Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort
AbstractEvidence 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. View Full-Text
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van Lee, L.; Chia, A.-R.; Loy, S.L.; Colega, M.; Tham, E.K.H.; Cai, S.; Yap, F.; Godfrey, K.M.; Teoh, O.H.; Goh, D.; Tan, K.H.; Chong, Y.-S.; Broekman, B.F.P.; Chong, M.F. Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort. Int. J. Environ. Res. Public Health 2017, 14, 1409.
van Lee L, Chia A-R, Loy SL, Colega M, Tham EKH, Cai S, Yap F, Godfrey KM, Teoh OH, Goh D, Tan KH, Chong Y-S, Broekman BFP, Chong MF. Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort. International Journal of Environmental Research and Public Health. 2017; 14(11):1409.Chicago/Turabian Style
van Lee, Linde; Chia, Ai-Ru; Loy, See Ling; Colega, Marjorelee; Tham, Elaine K.H.; Cai, Shirong; Yap, Fabian; Godfrey, Keith M.; Teoh, Oon H.; Goh, Daniel; Tan, Kok H.; Chong, Yap-Seng; Broekman, Birit F.P.; Chong, Mary F. 2017. "Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort." Int. J. Environ. Res. Public Health 14, no. 11: 1409.
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