The Association between Sweet Sugar Beverage Intakes and the Quality of Sleep in Working Age Adults

Authors

  • Chalermpon Innachit Dhurakij Pundit University, Bangkok, Thailand
  • Mart Maiprasert Dhurakij Pundit University, Bangkok, Thailand
  • Veerapun Suvannamai Dhurakij Pundit University, Bangkok, Thailand
  • Peerapong Jiamjirachart Dhurakij Pundit University, Bangkok, Thailand
  • Nittoku Lungkorn Dhurakij Pundit University, Bangkok, Thailand

DOI:

https://doi.org/10.6000/1929-6029.2024.13.28

Keywords:

Sleep Quality, Adult, Sugars, Sugar-Sweetened Beverages

Abstract

Background: This cross-sectional study investigates the relationship between daily sugar intake from sugar-sweetened beverages (SSBs) and sleep quality in working adults aged 18–45 years who do not have chronic illnesses or diagnosed sleep disorders. The primary objective is to determine whether high sugar consumption increases the risk of poor sleep when other risk factors are considered simultaneously. This study is significant as it adds to the growing body of evidence regarding the impact of dietary factors on sleep quality, highlighting the potential health implications of sugar consumption.

Methods: Participants were selected using consecutive sampling, and the study was conducted at Jomtien Hospital in Chonburi Province, Thailand. Data collection involved three key components: general demographic and health information records, a validated Thai questionnaire assessing sweetened beverage consumption, and the Thai version of the Pittsburgh Sleep Quality Index (PSQI). Sugar intake from SSBs was categorized into two groups: high (≥ 50 grams/day) and low (< 50 grams/day). Sleep quality was classified as poor (PSQI > 5) or good (PSQI ≤ 5). The relationship between sugar intake and sleep quality was analyzed using logistic regression, and the results were presented as odds ratios (ORs) with corresponding 95% confidence intervals (CIs).

Results: The study included 300 participants, 68% of whom were women, with an average age of 30 ± 7.6 years. A total of 58% of participants were found to have poor sleep quality. Those with poor sleep quality consumed an average of 131.9 ± 102.9 grams of sugar per day, compared to 99.8 ± 86.3 grams for those with good sleep quality, a difference that was statistically significant (p = 0.005). When sugar consumption was categorized, 79.3% of individuals in the high sugar consumption group (≥ 50 grams/day) had poor sleep quality, compared to 65.1% with good sleep quality in the same group. In contrast, 20.7% of individuals in the low sugar consumption group (< 50 grams/day) had poor sleep quality, compared to 34.9% with good sleep quality, also showing a statistically significant difference (p = 0.008). The crude odds ratio for high sugar consumption associated with poor sleep quality was 2.06 (95% CI: 1.22-3.45, p = 0.006). After adjusting for other variables, the odds ratio remained significant, with an adjusted OR of 2.02 (95% CI: 1.05-3.92, p = 0.036).

Conclusion: The findings indicate that high sugar consumption from sugar-sweetened beverages is significantly associated with an increased risk of poor sleep quality (adjusted OR: 2.02, 95% CI: 1.05–3.92, p = 0.036). Based on these results, it is recommended that individuals experiencing sleep issues consider reducing their sugar intake. Future research should explore the mechanisms underlying this relationship and evaluate public health strategies aimed at reducing high sugar consumption.

References

Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W, Rong Y, Jackson CL, Hu FB, Liu L. Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care 2015; 38(3): 529-37. https://doi.org/10.2337/dc14-2073 DOI: https://doi.org/10.2337/dc14-2073

Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep 2010; 33(5): 585-92. https://doi.org/10.1093/sleep/33.5.585 DOI: https://doi.org/10.1093/sleep/33.5.585

Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care 2010; 33(11): 2477-83. https://doi.org/10.2337/dc10-1079 DOI: https://doi.org/10.2337/dc10-1079

Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med 2011; 364(25): 2392-404. https://doi.org/10.1056/NEJMoa1014296 DOI: https://doi.org/10.1056/NEJMoa1014296

Qin P, Li Q, Zhao Y, Chen Q, Sun X, Liu Y, Li H, Wang T, Chen X, Zhou Q, Guo C, Zhang D, Tian G, Liu D, Qie R, Han M, Huang S, Wu X, Li Y, Feng Y, Yang X, Hu F, Hu D, Zhang M. Sugar and artificially sweetened beverages and risk of obesity, type 2 diabetes mellitus, hypertension, and all-cause mortality: a dose-response meta-analysis of prospective cohort studies. Eur J Epidemiol 2020; 35(7): 655-671. https://doi.org/10.1007/s10654-020-00655-y DOI: https://doi.org/10.1007/s10654-020-00655-y

Reilly SM, Saltiel AR. Adapting to obesity with adipose tissue inflammation. Nat Rev Endocrinol 2017; 13(11): 633-643. https://doi.org/10.1038/nrendo.2017.90 DOI: https://doi.org/10.1038/nrendo.2017.90

González-Ortiz M, Martínez-Abundis E, Balcázar-Muñoz BR, Pascoe-González S. Effect of sleep deprivation on insulin sensitivity and cortisol concentration in healthy subjects. Diabetes Nutr Metab 2000; 13(2): 80-3.

