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Table 2 Risk ratios for sleep outcomes at follow-up by baseline dietary pattern scores

From: Diet quality in young adulthood and sleep at midlife: a prospective analysis in the Bogalusa Heart Study

 

model

Quintile of dietary pattern score at baseline (2001–2002)

p for trend

per SD increase in dietary pattern a

Q1

Q2 a

Q3 a

Q4 a

Q5 a

AHEI 2010

        

Q n (median)

 

127 (28.66)

116 (33.93)

129 (37.57)

112 (42.41)

109 (48.99)

 

sd = 7.8

Insomnia risk

1

1.00

0.72 (0.56, 0.93) *

0.85 (0.74, 0.98) *

0.76 (0.65, 0.90) ***

0.56 (0.42, 0.74) ***

< 0.0001

0.86 (0.80, 0.92) ***

2

1.00

0.74 (0.59, 0.93) **

0.84 (0.73, 0.97) *

0.77 (0.65, 0.90) **

0.56 (0.43, 0.74) ***

< 0.0001

0.86 (0.79, 0.93) ***

 

3

1.00

0.75 (0.60, 0.93) *

0.83 (0.69, 1.00)

0.76 (0.63, 0.91) **

0.54 (0.39, 0.75) ***

0.0001

0.85 (0.77, 0.93) ***

Sleep apnea risk

1

1.00

0.87 (0.73, 1.04)

0.87 (0.64, 1.17)

0.88 (0.68, 1.14)

0.75 (0.48, 1.16)

0.200

0.93 (0.82, 1.05)

2

1.00

0.85 (0.69, 1.03)

0.83 (0.60, 1.14)

0.84 (0.64, 1.11)

0.68 (0.42, 1.12)

0.134

0.90 (0.78, 1.04)

 

3

1.00

0.86 (0.68, 1.08)

0.90 (0.61, 1.32)

0.90 (0.66, 1.23)

0.70 (0.41, 1.21)

0.225

0.92 (0.79, 1.06)

Healthy sleep pattern

1

1.00

1.13 (0.83, 1.55)

1.09 (0.71, 1.66)

1.31 (0.96, 1.78)

1.17 (0.76, 1.79)

0.277

1.04 (0.94, 1.14)

2

1.00

1.09 (0.76, 1.56)

1.09 (0.69, 1.72)

1.27 (0.95, 1.70)

1.18 (0.69, 2.03)

0.367

1.05 (0.92, 1.19)

3

1.00

1.07 (0.73, 1.58)

1.00 (0.58, 1.70)

1.23 (0.91, 1.66)

1.18 (0.69, 2.01)

0.327

1.05 (0.94, 1.18)

HEI 2015

        

Q n (median)

 

111 (45.89)

116 (52.62)

130 (57.47)

114 (62.58)

122 (69.98)

 

sd = 9.4

Insomnia risk

1

1.00

1.13 (0.96, 1.32)

0.88 (0.71, 1.10)

0.78 (0.51, 1.20)

0.70 (0.55, 0.88) **

0.003

0.87 (0.80, 0.95) **

2

1.00

1.14 (0.97, 1.34)

0.88 (0.71, 1.08)

0.77 (0.51, 1.15)

0.71 (0.57, 0.88) **

0.0002

0.87 (0.81, 0.94) ***

3

1.00

1.11 (0.93, 1.33)

0.89 (0.72, 1.10)

0.77 (0.52, 1.15)

0.74 (0.59, 0.92) **

0.001

0.88 (0.82, 0.95) **

Sleep apnea risk

1

1.00

1.19 (0.95, 1.49)

1.29 (1.03, 1.62) *

1.12 (0.81, 1.53)

0.91 (0.68, 1.23)

0.439

0.94 (0.85, 1.03)

2

1.00

1.15 (0.91, 1.44)

1.22 (0.94, 1.58)

1.06 (0.76, 1.48)

0.85 (0.61, 1.18)

0.276

0.91 (0.82, 1.01)

3

1.00

1.14 (0.92, 1.41)

1.29 (0.99, 1.69)

1.08 (0.75, 1.55)

0.89 (0.63, 1.25)

0.459

0.93 (0.83, 1.04)

Healthy sleep pattern

1

1.00

1.19 (0.61, 2.32)

0.80 (0.49, 1.29)

1.03 (0.62, 1.71)

1.04 (0.68, 1.58)

0.914

0.98 (0.86, 1.12)

2

1.00

1.32 (0.68, 2.57)

0.91 (0.52, 1.59)

1.18 (0.74, 1.90)

1.15 (0.68, 1.95)

0.708

1.01 (0.87, 1.17)

3

1.00

1.40 (0.73, 2.70)

0.83 (0.48, 1.43)

1.15 (0.68, 1.94)

1.05 (0.63, 1.74)

0.943

0.97 (0.84, 1.11)

aMed

        

Q n (median)

 

98 (2.00)

90 (3.00)

121 (4.00)

127 (5.00)

157 (6.00)

 

sd = 1.8

Insomnia risk

1

1.00

0.79 (0.63, 0.99) *

0.86 (0.71, 1.04)

0.79 (0.62, 1.00) *

0.91 (0.68, 1.20)

0.605

0.96 (0.88, 1.05)

2

1.00

0.81 (0.66, 0.99) *

0.88 (0.73, 1.04)

0.83 (0.65, 1.07)

0.93 (0.70, 1.23)

0.768

0.97 (0.88, 1.06)

3

1.00

0.80 (0.67, 0.97) *

0.88 (0.73, 1.06)

0.85 (0.64, 1.11)

0.95 (0.70, 1.28)

0.926

0.98 (0.88, 1.09)

Sleep apnea risk

1

1.00

1.03 (0.74, 1.43)

1.14 (0.81, 1.59)

1.19 (0.92, 1.53)

1.03 (0.79, 1.33)

0.565

1.02 (0.95, 1.08)

2

1.00

1.02 (0.75, 1.39)

1.07 (0.79, 1.45)

1.08 (0.86, 1.35)

0.92 (0.69, 1.22)

0.597

0.97 (0.89, 1.05)

3

1.00

1.05 (0.75, 1.46)

1.11 (0.82, 1.52)

1.17 (0.91, 1.49)

0.96 (0.72, 1.28)

0.880

0.99 (0.90, 1.08)

Healthy sleep pattern

1

1.00

1.13 (0.74, 1.74)

0.86 (0.58, 1.26)

0.72 (0.55, 0.94) *

0.83 (0.59, 1.18)

0.023

0.90 (0.81, 1.01)

2

1.00

1.13 (0.71, 1.79)

0.90 (0.58, 1.39)

0.79 (0.60, 1.06)

1.03 (0.64, 1.66)

0.661

0.98 (0.84, 1.15)

3

1.00

1.15 (0.78, 1.71)

0.88 (0.62, 1.25)

0.77 (0.59, 0.99) *

1.01 (0.64, 1.60)

0.519

0.97 (0.84, 1.12)

  1. a. Risk Ratio (95% Confidence Interval)
  2. *p < 0.05, **p < 0.01, ***p < 0.001
  3. Model 1: unadjusted
  4. Model 2: total energy intake, age, sex, race, education (any college or higher), employed (full or part time), income category, number of people in house, spouse lives in house, total population of census tract, ICE of census tract
  5. Model 3: model 2 + smoking status (never, current, former), drinking status (non-, occasional, regular drinker), caffeine intake (mg/d), depressive symptoms (CES-D ≥ 16), body mass index (kg/m2), physical active when not at work (4 or 5 [active or very active] on 5-point self-rating scale)