Is adherence to the Mediterranean diet associated with good sleep duration in primary-school children?

Buja, Alessandra; Grotto, Giulia; Mafrici, Simona Fortunata; Cozzolino, Claudia; Baldovin, Tatjana; Brocadello, Filippo; Baldo, Vincenzo

doi:10.3389/fped.2022.959643

Cited by 3 publications

(1 citation statement)

References 43 publications

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“…The majority (93%) of children with functional gastrointestinal disorders identify certain foods as the cause of exacerbating gastrointestinal complaints, such as abdominal pain or diarrhea, and other foods as the cause of improving these symptoms ( 48 ). Healthy eating patterns and the Mediterranean diet, known to help reduce the risk of chronic disease, disability, and premature death, are associated with improved cognitive performance and gastrointestinal health in children and adolescents ( 50 ). A study of healthy children and adolescents aged 4–18 years from six Mediterranean countries reported that good compliance to the Mediterranean diet resulted in a significantly lower prevalence of functional gastrointestinal disorders and functional constipation (OR = 0.83, p < 0.001, OR = 0.89, p = 0.008, respectively) ( 49 ).…”

Section: Discussionmentioning

confidence: 99%

Mediterranean diet is associated with better gastrointestinal health and quality of life, and less nutrient deficiency in children/adolescents with disabilities

Bakırhan,

Özkaya,

Pehlivan

2023

Front. Public Health

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BackgroundChildren and adolescents with disabilities face various nutritional problems. This study aimed to examine dietary characteristics, nutritional status and problems, gastrointestinal health, and quality of life in children and adolescents with disabilities.MethodsThis study included 5–18 years old children and adolescents (n = 1,991) with disabilities. We used the Mediterranean Diet Quality Index (KIDMED), the Gastrointestinal Symptom Rating Scale (GSRS), and the Pediatric Quality of Life Inventory (PedsQL) to assess diet characteristics, gastrointestinal problems, and life quality. We collected retrospective 24-h food record to assess energy and nutrient intakes.ResultsThe rate of stunting in children with disabilities varies between 16.5% and 19.8%. When comparing disability types, more children with physical disabilities were underweight (8.8% vs. 6.7%) and stunted (19.8% vs. 16.5%), while more children with intellectual disabilities were tall (7.9% vs. 5.5%) and overweight/obese (21.1 vs. 17.2%; p < 0.05). Wasting (9.3%) and overweight/obesity (23.8%) were more common in children with disabilities aged 5–7 years (p < 0.001). Eating problems such as loss of appetite, food refusal, food neophobia, and food selectivity were more common in children aged 5–7 years, and problems with fast eating and overeating were more common in adolescents aged 13–18 years (p < 0.05). Among children and adolescents with disabilities, the nutrients with inadequate intakes were vitamin E, vitamin B1, folate, potassium, calcium, and iron, while the nutrients with intakes above the requirements were proteins, carbohydrates, vitamins A, B2, B6, B12, and C, phosphorus, zinc, and sodium. Participants with good Mediterranean diet quality had higher energy and nutrient intakes and higher percentages of meeting nutrient requirements (p < 0.05). KIDMED scores were negatively correlated with GSRS total (r = −0.14, p < 0.001) and subcomponent scores (abdominal pain, diarrhea, reflux, indigestion, and constipation; p < 0.05), and significantly and positively correlated with PedsQL total (r = 0.12, p < 0.001). A one-unit increase in the GSRS score resulted in a 14.4 times decrease in the PedsQL score, and a one-unit increase in the KIDMED score resulted in a 10.8 times increase in the PedsQL score (p = 0.001).ConclusionOverweight/obesity, stunting/wasting, nutritional problems, and deficiencies are common among disabled children and adolescents. Mediterranean diet is associated with a better quality of life, and gastrointestinal health in children with disabilities.

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Section: Discussionmentioning

confidence: 99%

Mediterranean diet is associated with better gastrointestinal health and quality of life, and less nutrient deficiency in children/adolescents with disabilities

Bakırhan,

Özkaya,

Pehlivan

2023

Front. Public Health

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Associations of Contemporary Screen Time Modalities With Early Adolescent Nutrition

Nagata,

Weinstein,

Bashir

et al. 2024

Academic Pediatrics

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Adherence to the Mediterranean diet and sleep quality are inter-correlated with flash glucose monitoring (FGM)-measured glycemia among children with type 1 diabetes

Muayyad,

Abusnana,

Mussa

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: We examined the inter-correlation between diet quality, objectively measured sleep duration, and subjectively measured sleep quality with flash glucose monitoring (FGM)-measured glycemia among young patients with type 1 diabetes (T1D). MATERIALS AND METHODS: Following cross-sectional design, Fitbit® accelerometers were used to objectively assess sleep duration, while the validated questionnaires Pittsburgh sleep quality index and Mediterranean diet (MD) adherence were used to subjectively assess sleep quality and diet quality, respectively. Glycated hemoglobin (HbA1c) and FGM-reported glycemia components among children with T1D were assessed as well. RESULTS: Of the 47 participants surveyed (25 boys, 22 girls, 9.31 ± 2.88 years), the majority reported high HbA1c, good sleep quality, and high adherence to the MD. However, only one-third of the participants reported a healthy sleep duration. Only the sleep latency was significantly (P < 0.05) associated with the time above range level 2 and time below range level 2 (P = 0.048) components of the FGM. A positive correlation (r = 0.309, P = 0.035) was reported between adherence to MD and time in range of the FGM. CONCLUSIONS: Diet quality and sleep quality are variably inter-correlated with FGM-measured glycemia among young patients with T1D and are suggested to be considered influential factors in FGM-monitored diabetes research on this age group.

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Is adherence to the Mediterranean diet associated with good sleep duration in primary-school children?

Cited by 3 publications

References 43 publications

Mediterranean diet is associated with better gastrointestinal health and quality of life, and less nutrient deficiency in children/adolescents with disabilities

Mediterranean diet is associated with better gastrointestinal health and quality of life, and less nutrient deficiency in children/adolescents with disabilities

Associations of Contemporary Screen Time Modalities With Early Adolescent Nutrition

Adherence to the Mediterranean diet and sleep quality are inter-correlated with flash glucose monitoring (FGM)-measured glycemia among children with type 1 diabetes

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