METHODS: Data from the Eating Healthy and Daily Life Activities Study, which included a sample of 836 adolescents (55.3% girls), were analyzed. Food insecurity was evaluated using the Child Food Security Survey Module in Spanish (CFSSM-S), while sleep-related problems were evaluated using the Bedtime problems, Excessive daytime sleepiness, Awakenings during the night, Regularity and duration of sleep, and Sleep-disordered breathing (BEARS) sleep screening tool. Generalized linear models were employed to explore the association between food insecurity and sleep-related issues.
RESULTS: Compared with their counterparts with food security, adolescents with food insecurity had greater probabilities of bedtime problems (24.1%, 95% confidence interval (CI) 16.9% to 33.0%, p = 0.003), excessive daytime sleepiness (36.4%, 95% CI 27.5% to 46.3%, p < 0.001), awakenings during the night (16.7%, 95% CI 10.8% to 25.1%, p = 0.004), and any sleep-related problems (68.1%, 95% CI 57.5% to 77.1%, p < 0.001).
CONCLUSIONS: This study suggests that food insecurity is related to greater sleep-related problems among adolescents. Implementing strategies to mitigate food insecurity may contribute to improved sleep health among adolescents, highlighting the importance of integrated public health interventions.
方法:来自饮食健康和日常生活活动研究的数据,其中包括836名青少年(55.3%的女孩)的样本,进行了分析。使用西班牙语儿童食品安全调查模块(CFSSM-S)评估了粮食不安全状况,虽然睡眠相关问题是用就寝时间问题来评估的,白天过度嗜睡,夜晚的觉醒,睡眠的规律和持续时间,和睡眠呼吸紊乱(BEARS)睡眠筛查工具。使用广义线性模型来探索粮食不安全与睡眠相关问题之间的关联。
结果:与食品安全方面的同行相比,有食物不安全的青少年有更大的就寝时间问题的可能性(24.1%,95%置信区间(CI)16.9%至33.0%,p=0.003),白天过度嗜睡(36.4%,95%CI27.5%至46.3%,p<0.001),夜间觉醒(16.7%,95%CI10.8%至25.1%,p=0.004),和任何与睡眠有关的问题(68.1%,95%CI57.5%至77.1%,p<0.001)。
结论:这项研究表明,食物不安全与青少年睡眠相关问题更大。实施缓解粮食不安全的战略可能有助于改善青少年的睡眠健康。强调综合公共卫生干预措施的重要性。