Mossavar-Rahmani Yasmin, Weng Jia, Wang Rui, Shaw Pamela A, Jung Molly, Sotres-Alvarez Daniela, Castañeda Sheila F, Gallo Linda C, Gellman Marc D, Qi Qibin, Ramos Alberto R, Reid Kathryn J, Van Horn Linda, Patel Sanjay R
Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.
J Sleep Res. 2017 Dec;26(6):739-746. doi: 10.1111/jsr.12513. Epub 2017 Mar 28.
Using a cross-sectional probability sample with actigraphy data and two 24-h dietary recalls, we quantified the association between sleep duration, continuity, variability and timing with the Alternative Healthy Eating Index-2010 diet quality score and its components in 2140 Hispanic Community Health Study/Study of Latinos participants. The Alternative Healthy Eating Index diet quality-2010 score ranges from 0 to 110, with higher scores indicating greater adherence to the dietary guidelines and lower risk from major chronic disease. None of the sleep measures was associated with total caloric intake as assessed using dietary recalls. However, both an increase in sleep duration and sleep efficiency were associated with healthier diet quality. Each standard deviation increase in sleep duration (1.05 h) and sleep efficiency (4.99%) was associated with a 0.30 point increase and 0.28 point increase, respectively, in the total Alternative Healthy Eating Index-2010 score. The component of Alternative Healthy Eating Index-2010 most strongly associated with longer sleep duration was increased nuts and legumes intake. The components of Alternative Healthy Eating Index-2010 most strongly associated with higher sleep efficiency were increased whole fruit intake and decreased sodium intake. Both longer sleep duration and higher sleep efficiency were significantly associated with better diet quality among US Hispanic/Latino adults. The dietary components most strongly associated with sleep duration and sleep efficiency differed, suggesting potentially independent mechanisms by which each aspect of sleep impacts dietary choices. Longitudinal research is needed to understand the directionality of these identified relationships and the generalizability of these data across other ethnic groups.
我们采用了一个包含活动记录仪数据和两次24小时饮食回顾的横断面概率样本，对2140名西班牙裔社区健康研究/拉丁裔研究参与者的睡眠时长、连续性、变异性和时间安排与2010年替代健康饮食指数饮食质量得分及其组成部分之间的关联进行了量化。2010年替代健康饮食指数饮食质量得分范围为0至110分，得分越高表明对饮食指南的依从性越高，患主要慢性病的风险越低。使用饮食回顾评估发现，没有一项睡眠指标与总热量摄入相关。然而，睡眠时长和睡眠效率的增加均与更健康的饮食质量相关。睡眠时长每增加一个标准差（1.05小时），2010年替代健康饮食指数总分就增加0.30分；睡眠效率每增加一个标准差（4.99%），总分就增加0.28分。2010年替代健康饮食指数中与较长睡眠时长最密切相关的组成部分是坚果和豆类摄入量的增加。2010年替代健康饮食指数中与较高睡眠效率最密切相关的组成部分是全水果摄入量的增加和钠摄入量的减少。在美国西班牙裔/拉丁裔成年人中，较长的睡眠时长和较高的睡眠效率均与更好的饮食质量显著相关。与睡眠时长和睡眠效率最密切相关的饮食组成部分有所不同，这表明睡眠的各个方面影响饮食选择的潜在机制可能是独立的。需要进行纵向研究来了解这些已确定关系的方向性以及这些数据在其他种族群体中的普遍性。
