Association between sleep quality and eating behavior in university students in the contingency for COVID-19

Sleep and eating behavior

Authors

  • Brenda Karina Delgadillo-Arteaga Facultad de Medicina de la Universidad Autónoma del Estado de México, Av. Paseo Tollocan esq. Calle Jesús Carranza s/n, Moderna de la Cruz, 50180, Toluca, Estado de México, México.
  • José de Jesús Garduño-García Facultad de Medicina de la Universidad Autónoma del Estado de México, Av. Paseo Tollocan esq. Calle Jesús Carranza s/n, Moderna de la Cruz, 50180, Toluca, Estado de México, México. 2 Cuerpo Académico Salud del Universitario, Universidad Autónoma del Estado de México, Toluca, Estado de México, México. Hospital General Regional No. 251, Instituto Mexicano del Seguro Social, Bosques de Metepec, Llano Grande, C.P.52148 Metepec, Toluca, Estado de México, México.
  • María del Socorro Camarillo-Romero Facultad de Medicina de la Universidad Autónoma del Estado de México, Av. Paseo Tollocan esq. Calle Jesús Carranza s/n, Moderna de la Cruz, 50180, Toluca, Estado de México, México. 2 Cuerpo Académico Salud del Universitario, Universidad Autónoma del Estado de México, Toluca, Estado de México, México.3 Facultad de Química de la Universidad Autónoma del Estado de México, Paseo Colón esq. Paseo Tollocan s/n Residencial Colón, C.P. 50120, Toluca, Estado de México, México.
  • Eneida del Socorro Camarillo-Romero Facultad de Medicina de la Universidad Autónoma del Estado de México, Av. Paseo Tollocan esq. Calle Jesús Carranza s/n, Moderna de la Cruz, 50180, Toluca, Estado de México, México. 2 Cuerpo Académico Salud del Universitario, Universidad Autónoma del Estado de México, Toluca, Estado de México, México.3 Facultad de Química de la Universidad Autónoma del Estado de México, Paseo Colón esq. Paseo Tollocan s/n Residencial Colón, C.P. 50120, Toluca, Estado de México, México.
  • Gerardo Gabriel Huitron-Bravo Facultad de Medicina de la Universidad Autónoma del Estado de México, Av. Paseo Tollocan esq. Calle Jesús Carranza s/n, Moderna de la Cruz, 50180, Toluca, Estado de México, México.
  • Laura Patricia Montenegro Morales Universidad Autónoma del Estado de México

DOI:

https://doi.org/10.14306/renhyd.25.S2.1361

Keywords:

sleep hygiene, feeding behavior, students, COVID-19

Abstract

Introduction: The pandemic caused by COVID-19 has led to taking extreme actions aimed at reducing the spread of the virus by drastically changing the lifestyles of students, and causing negative effects in situations that influence the quality of sleep and eating behavior. The aim was to associate sleep quality and eating behavior in Mexican university students during confinement by SARS-Cov-2 (COVID-19).

Methodology: Cross-sectional study carried out using a web form, in a sample of 821 students, the quality of sleep was evaluated with the self-application of the Pittsburg Sleep Quality Index validated in Spanish and eating behavior with the validated Eating Behavior Questionnaire. Statistical analyzes for the association between sleep quality and eating behavior were determined with chi square, with statistical significance of 5%. OR were calculated by binary logistic regression using SPSS 25.0 software.

Results: Alterations in sleep quality were found with association to unhealthy eating behaviors, mainly in the following behaviors; students who eat less than 3 meals a day during the week (OR=0.74; 95%CI: 0.60,0.92), those who showed liking for alcoholic beverages (OR=1.1; 95%CI: 1.04,1.18), those who showed liking for the habitual consumption of packaged foods (OR=1.12; 95%CI: 1.01,1.24), students do not include vegetables or salads in their main meal time during the day with a risk of 1.07 times more of having poor quality of sleep (OR=1.07; 95%CI: 1.01,1.13) young people do not consume fruits in their main meal of the day (OR=1.05; 95%CI: 1.02,1.12), compared to good sleepers.

Conclusions: Weight loss was mainly mediated by energy restriction, REI was not superior to REC as a therapeutic intervention, since weight loss seems to be mediated by the level of energy restriction and not because it is performed continuously or discontinuous.

References

Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Medicine. Published online May 2020. doi:10.1016/j.sleep.2020.05.011.

Xie M, Chen Q. Insight into 2019 novel coronavirus — An updated interim review and lessons from SARS-CoV and MERS-CoV. International Journal of Infectious Diseases. 2020;94:119-124. doi:10.1016/j.ijid.2020.03.071.

