Mediterranean diet pattern and sleep duration and insomnia symptoms in the Multi-Ethnic Study of Atherosclerosis
Sleep duration and sleep quality are important predictors of risk for cardiovascular disease (CVD). One potential link between sleep health and CVD is through lifestyle factors such as diet. To clarify the association between diet and sleep, we assessed the associations of sleep duration and insomni...
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| Veröffentlicht in: | Sleep (New York, N.Y.) Jg. 41; H. 11 |
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| Sprache: | Englisch |
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01.11.2018
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| ISSN: | 0161-8105, 1550-9109, 1550-9109 |
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| Abstract | Sleep duration and sleep quality are important predictors of risk for cardiovascular disease (CVD). One potential link between sleep health and CVD is through lifestyle factors such as diet. To clarify the association between diet and sleep, we assessed the associations of sleep duration and insomnia symptoms with current Mediterranean-style diet (aMed) and with historical changes in aMed score. Actigraphy-measured sleep duration and self-reported insomnia symptoms categorized as insomnia with short sleep (<6 hr/night), insomnia without short sleep, no insomnia with short sleep, and no insomnia or short sleep were obtained from 2068 individuals who also had dietary intake data. A 10-point aMed score, derived from a self-report food frequency questionnaire, was collected concurrently with the sleep assessment and 10 years before. Compared with individuals who currently reported a low aMed score, those with a moderate-high aMed score were more likely to sleep 6-7 vs. <6 hr/night (p < 0.01) and less likely to report insomnia symptoms occurring with short sleep (vs. no insomnia or short sleep alone; p < 0.05). An increase in aMed score over the preceding 10 years was not associated with sleep duration or insomnia symptoms. However, compared with those with decreasing aMed score, individuals with an unchanging score reported fewer insomnia symptoms (p ≤ 0.01). These results suggest that a Mediterranean-style diet is associated with adequate sleep duration, less insomnia symptoms, and less likely to have insomnia accompanied by short sleep. Further research should identify possible mediators through which diet may promote adequate sleep duration and reduce the risk of insomnia. |
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| AbstractList | Sleep duration and sleep quality are important predictors of risk for cardiovascular disease (CVD). One potential link between sleep health and CVD is through lifestyle factors such as diet. To clarify the association between diet and sleep, we assessed the associations of sleep duration and insomnia symptoms with current Mediterranean-style diet (aMed) and with historical changes in aMed score. Actigraphy-measured sleep duration and self-reported insomnia symptoms categorized as insomnia with short sleep (<6 hr/night), insomnia without short sleep, no insomnia with short sleep, and no insomnia or short sleep were obtained from 2068 individuals who also had dietary intake data. A 10-point aMed score, derived from a self-report food frequency questionnaire, was collected concurrently with the sleep assessment and 10 years before. Compared with individuals who currently reported a low aMed score, those with a moderate-high aMed score were more likely to sleep 6–7 vs. <6 hr/night (p < 0.01) and less likely to report insomnia symptoms occurring with short sleep (vs. no insomnia or short sleep alone; p < 0.05). An increase in aMed score over the preceding 10 years was not associated with sleep duration or insomnia symptoms. However, compared with those with decreasing aMed score, individuals with an unchanging score reported fewer insomnia symptoms (p ≤ 0.01). These results suggest that a Mediterranean-style diet is associated with adequate sleep duration, less insomnia symptoms, and less likely to have insomnia accompanied by short sleep. Further research should identify possible mediators through which diet may promote adequate sleep duration and reduce the risk of insomnia. Sleep duration and sleep quality are important predictors of risk for cardiovascular disease (CVD). One potential link between sleep health and CVD is through lifestyle factors such as diet. To clarify the association between diet and sleep, we assessed the associations of sleep duration and insomnia symptoms with current Mediterranean-style diet (aMed) and with historical changes in aMed score. Actigraphy-measured sleep duration and self-reported insomnia symptoms categorized as insomnia with short sleep (<6 hr/night), insomnia without short sleep, no insomnia with short sleep, and no insomnia or short sleep were obtained from 2068 individuals who also had dietary intake data. A 10-point aMed score, derived from a self-report food frequency questionnaire, was collected concurrently with the sleep assessment and 10 years before. Compared with individuals who currently reported a low aMed score, those with a moderate-high aMed score were more likely to sleep 6-7 vs. <6 hr/night (p < 0.01) and less likely to report insomnia symptoms occurring with short sleep (vs. no insomnia or short sleep alone; p < 0.05). An increase in aMed score over the preceding 10 years was not associated with sleep duration or insomnia symptoms. However, compared with those with decreasing aMed score, individuals with an unchanging score reported fewer insomnia symptoms (p ≤ 0.01). These results suggest that a Mediterranean-style diet is associated with adequate sleep duration, less insomnia symptoms, and less likely to have insomnia accompanied by short sleep. Further research should identify possible mediators through which diet may promote adequate sleep duration and reduce the risk of insomnia.Sleep duration and sleep quality are important predictors of risk for cardiovascular disease (CVD). One potential link between sleep health and CVD is through lifestyle factors such as diet. To clarify