The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women

AimThe study aimed to explore the moderating role of the alternate Mediterranean diet (aMED) adherence on the association between sedentary behavior and insomnia symptoms in postmenopausal women.MethodsData regarding postmenopausal women were obtained for this cross-sectional study from the National...

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Main Authors: Zhumei Sheng, Mincong Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1516334/full
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author Zhumei Sheng
Mincong Zhou
author_facet Zhumei Sheng
Mincong Zhou
author_sort Zhumei Sheng
collection DOAJ
description AimThe study aimed to explore the moderating role of the alternate Mediterranean diet (aMED) adherence on the association between sedentary behavior and insomnia symptoms in postmenopausal women.MethodsData regarding postmenopausal women were obtained for this cross-sectional study from the National Health and Nutrition Examination Survey (NHANES) 2005–2008. Sedentary behavior and insomnia symptoms were assessed using the questionnaire. aMED adherence was evaluated according to 24-h dietary recalls. Weighted univariate logistic regression models were utilized to screen potential covariates. The relationship between sedentary behavior, aMED adherence, and insomnia symptoms was explored using weighted univariate and multivariate logistic regression models. All results were expressed as odds ratios (ORs) and 95% confidence intervals (CIs).ResultsA total of 1,793 postmenopausal women were included in the final analysis. Of them, 643 (37.56%) reported experiencing insomnia symptoms. Among the postmenopausal women, sedentary time of >8 h was associated with insomnia symptoms (OR = 1.41, 95% CI = 1.01–1.96), prolonged nocturnal awakening (OR = 1.38, 95% CI = 1.06–1.79), and undesired early morning awakening (OR = 1.59, 95% CI = 1.09–2.30). No association was observed between adherence to the aMED and insomnia symptoms (OR = 1.05, 95% CI: 0.77–1.44). Among the postmenopausal women with lower adherence to the aMED, the odds of insomnia symptoms were higher in those with sedentary time ≥8 h (OR = 1.63, 95% CI: 1.02–2.62). Similarly, in the participants with low aMED adherence, sedentary time ≥8 h was also associated with prolonged nocturnal awakening (OR = 1.90, 95% CI = 1.27–2.83) and undesired early morning awakening (OR = 1.85, 95% CI = 1.09–3.16).ConclusionAdherence to the aMED modulates the association between sedentary behavior and insomnia symptoms in postmenopausal women. Interventions targeting sedentary behavior and dietary patterns may improve sleep quality and overall health in postmenopausal women.
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spelling doaj-art-3ff343e03e2e468aa2623cde042192b02025-01-07T06:42:15ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011110.3389/fnut.2024.15163341516334The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal womenZhumei ShengMincong ZhouAimThe study aimed to explore the moderating role of the alternate Mediterranean diet (aMED) adherence on the association between sedentary behavior and insomnia symptoms in postmenopausal women.MethodsData regarding postmenopausal women were obtained for this cross-sectional study from the National Health and Nutrition Examination Survey (NHANES) 2005–2008. Sedentary behavior and insomnia symptoms were assessed using the questionnaire. aMED adherence was evaluated according to 24-h dietary recalls. Weighted univariate logistic regression models were utilized to screen potential covariates. The relationship between sedentary behavior, aMED adherence, and insomnia symptoms was explored using weighted univariate and multivariate logistic regression models. All results were expressed as odds ratios (ORs) and 95% confidence intervals (CIs).ResultsA total of 1,793 postmenopausal women were included in the final analysis. Of them, 643 (37.56%) reported experiencing insomnia symptoms. Among the postmenopausal women, sedentary time of >8 h was associated with insomnia symptoms (OR = 1.41, 95% CI = 1.01–1.96), prolonged nocturnal awakening (OR = 1.38, 95% CI = 1.06–1.79), and undesired early morning awakening (OR = 1.59, 95% CI = 1.09–2.30). No association was observed between adherence to the aMED and insomnia symptoms (OR = 1.05, 95% CI: 0.77–1.44). Among the postmenopausal women with lower adherence to the aMED, the odds of insomnia symptoms were higher in those with sedentary time ≥8 h (OR = 1.63, 95% CI: 1.02–2.62). Similarly, in the participants with low aMED adherence, sedentary time ≥8 h was also associated with prolonged nocturnal awakening (OR = 1.90, 95% CI = 1.27–2.83) and undesired early morning awakening (OR = 1.85, 95% CI = 1.09–3.16).ConclusionAdherence to the aMED modulates the association between sedentary behavior and insomnia symptoms in postmenopausal women. Interventions targeting sedentary behavior and dietary patterns may improve sleep quality and overall health in postmenopausal women.https://www.frontiersin.org/articles/10.3389/fnut.2024.1516334/fullsedentaryMediterranean dietinsomnia symptomsmoderateNHANES
spellingShingle Zhumei Sheng
Mincong Zhou
The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women
Frontiers in Nutrition
sedentary
Mediterranean diet
insomnia symptoms
moderate
NHANES
title The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women
title_full The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women
title_fullStr The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women
title_full_unstemmed The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women
title_short The moderating effect of alternate Mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women
title_sort moderating effect of alternate mediterranean diet on the association between sedentary behavior and insomnia in postmenopausal women
topic sedentary
Mediterranean diet
insomnia symptoms
moderate
NHANES
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1516334/full
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