Probable insomnia is associated with future total energy intake and diet quality in men
Probable insomnia is associated with future total energy intake and diet quality in men
复制标题
DOI：
10.3945/ajcn.116.131060
复制
发表时间：
2016-08-01
影响因子：
7.1
通讯作者：
Gao, Xiang
中科院分区：
文献类型：
--
作者：
Cheng, Feon W.;Li, Yanping;Gao, Xiang
背景：失眠与几种不良健康结果相关。小型临床研究表明，不良的营养状况是一个潜在的解释，但据我们所知，这种可能性尚未在大规模的、基于人群的队列研究中得到检验。目的：我们研究了2年后使用替代健康饮食指数（AHEI）评估的可能有失眠和失眠症状的个体是否有更多的能量摄入和更低的饮食质量。设计：一项队列研究，15273名年龄在58-93岁之间的美国男性，他们没有癌症、心血管疾病和糖尿病，并参加了2004年卫生专业人员随访研究，报告了有关失眠症状的信息。在2002年和2006年使用食物频率问卷对饮食摄入量进行了评估。在校正相关协变量的同时，我们计算了2006年总能量摄入和2004年可能失眠症和不可能失眠症受试者之间的ahei成分得分及其95% ci的调整后平均差异，以及每种失眠症的不同类别。结果：在2002年的饮食摄入后，主要慢性疾病和其他潜在的混淆因素得到控制，可能失眠的男性平均消耗35.8 kcal/d (95% CI: 17.4, 54.1 kcal/d)，并且在3个单独的AHEI成分（反式脂肪，蔬菜和钠）中得分较低，这表明反式脂肪和钠的消耗较高，蔬菜的摄入量较低(P
Background: Insomnia is associated with several adverse health outcomes. Small clinical studies have suggested that an inferior nutrition status is a potential explanation, but to our knowledge, this possibility has not been examined in a large-scale, population-based cohort study.Objective: We examined whether individuals with probable insomnia and individual insomnia symptoms had greater energy intake and a lower diet quality as assessed with the use of the Alternate Healthy Eating Index (AHEI) 2 y later.Design: A cohort study of 15,273 US men aged 58-93 y who were free of cancer, cardiovascular diseases, and diabetes and were participating in the Health Professionals Follow-Up Study reported information on insomnia symptoms in 2004. Dietary intake was assessed with the use of a food-frequency questionnaire in 2002 and 2006. We calculated the adjusted mean differences of total energy intake in 2006 and the AHEI-component scores and their 95% CIs between subjects with and without probable insomnia in 2004 and also across categories for each insomnia symptom while adjusting for related covariates.Results: After dietary intake in 2002, major chronic conditions, and other potential confounders were controlled for, men with probable insomnia had a mean higher consumption of 35.8 kcal/d (95% CI: 17.4, 54.1 kcal/d) and had lower scores in 3 individual AHEI components (trans fat, vegetables, and sodium), which denoted higher consumption of trans fat and sodium and lower intake of vegetables (P