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Title: Sleep and dietary patterns in pregnancy : findings from the GUSTO cohort
Authors: Tham, Elaine K. H.
Cai, Shirong
Yap, Fabian
Godfrey, Keith M.
Teoh, Oon Hoe
van Lee, Linde
Chia, Ai-Ru
Loy, See Ling
Colega, Marjorelee
Goh, Daniel
Tan, Kok Hian
Chong, Yap-Seng
Broekman, Birit F. P.
Chong, Mary F. F.
Keywords: Diet Quality
Dietary Patterns
Issue Date: 2017
Source: van Lee, L., Chia, A.-R., Loy, S. L., Colega, M., Tham, E. K. H., Cai, S., . . . Chong, M. F. F. (2017). Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort. International Journal of Environmental Research and Public Health, 14(11), 1409-. doi:10.3390/ijerph14111409
Series/Report no.: International Journal of Environmental Research and Public Health
Abstract: Evidence on the association between sleep, diet, and eating behaviors in pregnant women is lacking. We examine this in a cohort of apparently healthy pregnant women. At 26–28 weeks gestation, 497 participants completed the Pittsburgh Sleep Quality Index to assess sleep and a 24-h recall to assess dietary intake. Diet quality was assessed by the Healthy Eating Index for pregnant women in Singapore (HEI-SGP) score and previously derived dietary patterns (vegetables-fruit-rice, seafood-noodles, and pasta-cheese-meat pattern). Eating behaviors studied included the longest night-time fasting interval, frequency of consumption occasions, energy from discretionary foods, and nighttime eating. Adjusted means were estimated between poor/good quality and short/normal sleepers using linear regressions, including covariates. Good sleep quality versus poor sleep quality, was associated with better diet quality (mean HEI-SGP 54.6 vs. 52.0; p = 0.032), greater adherence to the vegetables-fruit-rice pattern (mean 0.03 vs. −0.15; p = 0.039), lesser adherence to the seafood-noodle pattern (mean −0.14 vs. 0.03; p = 0.024), and a trending lower calories from discretionary foods (mean 330.5 vs. 382.6 kcal; p = 0.073), after adjusting for covariates. After additional adjustment for anxiety, only sleep quality and the seafood-noodle pattern remained significantly associated (p = 0.018). Short sleep was not associated with any diet or eating behavior. In conclusion, good sleep quality is associated with a better diet quality and a greater adherence to the vegetable-fruit-rice pattern, but with lesser adherence to the seafood-noodle diets in pregnant women.
ISSN: 1661-7827
DOI: 10.3390/ijerph14111409
Rights: © 2017 by The Author(s). Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
Fulltext Permission: open
Fulltext Availability: With Fulltext
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