坚持终止高血压膳食方法（DASH）饮食与母婴睡眠障碍之间的关联。

Association between adherence to the dietary approaches to stop hypertension (DASH) diet and maternal and infant sleep disorders.

作者信息

Karbasi Samira, Azaryan Ehsaneh, Zangooie Alireza, Zarban Asghar, Bahrami Afsane

机构信息

Department of Molecular Medicine, School of Medicine, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.

Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

BMC Nutr. 2022 Sep 19;8(1):103. doi: 10.1186/s40795-022-00600-0.

DOI:10.1186/s40795-022-00600-0

PMID:36123718

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9484172/

Abstract

BACKGROUND

Maternal diet is known to be important to both mother and infant health. The purpose of this study was to evaluate the association between adherence to the Dietary Approaches to Stop Hypertension (DASH) dietary pattern (DP) and sleep problems in mothers and their infants.

METHODS

The study included 350 breastfeeding mothers with an average age of 29.5 ± 5.9 years. Psychological functions were performed using standard questionnaires, including a Quality-of-Life Questionnaire (QLQ), Edinburgh Postnatal Depression Scale (EPDS), Spielberger Anxiety Questionnaire (SAQ), Pittsburg Sleep Quality Index (PSQI), and Infant Sleep Questionnaire (ISQ). Also, a standardized food frequency questionnaire (FFQ) was used to identify adherence to the DASH DP.

RESULTS

Subjects in the highest tertile of DASH DP had significantly lower scores of mother's sleep latency (0.70 ± 1.18 vs. 1.24 ± 1.3; P value = 0.031), sleep disorders (4.3 ± 1.6 vs. 5.3 ± 2.4; P value= 0.032) and higher mother sleep efficiency compared to those in the lowest tertile (97.5 ± 89 vs. 54.8 ± 90; P value= 0.011). Also, infants of mothers with higher adherence to a DASH DP had lower sleep disorders compared with subjects with low adherence (4.9 ± 3.8 vs. 5.7 ± 3.2; P value= 0.017). After controlling for the mother's education, economic status, age, body mass index (BMI), and energy intake, adherence to the DASH pattern was associated with shorter sleep latency (β = 0.60; 95%CI: 0.49-0.82), fewer sleep disorders score in mothers (β = 0.92; 95%CI: 0.85-0.99) and their infants (β = 0.90; 95%CI: 0.84-0.96) as well as high mother's sleep efficiency (β = 1.2; 95%CI: 1.1-1.31).

CONCLUSIONS

According to our findings, adherence to DASH DP is associated with a lower score for sleep disorders in mothers and their infants.

摘要

背景

众所周知，母亲的饮食对母亲和婴儿的健康都很重要。本研究的目的是评估坚持终止高血压膳食方法（DASH）饮食模式（DP）与母亲及其婴儿睡眠问题之间的关联。

方法

该研究纳入了350名平均年龄为29.5±5.9岁的母乳喂养母亲。使用标准问卷进行心理功能评估，包括生活质量问卷（QLQ）、爱丁堡产后抑郁量表（EPDS）、斯皮尔伯格焦虑问卷（SAQ）、匹兹堡睡眠质量指数（PSQI）和婴儿睡眠问卷（ISQ）。此外，使用标准化食物频率问卷（FFQ）来确定对DASH DP的依从性。

结果

与处于最低三分位数的母亲相比，DASH DP最高三分位数的母亲的睡眠潜伏期得分显著更低（0.70±1.18 vs. 1.24±1.3；P值=0.031），睡眠障碍得分更低（4.3±1.6 vs. 5.3±2.4；P值=0.032），母亲睡眠效率更高（97.5±89 vs. 54.8±90；P值=0.011）。此外，与依从性低的母亲的婴儿相比，依从性高的母亲的婴儿睡眠障碍更少（4.9±3.8 vs. 5.7±3.2；P值=0.017）。在控制了母亲的教育程度、经济状况、年龄、体重指数（BMI）和能量摄入后，坚持DASH模式与更短的睡眠潜伏期（β=0.60；95%CI：0.49-0.82）、母亲（β=0.92；95%CI：0.85-0.99）及其婴儿（β=0.90；95%CI：0.84-0.96）睡眠障碍得分更低以及母亲更高的睡眠效率（β=1.2；95%CI：1.1-1.31）相关。