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Association Between Food/Nutrient Intake and Sleep Quality in Middle Aged and Older Population

Completed
Conditions
Sleep
Registration Number
NCT03554954
Lead Sponsor
National University of Singapore
Brief Summary

Sleep is essential to health. Quality of sleep, measure through indexes of sleep, is related to the incidence of obesity, type 2 diabetes, cardiovascular disease, hypertension, and premature death. Sleep pattern changes as people age. They tend to have a harder time falling asleep and more trouble staying asleep than when they were younger. Studies have shown that food/nutrient intake may be associated with sleep duration, quality, and patterns. Singapore's population is aging rapidly and improving their indexes of sleep may result in their health promotion.

Detailed Description

Sleep is essential to health and indexes of sleep including duration, quality, and patterning are related to the incidence of chronic diseases and premature death. Changes in sleep patterns are a part of the aging process and as people age, they tend to have a harder time falling asleep and more trouble staying asleep than when they were younger. Certain cross-sectional studies have shown that food/nutrient intake may be associated with sleep duration, quality, and patterns. In the last decade, Singapore's population has grown older. However, limited research examined the association between food/nutrient intake and indexes of sleep in middle-aged and older population in Singapore. Therefore, with a growing number of elderly, studies on improving their sleep quality can play a significant role in improving their quality of life. This is a cross-sectional study and subjects require a 1-day visit (one time visit ONLY). Generally healthy middle-aged and older population will be recruited and after the phone screening and validated subjects will complete the medical history questionnaire and to be brought on the day of visit. During the visit, subjects will stay approximately 3-h to complete the testing. After completing the consent form, fasting-state blood collection and general health assessment will be conducted. Then subjects will be asked to complete the questionnaires to assess sleep quality and dietary intake.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
108
Inclusion Criteria
  1. Ability to give an informed consent
  2. Age 50 to 75 years
  3. Not taking dietary supplements which may impact the outcome of the interests (I.e. dietary protein and vitamin supplements)
  4. Not having significant dietary changes for the past 1 year (i.e. weight loss, vegetarian diet)
  5. Having sufficient venous access to allow the blood collection
  6. Willing to follow the study procedure
Exclusion Criteria
  1. Unable to give an informed consent
  2. Age < 50 years
  3. Taking dietary supplements which may impact the outcome of the interest (i.e. dietary proteins and vitamin supplements)
  4. Having/had significant dietary changes for the past 1 year
  5. Not having sufficient venous access to allow the blood collection
  6. Unwilling to follow the study procedure

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Sleep Quality Assessment 1 (Sleep Efficiency)Day 1

Pittsburgh sleep quality index (PSQI)

Sleep efficiency (%)

Sleep Quality Assessment 2Day 1

Sleep evaluation questionnaire

Score: 0-56 (arbitrary unit) Lower score suggests better sleep

Dietary Assessment 2 (Dietary Carotenoids)Day 3

3 Day 24-Hr Dietary Recall: Participants will be given a diagram showing serving sizes that they can refer to for measurements. Only 3 out of the 7 days of the week are required for the participants to record their food intake. Results are reported as the average value of the analysed nutrients (dietary carotenoids) across the 3 days the dietary data was collected.

Sleep Quality Assessment 1 (Sleep Duration)Day 1

Pittsburgh sleep quality index (PSQI)

Sleep duration (hours)

Dietary AssessmentDay 1

Food Frequency Questionnaire (FFQ)

Blood Amino Acid Concentration (Plasma Tryptophan)Day 1

Amino acid analysis on collected blood serum for blood amino acid profile.

Dietary Assessment 2 (Dietary Macronutrients)Day 3

3 Day 24-Hr Dietary Recall: Participants will be given a diagram showing serving sizes that they can refer to for measurements. Only 3 out of the 7 days of the week are required for the participants to record their food intake. Results are reported as the average value of the analysed nutrients (dietary fat) across the 3 days the dietary data was collected.

Sleep Quality Assessment 1 (GSS)Day 1

Pittsburgh sleep quality index (PSQI)

Global Sleep Score (GSS): 0-21 (arbitrary unit; au) A lower value indicates better sleep quality

Sleep Quality Assessment 1 (Sleep Latency)Day 1

Pittsburgh sleep quality index (PSQI)

Sleep latency (minutes)

Secondary Outcome Measures
NameTimeMethod
Anthropometric Measurements 1Day 1

Height (kg)

Anthropometric Measurements 2Day 1

Weight (kg)

Blood PressureDay 1

Blood pressure using electronic devices that work on the oscillometric technique. The systolic and diastolic blood pressure are both collected and reported

Blood Lipid and Glucose ProfileDay 1

Plasma triglycerides, total cholesterol, ldl-cholesterol, hdl-cholesterol and glucose concentration

Plasma Carotenoids ConcentrationDay 1

High performance liquid chromatography quantitative analyses of carotenoids in plasma samples

Anthropometric Measurements 3Day 1

Waist circumference (cm)

Skin Carotenoid StatusDay 1

Measure with resonance Raman spectroscopy. A higher score is indicative of raised skin carotenoid levels and hence, a better outcome

Perceived Stress AssessmentDay 1

Perceived stress assessment (PSS) questionnaire

Score: 0-40 (arbitrary unit; au) A higher score indicates higher perceived stress

Trial Locations

Locations (1)

Investigational Medical Unit (IMU)

🇸🇬

Singapore, Singapore

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