Erica C Jansen1, Galit Levi Dunietz2, Maria-Efstratia Tsimpanouli2, Heidi M Guyer3, Carol Shannon4, Shelley D Hershner2, Louise M O'Brien2,5,6, Ana Baylin7,8. 1. Sleep Disorders Center, Department of Neurology, University of Michigan, 1500 E. Medical Center Drive, C728 Med Inn Building, Ann Arbor, MI, 48109, USA. janerica@umich.edu. 2. Sleep Disorders Center, Department of Neurology, University of Michigan, 1500 E. Medical Center Drive, C728 Med Inn Building, Ann Arbor, MI, 48109, USA. 3. Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA. 4. Taubman Health Sciences Library, University of Michigan, Ann Arbor, MI, USA. 5. Department of Obstetrics & Gynecology, University of Michigan, Ann Arbor, MI, USA. 6. Department of Oral & Maxillofacial Surgery, University of Michigan, Ann Arbor, MI, USA. 7. Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI, USA. 8. Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
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. 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.
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. 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.
Entities:
Keywords:
Body mass index; Cardiometabolic health; Confounding; Diet; Dietary quality; Effect modification; Mediation; Nutrition; Obesity; Sleep; Sleep duration; Sleep quality; Total energy intake
Authors: Elsa N Mullins; Alison L Miller; Sherin S Cherian; Julie C Lumeng; Kenneth P Wright; Salome Kurth; Monique K Lebourgeois Journal: J Sleep Res Date: 2016-09-19 Impact factor: 3.981
Authors: Fan He; Edward O Bixler; Jiangang Liao; Arthur Berg; Yuka Imamura Kawasawa; Julio Fernandez-Mendoza; Alexandros N Vgontzas; Duanping Liao Journal: Sleep Med Date: 2015-09-14 Impact factor: 3.492
Authors: Wim Labree; Dike van de Mheen; Frans Rutten; Gerda Rodenburg; Gerrit Koopmans; Marleen Foets Journal: PLoS One Date: 2015-06-01 Impact factor: 3.240
Authors: Paula M L Skidmore; Anna S Howe; Maria A Polak; Jyh Eiin Wong; Alex Lubransky; Sheila M Williams; Katherine E Black Journal: Nutr J Date: 2013-09-14 Impact factor: 3.271
Authors: Galit L Dunietz; Giancarlo Vanini; Carol Shannon; Louise M O'Brien; Ronald D Chervin Journal: Sleep Med Rev Date: 2020-03-17 Impact factor: 11.609
Authors: Su I Iao; Erica Jansen; Kerby Shedden; Louise M O'Brien; Ronald D Chervin; Kristen L Knutson; Galit Levi Dunietz Journal: Br J Nutr Date: 2021-09-13 Impact factor: 4.125
Authors: Galit Levi Dunietz; Erica C Jansen; Shelley Hershner; Louise M O'Brien; Karen E Peterson; Ana Baylin Journal: Am J Epidemiol Date: 2021-06-01 Impact factor: 4.897
Authors: Ayah T Zaidalkilani; Omar A Alhaj; Mohamed F Serag El-Dine; Feten Fekih-Romdhane; Maha M AlRasheed; Haitham A Jahrami; Nicola L Bragazzi Journal: Medicina (Kaunas) Date: 2021-12-23 Impact factor: 2.430
Authors: Charlotte C Gupta; Grace E Vincent; Alison M Coates; Saman Khalesi; Christopher Irwin; Jillian Dorrian; Sally A Ferguson Journal: Nutrients Date: 2022-01-18 Impact factor: 5.717