Elina Järvelä-Reijonen1, Suvi Järvinen2, Marjukka Kolehmainen1,3, Jaana Laitinen4, Leila Karhunen1,3, Tiina Föhr5, Tero Myllymäki6, Essi Sairanen6,7, Sanni Lindroos8, Katri Peuhkuri8,9, Maarit Hallikainen1, Jussi Pihlajamäki1,3, Sampsa Puttonen4, Riitta Korpela8,10, Miikka Ermes1, Raimo Lappalainen6, Urho M Kujala5. 1. Institute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland. 2. Institute of Public Health and Clinical Nutrition, Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland. suvi.a.jarvinen@uef.fi. 3. Institute of Clinical Medicine and Clinical Nutrition, Kuopio University Hospital, P.O. Box 100, FI-70029 KYS, Kuopio, Finland. 4. Finnish Institute of Occupational Health, P.O. Box 40, FI-00251, Helsinki, Finland. 5. Faculty of Sport and Health Sciences, University of Jyväskylä, P.O. Box 35, FI-40014, Jyväskylä, Finland. 6. Department of Psychology, University of Jyväskylä, P.O. Box 35, FI-40014, Jyväskylä, Finland. 7. Department of Psychology, Karlstad University, SE-651 88, Karlstad, Sweden. 8. Medical Faculty, Pharmacology, Medical Nutrition Physiology, University of Helsinki, P.O. Box 63, FI-00014, Helsinki, Finland. 9. Social Services and Health Care, City of Helsinki, Helsinki, Finland. 10. Medical Faculty, Human Microbe Research Program, University of Helsinki, P.O. Box 63, FI-00014, Helsinki, Finland.
Abstract
BACKGROUND: Association of physiological recovery with nutrition has scarcely been studied. We investigated whether physiological recovery during sleep relates to eating habits, i.e., eating behaviour and diet quality. METHODS: Cross-sectional baseline analysis of psychologically distressed adults with overweight (N = 252) participating in a lifestyle intervention study in three Finnish cities. Recovery measures were based on sleep-time heart rate variability (HRV) measured for 3 consecutive nights. Measures derived from HRV were 1) RMSSD (Root Mean Square of the Successive Differences) indicating the parasympathetic activation of the autonomic nervous system and 2) StressBalance (SB) indicating the temporal ratio of recovery to stress. Eating behaviour was measured with questionnaires (Intuitive Eating Scale, Three-Factor Eating Questionnaire, Health and Taste Attitude Scales, ecSatter Inventory™). Diet quality was quantified using questionnaires (Index of Diet Quality, Alcohol Use Disorders Identification Test Consumption) and 48-h dietary recall. RESULTS: Participants with best RMSSD reported less intuitive eating (p = 0.019) and less eating for physical rather than emotional reasons (p = 0.010) compared to those with poorest RMSSD; participants with good SB reported less unconditional permission to eat (p = 0.008), higher fibre intake (p = 0.028), higher diet quality (p = 0.001), and lower alcohol consumption (p < 0.001) compared to those with poor SB, although effect sizes were small. In subgroup analyses among participants who reported working regular daytime hours (n = 216), only the associations of SB with diet quality and alcohol consumption remained significant. CONCLUSIONS: Better nocturnal recovery showed associations with better diet quality, lower alcohol consumption and possibly lower intuitive eating. In future lifestyle interventions and clinical practice, it is important to acknowledge sleep-time recovery as one possible factor linked with eating habits. TRIAL REGISTRATION: ClinicalTrials.gov Identifier NCT01738256 , Registered 17 August 2012.
RCT Entities:
BACKGROUND: Association of physiological recovery with nutrition has scarcely been studied. We investigated whether physiological recovery during sleep relates to eating habits, i.e., eating behaviour and diet quality. METHODS: Cross-sectional baseline analysis of psychologically distressed adults with overweight (N = 252) participating in a lifestyle intervention study in three Finnish cities. Recovery measures were based on sleep-time heart rate variability (HRV) measured for 3 consecutive nights. Measures derived from HRV were 1) RMSSD (Root Mean Square of the Successive Differences) indicating the parasympathetic activation of the autonomic nervous system and 2) Stress Balance (SB) indicating the temporal ratio of recovery to stress. Eating behaviour was measured with questionnaires (Intuitive Eating Scale, Three-Factor Eating Questionnaire, Health and Taste Attitude Scales, ecSatter Inventory™). Diet quality was quantified using questionnaires (Index of Diet Quality, Alcohol Use Disorders Identification Test Consumption) and 48-h dietary recall. RESULTS:Participants with best RMSSD reported less intuitive eating (p = 0.019) and less eating for physical rather than emotional reasons (p = 0.010) compared to those with poorest RMSSD; participants with good SB reported less unconditional permission to eat (p = 0.008), higher fibre intake (p = 0.028), higher diet quality (p = 0.001), and lower alcohol consumption (p < 0.001) compared to those with poor SB, although effect sizes were small. In subgroup analyses among participants who reported working regular daytime hours (n = 216), only the associations of SB with diet quality and alcohol consumption remained significant. CONCLUSIONS: Better nocturnal recovery showed associations with better diet quality, lower alcohol consumption and possibly lower intuitive eating. In future lifestyle interventions and clinical practice, it is important to acknowledge sleep-time recovery as one possible factor linked with eating habits. TRIAL REGISTRATION: ClinicalTrials.gov Identifier NCT01738256 , Registered 17 August 2012.
Authors: Lisa M Ranzenhofer; Scott G Engel; Ross D Crosby; Mark Haigney; Micheline Anderson; Jeanne M McCaffery; Marian Tanofsky-Kraff Journal: Int J Eat Disord Date: 2015-09-24 Impact factor: 4.861
Authors: Tiina Teisala; Sara Mutikainen; Asko Tolvanen; Mirva Rottensteiner; Tuija Leskinen; Jaakko Kaprio; Marjukka Kolehmainen; Heikki Rusko; Urho M Kujala Journal: J Occup Med Toxicol Date: 2014-04-18 Impact factor: 2.646
Authors: Tiina Föhr; Asko Tolvanen; Tero Myllymäki; Elina Järvelä-Reijonen; Sanni Rantala; Riitta Korpela; Katri Peuhkuri; Marjukka Kolehmainen; Sampsa Puttonen; Raimo Lappalainen; Heikki Rusko; Urho M Kujala Journal: J Occup Med Toxicol Date: 2015-10-26 Impact factor: 2.646