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Association of Dietary Approaches to Stop Hypertension (DASH) diet with self-reported sleep-disordered breathing (SDB): a cross-sectional study from China

Published online by Cambridge University Press:  31 March 2023

Shengnan Li Open the ORCID record for Shengnan Li [Opens in a new window] ,
Cuicui Wang ,
Siyue Tan ,
Yuyi Zhang ,
Ke Zhang ,
Bo Wang  and
Hui Zuo Open the ORCID record for Hui Zuo [Opens in a new window]
Shengnan Li
Affiliation:
School of Public Health, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China
Cuicui Wang
Affiliation:
School of Public Health, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China
Siyue Tan
Affiliation:
School of Public Health, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China
Yuyi Zhang
Affiliation:
School of Public Health, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China
Ke Zhang
Affiliation:
School of Public Health, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China
Bo Wang*
Affiliation:
Suzhou Center for Disease Control and Prevention, Suzhou, People’s Republic of China
Hui Zuo*
Affiliation:
School of Public Health, Suzhou Medical College of Soochow University, Suzhou, People’s Republic of China Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Medical College of Soochow University, Suzhou, People’s Republic of China
*
*Corresponding authors: Bo Wang, email 153652012@qq.com; Hui Zuo, email zuohui@suda.edu.cn
*Corresponding authors: Bo Wang, email 153652012@qq.com; Hui Zuo, email zuohui@suda.edu.cn
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Abstract

Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet has been associated with sleep quality. However, its relationship with sleep-disordered breathing (SDB) remains unknown. This study aimed to explore the association between the DASH diet and SDB using data from a community-based survey among adults in Suzhou, Eastern China. We conducted a cross-sectional analysis of the Suzhou Food Consumption and Health Survey in 2018–2020. Dietary intake was measured by a validated FFQ. The association between the DASH diet and SDB was estimated by multivariable logistic regression analysis. In addition, subgroup analysis and sensitivity analysis were performed to reinforce our findings. A total of 3939 participants were included in the final analysis. Participants in the upper quintile of the DASH score consumed more fruits, vegetables, nuts and legumes, whole grains, and dairy products, and less Na, red/processed meats, and sweetened beverages. The OR for the highest compared with the lowest quintile of the DASH score was 0·68 (95 % CI 0·52, 0·88; Pfor trend = 0·004) for SDB after multivariable adjustment. Of the eight DASH components, vegetables, nuts and legumes, and dairy products were inversely associated with SDB. The associations were similar in subgroups by age, sex, BMI, smoking, alcohol drinking, hypertension, diabetes and hyperlipidaemia. Adherence to the DASH diet was independently associated with decreased odds of self-reported SDB. Our novel results expand previous findings on diet and sleep and suggest the possibility of improving SDB by enhancing diet quality.

Keywords

DASH dietSleep-disordered breathingSleep qualityChina
Type
Research Article
Information
British Journal of Nutrition , Volume 130 , Issue 10 , 28 November 2023 , pp. 1806 - 1813
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society

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