Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adults

Abstract Nutrient pattern analysis is an easy way to compare nutrient intakes across different nations due to the universality of nutrients nature. The purpose of this study was to examine the relationship between dietary nutrient patterns (NPs) and circulating 25(OH)D concentrations with sleep dura...

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Main Authors: Parisa Rouhani, Keyhan Lotfi, Javad Anjom-Shoae, Zahra Hajhashemi, Elahe Mokhtari, Zahra Heidari, Parvane Saneei
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-42661-6
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author Parisa Rouhani
Keyhan Lotfi
Javad Anjom-Shoae
Zahra Hajhashemi
Elahe Mokhtari
Zahra Heidari
Parvane Saneei
author_facet Parisa Rouhani
Keyhan Lotfi
Javad Anjom-Shoae
Zahra Hajhashemi
Elahe Mokhtari
Zahra Heidari
Parvane Saneei
author_sort Parisa Rouhani
collection DOAJ
description Abstract Nutrient pattern analysis is an easy way to compare nutrient intakes across different nations due to the universality of nutrients nature. The purpose of this study was to examine the relationship between dietary nutrient patterns (NPs) and circulating 25(OH)D concentrations with sleep duration and sleep quality among Iranian adults. We used a multistage cluster random sampling method to enroll 535 adults in this cross-sectional investigation. A validated food frequency questionnaire was applied to evaluate typical dietary intakes. Fasting blood samples were obtained to determine levels of circulating 25(OH)D. Sleep characteristics were assessed using the Pittsburgh Sleep Quality Index (PSQI). Participants had a mean age of 42.57 years and 51.2% of them had insufficient or deficient levels of serum vitamin D. Three NPs were identified: "high animal protein", "high vegetable" and "high carbohydrate". After adjustments for potential confounders, no significant associations were observed between "high animal protein" pattern and short sleeping or sleep quality. Greater adherence to "high vegetable" NP was associated with lower odds of short sleeping (OR 0.24; 95% CI 0.10, 0.54) and poor sleep quality (OR 0.45; 95% CI 0.20, 1.05). Stratified analysis revealed that these associations were stronger in normal-weight participants. Greater adherence to "high carbohydrate" NP, on the other hand, was connected to higher odds of short sleeping (OR 2.83; 95% CI 1.20, 6.72). Low adherence to "high vegetable" pattern and vitamin D insufficiency/deficiency were jointly associated with increased odds of short sleeping (OR 3.42, 95% CI 1.42, 6.64). High adherence to pattern comprising mainly of vegetable nutrients was associated with a reduced likelihood of being short sleepers and having poor sleep quality in Iranian adults, especially among those with a normal weight. Lower adherence to vegetable NP and insufficient/deficient vitamin D levels were synergistically associated with greater likelihood of being short sleepers. Greater adherence to carbohydrate NP was associated with an increased likelihood of short sleeping.
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spelling doaj.art-ef048cf7f96043689e8001eddee728322023-11-19T13:09:10ZengNature PortfolioScientific Reports2045-23222023-09-0113111410.1038/s41598-023-42661-6Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adultsParisa Rouhani0Keyhan Lotfi1Javad Anjom-Shoae2Zahra Hajhashemi3Elahe Mokhtari4Zahra Heidari5Parvane Saneei6Students’ Research Committee, Isfahan University of Medical SciencesDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical SciencesAdelaide Medical School, Faculty of Health and Medical Sciences, University of AdelaideStudents’ Research Committee, Isfahan University of Medical SciencesStudents’ Research Committee, Isfahan University of Medical SciencesDepartment of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical SciencesDepartment of Community Nutrition, School of Nutrition and Food Science, Nutrition and Food Security Research Center, Isfahan University of Medical SciencesAbstract Nutrient pattern analysis is an easy way to compare nutrient intakes across different nations due to the universality of nutrients nature. The purpose of this study was to examine the relationship between dietary nutrient patterns (NPs) and circulating 25(OH)D concentrations with sleep duration and sleep quality among Iranian adults. We used a multistage cluster random sampling method to enroll 535 adults in this cross-sectional investigation. A validated food frequency questionnaire was applied to evaluate typical dietary intakes. Fasting blood samples were obtained to determine levels of circulating 25(OH)D. Sleep characteristics were assessed using the Pittsburgh Sleep Quality Index (PSQI). Participants had a mean age of 42.57 years and 51.2% of them had insufficient or deficient levels of serum vitamin D. Three NPs were identified: "high animal protein", "high vegetable" and "high carbohydrate". After adjustments for potential confounders, no significant associations were observed between "high animal protein" pattern and short sleeping or sleep quality. Greater adherence to "high vegetable" NP was associated with lower odds of short sleeping (OR 0.24; 95% CI 0.10, 0.54) and poor sleep quality (OR 0.45; 95% CI 0.20, 1.05). Stratified analysis revealed that these associations were stronger in normal-weight participants. Greater adherence to "high carbohydrate" NP, on the other hand, was connected to higher odds of short sleeping (OR 2.83; 95% CI 1.20, 6.72). Low adherence to "high vegetable" pattern and vitamin D insufficiency/deficiency were jointly associated with increased odds of short sleeping (OR 3.42, 95% CI 1.42, 6.64). High adherence to pattern comprising mainly of vegetable nutrients was associated with a reduced likelihood of being short sleepers and having poor sleep quality in Iranian adults, especially among those with a normal weight. Lower adherence to vegetable NP and insufficient/deficient vitamin D levels were synergistically associated with greater likelihood of being short sleepers. Greater adherence to carbohydrate NP was associated with an increased likelihood of short sleeping.https://doi.org/10.1038/s41598-023-42661-6
spellingShingle Parisa Rouhani
Keyhan Lotfi
Javad Anjom-Shoae
Zahra Hajhashemi
Elahe Mokhtari
Zahra Heidari
Parvane Saneei
Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adults
Scientific Reports
title Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adults
title_full Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adults
title_fullStr Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adults
title_full_unstemmed Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adults
title_short Association between patterns of nutrient intake and circulating vitamin D with sleep status among Iranian adults
title_sort association between patterns of nutrient intake and circulating vitamin d with sleep status among iranian adults
url https://doi.org/10.1038/s41598-023-42661-6
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