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Health Behaviors and Dietary Habits according to Sleep Duration in Korean Adults Based on the 2013–2015 Korea National Health and Nutrition Examination Survey

Korean J Health Promot > Volume 19(4); 2019 > Article
Kim and Lee: Health Behaviors and Dietary Habits according to Sleep Duration in Korean Adults Based on the 2013–2015 Korea National Health and Nutrition Examination Survey

ABSTRACT

Background

This study aimed to investigate the dietary habit problems related to sleep duration by analyzing health behaviors and dietary habits in Korean adults.

Methods

Adults aged ≥19 years who participated in the 2013-2015 Korea National Health and Nutrition Examination Survey were included in the study. Subjects were classified into the insufficient, appropriate, and excessive sleep groups. Subsequently, patient characteristics, health status, obesity and metabolic syndrome, dietary habits, and nutrient intake were analyzed.

Results

The subjective health status was worse in the insufficient and excessive sleep groups than that in the appropriate sleep group. Body mass index and obesity and abdominal obesity rates were higher in the insufficient and excessive sleep groups than in the appropriate sleep group. The insufficient and excessive sleep groups had an irregular diet, and the excessive sleep group had significantly lower vitamin and mineral intake than insufficient and excessive sleep groups.

Conclusions

Subjects in the insufficient and excessive sleep groups were less healthier than those in the appropriate sleep group. Further, subjects in the excessive sleep group had an unbalanced diet and nutritional status.

REFERENCES

1. Foreman MD, Wykle M. Nursing standard-of-practice protocol: sleep disturbances in elderly patients. The NICHE Faculty. Geriatr Nurs 1995;16(5):238-243.
pmid
2. Shankar A, Charumathi S, Kalidindi S. Sleep duration and self-rated health: the national health interview survey 2008. Sleep 2011;34(9):1173-1177.
crossref pmid pmc
3. Jang SY, Ju EY, Park KM, Seo S, Choi SJ, Lee CK, et al. Association between sleep duration and obesity in young Korean adults. Korean J Obes 2016;25(4):207-214.
crossref
4. Centers for Disease Control and Prevention (CDC). How Much Sleep Do I Need? [Internet]. Atlanta: CDC; 2018;Accessed Mar 2, 2017]. Available from: http://www.cdc.gov/sleep/about_sleep/how_much_sleep.html
5. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health 2015;1(1):40-43.
crossref pmid
6. Shin DY, Hur J, Cho KH, Cho EH. Trends of self-reported sleep duration in Korean adults: results from the Korean National Health and Nutrition Examination Survey 2007-2015. Sleep Med 2018;52:103-106.
pmid
7. Doo M, Kim Y. Sleep duration and dietary macronutrient consumption can modify the cardiovascular disease for Korean women but not for men. Lipids Health Dis 2016;15:17.
crossref pmid pmc
8. Kim CE, Shin S, Lee HW, Lim J, Lee JK, Shin A, et al. Association between sleep duration and metabolic syndrome: a cross-sectional study. BMC Public Health 2018;18(1):720.
crossref pmid pmc pdf
9. Hwang HR, Lee JG, Lee S, Cha KS, Choi JH, Jeong DW, et al. The relationship between hypertention and sleep duration: an analysis of the fifth Korean National Health and Nutrition Examination Survey (KNHANES V-3). Clin Hypertens 2015;21:8.
pmid pmc
10. Kim EY, Choi YS, Kim SM, Choi SY, Kim EH, Kim JE, et al. The association between sleep duration and body composition variables in Korean adults. Korean J Clin Geriatr 2014;15(1):27-34.
crossref
11. Itani O, Jike M, Watanabe N, Kaneita Y. Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta regression. Sleep Med 2017;32:246-256.
crossref pmid
12. Patterson RE, Emond JA, Natarajan L, Wesseling-Perry K, Kolonel LN, Jardack P, et al. Short sleep duration is associated with higher energy intake and expenditure among African American and Non-Hisoanic white adults. J Nutr 2014;144(4):461-466.
pmid pmc
13. Park SE, Kim HM, Kim DH, Kim J, Cha BS, Kim DJ. The association between sleep duration and general and abdominal obesity in Koreans: data from the Korean National Health and Nutrition Examination Survey, 2001 and 2005. Obesity (Silver Spring) 2009;17(4):767-771.
crossref pmid pdf
14. Kim YO. Sleeping hours in relation to dietary habits and body mass index (BMI) among Korean adolescents: Korea youth risk behavior web-based survey [dissertation]. Suwon: Kyonggi University; 2015;Korea.
15. Choi SH. Comparison of physical fitness and dietary habit according to phusique and sleeping hours in middle school students [dissertation]. Seoul: Kyung Hee University; 2017;Korea.
16. Ki YJ, Kim Y, Shin WK. Mental health and nutritional intake according to sleep duration in adolescents - based on the 2007-2016 Korea National Health and Nutrition Examination Survey -. J Korean Home Econ Educ Assoc 2018;30(4):1-14.
crossref
17. Chung S, Kwock CK. Fat intake and stress sleep duration effects on abdominal obesity. Nutrients 2019;11:E2535.
18. Jeong Y, Kim CT. Effect of employment status and sleep duration on depression and suicide ideation. Korean Public Health Res 2019;45(3):91-103.
19. Korean Centers for Disease Control and Preventions. The sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-1), 2013 [Internet]. Cheongju: Korean Centers for Disease Control and Preventions; 2015;Accessed Feb 24, 2015]. Available from: https://knhanes.cdc.go.kr/knhanes/sub03/sub03_02_02.do
20. Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ, et al. Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabetes Res Clin Pract 2007;75(1):72-80.
crossref pmid
21. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005;112(17):2735-2752.
crossref pmid
22. Korean Nutrition Society. Dietary reference intakes for Koreans 2015. Sejong: Ministry of Health and Welfare; 2015.
23. Shin EY. Relationship between health status, physical activity level, health related quality of life and sleep duration in the elderly. Korean Public Health Res 2016;42(3):53-65.
24. Faubel R, Lopez-Garcia E, Guallar-Castillón P, Balboa-Castillo T, Gutiérrez-Fisac JL, Banegas JR, et al. Sleep duration and health related quality of life among older adults: a population-based cohort in Spain. Sleep 2009;32(8):1059-1068.
pmid pmc
25. Ryu S, Jung SP, Lee KM, Kim HS, Cheon SH, Hwang JS. The relationship between sleep duration, dietary pattern and obesity in Korean adult women. Korean J Fam Pract 2018;8(2):307-310.
crossref
26. Taheri S, Lin L, Austin D, Young T, Mignot E. Short sleep duration is associated with reduced leptin, elevated ghrelin and incresed body mass index. PLoS Med 2004;1(3):e62.
crossref pmid pmc
27. Suh EK. Relationship between sleep duration and obesity and metabolic syndrome in Korean adults [dissertation]. Seoul: Ewha Womans University; 2017;Korea.
28. Jin S, Pac M. Sleep quality and its association with the behavior and lifestyle of university students in Cheongju. Korean J Community Nutr 2019;24(5):395-407.
crossref pdf
29. Baik I, Shin C. Association of daily sleep duration with obesity, macronutrient intake, and physical activity. Korean J Community Nutr 2011;16(3):315-323.
crossref
Figure 1

