Relación entre calidad del sueño, hábitos alimentarios y perfil antropométrico en adolescentes: Una en-cuesta transversal (Relationship between sleep quality, eating habits, and anthropometric profile in adolescents: A cross-sectional survey)

Autores/as

  • Jocabed J. López Malque
  • Bertha Chanducas Lozano
  • Yaquelin E. Calizaya-Milla https://orcid.org/0000-0002-0170-6131
  • Sergio E. Calizaya-Milla Escuela de Nutrición Humana, Universidad Peruana Unión https://orcid.org/0000-0002-0585-1440
  • Wilter C. Morales-García
  • Jacksaint Saintila Escuela de Medicina Humana, Universidad Señor de Sipán

DOI:

https://doi.org/10.47197/retos.v48.96283

Palabras clave:

Adolescent, BMI, WHtR, Sleep, Feeding Behavior, Peru

Resumen

La obesidad representa un importante factor de riesgo para diversas enfermedades no transmisibles (ENT) en los adolescentes y la población general. El propósito de este estudio fue determinar la relación entre la calidad de sueño, hábitos alimentarios y perfil antropométrico en adolescentes peruanos. Se llevó a cabo un estudio transversal. Un total de 240 adolescentes de edades comprendidas entre 12 a 17 años participaron en el estudio. Se utilizó el Cuestionario de Calidad del Sueño de Pittsburgh (PSQI) y un instrumento basado en el cuestionario de Hábitos Alimentarios de los Institutos Nacionales de Salud de Estados Unidos (NIH, por sus siglas en inglés), versión española. Se determinaron el índice de masa corporal (IMC) y la índice cintura estatura (ICE). Se utilizaron las pruebas estadísticas chi-cuadrado y Rho de Spearman (Rho). La calidad del sueño se asoció significativamente y de manera indirecta con los hábitos alimentarios (rho=-0,262; p=<0,001). Del mismo modo, se encontró correlación estadísticamente significativa e indirecta entre la calidad de sueño y el IMC de los participantes (rho=-0,174; p=0,007). También, la calidad de sueño estuvo correlacionado positivamente con el ICE (rho=0,170; p=0,018). Por otro lado, se observó que los hábitos alimentarios están correlacionados de manera indirecta con el IMC y la ICE (rho=-0,959; p=0,003) y (rho=-0,215; p=0,002, respectivamente. La proporción de hombres que presentaron calidad de sueño inadecuada, hábitos alimentarios inadecuados y exceso de peso fue superior en comparación a las mujeres. Es importante la implementación de programas de intervención de estilo de vida saludables para mejorar la calidad del sueño, hábitos alimentarios y prevenir la obesidad general y abdominal, las cuales son factores de riesgo para las ENT.   

Palabra clave: Adolescente, IMC, índice cintura estatura, Sueño, Hábitos alimentarios, Perú     

Abstract. Obesity represents an important risk factor for various noncommunicable diseases (NCDs) in adolescents and the general population. The purpose of this study was to determine the relationship between sleep quality, dietary habits and anthropometric profile in Peruvian adolescents. A cross-sectional study was carried out. A total of 240 adolescents aged 12 to 17 years participated in the study. The Pittsburgh Sleep Quality Questionnaire (PSQI) and an instrument based on the Spanish version of the National Institutes of Health (NIH) Eating Habits questionnaire were used. Body mass index (BMI) and waist-height ratio (WHtR) were determined. Chi-square and Spearman's Rho (Rho) statistical tests were used. Sleep quality was significantly and indirectly associated with eating habits (rho=-0.262; p=<0.001). Similarly, a statistically significant and indirect correlation was found between sleep quality and BMI of the participants (rho=-0.174; p=0.007). Also, sleep quality was positively correlated with WHtR (rho=0.170; p=0.018). On the other hand, it was observed that eating habits are indirectly correlated with BMI and ECI (rho=-0.959; p=0.003) and (rho=-0.215; p=0.002, respectively. The proportion of men who presented inadequate sleep quality, inadequate eating habits and excess weight was higher compared to women. It is important to implement healthy lifestyle intervention programs to improve sleep quality, eating habits, and prevent general and abdominal obesity, which are risk factors for NCDs.  

