Association between diet quality and sleep apnea in the Multi-Ethnic Study of Atherosclerosis

Reid, Michelle; Maras, Janice E.; Shea, Steven; Frazier‐Wood, Alexis C.; Castro‐Diehl, Cecilia; Johnson, Dayna A.; Huang, Tianyi; Jacobs, David R.; Crawford, Allison; St‐Onge, Marie‐Pierre; Redline, Susan

doi:10.1093/sleep/zsy194

Cited by 45 publications

(33 citation statements)

References 69 publications

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“…Similar results were reported in Multi-Ethnic Study of Atherosclerosis, which found that adults with moderate to severe OSA had higher dietary quality scores. This association was also found with red/processed meats and whole-grain components scores (60) , and 6–9 % of this relationship was explained by a reduction in N3 sleep (slow-wave sleep) duration in individuals with OSA. In the present study, the industrialised pattern was characterised by a higher consumption of processed meats in contrast with the traditional and mixed patterns, as well as showing lower tortilla consumption than the traditional pattern.…”

Section: Discussionmentioning

confidence: 74%

Dietary patterns and sleep disorders in Mexican adults from a National Health and Nutrition Survey

et al. 2021

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Given the high prevalence of multiple non-communicable chronic diseases in Mexico, the aim of the present study was to assess the association between dietary patterns and sleep disorders in a national representative sample of 5076 Mexican adults (20–59 years) from the 2016 National Health and Nutrition Survey. Through a cross-sectional study, we used the Berlin sleep symptoms questionnaire to estimate the proportion of adults with insomnia, obstructive sleep apnoea (OSA) and other related problems such as daytime symptoms and inadequate sleep duration. Dietary data were collected through a seven-day semi-quantitative food frequency questionnaire, and dietary patterns were determined through cluster analysis. Associations between dietary patterns and sleep disorders were assessed by multivariate logistic regression models adjusted for age, sex, well-being, rural/urban area type, geographical region, tobacco use, physical activity level and energy intake. Three dietary patterns were identified: traditional (high in legumes and tortilla), industrialised (high in sugar-sweetened beverages, fast foods, and alcohol, coffee or tea) and mixed (high in meat, poultry, fruits and vegetables). Multivariate logistic regression showed that the industrialised pattern yielded higher odds for daytime symptoms (OR 1⋅49; 95 % CI 1⋅12, 1⋅99) and OSA (OR 1⋅63; 95 % CI 1⋅21, 2⋅19) compared with the traditional pattern. In conclusion, dietary patterns are associated with sleep disorders in Mexican adults. Further research is required to break the vicious cycle of poor-quality diet, sleep symptoms and health.

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Section: Discussionmentioning

confidence: 74%

Dietary patterns and sleep disorders in Mexican adults from a National Health and Nutrition Survey

et al. 2021

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“…Other studies also have shown that a higher diet quality is linked to a reduced risk of sleep disorders (23,24). Overall, it seems that consumption of high-quality diets, rich in fruits and vegetables, is linked to a reduced risk of SDs, while, adherence to a dietary patterns with high amounts of saturated fatty acids and animal food items and low amounts of fruit and vegetables is linked to an elevated risk of SDs (25)(26)(27).…”

Section: Discussionmentioning

confidence: 94%

Relations of Dietary patterns and sleep disorders in shift workers

Khorasaniha

Sotoudeh

Milajerdi

et al. 2021

Preprint

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Background & aimsFew studies have been done on the association of dietary intakes with SDs among shift workers, in particular those exposed to air pollution. We aimed to investigate the association of major dietary patterns with risk of SDs in shift workers of a cement factory in Iran.MethodsThis cross-sectional study was carried out on 257 male shift workers in a cement factory in Iran. Usual dietary intake of participants was assessed using a validated self-administrated 147-item dish-based FFQ. To examine sleep disturbances of participants, we used the Epworth Sleepiness Scale (ESS).ResultsThree major dietary patterns including Classic Iranian (CI), Modern Iranian (MI), and High Protein Low Fruit and vegetables (HPLF) were identified. The CI pattern was mainly consisted of high-protein animal foods, fruit and vegetables, while, the MI pattern had high amounts of refined grains, solid oils, and caffeine drinks. No significant association was found between adherence to the CI pattern and risk of SDs (OR: 2.33; 95% CI: 0.69, 7.81) and also for the MI dietary pattern (OR: 0.62; 95% CI: 0.20, 1.93). However, we found a significant direct association between the HPLF dietary pattern and risk of SDs (OR: 3.92; 95% CI: 1.03, 14.86).ConclusionThis study showed a significant direct association between a dietary pattern high in animal proteins and solid oils and low in fruit and vegetables with risk of sleep disorders among shift workers in the cement factory. However, no such association was found for the two other dietary patterns.

