Üniversite Öğrencilerinin Uyku Kalitesi ve Kahvaltı Alışkanlıkları Arasındaki İlişki: Kesitsel Bir Çalışma
Öz
Bu çalışmada Sağlık Yüksekokulu öğrencilerinde uyku kalitesi ile kahvaltı alışkanlıkları arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Tekirdağ Namık Kemal Üniversitesi Sağlık Yüksekokulu’nda Ocak-Mayıs 2020 tarihleri arasında 291 öğrenci ile kesitsel tanımlayıcı bir çalışma yürütülmüştür. Veriler sosyodemografik özellikler, antropometrik bilgiler, kahvaltı alışkanlıkları ve uyku düzenlerini içeren bir anket aracılığıyla toplanmıştır. Uyku kalitesi Pittsburgh Uyku Kalitesi İndeksi (PSQI) kullanılarak değerlendirilmiştir. Kahvaltı davranışı ve PSQI toplam puanını etkileyen diğer faktörleri anlamak için çoklu doğrusal regresyon kullanılmıştır. Katılımcıların yaş ortalaması 20,78 (±2,33) yıl olup %75’i kadındır. Çalışma sonucunda katılımcıların %68’inin kötü uyku kalitesine sahip olduğu, iyi uyku kalitesine sahip olanların %76’sının ise düzenli kahvaltı alışkanlığına sahip olduğu ortaya çıkmıştır (p<0,05). Çoklu doğrusal regresyon analizi, haftada 1-2 kereden az yumurta tüketmenin (β=1.45) ve her gün filtre kahve tüketmenin (β=1.44) PSQI puanlarını artırdığını ve daha kötü uyku kalitesini gösterdiğini göstermiştir. Tersine, düzenli kahvaltı (β=-0.78) ve öğle yemeği (β=-0.62) tüketimi daha düşük PSQI puanları ile ilişkili olup daha iyi uyku kalitesini göstermektedir (R²=0.21, p<0.01). Bu çalışma, üniversite öğrencileri arasında uyku kalitesi ile kahvaltı alışkanlıkları arasında anlamlı bir çift yönlü ilişki bulmuştur. Düzenli kahvaltı tüketimi, öğün zamanlamasına uyma ve son öğün ile yatma vakti arasındaki zaman aralığını en aza indirme, daha iyi uyku kalitesi ile ilişkilidir.
Anahtar Kelimeler
Uyku kalitesi kahvaltı alışkanlıkları üniversite öğrencileri Pittsburgh uyku kalitesi indeksi (PSQI)
Kaynakça
- Mediratta S, Mathur P. Determinants of Food Choices among Adults (20–40 Years Old) Residing in Delhi, India. Curr Dev Nutr. 2023;7(2). doi:10.1016/J. CDNUT.2023.100029.
- Montaño Z, Smith JD, Dishion TJ, Shaw DS, Wilson MN. Longitudinal relations between observed parenting behaviors and dietary quality of meals from ages 2 to 5. Appetite. 2015;87:324-9. doi:10.1016/J. APPET.2014.12.219.
- Suárez-Reyes M, Muñoz Serrano M, Van Den Broucke S. How do universities implement the Health Promoting University concept? Health Promot Int. 2019;34(5):1014-24. doi:10.1093/HEAPRO/DAY055.
- Stok FM, Renner B, Clarys P, Lien N, Lakerveld J, Deliens T. Understanding Eating Behavior during the Transition from Adolescence to Young Adulthood: A Literature Review and Perspective on Future Research Directions. Nutrients. 2018;10(6):667. doi:10.3390/NU10060667.
- Sogari G, Velez-Argumedo C, Gómez MI, Mora C. College Students and Eating Habits: A Study Using An Ecological Model for Healthy Behavior. Nutrients. 2018;10(12):1823. doi:10.3390/NU10121823.
- Godos J, Grosso G, Castellano S, Galvano F, Caraci F, Ferri R. Association between diet and sleep quality: A systematic review. Sleep Med Rev. 2021;57:101430. doi:10.1016/J.SMRV.2021.101430.
- Kline, C. Sleep Quality. In: Gellman, M.D., Turner, J.R. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY; 2013:1811-3. https://doi. org/10.1007/978-1-4419-1005-9_849
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi:10.1016/0165-1781(89)90047-4.
- Latta F, Van Cauter. Chapter 13: Sleep and biological clocks. In: I.B. Weiner, eds. Handbook of psychology. John Wiley & Sons, Inc.; 2003:355-77.
- Faris MAE, Jahrami H, Al-Hilali MM, et al. Energy drink consumption is associated with reduced sleep quality among college students: a cross-sectional study. Nutr Diet. 2017;74(3):268-74. doi:10.1111/1747-0080.12289.
- Castellucci B, Barrea L, Laudisio D, et al. Improving sleep disturbances in obesity by nutritional strategies: review of current evidence and practical guide. Int J Food Sci Nutr. 2021;72(5):579-91. doi:10.1080/09637486.2020.1851659.
