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Zare MJ, Masoumi SJ, Zare M. The association between energy-adjusted dietary inflammatory index and physical activity with sleep quality: a cross-sectional study. BMC Nutr 2024; 10:26. [PMID: 38310318 PMCID: PMC10838418 DOI: 10.1186/s40795-024-00834-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 01/30/2024] [Indexed: 02/05/2024] Open
Abstract
BACKGROUND The study aimed to assess the independent and interactive association of energy-adjusted dietary inflammatory index (E-DII) and physical activity (PA) with sleep quality. METHOD A cross-sectional study was conducted on the 2466 participants (60% women). A 116-item food frequency questionnaire (FFQ) was applied to calculate E-DII, the International Physical Activity Questionnaire (IPAQ) long form for PA, and the Pittsburgh sleep quality index (PSQI) to assess sleep quality were collected via interview. Multivariate logistic regression was applied to assess independent and interactive associations of E-DII and PA with sleep quality. RESULT No significant association was observed between E-DII and sleep quality (OR: 0.96, 95% CI: 0.92_1.01). Also, there was no significant association between the levels of PA and sleep quality. Women had 70% increased odds for poor sleep quality (OR: 1.7, 95% CI: 1.39_2.09) compared with men. No interactive association was observed between E-DII and PA levels with sleep quality. CONCLUSION No significant association was observed between E-DII and PA levels with sleep quality. The study indicates a gender difference in sleep quality. Future prospective studies are required to confirm these findings.
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Affiliation(s)
- Mohammad Javad Zare
- Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Science, Razi Boulevard, Shiraz, Iran
| | - Seyed Jalil Masoumi
- Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Science, Razi Boulevard, Shiraz, Iran.
- Center for Cohort Study of SUMS Employees' Health, Shiraz University of Medical Sciences, Shiraz, Iran.
- Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Morteza Zare
- Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Science, Razi Boulevard, Shiraz, Iran
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Xu J, Lao J, Jiang Q, Lin W, Chen X, Zhu C, He S, Xie W, Wang F, Yang B, Liu Y. Associations between Milk Intake and Sleep Disorders in Chinese Adults: A Cross-Sectional Study. Nutrients 2023; 15:4079. [PMID: 37764862 PMCID: PMC10536886 DOI: 10.3390/nu15184079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 09/10/2023] [Accepted: 09/18/2023] [Indexed: 09/29/2023] Open
Abstract
We aimed to examine the association of milk intake with sleep disorders and their specific indicators. The current study included 768 adults aged 28-95 from Wenling, China. Milk intake was assessed using a food frequency questionnaire with ten food items, while sleep disorders were measured using the Pittsburgh Sleep Quality Index (PSQI), with higher scores indicating poorer sleep. The participants were divided into two groups according to the average intake of milk per week: rare intake (≤62.5 mL/week) and regular intake (>62.5 mL/week). Primary measurements were multivariate-adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for the prevalence of sleep disorders concerning regular milk intake compared with rare intake. In secondary analyses, linear regression analyses were performed to assess the effects of milk intake on sleep disorders and their specific dimensions. Regular intake of milk did not have a significant association with sleep disorders compared with rare intake (adjusted OR: 0.72, 95%; CI: 0.51, 1.03), but this association was found to be pronounced with sleep disturbances (OR: 0.49, 95%; CI: 0.28, 0.87). Increased intake of milk was significantly associated with the lower scores of PSQI for sleep quality (β: -0.045, 95%; CI: -0.083, -0.007) and sleep disturbances (β: -0.059, 95%; CI: -0.090, -0.029), respectively. When stratified by age and gender, the benefits of milk intake for sleep disorders and sleep disturbances were more significant in older adults (≥65) and men than in younger persons and women. In summary, regular milk intake benefits sleep quality, which may contribute to nutritional psychiatric support for prevention against sleep disorders.
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Affiliation(s)
- Jinzhong Xu
- Department of Clinical Pharmacy, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling 317500, China;
| | - Jiaying Lao
- School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China; (J.L.); (X.C.); (C.Z.); (S.H.); (W.X.)
| | - Qingxi Jiang
- Department of Preventive Medicine, School of Public Health and Management, Wenzhou Medical University, Wenzhou 325035, China;
| | - Wenhui Lin
- Cardiovascular Medicine, Affiliated Wenling Hospital, Wenzhou Medical University, Wenling 317500, China;
| | - Xiyi Chen
- School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China; (J.L.); (X.C.); (C.Z.); (S.H.); (W.X.)
| | - Chongrong Zhu
- School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China; (J.L.); (X.C.); (C.Z.); (S.H.); (W.X.)
| | - Shencong He
- School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China; (J.L.); (X.C.); (C.Z.); (S.H.); (W.X.)
| | - Wenbo Xie
- School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China; (J.L.); (X.C.); (C.Z.); (S.H.); (W.X.)
| | - Fan Wang
- Beijing Hui-Long-Guan Hospital, Peking University, Beijing 100096, China;
| | - Bo Yang
- Department of Preventive Medicine, School of Public Health and Management, Wenzhou Medical University, Wenzhou 325035, China;
| | - Yanlong Liu
- Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Wenzhou 325000, China
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