Keywords: Adolescent, BMI, WHtR, Sleep, Feeding Behavior, Peru

Biografía del autor/a

Yaquelin E. Calizaya-Milla

Licenciada en Nutrición Humana-Universidad Peruana Unión. Magíster en Nutrición Humana, Mención en Nutrición Vegetariana (UPeU). Ingeniera en Industrias Alimentarias por la Universidad Nacional Jorge Basadre Grohmann. Estudiante del programa Doctoral en Ciencia de Alimentos por la Universidad Nacional Agraria La Molina.

Wilter C. Morales-García

Coordinador de Investigación (Nivel de Escuela, Semipresencial o UPG), Líder de Grupo de Investigación (Docente Investigador), Facultad de Ciencias de la Salud (FCS) Unidad de Posgrado en Salud, Universidad Peruana Unión

Jacksaint Saintila, Escuela de Medicina Humana, Universidad Señor de Sipán

Docente Investigador Titutar, Escuela de Medicina Humana, Universidad Señor de Sipán, Chiclayo, Perú. Licenciado en Nutrición Humana. Estudiante de Doctorado en Nutrición y Alimentos, Universidad San Ignacio de Loyola (USIL). Investigador RENACYT - CONCYTEC: P0101196. Magister en Nutrición Humana, mención en Nutrición Vegetariana.  En los últimos años, además de ocupar cargos como coordinador de investigación de programas académicos, me he desempeñado como docente y autor de artículos científicos publicados en revistas indizadas, asesor de tesis y revisor y/o evaluador para revistas científicas revisadas por pares.

Citas

Al-Hazzaa, H. M., Musaiger, A., Abahussain, N., Al-Sobayel, H., & Qahwaji, D. (2012). Prevalence of short sleep duration and its association with obesity among adolescents 15- to 19-year olds: A cross-sectional study from three major cities in Saudi Arabia. Annals of Thoracic Medicine, 7(3), 133–139. https://doi.org/10.4103/1817-1737.98845

Banda-Ccana, D. E., Infantes-Ruiz, V. H., Calizaya-Milla, Y. E., & Saintila, J. (2021). Diet and risk of mental illness in Peruvian adults, cross-sectional study [Dieta y riesgo de enfermedades mentales en adultos peruanos, estudio transversal]. Arch Latinoam Nutr, 71(3), 199–207. https://doi.org/https://doi.org/10.37527/2021.71.3.004

Benedict, C., Hallschmid, M., Lassen, A., Mahnke, C., Schultes, B., Schiöth, H. B., Born, J., & Lange, T. (2011). Acute sleep deprivation reduces energy expenditure in healthy men. American Journal of Clinical Nutrition, 93(6), 1229–1236. https://doi.org/10.3945/ajcn.110.006460

Błaszczyk-Bębenek, E., Piórecka, B., Płonka, M., Chmiel, I., Jagielski, P., Tuleja, K., & Schlegel-Zawadzka, M. (2019). Risk Factors and Prevalence of Abdominal Obesity among Upper-Secondary Students. International Journal of Environmental Research and Public Health, 16(10), 1750. https://doi.org/10.3390/ijerph16101750

Bleiweiss-Sande, R., Sacheck, J. M., Chui, K., Goldberg, J. P., Bailey, C., & Evans, E. W. (2020). Processed food consumption is associated with diet quality, but not weight status, in a sample of low-income and ethnically diverse elementary school children. Appetite, 151, 104696. https://doi.org/10.1016/j.appet.2020.104696

Blum, R. A., Mair, S., & Duus, E. M. (2019). Appetite and food intake results from phase I studies of anamorelin. Journal of Cachexia, Sarcopenia and Muscle, 10(5), 1027–1035. https://doi.org/10.1002/jcsm.12439