- Jahrami H, Al-Mutarid M, Penson PE, Al-Islam Faris M, Saif Z, Hammad L. Intake of Caffeine and Its Association with Physical and Mental Health Status among University Students in Bahrain. Foods. 2020;9(4):473. doi:10.3390/FOODS9040473.
- Gibney MJ, Barr SI, Bellisle F, et al. Breakfast in Human Nutrition: The International Breakfast Research Initiative. Nutrients. 2018;10(5):559. doi: 10.3390/NU10050559.
- Lebacq T, Holmberg E, Pedroni C, Dujeu M, Castetbon K. Weekday sleep duration and morning tiredness are independent covariates of breakfast skipping in adolescents. Eur J Clin Nutr. 2022;76(10):1403-8. doi: 10.1038/S41430-022-01117-2.
- Faris MAIE, Vitiello M V., Abdelrahim DN, et al. Eating habits are associated with subjective sleep quality outcomes among university students: findings of a cross-sectional study. Sleep Breath. 2022;26(3):1365-76. doi: 10.1007/S11325-021-02506-W.
- Zhang Y, Wang J, Lu X, Che B, Yu J. Sleep Status and the Associated Factors: A Large Cross-Sectional Study in Shaanxi Province, China. Int J Environ Res Public Health. 2021;18(3):1-13. doi: 10.3390/IJERPH18031250.
- Xian X, Wang C, Yu R, Ye M. Breakfast Frequency and Sleep Quality in College Students: The Multiple Mediating Effects of Sleep Chronotypes and Depressive Symptoms. Nutrients. 2023;15(12). doi:10.3390/NU15122678.
- Ağargün MY, Kara H, Anlar O. The Validity and Reliability of the Pittsburgh Sleep Quality Index. Turkish J of Psychiatry. 1996;7(2):107-15.
- World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Geneva: World Health Organization; 2000. (WHO Technical Report Series, No. 894). Available from: https://iris.who.int/handle/10665/42330
- Agostini A, Lushington K, Kohler M, Dorrian J. Associations between self-reported sleep measures and dietary behaviours in a large sample of Australian school students. J Sleep Res. 2018;27(5):e12682. doi:10.1111/JSR.12682.
- Gwin JA, Leidy HJ. Breakfast Consumption Augments Appetite, Eating Behavior, and Exploratory Markers of Sleep Quality Compared with Skipping Breakfast in Healthy Young Adults. Curr Dev Nutr. 2018;28;2(11):nzy074. doi: 10.1093/cdn/nzy074.
- St-Onge MP, Mikic A, Pietrolungo CE. Effects of Diet on Sleep Quality. Adv in Nutr. 2016;7(5):938. doi:10.3945/AN.116.012336.
- Theorell-Haglöw J, Lemming EW, Michaëlsson K, Elmståhl S, Lind L, Lindberg E. Sleep duration is associated with healthy diet scores and meal patterns: Results from the population-based EpiHealth study. J of Clin Sleep Med. 2020;16(1):9-18. doi:10.5664/jcsm.8112.
- Çakir B, Nişancı Kılınç F, Özata Uyar G, Özenir Ç, Ekici EM, Karaismailoğlu E. The relationship between sleep duration, sleep quality and dietary intake in adults. Sleep Biol Rhythms. 2020;18(1):49-57. doi:10.1007/s41105-019-00244-x.
- Zhong L, Han X, Li M, Gao S. Modifiable dietary factors in adolescent sleep: A systematic review and meta-analysis. Sleep Med. 2024;115:100-8. doi:10.1016/J.SLEEP.2024.02.009.
- Yang CK, Kim JK, Patel SR, Lee JH. Age-related changes in sleep/wake patterns among Korean teenagers. Pediatrics. 2005;115(1 Suppl):250-6. doi:10.1542/PEDS.2004-0815G.
- Borbély AA. Refining sleep homeostasis in the two-process model: Editorial. J Sleep Res. 2009;18(1):1-2. doi:10.1111/j.1365-2869.2009.00750.x.
- Landolt HP. Sleep homeostasis: a role for adenosine in humans? Biochem Pharmacol. 2008;75(11):2070-9. doi:10.1016/J.BCP.2008.02.024.
- Clark I, Landolt HP. Coffee, caffeine, and sleep: A systematic review of epidemiological studies and randomized controlled trials. Sleep Med Rev. 2017;31:70-8. doi:10.1016/J.SMRV.2016.01.006.
Relationship Between Sleep Quality and Breakfast Habits Among University Students: A Cross-Sectional Study
Öz
This study aims to evaluate the relationship between sleep quality and breakfast habits among students at the School of Health. A cross-sectional descriptive study was conducted with 291 students at Tekirdağ Namık Kemal University School of Health between January and May 2020. Data was collected through a questionnaire that included sociodemographic characteristics, anthropometric information, breakfast habits, and sleep patterns. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Multiple linear regression was used to understand breakfast behaviour and other factors affecting the PSQI total score. The mean age of the participants was 20.78 (±2.33) years, and 75% were women. The study revealed that 68% of the participants had poor sleep quality, and 76% of those with good sleep quality had regular breakfast habits (p<0.05). Multiple linear regression analysis showed that consuming eggs less than 1-2 times a week (β=1.45) and consuming filter coffee every day (β=1.44) increased PSQI scores, indicating poorer sleep quality. Conversely, regular breakfast (β=-0.78) and lunch (β=-0.62) consumption were associated with lower PSQI scores, indicating better sleep quality (R²=0.21, p<0.01). This study found a significant bidirectional relationship between sleep quality and breakfast habits among university students. Regular breakfast consumption, adherence to meal timing, and minimizing the time interval between the last meal and bedtime are associated with better sleep quality.
