Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
Associations between the Dietary Inflammatory Index and Sleep Metrics in the Energy Balance Study (EBS)
oleh: Emily T. Farrell, Michael D. Wirth, Alexander C. McLain, Thomas G. Hurley, Robin P. Shook, Gregory A. Hand, James R. Hébert, Steven N. Blair
Format: | Article |
---|---|
Diterbitkan: | MDPI AG 2023-01-01 |
Deskripsi
(1) Background: Sleep, a physiological necessity, has strong inflammatory underpinnings. Diet is a strong moderator of systemic inflammation. This study explored the associations between the Dietary Inflammatory Index (DII<sup>®</sup>) and sleep duration, timing, and quality from the Energy Balance Study (EBS). (2) Methods: The EBS (<i>n</i> = 427) prospectively explored energy intake, expenditure, and body composition. Sleep was measured using BodyMedia’s SenseWear<sup>®</sup> armband. DII scores were calculated from three unannounced dietary recalls (baseline, 1-, 2-, and 3-years). The DII was analyzed continuously and categorically (very anti-, moderately anti-, neutral, and pro-inflammatory). Linear mixed-effects models estimated the DII score impact on sleep parameters. (3) Results: Compared with the very anti-inflammatory category, the pro-inflammatory category was more likely to be female (58% vs. 39%, <i>p</i> = 0.02) and African American (27% vs. 3%, <i>p</i> < 0.01). For every one-unit increase in the change in DII score (i.e., diets became more pro-inflammatory), wake-after-sleep-onset (WASO) increased (βChange = 1.00, <i>p</i> = 0.01), sleep efficiency decreased (βChange = −0.16, <i>p</i> < 0.05), and bedtime (βChange = 1.86, <i>p</i> = 0.04) and waketime became later (βChange = 1.90, <i>p</i> < 0.05). Associations between bedtime and the DII were stronger among African Americans (βChange = 6.05, <i>p</i> < 0.01) than European Americans (βChange = 0.52, <i>p</i> = 0.64). (4) Conclusions: Future studies should address worsening sleep quality from inflammatory diets, leading to negative health outcomes, and explore potential demographic differences.