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ORIGINAL RESEARCH article

Front. Nutr.
Sec. Nutritional Epidemiology
Volume 11 - 2024 | doi: 10.3389/fnut.2024.1516334

Dietary quality on the association between sedentary behavior and insomnia The moderating effect of alternate Mediterranean Diet on the association between sedentary behavior and insomnia in postmenopausal women

Provisionally accepted
Zhumei Sheng Zhumei Sheng Mincong Zhou Mincong Zhou *
  • Hangzhou Women’s Hospital, Hangzhou, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Aims: To explore the moderating role of the alternate Mediterranean Diet (aMED) adherence on the association between sedentary behavior and insomnia symptoms in postmenopausal women.: Data of postmenopausal women were obtained for this cross-sectional study from the National Health and Nutrition Examination Survey (NHANES) 2005-2008.Sedentary behavior and insomnia symptoms were determined by using the questionnaire. The aMED adherence was evaluated according to the 24-hour dietary recall. Weighted univariate logistic regression models were utilized to screen potential covariates. The relationship between sedentary behavior, aMED adherence, and insomnia symptoms was explored using weighted univariate and multivariate logistic regression models. All results were expressed as odds ratios (ORs) and 95% confidence intervals (CIs).Results: A total of 1793 postmenopausal women were included for final analysis. Of them, 643 (37.56%) suffered from insomnia symptoms. Postmenopausal women who had sedentary time >8h were associated with insomnia symptoms (OR=1.41, 95%CI=1.01-1.96), prolonged nocturnal awakening (OR=1.38, 95%CI=1.06-1.79), and undesired early morning awakening (OR=1.59, 95%CI=1.09-2.30). No association was observed between adherence to the aMED and insomnia symptoms (OR=1.05, 95%CI: 0.77-1.44). In postmenopausal women with lower adherence to the aMED, the odds of insomnia symptoms were increased in women with sedentary time ≥8 h (OR=1.63, 95%CI: 1.02-2.62). Similarly, in participants with low aMED adherence, the Dietary quality on the association between sedentary behavior and insomnia relationships were also observed of sedentary ≥8 h with prolonged nocturnal awakening (OR=1.90, 95%CI: 1.27-2.83) or undesired early morning awakening (OR=1.85, 95%CI: 1.09-3.16).Adherence to the aMED modulates the association between sedentary behavior and insomnia symptoms in postmenopausal women. Interventions targeting sedentary behavior and dietary patterns may improve sleep quality and overall health in postmenopausal women.

    Keywords: Sedentary, mediterranean diet, Insomnia symptoms, moderate, NHANES Dietary quality on the association between sedentary behavior and insomnia

    Received: 24 Oct 2024; Accepted: 19 Dec 2024.

    Copyright: © 2024 Sheng and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Mincong Zhou, Hangzhou Women’s Hospital, Hangzhou, Jiangsu Province, China

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