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01-12-2018 | Diabetes and Obesity (MC de Oliveira Otto, Section Editor)

Sleep, Diet, and Cardiometabolic Health Investigations: a Systematic Review of Analytic Strategies

Authors: Erica C. Jansen, Galit Levi Dunietz, Maria-Efstratia Tsimpanouli, Heidi M. Guyer, Carol Shannon, Shelley D. Hershner, Louise M. O’Brien, Ana Baylin

Published in: Current Nutrition Reports | Issue 4/2018

Abstract

Purpose of Review

Poor sleep is a risk factor for cardiometabolic morbidity. The relationship of sleep and cardiometabolic health could be confounded, mediated, or modified by diet, yet the incorporation of diet in sleep-cardiometabolic health studies is inconsistent. This rapid systematic literature review evaluates the conceptualization of diet as a confounder, mediator, or effect modifier within sleep-cardiometabolic health investigations, and the statistical approaches utilized.

Recent Findings

Of 4692 studies identified, 60 were retained (28 adult, 32 pediatric). Most studies included diet patterns, quality, or energy intake as confounders, while a few examined these dietary variables as mediators or effect modifiers. There was some evidence, mostly in pediatric studies, that inclusion of diet altered sleep-cardiometabolic health associations.

Summary

Diet plays a diverse role within sleep-cardiometabolic health associations. Investigators should carefully consider the conceptualization of diet variables in these relationships and utilize contemporary statistical approaches when applicable.

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Title: Sleep, Diet, and Cardiometabolic Health Investigations: a Systematic Review of Analytic Strategies
Authors: Erica C. Jansen
Galit Levi Dunietz
Maria-Efstratia Tsimpanouli
Heidi M. Guyer
Carol Shannon
Shelley D. Hershner
Louise M. O’Brien
Ana Baylin
Publication date: 01-12-2018
Publisher: Springer US
Published in: Current Nutrition Reports / Issue 4/2018
Electronic ISSN: 2161-3311
DOI: https://doi.org/10.1007/s13668-018-0240-3

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