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

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Summary

Introduction

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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