Food Consumption and Sleep Disturbances in 9-year-old Children

Abstract

Objective To assess the association of food consumption with sleep disturbances in 9-year-old children.

Material and Methods The present study is part of a larger cohort study named Predictors of Maternal and Infant Excess Body Weight (PREDI) that was conducted in the homes of the participants during the fourth study follow-up. Anthropometric assessment and demographic, socioeconomic, food consumption, and sleep data were obtained. The children's food consumption was evaluated using the Brazilian Food and Nutrition Surveillance System (SISVAN, in the Portuguese acronym). Sleep habits were assessed using the Sleep Disturbance Scale for Children to evaluate sleep pattern-related behaviors in children/adolescents aged 3 to 18 years. Data were self-reported by the mother and her child on the day of the visit. Logistic regression analysis was used to estimate the association of food consumption with sleep disturbances in children at 9 years of age.

Results Of the 142 children who participated in the study, 45.1% had sleep disturbances; most of them were boys (53.6%). The proportion of children with sleep disturbances was higher (55.6%) among children who did not consume fruits compared with those who ate fruits (p = 0.008). Logistic regression analysis revealed that the lack of fruit consumption was associated with sleep disturbances (OR = 2.26, p = 0.023), even after adjustment for other predictors.

Conclusion We showed that the lack of fruit consumption is a predictor of sleep disturbances. Since fruit consumption had a protective effect on sleep disturbances at 9 years of age, encouraging the consumption of fiber-rich foods may contribute to preventing the establishment of sleep problems even in infants.

