PMID- 33441036 OWN - NLM STAT- MEDLINE DCOM- 20210803 LR - 20210803 IS - 1525-6073 (Electronic) IS - 0742-0528 (Linking) VI - 38 IP - 3 DP - 2021 Mar TI - A chrononutrition perspective of diet quality and eating behaviors of Brazilian adolescents in associated with sleep duration. PG - 387-399 LID - 10.1080/07420528.2020.1851704 [doi] AB - It is well recognized that sleep and food intake exhibit 24-h patterns and disturbances of these patterns can lead to health problems. Cross-sectional and prospective studies suggest that diet quality and eating behaviors are negatively affected by short sleep duration. Adolescence is a particularly vulnerable period for the emergence of inadequate sleep and diet patterns. The aim of the study was to investigate associations, from a chrononutrition perspective, of diet quality, nutrients intake, and eating behaviors (eating frequency, eating period, and time-interval between eating occasions) in relation to sleep duration among a multi-ethnic cohort of Brazilian adolescents. Data were collected by the 2015 ISA-Capital survey, a population-based cross-sectional study comprising 419 adolescents of both sexes (12-19 years old) of Sao Paulo, Brazil. Demographic, socioeconomic, anthropometric, and lifestyle, including sleep duration, data were obtained from an interviewer-administered structured questionnaire. Dietary data were obtained by 24-h dietary recall (24-HDR), and diet quality was assessed by the Brazilian Healthy Eating Index - Revised (BHEI-R), validated for the Brazilian population. The independent associations between sleep duration categories (i.e., <8 h as short sleep and 8-10 h as adequate sleep), and dietary variables were assessed after adjustments for covariates. Multiple linear, logistic, and Poison regression models were used, depending on the variable. Diet quality, nutrients intake, and eating behaviors differed according to adolescents' sleep duration. Approximately 36% of adolescents were sleep deprived. They presented poorer diet quality (53 points, p = .034) and eating behaviors characterized by lower probability of having lunch (88%, p < .001) and dinner (71%, p < .001) and higher probabilities of eating breakfast (87%, p < .001) and morning snack (26%, p = .001). These adolescents compared to those with adequate sleep duration also had, from snacks and in the 24-h cycle, higher contribution of available carbohydrates (8%, p < .001; 50%, p = .024) and total sugar (6%, p < .001; 21%, p < .001) and added sugar (3%, p < .001; 15%, p < .001). The chrononutrition characteristics of sleep-deprived adolescents were marked by longer eating periods (12 h, p < .001) and time-interval between eating occasions (3 h, p < .001) than adolescents with adequate sleep duration. These differences point to the relevance of the interrelation between sleep and diet, i.e., disruption of circadian cycles and consequent metabolic health problems, to inform public health policies and clinical interventions. FAU - Garcez, Marcela Riccioppo AU - Garcez MR AD - Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil. FAU - de Castro, Michelle Alessandra AU - de Castro MA AD - School Feeding Coordination, Secretariat of Education of Sao Paulo, Sao Paulo, Brazil. FAU - Cesar, Chester Luis Galvao AU - Cesar CLG AD - Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil. FAU - Goldbaum, Moises AU - Goldbaum M AD - Department of Preventive Medicine, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil. FAU - Fisberg, Regina Mara AU - Fisberg RM AD - Department of Nutrition, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210113 PL - England TA - Chronobiol Int JT - Chronobiology international JID - 8501362 SB - IM MH - Adolescent MH - Adult MH - Brazil MH - Child MH - *Circadian Rhythm MH - Cross-Sectional Studies MH - Diet MH - Eating MH - Energy Intake MH - *Feeding Behavior MH - Female MH - Humans MH - Male MH - Prospective Studies MH - Sleep MH - Young Adult OTO - NOTNLM OT - Sleep duration OT - chrononutrition OT - circadian OT - diet quality OT - eating behaviors OT - nutrients intake EDAT- 2021/01/15 06:00 MHDA- 2021/08/04 06:00 CRDT- 2021/01/14 05:30 PHST- 2021/01/15 06:00 [pubmed] PHST- 2021/08/04 06:00 [medline] PHST- 2021/01/14 05:30 [entrez] AID - 10.1080/07420528.2020.1851704 [doi] PST - ppublish SO - Chronobiol Int. 2021 Mar;38(3):387-399. doi: 10.1080/07420528.2020.1851704. Epub 2021 Jan 13.