Werneck André O, Vancampfort Davy, Oyeyemi Adewale L, Stubbs Brendon, Silva Danilo R
Department of Physical Education, Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP), Rua Roberto Símonsen, 305, 19060-900 Presidente Prudente, São Paulo,Brazil.
Department of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
J Affect Disord. 2020 Apr 1;266:135-142. doi: 10.1016/j.jad.2020.01.104. Epub 2020 Jan 23.
We analyzed the joint association of high ultra-processed food ingestion and sedentary behavior (SB) with anxiety-induced sleep disturbance among Brazilian adolescents.
Data from the Brazilian Scholar Health Survey, a nationally representative survey of 9th grade adolescents [mean: 14.28 years (range: 11-18 years)] conducted in 2015 (n = 100,648) were used. Self-reported anxiety-induced sleep disturbance, SB (TV viewing and total sitting time), and frequency of ingestion of different ultra-processed foods were collected. Age, ethnicity, type of city (capital or interior), region of the country, and habitual physical activity (global scholar survey questionnaire) were covariates. Logistic regression analyses were conducted to assess the associations.
High ultra-processed food ingestion plus low SB [boys:OR:1.44(99%CI:1.16-1.79), girls:OR:1.41(99%CI:1.22-1.63)] were risk factors for anxiety-induced sleep disturbance. The highest risk of anxiety-induced sleep disturbance was observed among those who joint high ultra-processed food ingestion with high SB [boys:OR:1.85(99%CI:1.46-2.35), girls:OR:1.62(99%CI:1.39-1.89)]. In addition, the interaction of high ultra-processed food ingestion with TV-viewing substantially increased the odds of anxiety-induced sleep disturbance [boys:OR:2.03(99%CI:1.61-2.56), girls:OR:2.04(99%CI:1.76-2.36)].
Both the high consumption of ultra-processed foods and SB (especially TV-viewing) appear to be independently associated with anxiety-induced sleep disturbance in both sexes. However, the co-occurrence of both negative lifestyle behaviors is associated with a substantial increase in the risk of anxiety-induced sleep disturbance. Future longitudinal research is required to confirm/refute our findings and explore potential mechanisms.
我们分析了巴西青少年中高摄入超加工食品与久坐行为（SB）与焦虑引起的睡眠障碍之间的联合关联。
使用了巴西学者健康调查的数据，该调查是2015年对9年级青少年（平均年龄：14.28岁，范围：11 - 18岁）进行的全国代表性调查（n = 100,648）。收集了自我报告的焦虑引起的睡眠障碍、SB（看电视时间和总久坐时间）以及不同超加工食品的摄入频率。年龄、种族、城市类型（首都或内陆）、国家地区以及习惯性身体活动（全球学者调查问卷）作为协变量。进行逻辑回归分析以评估关联。
高摄入超加工食品加低SB（男孩：比值比：1.44，99%置信区间：1.16 - 1.79；女孩：比值比：1.41，99%置信区间：1.22 - 1.63）是焦虑引起的睡眠障碍的危险因素。在高摄入超加工食品且高SB的人群中观察到焦虑引起的睡眠障碍风险最高（男孩：比值比：1.85，99%置信区间：1.46 - 2.35；女孩：比值比：1.62，99%置信区间：1.39 - 1.89）。此外，高摄入超加工食品与看电视之间的相互作用显著增加了焦虑引起的睡眠障碍的几率（男孩：比值比：2.03，99%置信区间：1.61 - 2.56；女孩：比值比：2.04，99%置信区间：1.76 - 2.36）。
高消费超加工食品和SB（尤其是看电视）似乎在两性中均与焦虑引起的睡眠障碍独立相关。然而，这两种不良生活方式行为同时出现与焦虑引起的睡眠障碍风险大幅增加有关。未来需要进行纵向研究以证实/反驳我们的发现并探索潜在机制。
