Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort

Linde Van Lee, Ai-Ru Chia, See Ling Loy, Marjorelee Colega, Elaine K. H. Tham, Shirong Cai, Fabian Yap, Keith M. Godfrey, Oon Hoe Teoh, Daniel Goh, Kok Hian Tan, Yap-Seng Chong, Birit F. P. Broekman and Mary F.F. Chong
Additional contact information
Linde Van Lee: Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117549, Singapore
Ai-Ru Chia: Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore 119074, Singapore
See Ling Loy: Duke-NUS Medical School, Singapore 169857, Singapore
Marjorelee Colega: Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117549, Singapore
Elaine K. H. Tham: Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117549, Singapore
Shirong Cai: Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore 119074, Singapore
Fabian Yap: Duke-NUS Medical School, Singapore 169857, Singapore
Keith M. Godfrey: MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton SO16 6YD, UK
Oon Hoe Teoh: Department of Pediatrics, KK Women’s and Children’s Hospital, Singapore 229899, Singapore
Daniel Goh: Department of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
Kok Hian Tan: Department of Reproductive Medicine, KK Women’s and Children’s Hospital, Singapore 229899, Singapore
Yap-Seng Chong: Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117549, Singapore
Birit F. P. Broekman: Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117549, Singapore
Mary F.F. Chong: Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research, Singapore 117549, Singapore

IJERPH, 2017, vol. 14, issue 11, 1-14

Abstract: Evidence on the association between sleep, diet, and eating behaviors in pregnant women is lacking. We examine this in a cohort of apparently healthy pregnant women. At 26–28 weeks gestation, 497 participants completed the Pittsburgh Sleep Quality Index to assess sleep and a 24-h recall to assess dietary intake. Diet quality was assessed by the Healthy Eating Index for pregnant women in Singapore (HEI-SGP) score and previously derived dietary patterns (vegetables-fruit-rice, seafood-noodles, and pasta-cheese-meat pattern). Eating behaviors studied included the longest night-time fasting interval, frequency of consumption occasions, energy from discretionary foods, and nighttime eating. Adjusted means were estimated between poor/good quality and short/normal sleepers using linear regressions, including covariates. Good sleep quality versus poor sleep quality, was associated with better diet quality (mean HEI-SGP 54.6 vs. 52.0; p = 0.032), greater adherence to the vegetables-fruit-rice pattern (mean 0.03 vs. ?0.15; p = 0.039), lesser adherence to the seafood-noodle pattern (mean ?0.14 vs. 0.03; p = 0.024), and a trending lower calories from discretionary foods (mean 330.5 vs. 382.6 kcal; p = 0.073), after adjusting for covariates. After additional adjustment for anxiety, only sleep quality and the seafood-noodle pattern remained significantly associated ( p = 0.018). Short sleep was not associated with any diet or eating behavior. In conclusion, good sleep quality is associated with a better diet quality and a greater adherence to the vegetable-fruit-rice pattern, but with lesser adherence to the seafood-noodle diets in pregnant women.

Keywords: dietary patterns; diet quality; sleep quality; sleep duration; eating behaviors; pregnancy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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