Objective To learn the association between dietary calcium intake and sleep quality among middle-aged and elderly square dancers in China. Method The data of the study were from the cohort study on lifestyle and healthy aging of Chinese square dancers. Dietary information was collected by semi-quantitative food frequency questionnaire (SFFQ), and dietary calcium intake was calculated according to the Chinese Food. Composition Tables (6th edition). The Pittsburgh sleep quality index was used to estimate the sleep status during the past month. The PSQI score >5 were defined as poor sleep quality. The t-test and Chi square test were used to compare the differences in basic information among subjects with different sleep qualities. Logistic regression analysis was used to calculate the odds ratio (OR) and 95% confidence interval (CI) to explore the association between dietary calcium intake and sleep quality. Results A total of 2427 middle-aged and elderly individuals were included, with an average age of (62.15±6.14) years. About 1656 (68.23%) had good sleep quality, while 771 (31.77%) had poor sleep quality. The average dietary calcium intake of the former was 643.49 mg/d, while that of the latter was 594.78 mg/d. The average dietary calcium intake of the subjects with good sleep quality was 8.19% higher than that of those with poor sleep quality. Multiple logistic regression analysis showed that compared with the group with the lowest dietary calcium intake (1st quintile), the group with the highest intake (5th quintile) had better sleep quality (OR=0.59, 95% CI: 0.45,0.79), after adjusting for confounding factors. Further analyses showed that compared to the group with the lowest dietary calcium intake (1st quintile), the highest group (5th quintile) had a stronger protective effect of dietary calcium intake on subjective sleep quality (OR=0.70, 95% CI: 0.52, 0.94), sleep latency (OR=0.63, 95% CI: 0.48, 0.82), sleep duration (OR=0.52, 95% CI. 0.40, 0.68), and sleep efficiency (OR=0.53, 95% CI: 0.41, 0.69). Conclusion There is a significant correlation between higher dietary calcium intake and better sleep quality among middle-aged and elderly people in China.
Key words
dietary calcium intake /
sleep quality /
middle-aged and elderly people
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Beydoun HA, Beydoun MA, Chen X, et al. Sex and age differences in the associations between sleep behaviors and all-cause mortality in older adults: results from the National Health and Nutrition Examination Surveys[J]. Sleep Med, 2017, 36: 141–151.
[2] St-Onge MP, Mikic A, Pietrolungo CE.Effects of diet on sleep quality[J]. Adv Nutr, 2016, 7: 938–949.
[3] 王靓. 青岛某高校大学生睡眠质量现状及膳食影响因素分析 [D].青岛:青岛大学,2022:8–35.
[4] Nisar M, Mohammad RM, Arshad A, et al. Influence of dietary intake on sleeping patterns of medical students[J]. Cureus, 2019, 11: 1–10.
[5] Akir B, Kln FN, Uyar G Z, et al. The relationship between sleep duration, sleep quality and dietary intake in adults[J]. Sleep Biol Rhythms, 2020, 18: 49–57.
[6] Jeon Y S, Yu S, Kim C, et al. Lower serum calcium levels associated with disrupted sleep and rest-activity rhythm in shift workers[J]. Nutrients, 2022, 14: 3021.
[7] Salo P, Vahtera J, Ferrie JE, et al. Trajectories of sleep complaints from early midlife to old age: longitudinal modeling study[J]. Sleep, 2012, 35: 1559–1568.
[8] Ancoli-Israel S.Sleep and aging: prevalence of disturbed sleep and treatment considerations in older adults[J]. J Clin Psychiatry,2005,9:24–30.
[9] 国家卫生健康委疾病预防控制局. 中国居民营养与慢性病状况报告(2020年) [M]. 北京: 人民卫生出版社, 2021:3–9.
[10] Tang S, Zhou J, Liu C, et al. Association of plant-based diet index with sleep quality in middle-aged and older adults: the healthy dance study[J]. Sleep Health, 2023, 9:698–703.
[11] 李艳平, 宋军, 潘慧, 等. 食物频率问卷法评估人群能量和营养素摄入量的准确性验证[J]. 营养学报, 2006, 28: 143–147.
[12] 中国疾病预防控制中心营养与健康研究所. 《中国食物成分表》标准版第6版 [M]. 北京:北京大学医学出版社, 2019:105–160.
[13] Pan K, Zhang C, Yao X, et al. Association between dietary calcium intake and BMD in children and adolescents[J]. Endocr Connect, 2020, 9: 194–200.
[14] Buysse DJ, Reynolds CF, 3rd, Monk T H, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research[J]. Psychiatry Res, 1989, 28: 193–213.
[15] Negeri ZF, Levis B, Sun Y, et al. Accuracy of the patient health questionnaire-9 for screening to detect major depression: updated systematic review and individual participant data meta-analysis[J]. BMJ, 2021, 375: 1–12.
[16] Washburn RA, Smith KW, Jette AM, et al. The Physical Activity Scale for the Elderly (PASE): development and evaluation[J]. J Clin Epidemiol, 1993, 46: 153–162.
[17] Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54: 1451–1462.
[18] Alkhatatbeh MJ, Abdul-Razzak K K, Khwaileh H N. Poor sleep quality among young adults: the role of anxiety, depression, musculoskeletal pain, and low dietary calcium intake[J]. Perspect Psychiatr Care, 2021, 57: 117–128.
[19] Grandner MA, Jackson N, Gerstner JR, et al. Sleep symptoms associated with intake of specific dietary nutrients[J]. J Sleep Res, 2014, 23: 22–34.
[20] Ikonte CJ, Mun JG, Reider CA, et al. Micronutrient inadequacy in short sleep: analysis of the NHANES 2005-2016[J]. Nutrients, 2019, 11: 2335.
[21] 中国营养学会. 中国居民膳食营养素参考摄入量(2023版) [M]. 北京: 人民卫生出版社, 2023:635.
[22] Lee J, Kim D, Shin HS.Lack of delta waves and sleep disturbances during non-rapid eye movement sleep in mice lacking alpha1G-subunit of T-type calcium channels[J]. Proc Natl Acad Sci USA , 2004, 101: 18195–18199.
[23] Anderson MP, Mochizuki T, Xie J, et al. Thalamic Cav3.1 T-type Ca2+ channel plays a crucial role in stabilizing sleep[J]. Proc Natl Acad Sci U S A, 2005, 102: 1743–1748.
[24] Tatsuki F, Sunagawa GA, Shi S, et al. Involvement of Ca2+-dependent hyperpolarization in sleep duration in mammals[J]. Neuron, 2016, 90: 70–85.
[25] Barbosa R, Scialfa JH, Terra I M, et al. Tryptophan hydroxylase is modulated by L-type calcium channels in the rat pineal gland[J]. Life Sci, 2008, 82: 529–535.
[26] Kuhn DM, O'Callaghan JP, Juskevich J, et al. Activation of brain tryptophan hydroxylase by ATP-Mg2+: dependence on calmodulin[J]. Proc Natl Acad Sci USA, 1980, 77: 4688–4691.
[27] Petrowski K, Schmalbach B, Stalder T.Morning and evening type: the cortisol awakening response in a sleep laboratory[J]. Psychoneuroendocrinology, 2020, 112: 104519.
