Department of Nutrition and Dietetics, Graduate School of Health Sciences, Ankara University, Ankara, Türkiye.
Department of Nutrition and Dietetics, Faculty of Health Sciences, Burdur Mehmet Akif Ersoy University, Burdur, Türkiye.
Sleep Breath. 2024 Mar;28(1):511-518. doi: 10.1007/s11325-023-02890-5. Epub 2023 Aug 21.
To investigate the association between Mediterranean diet adherence (MDA) and sleep quality in adults.
This cross-sectional research was conducted among adults aged 19-64 years in Ankara, Türkiye. Data on demographics, education, lifestyle, and physical activity habits were collected. Mediterranean diet adherence was assessed with the Mediterranean Diet Adherence Screener (MEDAS). Healthy eating attitudes were evaluated with the Attitude Scale for Healthy Nutrition (ASHN). Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Data were gathered using an online format.
Among 1031 participants enrolled (74% women), mean age was 28.6 ± 8.3 years. Median age increased with MDA (p = 0.001). As individuals' MDA increased, ASHN total and subgroup scores also increased significantly (p < 0.001). The total sleep duration of the participants with low MDA was significantly lower than the other groups (p = 0.003). Pittsburgh Sleep Quality Index score and MEDAS (β = - 0.222, p < 0.001), ASHN (β = - 0.043, p < 0.001) and ASHN subgroups (β = (- 0.086) - (- 0.031)) were found to have a weakly signficant negative relation.
The findings suggest that healthy eating attitudes and nutritional behavior in accordance with the Mediterranean diet are associated with sleep quality.
调查成年人地中海饮食依从度（MDA）与睡眠质量之间的关系。
本横断面研究在土耳其安卡拉的 19-64 岁成年人中进行。收集了人口统计学、教育、生活方式和身体活动习惯的数据。采用地中海饮食依从度筛查器（MEDAS）评估 MDA。采用健康营养态度量表（ASHN）评估健康饮食态度。采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。数据采用在线格式收集。
在纳入的 1031 名参与者中（74%为女性），平均年龄为 28.6±8.3 岁。MDA 随年龄增加而增加（p=0.001）。随着个体 MDA 的增加，ASHN 总分和亚组得分也显著增加（p<0.001）。低 MDA 组的参与者总睡眠时间明显低于其他组（p=0.003）。匹兹堡睡眠质量指数评分和 MEDAS（β=-0.222，p<0.001）、ASHN（β=-0.043，p<0.001）和 ASHN 亚组（β=-0.086 至-0.031）呈弱负相关。
研究结果表明，与地中海饮食一致的健康饮食态度和营养行为与睡眠质量有关。