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

Chew, W. F., Yap, S. F., Yasmin, A. M., Choo, K. B., Low, G. K. K., & Boo, N. Y. (2018). Risk factors associated with abdominal obesity in suburban adolescents from a malaysian district. Singapore Medical Journal, 59(2), 104–111. https://doi.org/10.11622/smedj.2017013

Chung, S. T., Onuzuruike, A. U., & Magge, S. N. (2018). Cardiometabolic risk in obese children. In Annals of the New York Academy of Sciences (Vol. 1411, Issue 1, pp. 166–183). Blackwell Publishing Inc. https://doi.org/10.1111/nyas.13602

Costa, C. S., Rauber, F., Leffa, P. S., Sangalli, C. N., Campagnolo, P. D. B., & Vitolo, M. R. (2019). Ultra-processed food consumption and its effects on anthropometric and glucose profile: A longitudinal study during childhood. Nutrition, Metabolism and Cardiovascular Diseases, 29(2), 177–184. https://doi.org/10.1016/j.numecd.2018.11.003

de la Vega, R., Tomé-Pires, C., Solé, E., Racine, M., Castarlenas, E., Jensen, M. P., & Miró, J. (2015). The Pittsburgh Sleep Quality Index: Validity and factor structure in young people. Psychological Assessment, 27(4), e22–e27. https://doi.org/10.1037/pas0000128

de Vasconcelos, H. C. A., Fragoso, L. V. C., Marinho, N. B. P., de Araújo, M. F. M., de Freitas, R. W. J. F., Zanetti, M. L., & Damasceno, M. M. C. (2013). Correlation between anthropometric indicators and sleep quality among brazilian university students. Revista Da Escola de Enfermagem, 47(4), 851–858. https://doi.org/10.1590/S0080-623420130000400012

Del Ciampo, L. A. (2012). Sleep in adolescence. Adolescência e Saúde, 9, 60–66. https://scholar.google.com/scholar_lookup?journal=Adolescência+e+Saúde.&title=Sleep+in+adolescence&author=C+LA+Del&volume=9&publication_year=2012&pages=60-66&

Doo, M., & Wang, C. (2020). Associations among Sleep Quality, Changes in Eating Habits, and Overweight or Obesity after Studying Abroad among International Students in South Korea. Nutrients, 12(7), 1–10. https://doi.org/10.3390/NU12072020

Fisher, A., McDonald, L., van Jaarsveld, C. H. M., Llewellyn, C., Fildes, A., Schrempft, S., & Wardle, J. (2014). Sleep and energy intake in early childhood. International Journal of Obesity, 38(7), 926–929. https://doi.org/10.1038/ijo.2014.50

Forkert, E. C. O., Rendo-Urteaga, T., Nascimento-Ferreira, M. V., de Moraes, A. C. F., Moreno, L. A., & de Carvalho, H. B. (2016). Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance? Nutrire, 41(1), 1–9. https://doi.org/10.1186/s41110-016-0017-7

Giakoni, F., Paredes Bettancourt, P., & Duclos-Bastías, D. (2021). Educación Física en Chile: tiempo de dedicación y su influencia en la condición física, composición corporal y nivel de actividad física en escolares (Physical Education in Chile: time spent and its influence on physical condition, body composition, and l. Retos, 39(39), 24–29. https://doi.org/10.47197/retos.v0i39.77781

Grandner, M., Sands-Lincoln, Pak, & Garland. (2013). Sleep duration, cardiovascular disease, and proinflammatory biomarkers. Nature and Science of Sleep, 5, 93. https://doi.org/10.2147/NSS.S31063

Gutiérrez-Pliego, L. E., Camarillo-Romero, E. del S., Montenegro-Morales, L. P., & Garduño-García, J. de J. (2016). Dietary patterns associated with body mass index (BMI) and lifestyle in Mexican adolescents. BMC Public Health, 16(1), 850. https://doi.org/10.1186/s12889-016-3527-6

