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Associations between Red Meat Intake and Sleep Parameters in Patients with Obstructive Sleep Apnea
- Source :
- Journal of the Academy of Nutrition and Dietetics. 120:1042-1053
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 22122672
- Volume :
- 120
- Database :
- OpenAIRE
- Journal :
- Journal of the Academy of Nutrition and Dietetics
- Accession number :
- edsair.doi.dedup.....6ace0ac74dfdf6215ec7de9829aa0dda