TY - JOUR
T1 - Association between unhealthy dietary behaviors and sleep disturbances among Japanese adolescents
T2 - a nationwide representative survey
AU - Otsuka, Yuichiro
AU - Kaneita, Yoshitaka
AU - Itani, Osamu
AU - Osaki, Yoneatsu
AU - Higuchi, Susumu
AU - Kanda, Hideyuki
AU - Nakagome, Sachi
AU - Jike, Maki
AU - Ohida, Takashi
N1 - Funding Information:
the schools. This study was supported by a health science Research Grant from the Ministry of Health, Labor and Welfare of the Japanese Government.
Funding Information:
The authors thank the staff and participants of the schools. This study was supported by a health science Research Grant from the Ministry of Health, Labor and Welfare of the Japanese Government.
Publisher Copyright:
© 2018, Japanese Society of Sleep Research.
PY - 2019/1/22
Y1 - 2019/1/22
N2 - Purpose: Dietary behaviors and sleep are important lifestyle factors to protect adolescent health. However, little is known about how dietary behaviors are related to sleep disturbances. The purpose of this study was to conduct a large-scale survey among Japanese adolescents to verify the association between unhealthy dietary behaviors and sleep disturbances. Methods: This study included 65,688 and 99,581 students enrolled in 140 and 120 randomly selected junior and senior high schools, respectively. A total of 85,931 self-administered questionnaires were collected from 79 junior and 77 senior high schools from 2014 to 2015. The survey included questions on sleep patterns, dietary behaviors, alcohol consumption, and smoking, as well as questions on mental health. For dietary behaviors, we adopted the items on meal habits in the National Health and Nutrition Survey including, the frequency of eating breakfast, the frequency of family meals, and subjective diet quality. We performed a multivariate analysis on the relationship between the dietary behaviors and sleep disturbance. Results: Data from 84,988 questionnaires were analyzed. Boys and girls with less healthy dietary behaviors had a significantly higher prevalence for each sleep disturbance. Subjective sleep quality and insomnia were significantly associated with breakfast frequency, family meal frequency, and diet quality. Short sleep duration was significantly associated with breakfast frequency and family meal frequency, but not with subjective diet quality. Conclusions: Our study suggested that sleep and dietary behaviors affect one another. Those involved in public health education should encourage adolescents to establish healthy sleep patterns as well as healthy dietary behaviors.
AB - Purpose: Dietary behaviors and sleep are important lifestyle factors to protect adolescent health. However, little is known about how dietary behaviors are related to sleep disturbances. The purpose of this study was to conduct a large-scale survey among Japanese adolescents to verify the association between unhealthy dietary behaviors and sleep disturbances. Methods: This study included 65,688 and 99,581 students enrolled in 140 and 120 randomly selected junior and senior high schools, respectively. A total of 85,931 self-administered questionnaires were collected from 79 junior and 77 senior high schools from 2014 to 2015. The survey included questions on sleep patterns, dietary behaviors, alcohol consumption, and smoking, as well as questions on mental health. For dietary behaviors, we adopted the items on meal habits in the National Health and Nutrition Survey including, the frequency of eating breakfast, the frequency of family meals, and subjective diet quality. We performed a multivariate analysis on the relationship between the dietary behaviors and sleep disturbance. Results: Data from 84,988 questionnaires were analyzed. Boys and girls with less healthy dietary behaviors had a significantly higher prevalence for each sleep disturbance. Subjective sleep quality and insomnia were significantly associated with breakfast frequency, family meal frequency, and diet quality. Short sleep duration was significantly associated with breakfast frequency and family meal frequency, but not with subjective diet quality. Conclusions: Our study suggested that sleep and dietary behaviors affect one another. Those involved in public health education should encourage adolescents to establish healthy sleep patterns as well as healthy dietary behaviors.
KW - Adolescent health
KW - Diet quality
KW - Dietary behaviors
KW - Insomnia
KW - Sleep disturbance
KW - Sleep quality
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U2 - 10.1007/s41105-018-0193-3
DO - 10.1007/s41105-018-0193-3
M3 - Article
AN - SCOPUS:85059624704
VL - 17
SP - 93
EP - 102
JO - Sleep and Biological Rhythms
JF - Sleep and Biological Rhythms
SN - 1446-9235
IS - 1
ER -