%KDRI of nutrient intake according to sleep duration. KDRI, Korean Dietary Reference Intake. aP<0.05. bP<0.01. cP<0.001

kjhp-19-237-g001.jpg
Table 1

General characteristics of the subjects according to the sleep duration

kjhp-19-237-i001.jpg

Values are presented as number (%).

aCalculated by the chi-square test.

Table 2

Health behavior of the subjects according to the sleep duration

kjhp-19-237-i002.jpg

Values are presented as mean±standard deviation or number (%).

Abbreviation: EQ-5D, EuroQol-5 Dimension.

aCalculated by the chi-square test, except for EQ-5D index, which was calculated by analysis of variance.

b,cIt has significantly dfference value between b and c (P<0.001).

Table 3

Obesity in the subjects according to the sleep duration

kjhp-19-237-i003.jpg

Values are presented as number (%).

aCalculated by chi-square test.

Table 4

Metabolic syndrome in the subjects according to the sleep duration

kjhp-19-237-i004.jpg

Model 1: unadjusted model; model 2: adjusted for sex and age; model 3: model 2+adjusted for household income, smoking, alcohol intake, physical activity, and education level. Significant difference in the mean value compared to 6–10 hours of sleep (reference group) using the SURVEYLOGISTIC procedure.

Abbreviations: DBP, diastolic blood pressure; HDL, high density lipoprotein; Ref., reference; SBP, systolic blood pressure; TG, triglycerides.

Table 5

Dietary habit of the subjects according to the sleep duration

kjhp-19-237-i005.jpg

Values are presented as number (%).

aCalculated by the chi-square test.

Table 6

Nutrient intake of the subjects according to the sleep duration

kjhp-19-237-i006.jpg

Values are presented as mean±standard deviation.

aCalculated by analysis of variance. Calculated by analysis of variance and post hoc analysis by Scheffe test.

bNutrients were adjusted for total energy intake, age, and sex.

c,dIt has significantly dfference value between c and d (P<0.001).



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