Ding C, Lim LL, Xu L, Kong APS. Sleep and Obesity. J Obes Metab Syndr 2018; 27(1): 4-24. https://doi.org/10.7570/jomes.2018.27.1.4 DOI: https://doi.org/10.7570/jomes.2018.27.1.4

Hatori M, Vollmers C, Zarrinpar A, DiTacchio L, Bushong EA, Gill S, Leblanc M, Chaix A, Joens M, Fitzpatrick JA, Ellisman MH, Panda S. Time-restricted feeding without reducing caloric intake prevents metabolic diseases in mice fed a high-fat diet. Cell Metab 2012; 15(6): 848-60. https://doi.org/10.1016/j.cmet.2012.04.019 DOI: https://doi.org/10.1016/j.cmet.2012.04.019

Pivonello C, Negri M, Patalano R, Amatrudo F, Montò T, Liccardi A, Graziadio C, Muscogiuri G, Pivonello R, Colao A. The role of melatonin in the molecular mechanisms underlying metaflammation and infections in obesity: A narrative review. Obes Rev 2022; 23(3): e13390. https://doi.org/10.1111/obr.13390 DOI: https://doi.org/10.1111/obr.13390

St-Onge MP, Mikic A, Pietrolungo CE. Effects of Diet on Sleep Quality. Adv Nutr 2016; 7(5): 938-49. https://doi.org/10.3945/an.116.012336

van der Helm E, Walker MP. Sleep and Emotional Memory Processing. Sleep Med Clin 2011; 6(1): 31-43. https://doi.org/10.1016/j.jsmc.2010.12.010 DOI: https://doi.org/10.1016/j.jsmc.2010.12.010

Vreman RA, Goodell AJ, Rodriguez LA, Porco TC, Lustig RH, Kahn JG. Health and economic benefits of reducing sugar intake in the USA, including effects via non-alcoholic fatty liver disease: a microsimulation model. BMJ Open 2017; 7(8): e013543. https://doi.org/10.1136/bmjopen-2016-013543 DOI: https://doi.org/10.1136/bmjopen-2016-013543

St-Onge MP, Mikic A, Pietrolungo CE. Effects of Diet on Sleep Quality. Adv Nutr 2016; 7(5): 938-49. https://doi.org/10.3945/an.116.012336 DOI: https://doi.org/10.3945/an.116.012336

Phulkerd S, Thongcharoenchupong N, Chamratrithirong A, Soottipong Gray R, Prasertsom P. Changes in Population-Level Consumption of Taxed and Non-Taxed Sugar-Sweetened Beverages (SSB) after Implementation of SSB Excise Tax in Thailand: A Prospective Cohort Study. Nutrients 2020; 12(11). https://doi.org/10.3390/nu12113294 DOI: https://doi.org/10.3390/nu12113294

Sitasuwan T, Bussaratid S, Ruttanaumpawan P, Chotinaiwattarakul W. Reliability and validity of the Thai version of the Pittsburgh Sleep Quality Index. J Med Assoc Thai 2014; 97(Suppl 3): S57-67.

Guideline: Sugars Intake for Adults and Children. Geneva: World Health Organization; 2015. Recommendations and remarks. Available from: https://www.ncbi.nlm.nih.gov/ books/NBK285525/.

Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28(2): 193-213. https://doi.org/10.1016/0165-1781(89)90047-4 DOI: https://doi.org/10.1016/0165-1781(89)90047-4

Young DR, Sidell MA, Grandner MA, Koebnick C, Troxel W. Dietary behaviors and poor sleep quality among young adult women: watch that sugary caffeine! Sleep Health 2020; 6(2): 214-9. https://doi.org/10.1016/j.sleh.2019.12.006 DOI: https://doi.org/10.1016/j.sleh.2019.12.006

Songkham W, Deeluea J, Suksatit B, Chaiard J. Sleep quality among industrial workers: related factors and impact. Journal of Health Research 2019; 33(2): 119-26. https://doi.org/10.1108/JHR-08-2018-0072 DOI: https://doi.org/10.1108/JHR-08-2018-0072

