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Published in: BMC Public Health 1/2023

Open Access 01-12-2023 | Nutrition | Research

Muscle quality index is associated with trouble sleeping: a cross-sectional population based study

Authors: Yanwei You, Yuquan Chen, Qi Zhang, Ning Yan, Yi Ning, Qiang Cao

Published in: BMC Public Health | Issue 1/2023

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Abstract

Background

Trouble sleeping is one of the major health issues nowadays. Current evidence on the correlation between muscle quality and trouble sleeping is limited.

Methods

A cross-sectional study design was applied and participants aged from 18 to 60 years in the National Health and Nutrition Examination Survey (NHANES) 2011–2014 was used for analysis. Muscle quality index (MQI) was quantitatively calculated as handgrip strength (HGS, kg) sum/ arm and appendicular skeletal muscle mass (ASM, kg) by using the sum of the non-dominant hand and dominant hand. Sleeping data was obtained by interviews and self-reported by individuals. The main analyses utilized weighted multivariable logistic regression models according to the complex multi-stage sampling design of NHANES. Restricted cubic spline model was applied to explore the non-linear relationship between MQI and trouble sleeping. Moreover, subgroup analyses concerning sociodemographic and lifestyle factors were conducted in this study.

Results

5143 participants were finally included in. In the fully adjusted model, an increased level of MQI was significantly associated with a lower odds ratio of trouble sleeping, with OR = 0.765, 95% CI: (0.652,0.896), p = 0.011. Restricted cubic spline showed a non-linear association between MQI and trouble sleeping. However, it seemed that the prevalence of trouble sleeping decreased with increasing MQI until it reached 2.362, after which the odds ratio of trouble sleeping reached a plateau. Subgroup analyses further confirmed that the negative association between the MQI and trouble sleeping was consistent and robust across groups.

Conclusion

Overall, this study revealed that MQI can be used as a reliable predictor in odds ratio of trouble sleeping. Maintaining a certain level of muscle mass would be beneficial to sleep health. However, this was a cross-sectional study, and causal inference between MQI and trouble sleeping was worthy of further exploration.
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Literature
11.
go back to reference Misic MM, Rosengren KS, Woods JA, Evans EM. Muscle Quality, Aerobic Fitness and Fat Mass Predict Lower-Extremity Physical Function in Community-Dwelling Older Adults. Gerontology (2007) 53(5):260-6. Epub 2007/04/21. doi: https://doi.org/10.1159/000101826. Misic MM, Rosengren KS, Woods JA, Evans EM. Muscle Quality, Aerobic Fitness and Fat Mass Predict Lower-Extremity Physical Function in Community-Dwelling Older Adults. Gerontology (2007) 53(5):260-6. Epub 2007/04/21. doi: https://​doi.​org/​10.​1159/​000101826.
16.
go back to reference Who Guidelines on Physical Activity and Sedentary Behaviour. Who Guidelines Approved by the Guidelines Review Committee. Geneva. (2020). Who Guidelines on Physical Activity and Sedentary Behaviour. Who Guidelines Approved by the Guidelines Review Committee. Geneva. (2020).
24.
go back to reference Auyeung TW, Lee JS, Kwok T, Leung J, Ohlsson C, Vandenput L, et al. Testosterone but not Estradiol Level is positively related to muscle strength and physical performance Independent of muscle Mass: a cross-sectional study in 1489 older men. Eur J Endocrinol. 2011;164(5):811–7. https://doi.org/10.1530/EJE-10-0952. Epub 2011/02/25.CrossRefPubMed Auyeung TW, Lee JS, Kwok T, Leung J, Ohlsson C, Vandenput L, et al. Testosterone but not Estradiol Level is positively related to muscle strength and physical performance Independent of muscle Mass: a cross-sectional study in 1489 older men. Eur J Endocrinol. 2011;164(5):811–7. https://​doi.​org/​10.​1530/​EJE-10-0952. Epub 2011/02/25.CrossRefPubMed
27.
go back to reference Manber R, Armitage R. Sex, steroids, and sleep: a review. Sleep. 1999;22(5):540–55. Epub 1999/08/18.PubMed Manber R, Armitage R. Sex, steroids, and sleep: a review. Sleep. 1999;22(5):540–55. Epub 1999/08/18.PubMed
30.
go back to reference Rubio-Arias JA, Rodriguez-Fernandez R, Andreu L, Martinez-Aranda LM, Martinez-Rodriguez A, Ramos-Campo DJ. Effect of Sleep Quality on the Prevalence of Sarcopenia in Older Adults: A Systematic Review with Meta-Analysis. J Clin Med (2019) 8(12). Epub 2019/12/11. doi: https://doi.org/10.3390/jcm8122156. Rubio-Arias JA, Rodriguez-Fernandez R, Andreu L, Martinez-Aranda LM, Martinez-Rodriguez A, Ramos-Campo DJ. Effect of Sleep Quality on the Prevalence of Sarcopenia in Older Adults: A Systematic Review with Meta-Analysis. J Clin Med (2019) 8(12). Epub 2019/12/11. doi: https://​doi.​org/​10.​3390/​jcm8122156.
Metadata
Title
Muscle quality index is associated with trouble sleeping: a cross-sectional population based study
Authors
Yanwei You
Yuquan Chen
Qi Zhang
Ning Yan
Yi Ning
Qiang Cao
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Nutrition
Published in
BMC Public Health / Issue 1/2023
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-15411-6

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