Franckle, R. L., Falbe, J., Gortmaker, S., Ganter, C., Taveras, E. M., Land, T., & Davison, K. K. (2015). Insufficient sleep among elementary and middle school students is linked with elevated soda consumption and other unhealthy dietary behaviors. Preventive Medicine: An International Journal Devoted To Practice And Theory, 7436-41.
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Abstract
Objective
This study examines the extent to which insufficient sleep is associated with diet quality in students taking part in the Massachusetts Childhood Obesity Research Demonstration Project.
Methods
Data were collected in Fall 2012 for all 4th and 7th grade children enrolled in public schools in two Massachusetts communities. During annual body mass index (BMI) screening, students completed a survey that assessed diet, physical activity, screen time, and sleep. Of the 2456 enrolled students, 1870 (76%) had complete survey data. Generalized estimating equations were used to examine associations between sleep duration and dietary outcomes (vegetables, fruits, 100% juice, juice drinks, soda, sugar-sweetened beverages and water), accounting for clustering by school. Models were adjusted for community, grade, race/ethnicity, gender, television in the bedroom, screen time, and physical activity.
Results
In adjusted models, students who reported sleeping < 10 hours/day consumed soda more frequently (β = 0.11, 95% CI: 0.03, 0.20) and vegetables less frequently (β = -0.09, 95% CI: -0.18, -0.01) compared with students who reported ≥ 10 hours/day. No significant associations were observed between sleep duration and fruits, 100% juice, juice drinks or water.
Conclusions
In this population, insufficient sleep duration was associated with more frequent soda and less frequent vegetable consumption. Longitudinal research is needed to further examine these relationships.
MeSH Terms
Beverages/classification
Beverages/statistics & numerical data*
Body Mass Index
Carbonated Beverages/statistics & numerical data
Child
Diet/statistics & numerical data*
Diet Surveys
Drinking Water
Female
Fruit
Fruit and Vegetable Juices/statistics & numerical data
Humans
Linear Models
Male
Massachusetts/epidemiology
Motor Activity
Pediatric Obesity/epidemiology*
Pediatric Obesity/etiology
Prevalence
Self Report
Sleep/physiology*
Sleep Deprivation/complications
Sleep Deprivation/epidemiology
Sleep Deprivation/etiology*
Television/statistics & numerical data
Time Factors
Vegetables
Substances
Drinking Water
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