Visvalingam N, Sathish T, Soljak M, Chua AP, Dunleavy G, Divakar U, et al. Prevalence of and factors associated with poor sleep quality and short sleep in a working population in Singapore. Sleep Health 2020; 6(3): 277-87. https://doi.org/10.1016/j.sleh.2019.10.008 DOI: https://doi.org/10.1016/j.sleh.2019.10.008

Phulkerd S, Thongcharoenchupong N, Chamratrithirong A, Pattaravanich U, Sacks G, Prasertsom P. Influence of sociodemographic and lifestyle factors on taxed sugar-sweetened beverage consumption in Thailand. Food Policy 2022; 109: 102256. https://doi.org/10.1016/j.foodpol.2022.102256 DOI: https://doi.org/10.1016/j.foodpol.2022.102256

Pouyfung P, Sawekwang A, Kaewnopparat P, Dungkond T, Pornpitayalaud P, Chuaboon L, et al. Sugar-sweetened bev-erages consumption during Covid-19 pandemic among office workers in semi-urban area in southern Thailand: a cross-sectional study. Rocz Panstw Zakl Hig 2022; 73(4): 453-62. https://doi.org/10.32394/rpzh.2022.0228 DOI: https://doi.org/10.32394/rpzh.2022.0228

Kleiser C, Wawro N, Stelmach-Mardas M, Boeing H, Gedrich K, Himmerich H, et al. Are sleep duration, midpoint of sleep and sleep quality associated with dietary intake among Bavarian adults? Eur J Clin Nutr 2017; 71(5): 631-7. https://doi.org/10.1038/ejcn.2016.264 DOI: https://doi.org/10.1038/ejcn.2016.264

Watson EJ, Coates AM, Banks S, Kohler M. Total dietary sugar consumption does not influence sleep or behaviour in Australian children. Int J Food Sci Nutr 2018; 69(4): 503-12. https://doi.org/10.1080/09637486.2017.1386628 DOI: https://doi.org/10.1080/09637486.2017.1386628

Leproult R, Van Cauter E. Role of sleep and sleep loss in hormonal release and metabolism. Endocr Dev 2010; 17: 11-21. https://doi.org/10.1159/000262524 DOI: https://doi.org/10.1159/000262524

Sejbuk M, Mironczuk-Chodakowska I, Witkowska AM. Sleep Quality: A Narrative Review on Nutrition, Stimulants, and Physical Activity as Important Factors. Nutrients 2022; 14(9). https://doi.org/10.3390/nu14091912 DOI: https://doi.org/10.3390/nu14091912

Shahdadian F, Boozari B, Saneei P. Association between short sleep duration and intake of sugar and sugar-sweetened beverages: A systematic review and meta-analysis of observational studies. Sleep Health 2023; 9(2): 159-76. https://doi.org/10.1016/j.sleh.2022.07.006 DOI: https://doi.org/10.1016/j.sleh.2022.07.006

Taheri S, Lin L, Austin D, Young T, Mignot E. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 2004; 1(3): e62. https://doi.org/10.1371/journal.pmed.0010062 DOI: https://doi.org/10.1371/journal.pmed.0010062

Neroni B, Evangelisti M, Radocchia G, Di Nardo G, Pantanella F, Villa MP, et al. Relationship between sleep disorders and gut dysbiosis: what affects what? Sleep Med 2021; 87: 1-7. https://doi.org/10.1016/j.sleep.2021.08.003 DOI: https://doi.org/10.1016/j.sleep.2021.08.003

Matenchuk BA, Mandhane PJ, Kozyrskyj AL. Sleep, circadian rhythm, and gut microbiota. Sleep Med Rev 2020; 53: 101340. https://doi.org/10.1016/j.smrv.2020.101340 DOI: https://doi.org/10.1016/j.smrv.2020.101340

Sun J, Fang D, Wang Z, Liu Y. Sleep Deprivation and Gut Microbiota Dysbiosis: Current Understandings and Implications. Int J Mol Sci 2023; 24(11). https://doi.org/10.3390/ijms24119603 DOI: https://doi.org/10.3390/ijms24119603

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Published

2024-11-29

How to Cite

Innachit, C. ., Maiprasert, M. ., Suvannamai, V. ., Jiamjirachart, P. . ., & Lungkorn, N. . (2024). The Association between Sweet Sugar Beverage Intakes and the Quality of Sleep in Working Age Adults. International Journal of Statistics in Medical Research, 13, 319–329. https://doi.org/10.6000/1929-6029.2024.13.28

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