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Published in: The journal of nutrition, health & aging 2/2020

01-02-2020

Association of Dietary Variety and Appetite with Sleep Quality in Urban-Dwelling Older Japanese Adults

Authors: K. Yamamoto, Keiko Motokawa, T. Yoshizaki, T. Yano, H. Hirano, Y. Ohara, M. Shirobe, H. Inagaki, S. Awata, S. Shinkai, Y. Watanabe

Published in: The journal of nutrition, health & aging | Issue 2/2020

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Abstract

Objectives

Although it has been shown that specific foods and nutrients are associated with sleep quality, few studies have examined the association of dietary variety and appetite with sleep quality in older adults.

Design and setting

A cross-sectional study was conducted that examined the association of dietary variety and appetite with sleep quality in Japanese adults aged ≥70 years who resided in the metropolitan area of Tokyo, Japan.

Participants

Data were collected in two steps: a mailed interview survey and an on-site survey. Those who responded to the surveys and met the inclusion criteria were included.

Measurements

Dietary variety, appetite, and sleep quality were assessed using a Dietary Variety Score (DVS), Council on Nutrition Appetite Questionnaire (CNAQ) score, and sleep efficiency, respectively. The sleep efficiency is the ratio of sleep duration to total time in bed (retiring time-awakening time). We defined the individuals with a sleep efficiency less than 75% as having poor sleep quality.

Results

Mean DVS and CNAQ score were 3.8 and 29.6 points, respectively. The rate of individuals with poor sleep quality was 11.7%. In the fully adjusted model, the odds ratios (OR) for low sleep efficiency in the middle and highest group categories of the DVS were 0.83 (95% confidence interval [CI], 0.54–1.29) and 0.50 (95% CI, 0.28–0.90), respectively, in reference to the lowest group category (p for trend = 0.023). The OR for low sleep efficiency in the middle and highest group categories of the CNAQ score were 0.73 (95% CI, 0.47–1.14) and 0.54 (95% CI, 0.30–0.96), respectively, in reference to the lowest group category (p for trend = 0.031).

