The Relationship between Food Security Status and Sleep Disturbance among Adults: A Cross-Sectional Study in an Indonesian Population

Abstract

Background: The relationship between food insecurity and the experience of sleep disturbance has received little attention among researchers, although food insecurity is associated with poor physical and mental health globally. This study aimed to investigate the relationship between food security status and sleep disturbance among adults 20–64 years old. Methods: The study’s population-based sample included 20,212 Indonesian adults who participated in the fifth wave of the Indonesia Family Life Survey (IFLS5) in 2014. Dietary intake data, gathered using a food frequency questionnaire (FFQ), were used to assess the food security status. Sleep disturbance was assessed using the 10-item Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. We used multiple linear and logistic regression models to test the study hypothesis. Results: A higher likelihood of experiencing sleep disturbance was recorded in people aged older than 56 years (OR = 1.78, 95% CI: 1.17–2.72, p = 0.007), people with depressive symptoms (OR = 3.57, 95% CI: 2.77–4.61, p < 0.001), and food-insecure people (OR = 1.32, 95% CI: 1.02–1.70, p = 0.036). A lower likelihood of experiencing sleep disturbance was recorded in people with low educational attainment (OR = 0.41, 95% CI: 0.30–0.57, p < 0.001). Sleep disturbance was dependent on the food consumption groups and food security status among men (p = 0.004). Conclusions: Sleep disturbance may be affected by the food-insecure status of adults, and later, may lead to serious health outcomes.

Food insecurity is associated with the sleep quality and quantity in adults: a systematic review and meta-analysis

“…1), of which 318 records were screened after removing duplicates. Of these 318 records, 302 were excluded because they did not meet our inclusion criteria, resulting in nineteen eligible studies for full-text evaluation (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(37)(38)(39)(40)(41)(42) . Of these nineteen studies, ten were excluded because they were conducted on children (40) or adolescents (43) , provided insufficient data for inclusion in our analyses (37)(38)(39)41,42,44,45) , or used variable domains to measure FI (24) .…”

“…In general, available studies have reported positive associations between FI and poor sleep quality; however, results are less consistent on select sleep health outcomes, including sleep quality and duration [22][23][24][25][26][27]. To that end, Ding et al [22] and Jordan et al [25] have reported associations between FI and poor sleep quality across the mild to severe status.…”

Food Security and Women Case Study of Mahu Country on Saparua Island

“…People in Mahu Administrative country on Saparua Island nowadays tend to use rice as a source of household food security, not sago and sweet potatoes. This happens because apart from lifestyle changes, local food diversification is not developing (Isaura et al, 2020). Sago and sweet potatoes cannot be processed so they do not yet have the added value that allows community members to enjoy a variety of delicious and nutritious foods from non-rice foods.…”

Childhood socioeconomic status and adulthood dietary diversity among Indonesian adults

“…Chronic food insecurity is mainly due to persistent and long-term causes such as poverty. The impact of food insecurity on a person's life includes the potential for adverse physical or mental health outcomes (7,(14)(15)(16). Furthermore, the long-term disadvantage in socioeconomic status may also contribute to chronic food insecurity (17,18).…”