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. 2022 Jan 19:8:805955.
doi: 10.3389/fnut.2021.805955. eCollection 2021.

Adherence to the Mediterranean Diet and Its Association With Sleep Quality and Chronotype Among Youth: A Cross-Sectional Study

Farah Naja  1 , Hayder Hasan  1 , Safiya Hassan Khadem  1 , Maryam Ahmed Buanq  1 , Haya Khalid Al-Mulla  1 , Aysha Khalifa Aljassmi  1 , MoezAlIslam Ezzat Faris  1
Affiliations

Adherence to the Mediterranean Diet and Its Association With Sleep Quality and Chronotype Among Youth: A Cross-Sectional Study

Farah Naja et al. Front Nutr. .

Abstract

Background: Evidence indicates that many university students have poor adherence to a healthy diet accompanied by unhealthy lifestyle behaviors. Chrono-nutrition is an emerging field of research that examines the pattern of optimum daily activity in relation to the human's dietary patterns, and their reflections of variable health indicators such as sleep quality. However, there is a scarcity of research that examines the relationship between adherence to the healthy eating pattern, like the Mediterranean diet (MD), with sleep quality and chronotype among university students.

Methods: A cross-sectional study was conducted, and convenience sampling was used. Participants were assessed for adherence to the MD using the Mediterranean Diet Quality Index (KIDMED), for sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and for chronotype using the Morningness-Eveningness questionnaire (MEQ).

Results: The study included 503 university students, most of them (81.5%) were females. Only 15.1 and 16.9% reported morningness chronotype and good sleep quality, respectively. About half of the students showed medium and high adherence to the KIMED. In-depth analysis revealed that students with good adherence to the MD were more likely to have a good sleep quality (OR = 0.35; 95%CI: 0.21-0.59; P < 0.001) even after adjustment for age and sex (OR = 0.36; 95%CI: 0.21-0.62; P < 0.001). The regression analysis also showed that those with good adherence to the MD had a significant association with better subjective sleep quality, less sleep latency, sleep disturbance, and daytime dysfunction even after adjustment for age and sex. Those with morningness chronotype had about a six-fold higher chance to have good adherence to the MD (OR = 5.67; 95%CI: 2.86-11.26; P < 0.001, respectively).

Conclusions: Good adherence to the healthy diet presented in the MD among university students is associated with morningness chronotype and with improved overall sleep quality and sleep components. Long-term, controlled intervention research works are warranted for more elaboration on the impact of chronotype and dietary habits on sleep quality and other important aspects such as mental health and academic achievement.

Keywords: chronobiology; chrononutrition; circadian and sleep physiology; circadian rhythm; healthy diet adherence; sleep quality.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Prevalence of each of the 16 KIDMED components among the study participants (n = 503).
Figure 2
Figure 2
Association of the chronotype, as assessed by Morningness–Eveningness Questionnaire (MEQ), with sleep quality examined using Pittsburgh Sleep Quality Index (PSQI) among study participants (n = 503).
See this image and copyright information in PMC

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