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

International Journal of Environmental Research and Public Health

Ai-Ru Chia¹  Shirong Cai¹  Oon Hoe Teoh²  Daniel Goh³  Kok Hian Tan⁴  See Ling Loy⁵  Fabian Yap⁵  Keith M. Godfrey⁶  Linde van Lee⁷  Marjorelee Colega⁷  Birit F. P. Broekman⁷  Yap-Seng Chong⁷  Mary F.F. Chong⁷  Elaine K. H. Tham⁷ 

[1] Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore 119074, Singapore;Department of Pediatrics, KK Women’s and Children’s Hospital, Singapore 229899, Singapore;Department of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore;Department of Reproductive Medicine, KK Women’s and Children’s Hospital, Singapore 229899, Singapore;Duke-NUS Medical School, Singapore 169857, Singapore;MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton SO16 6YD, UK;Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117549, Singapore;

关键词: dietary patterns;    diet quality;    sleep quality;    sleep duration;    eating behaviors;    pregnancy;   

DOI  :  10.3390/ijerph14111409

来源: DOAJ

【 摘 要 】

Evidence on the association between sleep, diet, and eating behaviors in pregnant women is lacking. We examine this in a cohort of apparently healthy pregnant women. At 26–28 weeks gestation, 497 participants completed the Pittsburgh Sleep Quality Index to assess sleep and a 24-h recall to assess dietary intake. Diet quality was assessed by the Healthy Eating Index for pregnant women in Singapore (HEI-SGP) score and previously derived dietary patterns (vegetables-fruit-rice, seafood-noodles, and pasta-cheese-meat pattern). Eating behaviors studied included the longest night-time fasting interval, frequency of consumption occasions, energy from discretionary foods, and nighttime eating. Adjusted means were estimated between poor/good quality and short/normal sleepers using linear regressions, including covariates. Good sleep quality versus poor sleep quality, was associated with better diet quality (mean HEI-SGP 54.6 vs. 52.0; p = 0.032), greater adherence to the vegetables-fruit-rice pattern (mean 0.03 vs. −0.15; p = 0.039), lesser adherence to the seafood-noodle pattern (mean −0.14 vs. 0.03; p = 0.024), and a trending lower calories from discretionary foods (mean 330.5 vs. 382.6 kcal; p = 0.073), after adjusting for covariates. After additional adjustment for anxiety, only sleep quality and the seafood-noodle pattern remained significantly associated (p = 0.018). Short sleep was not associated with any diet or eating behavior. In conclusion, good sleep quality is associated with a better diet quality and a greater adherence to the vegetable-fruit-rice pattern, but with lesser adherence to the seafood-noodle diets in pregnant women.

【 授权许可】

Unknown