Abstract
Adult studies show that healthy diet patterns relate to better sleep. However, evidence during adolescence, when sleep may change dramatically, is lacking. Within a cohort of 458 Mexican adolescents, we examined whether consumption of three dietary patterns was associated with sleep duration and timing measured 2 years later, as well as changes in sleep timing and duration. Dietary patterns (identified a posteriori in a prior analysis) were assessed with a baseline food frequency questionnaire, and sleep was measured with wrist actigraphy at baseline and follow-up. Linear regression analyses adjusting for sex, age, screen time, and smoking were conducted. Adolescents with higher consumption of a Plant-Based and Lean Proteins pattern had earlier sleep timing (−0.45 h with 95% Confidence Interval (CI) −0.81, −0.08 in the highest compared to lowest quartiles), less of a phase delay in sleep timing over follow-up (−0.39 h with 95% CI −0.80, 0.02), and shorter weekend sleep duration (0.5 h with 95% CI −0.88, −0.1). Higher consumption of an Eggs, Milk and Refined Grain pattern was associated with earlier sleep timing (−0.40 h with 95% CI −0.77, −0.04), while consumption of a Meat and Starchy pattern was related to higher social jetlag (weekend–weekday sleep timing difference). Healthier diet patterns may promote better sleep in adolescents.
Highlights
Healthy sleep, including adequate sleep duration and earlier sleep timing, is essential for promoting cardiometabolic health among adolescents [1]
Higher consumption of the Plant-Based and Lean Proteins pattern was associated with shorter weekend sleep duration at follow-up, such that adolescents in the 4th quartile had a 0.5 h shorter sleep duration than those in quartile 1 (−0.9, −0.1; p, trend = 0.006; Table 3)
Diet patterns were not associated with sleep duration, consumption of the Plant-Based and Lean Proteins pattern was associated with shorter weekend sleep duration at follow-up
Summary
Healthy sleep, including adequate sleep duration and earlier sleep timing, is essential for promoting cardiometabolic health among adolescents (individuals aged approximately 10 to 19 years) [1]. Recent evidence shows that both short sleep duration and delayed sleep timing are related to higher adiposity [2,3], insulin resistance [4,5], and blood pressure [6,7]. Both short sleep duration and late bedtimes are prevalent among adolescents, with over half of adolescents worldwide not achieving the recommended sleep duration [8]. While there are multiple predictors of sleep health among adolescents (e.g., early school start times, technology and social media use, and poor mental health [9]), diet could play an important role. Laboratory evidence from adult studies shows that, after a night of sleep deprivation, appetite and Nutrients 2020, 12, 2305; doi:10.3390/nu12082305 www.mdpi.com/journal/nutrients
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