Keywords

children - sleep habits - sleep disturbance - food consumption - fruits

Publication History

Received: 27 July 2023

Accepted: 01 March 2024

Article published online:
13 May 2024

• References

• 1 Dresp-Langley B, Hutt A. Digital Addiction and Sleep. Int J Environ Res Public Health 2022; 19 (11) 6910
• 2 Lazaratou H, Soldatou A, Dikeos D. Medical comorbidity of sleep disorders in children and adolescents. Curr Opin Psychiatry 2012; 25 (05) 391-397
• 3 Trosman I, Ivanenko A. Classification and Epidemiology of Sleep Disorders in Children and Adolescents. Child Adolesc Psychiatr Clin N Am 2021; 30 (01) 47-64
• 4 Westerlund L, Ray C, Roos E. Associations between sleeping habits and food consumption patterns among 10-11-year-old children in Finland. Br J Nutr 2009; 102 (10) 1531-1537
• 5 Kruger AK, Reither EN, Peppard PE, Krueger PM, Hale L. Do sleep-deprived adolescents make less-healthy food choices?. Br J Nutr 2014; 111 (10) 1898-1904
• 6 Louzada ML, Baraldi LG, Steele EM. et al. Consumption of ultra-processed foods and obesity in Brazilian adolescents and adults. Prev Med 2015; 81: 9-15
• 7 Monteiro CA, Cannon G, Levy RB. et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutr 2019; 22 (05) 936-941
• 8 Litchford A, Savoie Roskos MR, Wengreen H. Influence of fathers on the feeding practices and behaviors of children: A systematic review. Appetite 2020; 147: 104558
• 9 Gantenbein KV, Kanaka-Gantenbein C. Mediterranean Diet as an Antioxidant: The Impact on Metabolic Health and Overall Wellbeing. Nutrients 2021; 13 (06) 1951
• 10 Noorwali E, Hardie L, Cade J. Bridging the Reciprocal Gap between Sleep and Fruit and Vegetable Consumption: A Review of the Evidence, Potential Mechanisms, Implications, and Directions for Future Work. Nutrients 2019; 11 (06) 1382
• 11 Mastroeni MF, Mastroeni SSBS, Czarnobay SA, Ekwaru JP, Loehr SA, Veugelers PJ. Breast-feeding duration for the prevention of excess body weight of mother-child pairs concurrently: a 2-year cohort study. Public Health Nutr 2017; 20 (14) 2537-2548
• 12 de Onis M. WHO Child Growth Standards: Length/height-for-age, weight-for-age,. weight-for-length, weight-for-height and body mass index-for-age: Methods and development (Geneve: WHO). 2006
• 13 BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientações para Avaliação de Marcadores de Consumo Alimentar na Atenção Básica. Brasília. 2015
• 14 Bruni O, Ottaviano S, Guidetti V. et al. The Sleep Disturbance Scale for Children (SDSC). Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res 1996; 5 (04) 251-261
• 15 Ferreira VR, Carvalho LB, Ruotolo F, de Morais JF, Prado LB, Prado GF. Sleep disturbance scale for children: translation, cultural adaptation, and validation. Sleep Med 2009; 10 (04) 457-463
• 16 Ohayon M, Wickwire EM, Hirshkowitz M. et al. National Sleep Foundation's sleep quality recommendations: first report. Sleep Health 2017; 3 (01) 6-19
• 17 Zhao M, Tuo H, Wang S, Zhao L. The Effects of Dietary Nutrition on Sleep and Sleep Disorders. Mediators Inflamm 2020; 2020 (25) 3142874
• 18 Zuraikat FM, Wood RA, Barragán R, St-Onge MP. Sleep and Diet: Mounting Evidence of a Cyclical Relationship. Annu Rev Nutr 2021; 41 (11) 309-332
• 19 Hepsomali P, Groeger JA. Diet, Sleep, and Mental Health: Insights from the UK Biobank Study. Nutrients 2021; 13 (08) 2573
• 20 Godos J, Grosso G, Castellano S, Galvano F, Caraci F, Ferri R. Association between diet and sleep quality: A systematic review. Sleep Med Rev 2021; 57: 101430
• 21 Córdova FV, Barja S, Brockmann PE. Consequences of short sleep duration on the dietary intake in children: A systematic review and metanalysis. Sleep Med Rev 2018; 42: 68-84
• 22 Du Y, Duan X, Zheng M. et al. Association Between Eating Habits and Risk of Obstructive Sleep Apnea: A Population-Based Study. Nat Sci Sleep 2021; 13: 1783-1795
• 23 Binks H, EVincent G, Gupta C, Irwin C, Khalesi S. Effects of Diet on Sleep: A Narrative Review. Nutrients 2020; 12 (04) 936
• 24 Tambalis KD, Panagiotakos DB, Psarra G, Sidossis LS. Insufficient Sleep Duration Is Associated With Dietary Habits, Screen Time, and Obesity in Children. J Clin Sleep Med 2018; 14 (10) 1689-1696
• 25 Cuevas-Sierra A, Milagro FI, Aranaz P, Martínez JA, Riezu-Boj JI. Gut Microbiota Differences According to Ultra-Processed Food Consumption in a Spanish Population. Nutrients 2021; 13 (08) 2710
• 26 Fernandez-Mendoza J, Baker JH, Vgontzas AN, Gaines J, Liao D, Bixler EO. Insomnia symptoms with objective short sleep duration are associated with systemic inflammation in adolescents. Brain Behav Immun 2017; 61: 110-116
• 27 Galland L. Diet and inflammation. Nutr Clin Pract 2010; 25 (06) 634-640
• 28 Irwin MR, Olmstead R, Carroll JE. Sleep Disturbance, Sleep Duration, and Inflammation: A Systematic Review and Meta-Analysis of Cohort Studies and Experimental Sleep Deprivation. Biol Psychiatry 2016; 80 (01) 40-52
• 29 Kimoff RJ, Hamid Q, Divangahi M. et al. Increased upper airway cytokines and oxidative stress in severe obstructive sleep apnoea. Eur Respir J 2011; 38 (01) 89-97
• 30 Palmieri VO, Grattagliano I, Portincasa P, Palasciano G. Systemic oxidative alterations are associated with visceral adiposity and liver steatosis in patients with metabolic syndrome. J Nutr 2006; 136 (12) 3022-3026
• 31 Mhaidat NM, Alzoubi KH, Khabour OF, Tashtoush NH, Banihani SA, Abdul-razzak KK. Exploring the effect of vitamin C on sleep deprivation induced memory impairment. Brain Res Bull 2015; 113: 41-47
• 32 Grandner MA, Jackson N, Gerstner JR, Knutson KL. Dietary nutrients associated with short and long sleep duration. Data from a nationally representative sample. Appetite 2013; 64: 71-80
• 33 Gérard C, Vidal H. Impact of Gut Microbiota on Host Glycemic Control. Front Endocrinol (Lausanne) 2019; 10: 29
• 34 Roberfroid M, Gibson GR, Hoyles L. et al. Prebiotic effects: metabolic and health benefits. Br J Nutr 2010; 104 (Suppl. 02) S1-S63