Department of Molecular Medicine, School of Medicine, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Neuropsychopharmacol Rep. 2023 Jun;43(2):228-238. doi: 10.1002/npr2.12336. Epub 2023 Apr 17.
There is mounting evidence that eating habits affect sleeping patterns and their quality. The goal of this study was to evaluate the associations between major dietary patterns, identified using principal component analysis (PCA) and insomnia in young women.
The study subjects comprised 159 healthy young women aged 18-25 years. Neuropsychological assessment was performed using standard instruments, including a cognitive ability questionnaire (CAQ), depression and anxiety stress scales (DASS-21), insomnia severity index (ISI), Epworth sleepiness scale (ESS), and quality of life questionnaire (QLQ). Dietary patterns were obtained from a 65-item validated food frequency questionnaire (FFQ) in this study, using PCA.
Two major dietary patterns were identified that were termed: "Traditional" and "Western." The Western pattern was characterized by a high intake of snacks, nuts, dairy products, tea, fast foods, chicken, and vegetable oils. Subjects with moderate/severe insomnia were found to have lower scores for total cognitive ability task, nocturnal sleep hours, and physical and mental health, but higher scores for depression, anxiety, stress, and daytime sleepiness compared to those without insomnia (p < 0.05). After adjustment for potential confounders, high adherence to the Western dietary pattern was associated with higher odds of insomnia (OR = 5.9; 95% confidence intervals: 1.9-18.7; p = 0.003).
Our findings indicated adherence to Western pattern may increase the odds of insomnia. Prospective research is required to determine the feasibility of targeting dietary patterns to decrease the odds of insomnia.
越来越多的证据表明,饮食习惯会影响睡眠模式及其质量。本研究旨在评估主要饮食模式与年轻女性失眠之间的关联,这些模式是通过主成分分析(PCA)确定的。
研究对象为 159 名年龄在 18-25 岁的健康年轻女性。使用标准仪器进行神经心理学评估,包括认知能力问卷(CAQ)、抑郁和焦虑压力量表(DASS-21)、失眠严重程度指数(ISI)、Epworth 嗜睡量表(ESS)和生活质量问卷(QLQ)。本研究采用 PCA 从经过验证的 65 项食物频率问卷(FFQ)中获取饮食模式。
确定了两种主要的饮食模式,分别称为“传统”和“西方”模式。西方模式的特点是大量摄入零食、坚果、乳制品、茶、快餐、鸡肉和植物油。中度/重度失眠患者的总认知能力任务、夜间睡眠时间以及身心健康得分较低,但抑郁、焦虑、压力和白天嗜睡得分较高(p<0.05)。调整潜在混杂因素后,高西方饮食模式的依从性与更高的失眠几率相关(OR=5.9;95%置信区间:1.9-18.7;p=0.003)。
我们的研究结果表明,遵循西方饮食模式可能会增加失眠的几率。需要进行前瞻性研究以确定针对饮食模式降低失眠几率的可行性。