Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort

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 di...

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Main Authors: Tham, Elaine K. H., Cai, Shirong, Yap, Fabian, Godfrey, Keith M., Teoh, Oon Hoe, van Lee, Linde, Chia, Ai-Ru, Loy, See Ling, Colega, Marjorelee, Goh, Daniel, Tan, Kok Hian, Chong, Yap-Seng, Broekman, Birit F. P., Chong, Mary F. F.
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2018
Subjects:
Online Access:https://hdl.handle.net/10356/88557
http://hdl.handle.net/10220/45837
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author Tham, Elaine K. H.
Cai, Shirong
Yap, Fabian
Godfrey, Keith M.
Teoh, Oon Hoe
van Lee, Linde
Chia, Ai-Ru
Loy, See Ling
Colega, Marjorelee
Goh, Daniel
Tan, Kok Hian
Chong, Yap-Seng
Broekman, Birit F. P.
Chong, Mary F. F.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Tham, Elaine K. H.
Cai, Shirong
Yap, Fabian
Godfrey, Keith M.
Teoh, Oon Hoe
van Lee, Linde
Chia, Ai-Ru
Loy, See Ling
Colega, Marjorelee
Goh, Daniel
Tan, Kok Hian
Chong, Yap-Seng
Broekman, Birit F. P.
Chong, Mary F. F.
author_sort Tham, Elaine K. H.
collection NTU
description 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.
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spelling ntu-10356/885572020-11-01T05:25:03Z Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort Tham, Elaine K. H. Cai, Shirong Yap, Fabian Godfrey, Keith M. Teoh, Oon Hoe van Lee, Linde Chia, Ai-Ru Loy, See Ling Colega, Marjorelee Goh, Daniel Tan, Kok Hian Chong, Yap-Seng Broekman, Birit F. P. Chong, Mary F. F. Lee Kong Chian School of Medicine (LKCMedicine) Diet Quality DRNTU::Science::Medicine Dietary Patterns 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. ASTAR (Agency for Sci., Tech. and Research, S’pore) NMRC (Natl Medical Research Council, S’pore) Published version 2018-09-05T07:33:57Z 2019-12-06T17:06:02Z 2018-09-05T07:33:57Z 2019-12-06T17:06:02Z 2017 Journal Article van Lee, L., Chia, A.-R., Loy, S. L., Colega, M., Tham, E. K. H., Cai, S., . . . Chong, M. F. F. (2017). Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort. International Journal of Environmental Research and Public Health, 14(11), 1409-. doi:10.3390/ijerph14111409 1661-7827 https://hdl.handle.net/10356/88557 http://hdl.handle.net/10220/45837 10.3390/ijerph14111409 en International Journal of Environmental Research and Public Health © 2017 by The Author(s). Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). 14 p. application/pdf
spellingShingle Diet Quality
DRNTU::Science::Medicine
Dietary Patterns
Tham, Elaine K. H.
Cai, Shirong
Yap, Fabian
Godfrey, Keith M.
Teoh, Oon Hoe
van Lee, Linde
Chia, Ai-Ru
Loy, See Ling
Colega, Marjorelee
Goh, Daniel
Tan, Kok Hian
Chong, Yap-Seng
Broekman, Birit F. P.
Chong, Mary F. F.
Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort
title Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort
title_full Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort
title_fullStr Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort
title_full_unstemmed Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort
title_short Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort
title_sort sleep and dietary patterns in pregnancy findings from the gusto cohort
topic Diet Quality
DRNTU::Science::Medicine
Dietary Patterns
url https://hdl.handle.net/10356/88557
http://hdl.handle.net/10220/45837
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