Conclusions

The higher DVS and CNAQ scores were significantly associated with higher sleep efficiency. Thus, dietary variety and good appetite might help maintain good sleep quality in urban-dwelling older Japanese adults.
Literature
11.
go back to reference Blackwell T, Yaffe K, Ancoli-Israel S, Schneider JL, Cauley JA, Hillier TA, Fink HA, Stone KL. Poor sleep Is associated with impaired cognitive function in older women: The study of osteoporotic fractures. J Gerontol: A Biol Med Sci 2006;61:405–410. https://doi.org/10.1093/gerona/61.4.405 Blackwell T, Yaffe K, Ancoli-Israel S, Schneider JL, Cauley JA, Hillier TA, Fink HA, Stone KL. Poor sleep Is associated with impaired cognitive function in older women: The study of osteoporotic fractures. J Gerontol: A Biol Med Sci 2006;61:405–410. https://​doi.​org/​10.​1093/​gerona/​61.​4.​405
15.
go back to reference Suga S, Watabe H, Sakamaki M, Hasizume M, Koji T. Workers sleep quality and psychological factors as determined by shift system. Jpn J Psychosom Med 2006;46:293–300. Suga S, Watabe H, Sakamaki M, Hasizume M, Koji T. Workers sleep quality and psychological factors as determined by shift system. Jpn J Psychosom Med 2006;46:293–300.
16.
go back to reference Osada Y. Effects of noise on sleep. J INCE Jpn 1985;9:248–253. Osada Y. Effects of noise on sleep. J INCE Jpn 1985;9:248–253.
17.
go back to reference Tsuzuki K. Effects of thermal environment on human sleep and thermoregulation. Jpn. J. Biometeor 2014;50:125–134. Tsuzuki K. Effects of thermal environment on human sleep and thermoregulation. Jpn. J. Biometeor 2014;50:125–134.
18.
go back to reference Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health 2014;56:359–368. https://doi.org/10.1539/joh.14-0051-oa PubMed Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health 2014;56:359–368. https://​doi.​org/​10.​1539/​joh.​14-0051-oa PubMed
19.
go back to reference Tanaka E, Yatsuya H, Uemura M, Murata C, Otsuka R, Toyoshima H, Tamakoshi K, Sasaki S, Kawaguchi L, Aoyama A. Associations of protein, fat, and carbohydrate intakes with insomnia symptoms among middle-aged Japanese workers. J Epidemiol 2013;23:132–138. https://doi.org/10.2188/jea.je20120101 PubMed Tanaka E, Yatsuya H, Uemura M, Murata C, Otsuka R, Toyoshima H, Tamakoshi K, Sasaki S, Kawaguchi L, Aoyama A. Associations of protein, fat, and carbohydrate intakes with insomnia symptoms among middle-aged Japanese workers. J Epidemiol 2013;23:132–138. https://​doi.​org/​10.​2188/​jea.​je20120101 PubMed
21.
28.
go back to reference Friedman B, Heisel MJ, Delavan RL. Psychometric properties of the 15-item geriatric depression scale in functionally impaired, cognitively intact, community-dwelling elderly primary care patients. J Am Geriatr Soc 2005;53:1570–1576.PubMed Friedman B, Heisel MJ, Delavan RL. Psychometric properties of the 15-item geriatric depression scale in functionally impaired, cognitively intact, community-dwelling elderly primary care patients. J Am Geriatr Soc 2005;53:1570–1576.PubMed
29.
go back to reference Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, Dauvilliers Y, Ferri R, Fung C, Gozal D, Hazen N, Krystal A, Lichstein K, Mallampalli M, Plazzi G, Rawding R, Scheer FA, Somers V, Vitiello MV. National Sleep Foundation’s sleep quality recommendations: first report. Sleep Health 2017;3:6–19. https://doi.org/10.1016/j.sleh.2016.11.006 Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, Dauvilliers Y, Ferri R, Fung C, Gozal D, Hazen N, Krystal A, Lichstein K, Mallampalli M, Plazzi G, Rawding R, Scheer FA, Somers V, Vitiello MV. National Sleep Foundation’s sleep quality recommendations: first report. Sleep Health 2017;3:6–19. https://​doi.​org/​10.​1016/​j.​sleh.​2016.​11.​006
30.
go back to reference Kumagai S, Watanabe S, Shibata H, Amano H, Fujiwara Y, Shinkai S, Yoshida H, Suzuki T, Yukawa H, Yasumura S, Haga H. [Effects of dietary variety on declines in high-level functional capacity in elderly people living in a community]. [Article in Japanese]. Nihon Koshu Eisei Zasshi 2003;12:1117–1124. https://doi.org/10.1016/s0167-4943(02)00081-x Kumagai S, Watanabe S, Shibata H, Amano H, Fujiwara Y, Shinkai S, Yoshida H, Suzuki T, Yukawa H, Yasumura S, Haga H. [Effects of dietary variety on declines in high-level functional capacity in elderly people living in a community]. [Article in Japanese]. Nihon Koshu Eisei Zasshi 2003;12:1117–1124. https://​doi.​org/​10.​1016/​s0167-4943(02)00081-x