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“…9 Consistently, several epidemiological studies found that low-energy diet, low carbohydrate diet, and Mediterranean diet were associated with a decreased risk of OSA severity, [10][11][12][13][14][15] while the intake of red meat, unprocessed red meat, and proarteriosclerotic diet (high in calories, fat, and simple carbohydrates and low in fish, fresh fruits, and vegetables) could contribute to OSA severity. 9,16 Although some evidence supported the protective effect of certain healthy dietary elements in treating OSA, only one study 17 examined the association between dietary factors and sleep apnea risk. In a cross-section study based on the Multi-Ethnic Study of Atherosclerosis (MESA), Reid et al reported that the moderate-to-more severe OSA was negatively associated with dietary quality and whole grain intake, and positively with high red/processed meat.…”

Section: Introductionmentioning

confidence: 99%

“…In a cross-section study based on the Multi-Ethnic Study of Atherosclerosis (MESA), Reid et al reported that the moderate-to-more severe OSA was negatively associated with dietary quality and whole grain intake, and positively with high red/processed meat. 17 Some researchers suggested that independent of obesity, the dysregulation of appetite hormones and changes in central nervous system responses to food stimuli might link to sleep disorders. 17,18 Besides, the consumption of food rich in antioxidants and phytochemicals can help to reduce reactive oxygen production and improve antioxidant status, 19,20 which in turn can slow the development of systemic oxidative damage, 21,22 and then have an important function in the prevention of OSA.…”

Section: Introductionmentioning

confidence: 99%

Association Between Eating Habits and Risk of Obstructive Sleep Apnea: A Population-Based Study

Du¹,

Duan²,

Zheng³

et al. 2021

NSS

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The effect of dietary factors on OSA remains unclear. This study was to investigate the association of obstructive sleep apnea (OSA) with individual and overall effects of eating habits among adult Chinese. Methods: A total of 9733 participants were selected from the baseline survey of the Guangzhou Heart Study. OSA was ascertained by Berlin Questionnaire. Food consumption was collected using a food frequency questionnaire, and eating patterns were extracted by principal component analysis. Odds ratios (ORs) with 95% confidence intervals (95% CIs) were calculated by the logistic regression model. Results: After adjustment for confounders, fried food intake with ≥1/week was associated with an increased risk of OSA (OR: 1.77, 95% CI: 1.37-2.27), while fruit consumption of ≥1/day was associated with a 26% reduced risk of OSA (OR: 0.74, 95% CI: 0.62-0.88). Three eating patterns were defined and labeled as pattern I, II, and III. Eating pattern III which had higher factor loadings of animal innards, fried food, salted food, carbonate, and non-carbonated beverages was associated with an increased risk of OSA (OR: 1.30, 95% CI: 1.09-1.55) when comparing the highest with the lowest tertile of pattern score, after adjusting for confounders; every 1-unit increment of pattern III score was associated with an increased risk of OSA (OR: 1.09, 95% CI: 1.04-1.14). Neither pattern I nor pattern II was observed to be associated with OSA risk. Conclusion: A higher frequency intake of fruits was associated with a reduced OSA risk and a diet with higher levels of consumption of animal innards, fried food, salted food, carbonated beverages, and non-carbonated beverages may increase the risk of OSA.

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Association between diet quality and sleep apnea in the Multi-Ethnic Study of Atherosclerosis

Cited by 45 publications

References 69 publications

Dietary patterns and sleep disorders in Mexican adults from a National Health and Nutrition Survey

Dietary patterns and sleep disorders in Mexican adults from a National Health and Nutrition Survey

Relations of Dietary patterns and sleep disorders in shift workers

Association Between Eating Habits and Risk of Obstructive Sleep Apnea: A Population-Based Study

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