The timing and quality of sleep was associated with dietary quality and anthropometry in toddlers born preterm.
The timing and quality of sleep was associated with dietary quality and anthropometry in toddlers born preterm.
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早产儿的睡眠时间和质量与饮食质量和人体测量有关。
DOI：
10.1111/apa.16750
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Keim,SarahA
中科院分区：
文献类型：
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作者：
Yisahak,SamrawitF;Boone,KellyM;Rausch,Joseph;Keim,SarahA
目的本研究的目的是检查早产儿（<35周）的睡眠特征（持续时间，时间，质量）与饮食和人体测量指标的前瞻性关联。方法儿童在10-17个月的校正年龄（俄亥俄州，美国; 2012年4月26日至2017年4月6日）参加Omega Tots试验。看护者使用简明婴儿睡眠问卷报告幼儿的基线睡眠。180天后，看护者在食物频率问卷中报告幼儿过去一个月的饮食，并使用标准化方案测量人体测量学。计算幼儿饮食质量指数（TDQI：评分越高表示质量越好）、身长体重、三头肌皮褶厚度和肩胛下皮褶厚度z评分。在180天的随访中（n= 284），线性和逻辑回归评估了饮食和人体测量结果的调整后相关性，线性混合模型评估了人体测量的变化。（每小时β adj = −1.62（95% CI：−2.71，−0.52）），而夜间睡眠与较高的TDQI相关（βadj= 1.01（95% CI：0.16，1.85））。夜间觉醒和护理人员报告的睡眠问题也与较低的TDQI相关。夜间觉醒持续时间和睡眠潜伏期与较高的三头肌skinfoldz-score.ConclusionDaytime和夜间护理报告的睡眠与饮食质量表现出相反的关联，这表明睡眠时间可能是重要的。
AimThe aim of the study was to examine prospective associations of sleep characteristics (duration, timing, quality) with dietary and anthropometric measures among toddlers born preterm (<35 weeks).MethodsChildren participated in the Omega Tots trial at 10–17 months' corrected age (Ohio, USA; 26 April 2012 to 6 April 2017). Caregivers reported toddlers' sleep at baseline using the Brief Infant Sleep Questionnaire. After 180 days, caregivers reported toddlers' past month diet in a food frequency questionnaire, and anthropometry was measured using standardised protocols. The toddler diet quality index (TDQI: higher scores indicating better quality), and weight‐for‐length, triceps skinfold and subscapular skinfoldz‐scores were calculated. Linear and logistic regression assessed adjusted associations with dietary and anthropometric outcomes at 180‐day follow‐up (n= 284), and linear mixed models assessed changes in anthropometry.ResultsDaytime sleep was associated with lower TDQI (βadjper hour = −1.62 (95% CI: −2.71, −0.52)) whereas night‐time sleep was associated with higher TDQI (βadj= 1.01 (95% CI: 0.16, 1.85)). Night‐time awakenings and caregiver‐reported sleep problems were also associated with lower TDQI. Night awakening duration and sleep‐onset latency were associated with higher triceps skinfoldz‐score.ConclusionDaytime and night‐time caregiver‐reported sleep showed opposite associations with diet quality, suggesting that sleep timing may be important.