Hirschler, V., Aranda, C., De Luján, M., Maccalini, G., & Jadzinsky, M. (2005). Can waist circumference identify children with the metabolic syndrome? Archives of Pediatrics and Adolescent Medicine, 159(8), 740–744. https://doi.org/10.1001/archpedi.159.8.740

Kelishadi, R., Mirmoghtadaee, P., Najafi, H., & Keikha, M. (2015). Rtcle systematic review on the association of abdominal obesity in children and adolescents with cardio-metabolic risk factors. In Journal of Research in Medical Sciences (Vol. 20, Issue 3, pp. 294–307). Isfahan University of Medical Sciences(IUMS).

Kracht, C. L., Champagne, C. M., Hsia, D. S., Martin, C. K., Newton, R. L., Katzmarzyk, P. T., & Staiano, A. E. (2020). Association Between Meeting Physical Activity, Sleep, and Dietary Guidelines and Cardiometabolic Risk Factors and Adiposity in Adolescents. Journal of Adolescent Health, 66(6), 733–739. https://doi.org/10.1016/j.jadohealth.2019.12.011

Krističević, T., Štefan, L., & Sporiš, G. (2018). The associations between sleep duration and sleep quality with body-mass index in a large sample of young adults. International Journal of Environmental Research and Public Health, 15(4). https://doi.org/10.3390/ijerph15040758

Macías, J. A., & Royuela, A. (1996). La versión española del Índice de Calidad de Sueño de Pittsburgh. Informaciones Psiquiatricas, 146(March), 465–472.

Markwald, R. R., Melanson, E. L., Smith, M. R., Higgins, J., Perreault, L., Eckel, R. H., & Wright, K. P. (2013). Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proceedings of the National Academy of Sciences of the United States of America, 110(14), 5695–5700. https://doi.org/10.1073/pnas.1216951110

Meyer, K. A., Wall, M. M., Larson, N. I., Laska, M. N., & Neumark-Sztainer, D. (2012). Sleep duration and BMI in a sample of young adults. Obesity, 20(6), 1279–1287. https://doi.org/10.1038/oby.2011.381

Mihrshahi, S., Drayton, B. A., Bauman, A. E., & Hardy, L. L. (2018). Associations between childhood overweight, obesity, abdominal obesity and obesogenic behaviors and practices in Australian homes. BMC Public Health, 18(1), 44. https://doi.org/10.1186/s12889-017-4595-y

MINSA. (2013). Análisis de situación de salud del Perú.

Mitchell, E. A., Stewart, A. W., Braithwaite, I., Murphy, R., Hancox, R. J., Wall, C., & Beasley, R. (2018). Factors associated with body mass index in children and adolescents: An international cross-sectional study. PLoS ONE, 13(5), e0196221. https://doi.org/10.1371/journal.pone.0196221

Najjar, R. S., & Feresin, R. G. (2019). Plant-based diets in the reduction of body fat: Physiological effects and biochemical insights. In Nutrients (Vol. 11, Issue 11, p. 2712). MDPI AG. https://doi.org/10.3390/nu11112712

Neri, D., Martinez‐Steele, E., Monteiro, C. A., & Levy, R. B. (2019). Consumption of ultra‐processed foods and its association with added sugar content in the diets of US children, NHANES 2009‐2014. Pediatric Obesity, 14(12). https://doi.org/10.1111/ijpo.12563

NIH. (2007). Cuestionario De Hábitos Alimentarios. https://epi.grants.cancer.gov/dhq/forms/dhq1.2007.spanish.sample.pdf#search=hábitos alimentarios

Nuñez-Leyva, R. E., Lozano-López, T. E., Calizaya-Milla, Y. E., Calizaya-Milla, S. E., & Saintila, J. (2022). Excess Weight and Body Fat Percentage Associated with Waist Circumference as a Cardiometabolic Risk Factor in University Students. Scientifica, 2022, 1–8. https://doi.org/10.1155/2022/1310030

