Abstract P110: Short And Sweet: Short Sleep Duration Is Associated With Increased Sugar Sweetened Beverage Consumption In The United States

Abstract

Growing epidemiologic and laboratory evidence links short sleep duration with increased incidence of obesity; however, the behavioral mechanisms have not been fully elucidated. Sugar-sweetened beverage (SSBs) consumption has been identified as a significant contributor to weight gain. The aim of this study was to examine whether self-reported sleep duration and consumption of SSB were associated among a sample of 8,130 adults, aged 16-70 years, who participated in the 2005-2008 National Health and Nutrition Examination Survery (NHANES). Analyses revealed elevated average rates of daily SSB consumption in participants who reported sleeping ≤5 hours (Relative Difference (RD)=1.21, 95% CI 1.12, 1.31) and 6 hours per night (RD=1.15, 95% CI 1.08, 1.23) compared to those sleeping 7 to 8 hours per night (reference group). These associations were independent of age, gender, race/ethnicity, highest level of education, poverty income ratio, smoking status, marital status, BMI, self-reported health status, depressive symptoms, history of trouble sleeping, history of sleep disorders, total energy, coffee intake, and tea intake. Sub-analyses of specific types of SSBs revealed that the strongest associations emerged for regular soda consumption (caffeinated: ≤5 hours RD=1.46, 95% CI 1.27, 1.67 and 6 hours per night RD=1.18, 95% CI 1.04, 1.35; decaffeinated: ≤5 hours RD=1.15, 95% CI 1.07, 1.25 and 6 hours per night RD=1.08, 95% CI 1.02, 1.13) and non-carbonated SSBs (≤5 hours RD=1.10, 95% CI 1.03, 1.18). These associations varied by gender, race, and age group. Overall, the inverse associations between sleep duration and SSB consumption were significantly stronger among women, Caucasians, and participants in midlife. These findings provide initial observational evidence for associations between short sleep duration and increased intake of SSBs, providing a plausible behavioral pathway through which sleep may promote excess weight gain and obesity.