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Sleep, Diet, and Cardiometabolic Health Investigations: a Systematic Review of Analytic Strategies

  • Diabetes and Obesity (MC de Oliveira Otto, Section Editor)
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Abstract

Purpose of Review

Poor sleep is a risk factor for cardiometabolic morbidity. The relationship of sleep and cardiometabolic health could be confounded, mediated, or modified by diet, yet the incorporation of diet in sleep-cardiometabolic health studies is inconsistent. This rapid systematic literature review evaluates the conceptualization of diet as a confounder, mediator, or effect modifier within sleep-cardiometabolic health investigations, and the statistical approaches utilized.

Recent Findings

Of 4692 studies identified, 60 were retained (28 adult, 32 pediatric). Most studies included diet patterns, quality, or energy intake as confounders, while a few examined these dietary variables as mediators or effect modifiers. There was some evidence, mostly in pediatric studies, that inclusion of diet altered sleep-cardiometabolic health associations.

Summary

Diet plays a diverse role within sleep-cardiometabolic health associations. Investigators should carefully consider the conceptualization of diet variables in these relationships and utilize contemporary statistical approaches when applicable.

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Acknowledgements

Dr. Jansen was supported by the National Institutes of Health/National Heart, Lung, and Blood Institute grant 5T32HL110952-05. Dr. Dunietz was supported by the National Institutes of Health/Eunice Kennedy Shriver National Institute of Child Health and Development grant F32 HD091938. Dr. Tsimpanouli was supported by the University of Michigan Postdoctoral Translational Scholars program (UL1TR002240).

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Correspondence to Erica C. Jansen.

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Erica C. Jansen, Galit Levi Dunietz, Maria-Efstratia Tsimpanouli, Heidi M. Guyer, Carol Shannon, Shelley D. Hershner, Louise M. O’Brien, and Ana Baylin declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Jansen, E.C., Dunietz, G.L., Tsimpanouli, ME. et al. Sleep, Diet, and Cardiometabolic Health Investigations: a Systematic Review of Analytic Strategies. Curr Nutr Rep 7, 235–258 (2018). https://doi.org/10.1007/s13668-018-0240-3

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