Olana, D. D., Ayana, A. M., & Abebe, S. T. (2020). Sleep quality and its associated factors among nurses in jimma zone public hospitals, southwest Ethiopia, 2018. Sleep and Hypnosis, 21(4), 271–280. https://doi.org/10.37133/Sleep.Hypn.2019.21.0197

Olds, T. S., Maher, C. A., & Matricciani, L. (2011). Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns. Sleep, 34(10), 1299–1307. https://doi.org/10.5665/SLEEP.1266

Onaolapo, O. J., & Onaolapo, A. Y. (2019). Melatonin and major neurocognitive disorders: Beyond the management of sleep and circadian rhythm dysfunction. Sleep and Hypnosis, 21(1), 73–96. https://doi.org/10.5350/Sleep.Hypn.2019.21.0175

Otzen, T., & Manterola, C. (2017). Técnicas de Muestreo sobre una Población a Estudio. International Journal of Morphology, 35(1), 227–232. https://doi.org/10.4067/S0717-95022017000100037

Pandey, S., Bhattarai, S., & Bhatta, A. (2020). Sleep Pattern and Problems in Young Children Visiting Outpatient Department of a Tertiary Level Hospital in Kathmandu, Nepal. Sleep Disorders, 2020, 1–5. https://doi.org/10.1155/2020/8846288

Peltzer, K., & Pengpid, S. (2017). Sleep Duration, Sleep Quality, Body Mass Index, and Waist Circumference among Young Adults from 24 Low- and Middle-Income and Two High-Income Countries. International Journal of Environmental Research and Public Health, 14(6), 566. https://doi.org/10.3390/ijerph14060566

Peña-Ibagon, J. C., Martin-Alemán, W. F., Cardozo, L. A., Castillo, C. A., Yanez, C. A., & Téllez Tinjacá, L. A. (2022). Efectos de la secuencia de ejercicios intrasesión del entrenamiento concurrente sobre la composición corporal y la aptitud física de las mujeres mayores (Effects of the Intrasession Exercise Sequence of Concurrent Training on Older Women’s Body Compositio. Retos, 45, 760–766. https://doi.org/10.47197/RETOS.V45I0.92613

Quist, J. S., Sjödin, A., Chaput, J. P., & Hjorth, M. F. (2016). Sleep and cardiometabolic risk in children and adolescents. In Sleep Medicine Reviews (Vol. 29, pp. 76–100). W.B. Saunders Ltd. https://doi.org/10.1016/j.smrv.2015.09.001

Rahe, C., Czira, M. E., Teismann, H., & Berger, K. (2015). Associations between poor sleep quality and different measures of obesity. Sleep Medicine, 16(10), 1225–1228. https://doi.org/10.1016/j.sleep.2015.05.023

Rivas, S., Saintila, J., Rodríguez Vásquez, M., Calizaya-Milla, Y. E., & Javier-Aliaga, D. J. (2021). Knowledge, attitudes and practices of healthy eating and body mass index in Peruvian adolescents: A cross-sectional study. Revista Española de Nutrición Humana y Dietética, 25(1), 87–94. https://doi.org/10.14306/renhyd.25.1.1129

Rivas, S., Saintila, J., Vásquez, M. R., & Calizaya-Milla, Y. E. (2021). Knowledge, attitudes and practices about healthy eating in a Peruvian adolescent population: A cross-sectional study. Revista Espanola de Nutricion Comunitaria, 27(2).

