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Open AccessArticle

Adherence to the Mediterranean Diet is Associated with Better Sleep Quality in Italian Adults

1
Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy
2
Oasi Research Institute - IRCCS, 94018 Troina, Italy
3
Department of Drug Sciences, University of Catania, 95125 Catania, Italy
4
Department of Educational Sciences, University of Catania, 95124 Catania, Italy
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Nutrients 2019, 11(5), 976; https://doi.org/10.3390/nu11050976
Received: 20 February 2019 / Revised: 24 April 2019 / Accepted: 25 April 2019 / Published: 28 April 2019
(This article belongs to the Special Issue Health Benefits of Mediterranean Diet)
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PDF [282 KB, uploaded 28 April 2019]

Abstract

Background: Sleep quality has been associated with human health and diseases, including cognitive decline and dementia; however major determinants of sleep disorders are largely unknown. The aim of this study was to evaluate the association between sleep quality and adherence to the Mediterranean dietary pattern in a sample of Italian adults. Methods: A total of 1936 individuals were recruited in the urban area of Catania during 2014–2015 through random sampling. A food frequency questionnaire and validated instruments were used to assess the adherence to the Mediterranean diet and sleep quality (Pittsburg sleep quality index). Multivariate logistic regressions were performed to determine the association between exposure and outcome. Results: A total of 1314 individuals (67.9% of the cohort) reported adequate sleep quality: for each point increase of the Mediterranean diet score, individuals were 10% more likely to have adequate sleep quality. In an additional analysis stratifying the sample by weight status, the association between sleep quality and high adherence to the Mediterranean diet was observed only among normal/overweight individuals but not in obese participants. Conclusions: high adherence to a Mediterranean diet is associated with better sleep quality either toward direct effect on health or indirect effects through improvement of weight status. View Full-Text
Keywords: Mediterranean diet; sleep quality; cognitive decline; dementia; weight status; mental health; obesity; cohort; Italy Mediterranean diet; sleep quality; cognitive decline; dementia; weight status; mental health; obesity; cohort; Italy
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Godos, J.; Ferri, R.; Caraci, F.; Cosentino, F.I.I.; Castellano, S.; Galvano, F.; Grosso, G. Adherence to the Mediterranean Diet is Associated with Better Sleep Quality in Italian Adults. Nutrients 2019, 11, 976.

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