A Systematic Review of the Bidirectional Association Between Consumption of Ultra-processed Food and Sleep Parameters Among Adults.
A Systematic Review of the Bidirectional Association Between Consumption of Ultra-processed Food and Sleep Parameters Among Adults.
复制标题
成人超加工食品消费与睡眠参数之间双向关联的系统评价。
DOI：
10.1007/s13679-023-00512-5
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发表时间：
2023
影响因子：
8.8
通讯作者：
St-Onge,Marie-Pierre
中科院分区：
文献类型：
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作者：
Andreeva,ValentinaA;Perez-Jimenez,Jara;St-Onge,Marie-Pierre
综述的目的我们总结了超加工食品（UPF）摄入量和睡眠之间的双向关联的研究。最近的发现睡眠有助于心脏代谢健康的一部分，通过食物摄入模式。限制睡眠增加摄入量的高碳水化合物/高脂肪的食物，一个配置文件的代表UPF.SummaryThis系统的审查涵盖了关联的UPF摄入量，作为一个曝光或结果，和睡眠。UPF被定义为NOVA第4组。检索了截至2023年4月的MEDLINE和EMBASE，以查找使用普通人群成人样本的流行病学研究。15项研究符合纳入标准;所有研究均为横断面研究，发表于2016年至2023年，样本来自巴西（n = 8）、西班牙（n = 2）、意大利（n = 1）、英国（n = 1）、巴拉圭（n = 1）、伊朗（n = 1）和中国（n = 1）。13项研究将UPF摄入量作为暴露量，而两项研究将UPF摄入量作为结果。UPF摄入量通过食物频率问卷（73%）或24小时回忆（27%）确定。两项研究通过加速度计评估睡眠;其余研究依赖于睡眠质量，持续时间，焦虑引起的失眠和午睡的自我报告，其中60%使用单一问题。所有研究的平均方法学质量被认为是“公平的”。在13项研究中，有6项研究将UPF消耗量作为暴露量，在调整后（n = 5）或双变量（n = 1）分析中显示与睡眠结果呈负相关。两项研究都将UPF消耗作为结果，将睡眠作为暴露，结果显示出显着的负相关。UPF与睡眠相关的证据正在积累，尽管睡眠评估的局限性很明显。这篇综述可以为使用全面和有效的睡眠测量方法的研究提供动力，并推动政策制定者在全球范围内完善饮食指南。
Purpose of ReviewWe summarized research on the bidirectional association between intake of ultra-processed food (UPF) and sleep.Recent FindingsSleep contributes to cardiometabolic health in part via food intake patterns. Restricting sleep increases intakes of high-carbohydrate/high-fat foods, a profile representative of UPF.SummaryThis systematic review covers the association of UPF intake, as an exposure or an outcome, and sleep. UPF was defined as NOVA Group 4. MEDLINE and EMBASE were searched through April 2023 for epidemiological studies with general-population adult samples. Fifteen studies met the inclusion criteria; all were cross-sectional, published between 2016 and 2023, with samples from Brazil (n = 8), Spain (n = 2), Italy (n = 1), the UK (n = 1), Paraguay (n = 1), Iran (n = 1) and China (n = 1). Thirteen studies examined UPF intake as the exposure whereas two tested UPF intake as the outcome. UPF intakes were determined using food frequency questionnaires (73%) or 24-h recalls (27%). Two studies assessed sleep via accelerometry; the remaining studies relied on self-reports of sleep quality, duration, anxiety-induced insomnia, and napping, with 60% using a single question. The average methodological quality across the studies was deemed “fair”. Six of the 13 studies that examined UPF consumption as the exposure revealed inverse associations with sleep outcomes in adjusted (n = 5) or bivariate (n = 1) analyses. Both studies addressing UPF consumption as the outcome and sleep as the exposure showed significant inverse associations. Evidence for UPF-sleep associations is accumulating, although sleep assessment limitations are apparent. This review can provide impetus for research using comprehensive and validated sleep measures and nudge policymakers towards refining dietary guidelines worldwide.