ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020
Sleep duration is associated with healthy diet scores and meal patterns: results from the population-based EpiHealth study.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- The Association of Healthy Eating Index and Sleep Disorders: A Meta-Analysis.Brain and behavior · 2025Pooled it
- Sleep and the Mediterranean diet: A systematic review and meta-analysis.Sleep medicine reviews · 2025Pooled it
- Pooled it
- Social jetlag and dietary intake: A systematic review.Sleep medicine reviews · 2023Pooled it
- The impact of insufficient sleep on dietary choices and physical activity behaviors: evidence from a randomized cross-over trial.Scientific reports · 2025Trial
- Trial
- Low- versus High-Glycemic Index Mediterranean-Style Eating Patterns Improved Some Domains of Health-Related Quality of Life but Not Sleep in Adults at Risk for Type 2 Diabetes: The MEDGICarb Randomized Controlled Trial.The Journal of nutrition · 2024Trial
- Adherence to the Nordic Nutrition Recommendations 2023 and incidence of type 2 diabetes: a Danish cohort study.European journal of nutrition · 2026Article
- Sleep Health and Obesity.JAMA · 2026Article
- Gut microbiota-mediated modulation of circadian rhythms: Physiological and molecular impacts of dietary composition and feeding time.Journal of food and drug analysis · 2026Review
- The Gut-Brain Axis in Sleep Deprivation: Mechanisms, Dysbiosis, and Potential Therapeutic Avenues.Iranian journal of medical sciences · 2026Review
- Health Behaviours in Soccer Support Staff: 24-Hour Movement Adherence Is Positively Associated with Diet Quality.Sports (Basel, Switzerland) · 2026Article
- Link Between Diet Quality and Lifestyle Factors Among Young Adults in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Night eating behavior, sleep quality, body composition, and type 2 diabetes risk among Saudi Arabian females: a cross-sectional study.Scientific reports · 2026Article
- Association of dietary patterns and healthy diet scores with anxiety, depression, and their comorbidity among rural Chinese adults.BMC public health · 2026Article
- Evaluation of the Predominant Dietary Pattern and Sleep Disorders in Obese Diabetic Patients and Non-diabetic Obese Individuals : Short title: The Dietary Pattern and Sleep Disorders in Diabetics.Galen medical journal · 2026Article
- Unraveling the connection between the Mediterranean diet and sleep health: from biological mechanisms to clinical implications.Sleep & breathing = Schlaf & Atmung · 2025Review
- Association between adherence to Dietary Approach to Stop Hypertension (DASH) diet with sleep quality, sleep duration, inflammation, and oxidative stress among Iranian adults.Journal of translational medicine · 2025Article
- A Narrative Review on Sleep and Eating Behavior.Current diabetes reports · 2025Review
- Mediterranean Diet, Sleep Quality, Perceived Stress, and Physical Activity: A Pilot Study Among School Teachers.Nutrients · 2025Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesTo investigate relationships between sleep duration and adherence to healthy diets, but also associations with meal patterns, in a large population-based cohort.
methodsParticipants (n = 23,829, males and females, aged 45 to 75 years) from the Swedish EpiHealth cohort study were included in a cross-sectional analysis. The participants filled out an extensive Internet-based questionnaire, and also visited a test center for anthropometric measurements and blood sampling. Sleep duration was classified as short (< 6 h/night; n = 1,862), normal (6 to less fewer than 9 h/night; n = 19,907) and long sleep (≥ 9 h/night; n = 858). In addition, a combination variable of sleep duration (short/normal/long) and sleep quality (good/poor) was constructed, giving six categories. Adherence to a healthy diet was assessed using the modified Mediterranean diet (mMED) score and the Healthy Nordic Food Index (HNFI) score based on food groups from a food frequency questionnaire. A regular meal pattern was considered if the participant had breakfast, lunch and dinner on a daily basis.
resultsCompared with normal sleepers, short sleepers displayed lower adherence to a healthy diet when using both the mMED score (adjusted odds ratio = 0.70; 95% confidence interval 0.56-0.88) and the HNFI score (0.70; 0.56-0.88). When combining sleep duration and sleep quality, short sleepers with poor sleep quality showed an independent relationship with low adherence to a healthy diet (0.67; 0.52-0.86) compared with normal sleepers with good sleep quality. In addition, both short sleepers (0.71; 0.62-0.82) and long sleepers (0.75; 0.62-0.91) showed low adherence to regular meal patterns, compared with normal sleepers. Furthermore, short sleepers with poor sleep quality had reduced odds of having a regular meal pattern (0.67; 0.57-0.79) as compared with normal sleepers with good sleep quality.
conclusionsShort sleep duration combined with poor sleep quality is associated with low adherence to a healthy diet and regular meal patterns.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.