8.
  • Jon Schoenfeld B, Albert Aragon A, Krieger JW. Effects of meal frequency on weight loss and body composition: a meta-analysis. Nutr Rev. 2015;73:69-82.
  • Van Der Heijden AA, Hu FB, Rimm EB, Van Dam RM. A prospective study of breakfast consumption and weight gain among US men. Obesity. 2007;15:2463-9.
  • Koopman KE, Caan MW, Nederveen AJ, Pels A, Ackermans MT, Fliers E, et al. Hypercaloric diets with increased meal frequency, but not meal size, increase intrahepatic triglycerides: a randomized controlled trial. Hepatology. 2014;60:545-53.
  • Garaulet M, Gómez-Abellán P, Alburquerque-Béjar J, Lee Y, Ordovás J, Scheer F. " Timing of food intake predicts weight loss effectiveness": Corrigendum. Int J Obes. 2013;37:624.
  • Patel SR, Hu FB. Short sleep duration and weight gain: a systematic review. Obesity. 2008;16:643-53.
  • Chen H, Wang L-J, Xin F, Liang G, Chen Y. Associations between sleep duration, sleep quality, and weight status in Chinese children and adolescents. BMC Public Health. 2022;22:1-15.
  • Akdevelioglu Y, Sahin TO, Yesildemir O. Sleep quality and its relationship with night eating syndrome, the risk of diabetes, and nutritional status among university students. Prog Nutr. 2020;22:304-15.
  • Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle‐aged female Japanese workers. J Occup Health. 2014;56:359-68.
  • Behbahani HB, Borazjani F, Sheikhi L, Amiri R, Angali KA, Nejad SB et al. The association between diet quality scores with sleep quality among employees: a cross-sectional study. Ethiop J Health Sci. 2022;32:145.
  • Wilson K, St-Onge M-P, Tasali E. Diet composition and objectively assessed sleep quality: a narrative review. J Acad Nutr Diet. 2022;122:1182-1195.
  • Jyväkorpi SK, Urtamo A, Kivimäki M, Strandberg TE. Associations of sleep quality, quantity and nutrition in oldest-old men The Helsinki Businessmen Study (HBS). Eur Geriatr Med. 2021;12:117-22.
  • St-Onge M-P, Roberts A, Shechter A, Choudhury AR. Fiber and saturated fat are associated with sleep arousals and slow wave sleep. J Clin Sleep Med. 2016;12:19-24.
  • Hashimoto A, Inoue H, Kuwano T. Low energy intake and dietary quality are associated with low objective sleep quality in young Japanese women. Nutr Res. 2020;80:44-54.
  • Liu J-T, Lee I-H, Wang C-H, Chen K-C, Lee C-I, Yang Y-K. Cigarette smoking might impair memory and sleep quality. J Formos Med Assoc. 2013;112:287-90
There are 47 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Mehmet Arif İçer 0000-0002-1632-7484

Makbule Gezmen Karadağ 0000-0003-3202-3250

Early Pub Date July 11, 2023
Publication Date July 2, 2023
Acceptance Date June 13, 2023
Published in Issue Year 2023 Volume: 48 Issue: 2

Cite

MLA İçer, Mehmet Arif and Makbule Gezmen Karadağ. “Association of Sleep Quality With Nutritional Status and Body Mass Index in Adults”. Cukurova Medical Journal, vol. 48, no. 2, 2023, pp. 686-9, doi:10.17826/cumj.1282132.