Zhao Yan, Guo Hailong
Faculty of Basic Medical Sciences, Chongqing Medical and Pharmaceutical College, Chongqing, China.
Health Management Center, The First Branch, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Front Nutr. 2024 Dec 4;11:1491999. doi: 10.3389/fnut.2024.1491999. eCollection 2024.
A healthy dietary habit may contribute to good sleep quality. The present study investigates the correlation between the quality and quantity of daily carbohydrate consumption and poor sleep patterns.
The exposures of interest included low-and high-quality carbohydrate consumption and total daily carbohydrate consumption. Subjects were classified into four different carbohydrate consumption patterns: Pattern 1 was characterized by high-quality carbohydrates below the median and low-quality carbohydrates above the median; Pattern 2 included both high-and low-quality carbohydrates below the median; Pattern 3 was defined as high-and low-quality carbohydrates above the median; Pattern 4 referred to high-quality carbohydrates above the median and low-quality carbohydrates below the median. The comprehensive sleep patterns included three different sleep behaviors: sleep duration, daytime sleepiness, and snoring, which were used to score sleep patterns. A score ranging from 0 to 1 was classified as having a healthy sleep pattern, while a score between 2 and 3 showed poor sleep patterns. Survey-weighted multivariable logistic regression analyses were adopted.
In the multivariate analysis, individuals who consumed more high-quality carbohydrates were linked to a decreased likelihood of experiencing poor sleep patterns [odds ratio (OR) 0.71; 95% confidence interval (CI) 0.62-0.81], while increased consumption of low-quality carbohydrates (OR 1.39; 95%CI 1.20-1.61) and total daily carbohydrates (OR 1.31; 95%CI 1.10-1.57) was related to an elevated risk of poor sleep patterns. Participants who adhered to carbohydrate intake pattern 4 exhibited a 36% lower risk of poor sleep patterns than those who followed carbohydrate intake pattern 1 (OR 0.64; 95%CI 0.56-0.74). There was a positive correlation between elevated added sugar consumption and an increased probability of developing poor sleep patterns. In contrast, an elevated intake of whole grains, fruits, or non-starchy vegetables was related to a decreased likelihood of experiencing poor sleep patterns.
The increased consumption of low-quality carbohydrates may heighten the susceptibility to poor sleep patterns, whereas the increased consumption of high-quality carbohydrates may mitigate the risk of developing poor sleep patterns.
健康的饮食习惯可能有助于良好的睡眠质量。本研究调查了每日碳水化合物摄入量和质量与不良睡眠模式之间的相关性。
感兴趣的暴露因素包括低质量和高质量碳水化合物的摄入量以及每日碳水化合物的总摄入量。受试者被分为四种不同的碳水化合物摄入模式:模式1的特征是高质量碳水化合物摄入量低于中位数,低质量碳水化合物摄入量高于中位数;模式2包括高质量和低质量碳水化合物摄入量均低于中位数;模式3定义为高质量和低质量碳水化合物摄入量均高于中位数;模式4指高质量碳水化合物摄入量高于中位数,低质量碳水化合物摄入量低于中位数。综合睡眠模式包括三种不同的睡眠行为:睡眠时间、日间嗜睡和打鼾,用于对睡眠模式进行评分。评分范围为0至1被归类为具有健康的睡眠模式,而评分在2至3之间则表明睡眠模式不佳。采用调查加权多变量逻辑回归分析。
在多变量分析中,摄入更多高质量碳水化合物的个体出现不良睡眠模式的可能性降低[优势比(OR)0.71;95%置信区间(CI)0.62 - 0.81],而低质量碳水化合物摄入量增加(OR 1.39;95%CI 1.20 - 1.61)和每日碳水化合物总摄入量增加(OR 1.31;95%CI 1.10 - 1.57)与不良睡眠模式风险升高有关。坚持碳水化合物摄入模式4的参与者出现不良睡眠模式的风险比遵循碳水化合物摄入模式1的参与者低36%(OR 0.64;95%CI 0.56 - 0.74)。添加糖摄入量增加与出现不良睡眠模式的概率增加呈正相关。相反,全谷物、水果或非淀粉类蔬菜摄入量增加与出现不良睡眠模式的可能性降低有关。
低质量碳水化合物摄入量增加可能会增加出现不良睡眠模式的易感性,而高质量碳水化合物摄入量增加可能会降低出现不良睡眠模式的风险。