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research. 2020;288:112954. doi:10.1016/j.psychres.2020.112954.

Hartley S, Colas des Francs C, Aussert F, et al. Les effets de confinement SARS-CoV-2 sur le sommeil : enquête en ligne au cours de la quatrième semaine de confinement. L’Encéphale. 2020;46(3):S53-S59. doi:10.1016/j.encep.2020.05.003.

Illingworth G. The challenges of adolescent sleep. Interface Focus. 2020;10(3):20190080. doi:10.1098/rsfs.2019.0080.

Altena E, Baglioni C, Espie CA, et al. Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy. Journal of Sleep Research. Published online May 4, 2020. doi:10.1111/jsr.13052.

Greenberg N, Brooks SK, Wessely S, Tracy DK. How might the NHS protect the mental health of health-care workers after the COVID-19 crisis? The Lancet Psychiatry. Published online May 2020. doi:10.1016/S2215-0366(20)30224-8.

di Renzo L, Gualtieri P, Pivari F, et al. Eating habits and lifestyle changes during COVID-19 lockdown: an Italian survey. Journal of Translational Medicine. 2020;18(1):229. doi:10.1186/s12967-020-02399-5.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213. doi:10.1016/0165-1781(89)90047-4.

Escobar Córdoba F, Eslava Schmalbach J. Validación colombiana del índice de calidad de sueño de Pittsburgh. Revista de Neurología. 2005;40(03):150. doi:10.33588/rn.4003.2004320.

Márquez-Sandoval, Yolanda Fabiola et al. Design and validation of a questionnaire to assess dietary behavior in Mexican students in the area of health. Nutricion hospitalaria vol. 30,1 153-64. 1 Jul. 2014, doi:10.3305/nh.2014.30.1.7451.

Montemurro N. The emotional impact of COVID-19: From medical staff to common people. Brain, Behavior, and Immunity. 2020;87:23-24. doi:10.1016/j.bbi.2020.03.032.

Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S, Styra R. SARS Control and Psychological Effects of Quarantine, Toronto, Canada. Emerging Infectious Diseases. 2004;10(7):1206-1212. doi:10.3201/eid1007.030703.

Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy. Journal of Sleep Research. 2020;29(4). doi:10.1111/jsr.13074.

Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición 2018. Informede resultados de la Encuesta Nacional de Salud y Nutrición – 2018. Disponible en:https://ensanut.insp.mx/encuestas/ensanut2018/doctos/informes/ensanut_2018_presentacion_resultados.pdf.

Voitsidis P, Gliatas I, Bairachtari V, et al. Insomnia during the COVID-19 pandemic in a Greek population. Psychiatry Research. 2020;289:113076. doi:10.1016/j.psychres.2020.113076.

Marelli S, Castelnuovo A, Somma A, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. Journal of Neurology. Published online July 11, 2020. doi:10.1007/s00415-020-10056-6.

Becker SP, Gregory AM. Editorial Perspective: Perils and promise for child and adolescent sleep and associated psychopathology during the COVID‐19 pandemic. Journal of Child Psychology and Psychiatry. 2020;61(7):757-759. doi:10.1111/jcpp.13278.

El-Sheikh M, Saini EK, Gillis BT, Kelly RJ. Interactions between sleep duration and quality as predictors of adolescents’ adjustment. Sleep Health. 2019;5(2):180-186. doi:10.1016/j.sleh.2018.11.004.

Taylor MR, Agho KE, Stevens GJ, Raphael B. Factors influencing psychological distress during a disease epidemic: Data from Australia’s first outbreak of equine influenza. BMC Public Health. 2008;8(1):347. doi:10.1186/1471-2458-8-347.

Crew EC, Baron KG, Grandner MA, et al. The Society of Behavioral Sleep Medicine (SBSM) COVID-19 Task Force: Objectives and Summary Recommendations for Managing Sleep during a Pandemic. Behavioral Sleep Medicine. 2020;18(4):570-572. doi:10.1080/15402002.2020.1776288.

Hartley S, Colas des Francs C, Aussert F, et al. the effets de confinement SARS-CoV-2 sur le sommeil : enquête en ligne au cours de la quatrième semaine de confinement. L’Encéphale. Published online May 2020. doi:10.1016/j.encep.2020.05.003.

Heath G, Roach GD, Dorrian J, Ferguson SA, Darwent D, Sargent C. The effect of sleep restriction on snacking behaviour during a week of simulated shiftwork. Accident Analysis & Prevention. 2012;45:62-67. doi:10.1016/j.aap.2011.09.028.