34.
go back to reference Yokoyama Y, Nishi M, Murayama H, Amano H, Taniguchi Y, Nofuji Y, Narita M, Matsuo E, Seino S, Kawano Y, Shinkai S. Association of dietary variety with body composition and physical function in community-dwelling ederly Japanese. J Nutr Health Aging 2016;20:691–696. https://doi.org/10.1007/s12603-015-0632-7 PubMed Yokoyama Y, Nishi M, Murayama H, Amano H, Taniguchi Y, Nofuji Y, Narita M, Matsuo E, Seino S, Kawano Y, Shinkai S. Association of dietary variety with body composition and physical function in community-dwelling ederly Japanese. J Nutr Health Aging 2016;20:691–696. https://​doi.​org/​10.​1007/​s12603-015-0632-7 PubMed
35.
go back to reference Fukasaku T, Okuno J, Tomura S, Seino S, Kim MJ, Yabushita N, Okura T, Tanaka K, Yanagi H. [Intervention effects of inclusive support in an “exercise and a nutritional community-based prevention program” for pre-frail elderly individuals]. [Article in Japanese]. Nihon Koshu Eisei Zasshi 2011;58:420–432. https://doi.org/10.3143/geriatrics.50.515 PubMed Fukasaku T, Okuno J, Tomura S, Seino S, Kim MJ, Yabushita N, Okura T, Tanaka K, Yanagi H. [Intervention effects of inclusive support in an “exercise and a nutritional community-based prevention program” for pre-frail elderly individuals]. [Article in Japanese]. Nihon Koshu Eisei Zasshi 2011;58:420–432. https://​doi.​org/​10.​3143/​geriatrics.​50.​515 PubMed
41.
go back to reference Abbasi B, Kimiagar, Sadeghniiat K, Shirazi MM, Hedayati M, Rashidkhani B. The effect of magnesium supplementation on primary insomnia in elderly: A double-blind placebo-controlled clinical trial. J Res Med Sci 2012;17:1161–1169.PubMedPubMedCentral Abbasi B, Kimiagar, Sadeghniiat K, Shirazi MM, Hedayati M, Rashidkhani B. The effect of magnesium supplementation on primary insomnia in elderly: A double-blind placebo-controlled clinical trial. J Res Med Sci 2012;17:1161–1169.PubMedPubMedCentral
53.
go back to reference Locquet M, Beaudart C, Delandsheere L, Reginster JY, Bruyere O. Subjective sleep quality among sarcopenic and non-sarcopenic older adults: results from the SarcoPhAge Cohort. J Frailty Aging 2018;7:176–181.PubMed Locquet M, Beaudart C, Delandsheere L, Reginster JY, Bruyere O. Subjective sleep quality among sarcopenic and non-sarcopenic older adults: results from the SarcoPhAge Cohort. J Frailty Aging 2018;7:176–181.PubMed
55.
go back to reference Takao Suzuki, Hajime Iwasa, Hideyo Yoshida, Hunkyung Kim, Masaya Shimmei, Hu Xiuying, Shoji Shinkai, Shu Kumagai, Yoshinori Fujiwara, Hiroko Yoshida, Taketo Furuna, Miho Sugiura, Satoshi Nishizawa, Shuichiro Watanabe, Yukawa H (2003) Comprehensive health examination (“OTASHA-KENSHIN”) for the prevention of geriatric syndromes and a bed — ridden state in the community elderly 1. Differences in characteristics between participants and non-Participants. Japanese Journal of Public Health 2003;1:39–48. Takao Suzuki, Hajime Iwasa, Hideyo Yoshida, Hunkyung Kim, Masaya Shimmei, Hu Xiuying, Shoji Shinkai, Shu Kumagai, Yoshinori Fujiwara, Hiroko Yoshida, Taketo Furuna, Miho Sugiura, Satoshi Nishizawa, Shuichiro Watanabe, Yukawa H (2003) Comprehensive health examination (“OTASHA-KENSHIN”) for the prevention of geriatric syndromes and a bed — ridden state in the community elderly 1. Differences in characteristics between participants and non-Participants. Japanese Journal of Public Health 2003;1:39–48.
Metadata
Title
Association of Dietary Variety and Appetite with Sleep Quality in Urban-Dwelling Older Japanese Adults
Authors
K. Yamamoto
Keiko Motokawa
T. Yoshizaki
T. Yano
H. Hirano
Y. Ohara
M. Shirobe
H. Inagaki
S. Awata
S. Shinkai
Y. Watanabe
Publication date
01-02-2020
Publisher
Springer Paris
Published in
The journal of nutrition, health & aging / Issue 2/2020
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-019-1297-4

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