Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort

Lee, Linde van; Chia, Adeline; Loy, See Ling; Colega, Marjorelee; Tham, Elaine K.H.; Cai, Shirong; Yap, Fabian; Godfrey, Keith M.; Teoh, Oon Hoe; Goh, Daniel Yam Thiam; Tan, Kok Hian; Chong, Yap Seng; Broekman, Birit F.P.; Chong, Mary Foong‐Fong

doi:10.3390/ijerph14111409

Cited by 36 publications

(47 citation statements)

References 46 publications

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“…The current study provided new evidence of a positive association between diet quality, food diversity, and sleep quality; however, we only found a similar result in one study (van Lee et al, 2017). This study came to a conclusion that good sleep quality was associated with a better diet quality, which is consistent with our study.…”

Section: Discussionsupporting

confidence: 90%

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Zhao

Szeto

et al. 2019

Food Science & Nutrition

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Growing evidence has suggested that dietary modification is implicated with sleep alteration. Our study aimed to determine whether an association between diet in terms of diet quality, certain food consumption, and dietary nutrients intake and sleep quality existed in Chinese urban adults, which has been fully investigated. A cross‐sectional study was conducted among urban adults from eight Chinese cities. Total of 1,548 participants remained in the final analysis. Sleep quality was evaluated by the Chinese version of the Pittsburg Sleep Questionnaire Index. Diet quality, evaluated by Chinese Healthy Diet Index, and dietary intake, including food groups and nutrients, were derived from a semiquantitative Food Intake Frequencies Questionnaire and a single 24‐hr dietary recall. The relationship between dietary variables and sleep quality was examined using multivariable logistic regression models. Logistic regression analysis indicated that better diet quality, which features greater food diversity, higher ingestion of fruits and fish, along with higher seafood consumption, lower eggs consumption, and higher total energy intake, was significantly associated with lower risk of poor sleep quality in the crude model and the fully adjusted model with adjustment for gender, age, self‐rated health condition, self‐assessed mental stress, smoking, hypertension, and BMI. Therefore, we reached a conclusion that diet quality and certain food consumption were related to sleep quality. Although the associations observed in the cross‐sectional study require further investigation in prospective studies, dietary intervention, such as enhancement in food diversity and consumption of fruits and seafood, might serve as a probable strategy for sleep improvement.

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Section: Discussionsupporting

confidence: 90%

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Zhao

Szeto

et al. 2019

Food Science & Nutrition

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show abstract

“…underweight) may have been too small to detect differences. A variety of relevant variables were controlled for in analyses; however, some important social and lifestyle factors, such as such as sleep quality [57], stress, depression, social support [58,59], and built environment [60], were not assessed in IFPS II and therefore, were not controlled for in analyses.…”

Section: Discussionmentioning

confidence: 99%

Associations between pre-pregnancy BMI, gestational weight gain, and prenatal diet quality in a national sample

et al. 2019

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This secondary analysis explored the association between gestational weight gain, pre-pregnancy body mass index (BMI), and prenatal diet quality in a United States national sample. The sample comprised 1322 pregnant women in the longitudinal Infant Feeding Practices Study II with Diet History Questionnaire data. Diet quality in the third trimester was assessed using the Alternative Healthy Eating Index for Pregnancy. Self-reported pre-pregnancy BMI (categorized as underweight<18.5, normal weight 18.5–24.9, overweight 25.0–29.9, and obese≥30.0) and total gestational weight gain were used to categorize adherence to the Institute of Medicine’s recommendations as inadequate, adequate, or excessive weight gain. Diet quality in pre-pregnancy BMI and gestational weight gain groups were compared using Tukey-adjusted generalized linear models adjusted for sociodemographic factors, Women, Infants, and Children participation, parity, and energy intake. Due to missing gestational weight gain data, sensitivity analyses with multiply imputed data were conducted. Women were on average 28.9 years old and of higher socioeconomic status (40% college graduates) and mostly non-Hispanic White (84%), and the mean Alternative Healthy Eating Index for Pregnancy score was 61.2 (of 130). Both pre-pregnancy BMI and gestational weight gain were inversely associated with diet quality scores (p<0.01). The interaction between pre-pregnancy BMI and gestational weight gain was significant (p = 0.04), therefore gestational weight gain models were stratified by BMI group. In stratified adjusted models, gestational weight gain was differently associated with diet quality scores (p<0.05) among women with underweight, normal weight, overweight, and obesity. The relationship between gestational weight gain and prenatal diet quality depended on pre-pregnancy BMI. For example, within women with normal weight, higher diet quality was observed in the adequate gestational weight gain group. Interventions to broadly improve prenatal diet quality are needed, however, resources can be used to target women with higher pre-pregnancy BMIs and women with inadequate or excessive gestational weight gain.

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“…As for the daily numbers of hours sleep, we found that Chinese male and female students were found to have good habits of complete sleep (more than 6 h) as compared to international males and females students. Sleep of less than 6 hours is considered as short sleep [ 29 ]. A study found that both short and long time spent in bed and poor sleep quality is having positive relationship with overweight and obesity [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Nutritional Status, Knowledge Attitude and Practices (KAP) and Dietary Intake between International and Chinese Students in Nanjing, China

Haq

Mariyam

et al. 2018

IJERPH

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University students tend to have poor dietary practices, which ultimately affect their nutritional status. International students are becoming more prevalent in China. The current study aimed to compare the nutritional status, knowledge attitude and practices (KAP) and dietary intake between international and Chinese students in China. A comparative study was conducted in undergraduate students of Nanjing Medical University aged 17–31 years including 308 international and 393 Chinese students. Data was collected by self-administered questionnaire. Body composition was detected by bioelectrical impedance analysis (BIA). Student t-test and chi square test were used for comparison. Linear regressions were used for association of nutritional status with determinants. The prevalence of overweight and obesity in international student was higher than Chinese students. International male and female students were having significantly (p < 0.05) high BMI and percent body fats than Chinese male and female students. Nutritional KAP scores of Chinese students was significantly (p < 0.05) higher than international students. As for diet consumption, daily milk consumption was high in international students while daily egg and weekly fish and meat consumption were found more in Chinese students. Fast foods and carbonated drinks weekly consumption was significantly (p < 0.001) high in international students. After adjusted for age, gender, education, sleeping duration and physical exercise, the inverse association of nutritional KAP with BMI remained significant. Our data indicate that international students had more percent body fats, less nutritional KAP scores and unhealthy dietary habits than Chinese students. Proper nutrition education and guidance for improving good habits and nutritional status is suggested for international students.

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Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort

Cited by 36 publications

References 46 publications

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Associations between pre-pregnancy BMI, gestational weight gain, and prenatal diet quality in a national sample

A Comparative Study of Nutritional Status, Knowledge Attitude and Practices (KAP) and Dietary Intake between International and Chinese Students in Nanjing, China

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