Thakkar MM, Sharma R, Sahota P. Alcohol disrupts sleep homeostasis. Alcohol. 2015;49(4):299-310. doi:10.1016/j.alcohol.2014.07.019

Sivertsen B, Skogen JC, Jakobsen R, Hysing M. Sleep and use of alcohol and drug in adolescence. A large population-based study of Norwegian adolescents aged 16 to 19 years. Drug and Alcohol Dependence. 2015;149:180-186. doi:10.1016/j.drugalcdep.2015.01.045.

Marmorstein NR. Sleep patterns and problems among early adolescents: Associations with alcohol use. Addictive Behaviors. 2017;66:13-16. doi:10.1016/j.addbeh.2016.11.002.

Wang C, Pan R, Wan X, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health. 2020;17(5):1729. doi:10.3390/ijerph17051729.

Dashti HS, Scheer FA, Jacques PF, Lamon-Fava S, Ordovás JM. Short Sleep Duration and Dietary Intake: Epidemiologic Evidence, Mechanisms, and Health Implications. Advances in Nutrition. 2015;6(6):648-659. doi:10.3945/an.115.008623.

Gutiérrez-Pliego LE, Camarillo-Romero E del S, Montenegro-Morales LP, Garduño-García J de J. Dietary patterns associated with body mass index (BMI) and lifestyle in Mexican adolescents. BMC Public Health. 2016;16(1):850. doi:10.1186/s12889-016-3527-6.

Muscogiuri G, Pugliese G, Barrea L, Savastano S, Colao A. Commentary: Obesity: The “Achilles heel” for COVID-19? Metabolism. 2020;108:154251. doi:10.1016/j.metabol.2020.154251.

Rodrìguez-Martìn BC, Meule A. Food craving: new contributions on its assessment, moderators, and consequences. Frontiers in Psychology. 2015;6. doi:10.3389/fpsyg.2015.00021.

Tan M, He FJ, MacGregor GA. Obesity and covid-19: the role of the food industry. BMJ. Published online June 10, 2020:m2237. doi:10.1136/bmj.m2237.

Havermans RC, Vancleef L, Kalamatianos A, Nederkoorn C. Eating and inflicting pain out of boredom. Appetite. 2015;85:52-57. doi:10.1016/j.appet.2014.11.007.

Singh M. Mood, food, and obesity. Frontiers in Psychology. 2014;5. doi:10.3389/fpsyg.2014.00925.

Muscogiuri G, Barrea L, Aprano S, et al. Sleep Quality in Obesity: Does Adherence to the Mediterranean Diet Matter? Nutrients. 2020;12(5):1364. doi:10.3390/nu12051364.

Noorwali E, Hardie L, Cade J. Bridging the Reciprocal Gap between Sleep and Fruit and Vegetable Consumption: A Review of the Evidence, Potential Mechanisms, Implications, and Directions for Future Work. Nutrients. 2019;11(6):1382. doi:10.3390/nu11061382.

Spiegel K, Tasali E, Penev P, Cauter E van. Brief Communication: Sleep Curtailment in Healthy Young Men Is Associated with Decreased Leptin Levels, Elevated Ghrelin Levels, and Increased Hunger and Appetite. Annals of Internal Medicine. 2004;141(11):846. doi:10.7326/0003-4819-141-11-200412070-00008.

Heath G, Roach GD, Dorrian J, Ferguson SA, Darwent D, Sargent C. The effect of sleep restriction on snacking behaviour during a week of simulated shiftwork. Accident Analysis & Prevention. 2012;45:62-67. doi:10.1016/j.aap.2011.09.028.

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Published

2021-11-17

How to Cite

Delgadillo-Arteaga, B. K. ., Garduño-García, J. de J. ., Camarillo-Romero, M. del S. ., Camarillo-Romero, E. del S. ., Huitron-Bravo, G. G. ., & Montenegro Morales, L. P. (2021). Association between sleep quality and eating behavior in university students in the contingency for COVID-19: Sleep and eating behavior. Spanish Journal of Human Nutrition and Dietetics, 25(Supl. 2). https://doi.org/10.14306/renhyd.25.S2.1361

Issue

Vol. 25 (2021): (Suppl. 2) Nutrition and Dietetics in COVID-19

Section

Research articles

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Copyright (c) 2020 Laura Patricia Montenegro Morales, LN.Brenda Karina Delgadillo-Arteaga, Dr.José de Jesús Garduño-García, DRA. María del Socorro Camarillo-Romero, DRA.Eneida del Socorro Camarillo-Romero, DR.Gerardo Gabriel Huitron-Bravo

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