Associations between Red Meat Intake and Sleep Parameters in Patients with Obstructive Sleep Apnea
| Autor: | Irene Mourati, Michael Georgoulis, Nikos Yiannakouris, Meropi D. Kontogianni, Kallirroi Lamprou, Ioanna Kechribari, Emmanuel Vagiakis |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 0301 basic medicine Mediterranean diet Polysomnography 030209 endocrinology & metabolism Diet Mediterranean Food group 03 medical and health sciences 0302 clinical medicine Risk Factors Environmental health Odds Ratio Humans Medicine Obesity Exercise Aged Sleep Apnea Obstructive 030109 nutrition & dietetics Nutrition and Dietetics medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Diet Obstructive sleep apnea Red Meat Cross-Sectional Studies Apnea–hypopnea index Red Meat Consumption Red meat Female Waist Circumference Sleep business Hypopnea Food Science |
| Zdroj: | Journal of the Academy of Nutrition and Dietetics. 120:1042-1053 |
| ISSN: | 2212-2672 |
| DOI: | 10.1016/j.jand.2019.10.016 |
| Popis: | Background Although lifestyle changes have been investigated as a therapeutic choice in regard to obstructive sleep apnea (OSA) severity, data exploring associations between apnea and hypopnea indices and dietary habits are scarce. Objective The aim was to investigate possible relationships between apnea and hypopnea indices and red meat intake in a cohort of Greek patients with mild or moderate to severe OSA evaluated by polysomnography. Design This is a cross-sectional study. Data were collected from November 2014 through July 2018. Participants/setting The sample consisted of 243 patients (21 to 70 years old) who were recently diagnosed with OSA, by overnight attended polysomnography in the Sleep Disorders Center of “Evangelismos” Hospital, Athens Medical School (Greece). The patients included were free of other chronic diseases and had not changed their dietary habits for at least 6 months before evaluation. Main outcome measures Information on participants’ dietary intake, food group consumption, physical activity, smoking, sleep habits, and anthropometric measures were collected. Dietary intake was evaluated by food frequency questionnaire and 24-hour dietary recalls. Adherence to the Mediterranean diet was also evaluated using the Mediterranean Diet Score. Statistical analyses performed General linear models were used to examine the relation between red meat intake and sleep parameters, while adjusting for potential confounders. Multiple logistic regression was also applied to estimate the association between red meat intake and the likelihood of severe OSA. Results Higher intakes of total red meat and unprocessed red meat were associated with higher values of apnea and hypopnea indices, after controlling for age, sex, waist circumference, socioeconomic parameters, smoking, physical activity, adequacy of nighttime sleep, and intake of foods or food components in the Mediterranean diet other than red meat (P trend for increasing quartiles of intake ≤0.02). Compared with patients in the lowest quartile of energy-adjusted total red meat intake (≤0.59 servings/day per 1,000 kcal), patients in the highest quartile (≥1.18 servings/day) had three times higher likelihood of having severe OSA (odds ratio: 3.09, 95% CI: 1.17 to 8.14). Conclusions The results provide evidence of a positive association between total red meat and unprocessed red meat intake with apnea or hypopnea indices and suggest that red meat consumption is associated with OSA severity. |
| Databáze: | OpenAIRE |
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