Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal study

Background Fruit and vegetable intake may improve sleep. Aims To assess the relationship between fruit and vegetable intake and sleep quality in a longitudinal study. Method We analysed longitudinal data from two consecutive population surveys of adults in Agincourt, South Africa (2014–2015 and 20...

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Main Authors: Supa Pengpid, Karl Peltzer
Format: Article
Language:English
Published: Cambridge University Press 2022-09-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472422005488/type/journal_article
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author Supa Pengpid
Karl Peltzer
author_facet Supa Pengpid
Karl Peltzer
author_sort Supa Pengpid
collection DOAJ
description Background Fruit and vegetable intake may improve sleep. Aims To assess the relationship between fruit and vegetable intake and sleep quality in a longitudinal study. Method We analysed longitudinal data from two consecutive population surveys of adults in Agincourt, South Africa (2014–2015 and 2018–2019). Results In total, 331 of 2975 participants without poor sleep quality in Wave 1 (11.1%) had incident poor sleep quality in Wave 2, and 270 of 3546 participants who had poor sleep quality in Wave 1 (7.6%) had poor sleep quality in both Waves 1 and 2 (persistent poor sleep quality). The prevalence of poor sleep quality at baseline was 17.2%. In the fully adjusted model for people without poor sleep quality at baseline, higher fruit and vegetable consumption (≥5 servings/day) was positively associated with incident poor sleep quality among men (AOR = 1.43, 95% CI 1.51–2.01) but not among women (AOR = 1.09, 95% CI 0.78–1.46). Two or more servings of fruits were positively associated with incident poor sleep quality among men (AOR = 3.35, 95% CI 1.96–5.72) and among women (AOR = 1.84, 95% CI 1.15–2.94). No models among men and women showed a significant association between vegetable intake and incident poor sleep quality or between fruit and vegetable intake, vegetable intake and persistent poor sleep quality. Fruit intake (one serving) was positively associated with persistent poor sleep quality among men (AOR = 1.76, 95% CI 1.00–3.08) but not among women (AOR = 1.42, 95% CI 0.93–2.18). Conclusions Higher fruit and vegetable intake was independently associated with poorer sleep quality among men but not women, and higher fruit but not vegetable intake was associated with poorer sleep quality among both men and women.
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spelling doaj.art-61530f2a783c40e185080f0512a3dfc02023-03-09T12:29:21ZengCambridge University PressBJPsych Open2056-47242022-09-01810.1192/bjo.2022.548Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal studySupa Pengpid0Karl Peltzer1https://orcid.org/0000-0002-5980-0876Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand; and Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Psychology, University of the Free State, Bloemfontein, South Africa; and Department of Psychology, College of Medical and Health Sciences, Asia University, Taichung, TaiwanBackground Fruit and vegetable intake may improve sleep. Aims To assess the relationship between fruit and vegetable intake and sleep quality in a longitudinal study. Method We analysed longitudinal data from two consecutive population surveys of adults in Agincourt, South Africa (2014–2015 and 2018–2019). Results In total, 331 of 2975 participants without poor sleep quality in Wave 1 (11.1%) had incident poor sleep quality in Wave 2, and 270 of 3546 participants who had poor sleep quality in Wave 1 (7.6%) had poor sleep quality in both Waves 1 and 2 (persistent poor sleep quality). The prevalence of poor sleep quality at baseline was 17.2%. In the fully adjusted model for people without poor sleep quality at baseline, higher fruit and vegetable consumption (≥5 servings/day) was positively associated with incident poor sleep quality among men (AOR = 1.43, 95% CI 1.51–2.01) but not among women (AOR = 1.09, 95% CI 0.78–1.46). Two or more servings of fruits were positively associated with incident poor sleep quality among men (AOR = 3.35, 95% CI 1.96–5.72) and among women (AOR = 1.84, 95% CI 1.15–2.94). No models among men and women showed a significant association between vegetable intake and incident poor sleep quality or between fruit and vegetable intake, vegetable intake and persistent poor sleep quality. Fruit intake (one serving) was positively associated with persistent poor sleep quality among men (AOR = 1.76, 95% CI 1.00–3.08) but not among women (AOR = 1.42, 95% CI 0.93–2.18). Conclusions Higher fruit and vegetable intake was independently associated with poorer sleep quality among men but not women, and higher fruit but not vegetable intake was associated with poorer sleep quality among both men and women. https://www.cambridge.org/core/product/identifier/S2056472422005488/type/journal_articleFruit and vegetable intakesleep qualitylongitudinal studySouth Africa
spellingShingle Supa Pengpid
Karl Peltzer
Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal study
BJPsych Open
Fruit and vegetable intake
sleep quality
longitudinal study
South Africa
title Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal study
title_full Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal study
title_fullStr Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal study
title_full_unstemmed Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal study
title_short Fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in South Africa: longitudinal study
title_sort fruit and vegetable intake and incident and persistent poor sleep quality in a rural ageing population in south africa longitudinal study
topic Fruit and vegetable intake
sleep quality
longitudinal study
South Africa
url https://www.cambridge.org/core/product/identifier/S2056472422005488/type/journal_article
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AT karlpeltzer fruitandvegetableintakeandincidentandpersistentpoorsleepqualityinaruralageingpopulationinsouthafricalongitudinalstudy