Dietary Patterns and Insomnia Symptoms in Chinese Adults: The China Kadoorie Biobank

Yu, Canqing; Shi, Zumin; Lv, Jun; Guo, Yu; Zheng, Bin; Du, Huaidong; Chen, Yiping; Tao, Ran; Huang, Ying; Chen, Junshi; Chen, Zhengming; Li, Liming

doi:10.3390/nu9030232

Cited by 40 publications

(42 citation statements)

References 39 publications

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“…Fruits consumption was likewise found to be positively related to sleep duration (Gong et al, ; Haghighatdoost et al, ). The findings that higher adherence to Mediterranean diet (Campanini et al, ) or Chinese modern dietary patterns (Yu et al, ), both of which are characterized by high intake of fruits and other specific foods, were associated with better sleep quality strengthen our result. Furthermore, a review implied fruits may promote sleep duration and efficiency (Peuhkuri, Sihvola, & Korpela, ).…”

Section: Discussionsupporting

confidence: 79%

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Zhao

Szeto

et al. 2019

Food Science & Nutrition

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Growing evidence has suggested that dietary modification is implicated with sleep alteration. Our study aimed to determine whether an association between diet in terms of diet quality, certain food consumption, and dietary nutrients intake and sleep quality existed in Chinese urban adults, which has been fully investigated. A cross‐sectional study was conducted among urban adults from eight Chinese cities. Total of 1,548 participants remained in the final analysis. Sleep quality was evaluated by the Chinese version of the Pittsburg Sleep Questionnaire Index. Diet quality, evaluated by Chinese Healthy Diet Index, and dietary intake, including food groups and nutrients, were derived from a semiquantitative Food Intake Frequencies Questionnaire and a single 24‐hr dietary recall. The relationship between dietary variables and sleep quality was examined using multivariable logistic regression models. Logistic regression analysis indicated that better diet quality, which features greater food diversity, higher ingestion of fruits and fish, along with higher seafood consumption, lower eggs consumption, and higher total energy intake, was significantly associated with lower risk of poor sleep quality in the crude model and the fully adjusted model with adjustment for gender, age, self‐rated health condition, self‐assessed mental stress, smoking, hypertension, and BMI. Therefore, we reached a conclusion that diet quality and certain food consumption were related to sleep quality. Although the associations observed in the cross‐sectional study require further investigation in prospective studies, dietary intervention, such as enhancement in food diversity and consumption of fruits and seafood, might serve as a probable strategy for sleep improvement.

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Section: Discussionsupporting

confidence: 79%

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Zhao

Szeto

et al. 2019

Food Science & Nutrition

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“…However, this method of fracture reporting has been used in a previous study [ 34 ] and in China the highest incidence rates of fracture occurred on tibia and fibula (0.76 fractures per 1000 people) and radius and ulna (0.63 per 1000 people) [ 48 ]. Thirdly, although we adjusted for potential confounders, residual confounding from unmeasured lifestyle variables (such as from duration of sleep [ 48 , 51 ]) is still possible. In addition, not being able to adjust for medication (such as psychoactive medications) and supplement (hormonal and dietary) use could potentially overestimate the associations.…”

Section: Discussionmentioning

confidence: 99%

Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study

et al. 2017

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Studies on long-term exposure to foods/nutrients and its associations with fracture risk are scarce. Using data from the China Health and Nutrition Survey (CHNS), we determined the prospective association of dietary and nutrient patterns with fractures. Data from 15,572 adults aged ≥18 years were analyzed. Fracture occurrence was self-reported and dietary intake data were collected using a 24-h recall method for three consecutive days, for each individual across nine waves (1989–2011). We used cumulative and overall mean, recent and baseline dietary and nutrient exposures. Hazard ratios (HR) were used to determine the associations. Two dietary (traditional and modern) and two nutrient (plant- and animal-sourced) patterns were identified. After adjusting for potential confounders, study participants in the third tertiles (highest intake) of the modern dietary and animal-sourced nutrient patterns’ cumulative scores had a 34% (HR = 1.34; 95% CI: 1.06–1.71) and 37% (HR = 1.37; 95% CI: 1.08–1.72) increase in fracture risks compared to those in the first tertiles, respectively. While the overall mean factor scores of dietary and nutrient patterns had a similar (or stronger) pattern of association as the cumulative scores, no association between recent and baseline scores and fracture was found. Greater adherence to a modern dietary and/or an animal-sourced nutrient pattern is associated with a higher risk of total fractures. This suggests that a modern animal based diet is related to bone fragility. A repeated three-day 24-h recall dietary assessment provides a stronger association with fracture compared to a recent or baseline exposure.

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“…From Table A1, we can see that participants in this pattern followed a diet dominated by plant foods. In other studies deriving patterns from food consumption data, this pattern has often been referred to as the ‘traditional northern pattern’ . Participants in the CAF pattern had more animal fat and carbohydrate, because they consumed more animal oil and cereals than others.…”

Section: Discussionmentioning

confidence: 99%

“…In other studies deriving patterns from food consumption data, this pattern has often been referred to as the 'traditional northern pattern'. 24,28 Participants in the CAF pattern had more animal fat and carbohydrate, because they consumed more animal oil and cereals than others. Previous studies suggested that nutrient patterns that were rich in carbohydrate and fat were associated with obesity 29 and might increase the risk of fractures.…”

Section: Discussionmentioning

confidence: 99%

Association between nutrient patterns and serum lipids in Chinese adult women: A cross‐sectional study

Zhang

Tan

Zhao

et al. 2018

Nutrition & Dietetics

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Aim To investigate the association between patterns of nutrient intake and serum lipids in Chinese women aged 18–80 years. Methods In the present study, cross‐sectional data were analysed from 2886 female participants aged 18–80 years from the China Health and Nutrition Survey wave 2009. Nutrient patterns were identified using factor analysis combined with cluster analysis based on the data of nutrient intake for three consecutive days. Multivariate linear regression models were used to estimate the association of nutrient patterns with serum lipids. Results Four nutrient patterns were identified in Chinese adult women, which were the plant‐based pattern, carbohydrate and animal fat pattern, plant fat and sodium pattern, and the animal‐based pattern. Participants following different patterns varied significantly in sociodemographic characteristics, lifestyle behaviours and food consumption. Compared with the plant‐based pattern, the carbohydrate and animal fat pattern was positively associated with low‐density lipoprotein cholesterol (β = 4.57, 95% CI: 0.29–8.85, P = 0.036) and total cholesterol (β = 4.89, 95% CI: 0.34–9.44, P = 0.035). The corresponding rises for the animal‐based pattern were 4.91 (95% CI: 0.99–8.82, P = 0.014) and 4.98 (95% CI: 0.82–9.15, P = 0.019), respectively. Conclusions Nutrient patterns with a high intake of animal fat and a low intake dietary fibre and with high intakes of animal fat, animal protein and cholesterol may increase the serum cholesterol in Chinese women.

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Dietary Patterns and Insomnia Symptoms in Chinese Adults: The China Kadoorie Biobank

Cited by 40 publications

References 39 publications

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: A cross‐sectional study in eight cities of China

Prospective Associations of Dietary and Nutrient Patterns with Fracture Risk: A 20-Year Follow-Up Study

Association between nutrient patterns and serum lipids in Chinese adult women: A cross‐sectional study

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