Rodriguez - Canales, C., Barraza - Gómez, F., Hinojosa - Torres, C., & Merellano- Navarro, E. (2022). Funcionalidad motriz, estado nutricional e índices antropométricos de riesgo cardiometabólico en adolescentes chilenos de 12 a 15 años (Motor functionality, nutritional status and anthropometric cardiometabolic risk indices in Chilean adolescents between. Retos, 45, 400–409. https://doi.org/10.47197/retos.v45i0.92097

Roehrs, T., Kapke, A., Roth, T., & Breslau, N. (2006). Sex differences in the polysomnographic sleep of young adults: A community-based study. Sleep Medicine, 7(1), 49–53. https://doi.org/10.1016/j.sleep.2005.05.008

Saintila, J., Lozano, T. E., Ruiz, P. G., White, M., & Huancahuire-Vega, S. (2020). Health-Related Quality of Life, Blood Pressure, and Biochemical and Anthropometric Profile in Vegetarians and Nonvegetarians. Journal of Nutrition and Metabolism, 2020, 1–8. https://doi.org/10.1155/2020/3629742

Sehn, A. P., Gaya, A. R., Dias, A. F., Brand, C., Mota, J., Pfeiffer, K. A., Sayavera, J. B., Renner, J. D. P., & Reuter, C. P. (2020). Relationship between sleep duration and TV time with cardiometabolic risk in adolescents. Environmental Health and Preventive Medicine, 25(1). https://doi.org/10.1186/s12199-020-00880-7

Simon, S. L., Goetz, A. R., Meier, M., Brinton, J., Zion, C., & Stark, L. J. (2019). Sleep duration and bedtime in preschool‐age children with obesity: Relation to BMI and diet following a weight management intervention. Pediatric Obesity, 14(11). https://doi.org/10.1111/ijpo.12555

Tarqui-Mamani, C., Alvarez-Dongo, D., & Espinoza-Oriundo, P. (2017). Riesgo cardiovascular según circunferencia abdominal en peruanos. Anales de La Facultad de Medicina, 78, 287–291. https://doi.org/10.15381/anales.v78i3.13760

Tasali, E., Leproult, R., Ehrmann, D. A., & Van Cauter, E. (2008). Slow-wave sleep and the risk of type 2 diabetes in humans. Proceedings of the National Academy of Sciences of the United States of America, 105(3), 1044–1049. https://doi.org/10.1073/pnas.0706446105

Vitale, M., Masulli, M., Calabrese, I., Rivellese, A., Bonora, E., Signorini, S., Perriello, G., Squatrito, S., Buzzetti, R., Sartore, G., Babini, A., Gregori, G., Giordano, C., Clemente, G., Grioni, S., Dolce, P., Riccardi, G., & Vaccaro, O. (2018). Impact of a Mediterranean Dietary Pattern and Its Components on Cardiovascular Risk Factors, Glucose Control, and Body Weight in People with Type 2 Diabetes: A Real-Life Study. Nutrients, 10(8), 1067. https://doi.org/10.3390/nu10081067

Wall, C., Stewart, A., Hancox, R., Murphy, R., Braithwaite, I., Beasley, R., & Mitchell, E. (2018). Association between Frequency of Consumption of Fruit, Vegetables, Nuts and Pulses and BMI: Analyses of the International Study of Asthma and Allergies in Childhood (ISAAC). Nutrients, 10(3), 316. https://doi.org/10.3390/nu10030316

Yiengprugsawan, V., Banwell, C., Seubsman, S., & Sleigh, A. C. (2012). Short sleep and obesity in a large national cohort of Thai adults. BMJ Open, 2(1), e000561. https://doi.org/10.1136/bmjopen-2011-000561

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2023-03-31

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López Malque, J. J., Chanducas Lozano, B. ., Calizaya-Milla, Y. E., Calizaya-Milla, S. E. ., Morales-García, W. C. ., & Saintila, J. (2023). Relación entre calidad del sueño, hábitos alimentarios y perfil antropométrico en adolescentes: Una en-cuesta transversal (Relationship between sleep quality, eating habits, and anthropometric profile in adolescents: A cross-sectional survey). Retos, 48, 341–348. https://doi.org/10.47197/retos.v48.96283

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Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas