饮食模式和失眠症状:一个系统的审查和元分析
Arman Arab1, Elham Karimi2, Marta Garaulet3
1Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA; Medical Chronobiology Program, Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Sleep medicine reviews
|May 7, 2024
概括
像地中海饮食一样,健康的饮食模式与减少失眠症状的风险有关. 相反,不健康的饮食,高血糖指数和负担会增加失眠风险,强调饮食.
科学领域:
- 营养科学 营养科学
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 失眠症状是影响一般人口健康的一个普遍问题.
- 饮食模式越来越被认为是影响睡眠质量的可修改因素.
- 关联特定饮食模式与失眠风险的证据需要系统的合成.
研究的目的:
- 系统地审查和综合有关饮食模式和失眠症状之间的关联的观察研究.
- 为了确定增加或减少失眠风险的特定饮食模式.
- 评估这些关联的证据的确定性.
主要方法:
- 对16455个参考文献进行系统的文献搜索.
- 包括37项观察性研究,591,223名参与者.
- 与失眠症状相关的饮食模式,血糖指数和血糖负荷的元分析.
主要成果:
- 包括地中海饮食在内的健康饮食模式与失眠症状的风险降低有关 (例如,地中海饮食OR:0.86).
- 不健康的饮食模式,高饮食葡萄糖指数 (OR:1.16) 和葡萄糖负荷 (OR:1.10) 与失眠症状的风险增加有关.
- 尽管个体研究质量良好 (NOS),但证据的整体确定性非常低 (GRADE).
结论:
- 坚持健康的饮食模式始终与更低的失眠症状患病率有关.
- 摄入高血糖指数和负载的饮食与更高的失眠患病率相关.
- 由于证据的确定性较低,需要进一步进行高质量的研究来证实这些发现.
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