the association between diet and sleep, we assessed the associations of sleep duration and insomnia symptoms with current Mediterranean-style diet (aMed) and with historical changes in aMed score. Actigraphy-measured sleep duration and self-reported insomnia symptoms categorized as insomnia with short sleep (<6 hr/night), insomnia without short sleep, no insomnia with short sleep, and no insomnia or short sleep were obtained from 2068 individuals who also had dietary intake data. A 10-point aMed score, derived from a self-report food frequency questionnaire, was collected concurrently with the sleep assessment and 10 years before. Compared with individuals who currently reported a low aMed score, those with a moderate-high aMed score were more likely to sleep 6-7 vs. <6 hr/night (p < 0.01) and less likely to report insomnia symptoms occurring with short sleep (vs. no insomnia or short sleep alone; p < 0.05). An increase in aMed score over the preceding 10 years was not associated with sleep duration or insomnia symptoms. However, compared with those with decreasing aMed score, individuals with an unchanging score reported fewer insomnia symptoms (p ≤ 0.01). These results suggest that a Mediterranean-style diet is associated with adequate sleep duration, less insomnia symptoms, and less likely to have insomnia accompanied by short sleep. Further research should identify possible mediators through which diet may promote adequate sleep duration and reduce the risk of insomnia. |
| Author | Wood, Alexis C St-Onge, Marie-Pierre Crawford, Allison Maras, Janice E Jacobs, David R Shea, Steven Johnson, Dayna A Redline, Susan Castro-Diehl, Cecilia Reid, Michelle |
| AuthorAffiliation | 5 Harvard Medical School, Boston, MA 3 Department of Medicine, Brigham and Women’s Hospital, Boston, MA 4 Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 8 Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY 9 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 7 Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, MN 10 Institute of Human Nutrition, Columbia University College of Physicians and Surgeons, New York, NY 6 Department of Health Sciences, Northeastern University, Boston, MA 2 USDA/ARS Children’s Nutrition Research Center, Baylor College of Medicine, Houston, TX 1 Section of Preventive Medicine and Epidemiology, Boston University, Boston, MA |
| AuthorAffiliation_xml | – name: 8 Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY – name: 10 Institute of Human Nutrition, Columbia University College of Physicians and Surgeons, New York, NY – name: 6 Department of Health Sciences, Northeastern University, Boston, MA – name: 3 Department of Medicine, Brigham and Women’s Hospital, Boston, MA – name: 7 Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, MN – name: 5 Harvard Medical School, Boston, MA – name: 2 USDA/ARS Children’s Nutrition Research Center, Baylor College of Medicine, Houston, TX – name: 1 Section of Preventive Medicine and Epidemiology, Boston University, Boston, MA – name: 4 Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA – name: 9 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY |
| Author_xml | – sequence: 1 givenname: Cecilia surname: Castro-Diehl fullname: Castro-Diehl, Cecilia organization: Section of Preventive Medicine and Epidemiology, Boston University, Boston, MA – sequence: 2 givenname: Alexis C orcidid: 0000-0001-7616-2119 surname: Wood fullname: Wood, Alexis C organization: USDA/ARS Children’s Nutrition Research Center, Baylor College of Medicine, Houston, TX – sequence: 3 givenname: Susan surname: Redline fullname: Redline, Susan organization: Department of Medicine, Brigham and Women’s Hospital, Boston, MA, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, Harvard Medical School, Boston, MA – sequence: 4 givenname: Michelle surname: Reid fullname: Reid, Michelle organization: Department of Medicine, Brigham and Women’s Hospital, Boston, MA – sequence: 5 givenname: Dayna A surname: Johnson fullname: Johnson, Dayna A organization: Department of Medicine, Brigham and Women’s Hospital, Boston, MA, Harvard Medical School, Boston, MA – sequence: 6 givenname: Janice E surname: Maras fullname: Maras, Janice E organization: Department of Health Sciences, Northeastern University, Boston, MA – sequence: 7 givenname: David R orcidid: 0000-0002-7232-0543 surname: Jacobs fullname: Jacobs, David R organization: Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, MN – sequence: 8 givenname: Steven surname: Shea fullname: Shea, Steven organization: Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY – sequence: 9 givenname: Allison surname: Crawford fullname: Crawford, Allison organization: Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY – sequence: 10 givenname: Marie-Pierre surname: St-Onge fullname: St-Onge, Marie-Pierre organization: Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, Institute of Human Nutrition, Columbia University College of Physicians and Surgeons, New York, NY |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30137563$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | Sleep Research Society 2018. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. Sleep Research Society 2018. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. 2018 |
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| DOI | 10.1093/sleep/zsy158 |
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| SubjectTerms | Actigraphy - methods Aged Aged, 80 and over Atherosclerosis Atherosclerosis - diagnosis Atherosclerosis - diet therapy Atherosclerosis - ethnology Cohort Studies Cross-Sectional Studies Diet Diet, Mediterranean - ethnology Ethnicity Female Humans Insomnia Insomnia and Psychiatric Disorders Life Style - ethnology Longitudinal Studies Male Middle Aged Self Report Sleep Sleep - physiology Sleep Initiation and Maintenance Disorders - diagnosis Sleep Initiation and Maintenance Disorders - diet therapy Sleep Initiation and Maintenance Disorders - ethnology Time Factors |
| Title | Mediterranean diet pattern and sleep duration and insomnia symptoms in the Multi-Ethnic Study of Atherosclerosis |
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