Association between dietary habits and sleep duration among middle school students in Shanghai
Objective To explore the association between dietary behaviors and sleep duration among middle school students in Shanghai,so as to provide reference for interventions targeting insufficient sleep.Methods From May to June 2021,a stratified cluster random sampling method was employed to select a sample of 10-17-year-old middle school students for monitoring their health-risk behaviors.A total of 5 538 valid questionnaires were collected.The survey included items such as daily sleep duration,weekly consumption of sugary beverages,freshly squeezed fruit juice,fresh fruits,fresh vegetables,fried foods,milk and yogurt,breakfast habits,and frequency of eating outside.Statistical analysis was conducted using Chi-square test,Wilcoxon rank-sum test,and multivariable Logistic regression model.Results About 73.7%of middle school students reported insufficient sleep in Shang-hai.There was a positive correlation between the average daily consumption of fresh fruits and breakfast consumption with sleep du-ration.In other words,a higher frequency of consuming fresh fruits(OR=1.29)and eating breakfast(OR=1.07)were associated with a higher likelihood of sufficient sleep.Conversely,there was a negative correlation between the frequency of consuming desserts(OR=0.78)and fried foods(OR=0.88)and sleep duration(P<0.05).Conclusions Increasing the consumption of fresh fruits and maintaining regular breakfast habits while reducing the intake of fried foods can contribute to achieving sufficient sleep among middle school students.When implementing interventions to improve sleep among middle school students,promoting healthy and balanced diets can be considered as one of the intervention strategies.