Anahtar Kelimeler
Sleep quality breakfast habits university students Pittsburgh sleep quality index (PSQI)
Kaynakça
- Mediratta S, Mathur P. Determinants of Food Choices among Adults (20–40 Years Old) Residing in Delhi, India. Curr Dev Nutr. 2023;7(2). doi:10.1016/J. CDNUT.2023.100029.
- Montaño Z, Smith JD, Dishion TJ, Shaw DS, Wilson MN. Longitudinal relations between observed parenting behaviors and dietary quality of meals from ages 2 to 5. Appetite. 2015;87:324-9. doi:10.1016/J. APPET.2014.12.219.
- Suárez-Reyes M, Muñoz Serrano M, Van Den Broucke S. How do universities implement the Health Promoting University concept? Health Promot Int. 2019;34(5):1014-24. doi:10.1093/HEAPRO/DAY055.
- Stok FM, Renner B, Clarys P, Lien N, Lakerveld J, Deliens T. Understanding Eating Behavior during the Transition from Adolescence to Young Adulthood: A Literature Review and Perspective on Future Research Directions. Nutrients. 2018;10(6):667. doi:10.3390/NU10060667.
- Sogari G, Velez-Argumedo C, Gómez MI, Mora C. College Students and Eating Habits: A Study Using An Ecological Model for Healthy Behavior. Nutrients. 2018;10(12):1823. doi:10.3390/NU10121823.
- Godos J, Grosso G, Castellano S, Galvano F, Caraci F, Ferri R. Association between diet and sleep quality: A systematic review. Sleep Med Rev. 2021;57:101430. doi:10.1016/J.SMRV.2021.101430.
- Kline, C. Sleep Quality. In: Gellman, M.D., Turner, J.R. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY; 2013:1811-3. https://doi. org/10.1007/978-1-4419-1005-9_849
- Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi:10.1016/0165-1781(89)90047-4.
- Latta F, Van Cauter. Chapter 13: Sleep and biological clocks. In: I.B. Weiner, eds. Handbook of psychology. John Wiley & Sons, Inc.; 2003:355-77.
- Faris MAE, Jahrami H, Al-Hilali MM, et al. Energy drink consumption is associated with reduced sleep quality among college students: a cross-sectional study. Nutr Diet. 2017;74(3):268-74. doi:10.1111/1747-0080.12289.
- Castellucci B, Barrea L, Laudisio D, et al. Improving sleep disturbances in obesity by nutritional strategies: review of current evidence and practical guide. Int J Food Sci Nutr. 2021;72(5):579-91. doi:10.1080/09637486.2020.1851659.
- Jahrami H, Al-Mutarid M, Penson PE, Al-Islam Faris M, Saif Z, Hammad L. Intake of Caffeine and Its Association with Physical and Mental Health Status among University Students in Bahrain. Foods. 2020;9(4):473. doi:10.3390/FOODS9040473.
- Gibney MJ, Barr SI, Bellisle F, et al. Breakfast in Human Nutrition: The International Breakfast Research Initiative. Nutrients. 2018;10(5):559. doi: 10.3390/NU10050559.
- Lebacq T, Holmberg E, Pedroni C, Dujeu M, Castetbon K. Weekday sleep duration and morning tiredness are independent covariates of breakfast skipping in adolescents. Eur J Clin Nutr. 2022;76(10):1403-8. doi: 10.1038/S41430-022-01117-2.
- Faris MAIE, Vitiello M V., Abdelrahim DN, et al. Eating habits are associated with subjective sleep quality outcomes among university students: findings of a cross-sectional study. Sleep Breath. 2022;26(3):1365-76. doi: 10.1007/S11325-021-02506-W.
- Zhang Y, Wang J, Lu X, Che B, Yu J. Sleep Status and the Associated Factors: A Large Cross-Sectional Study in Shaanxi Province, China. Int J Environ Res Public Health. 2021;18(3):1-13. doi: 10.3390/IJERPH18031250.
- Xian X, Wang C, Yu R, Ye M. Breakfast Frequency and Sleep Quality in College Students: The Multiple Mediating Effects of Sleep Chronotypes and Depressive Symptoms. Nutrients. 2023;15(12). doi:10.3390/NU15122678.
- Ağargün MY, Kara H, Anlar O. The Validity and Reliability of the Pittsburgh Sleep Quality Index. Turkish J of Psychiatry. 1996;7(2):107-15.
- World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Geneva: World Health Organization; 2000. (WHO Technical Report Series, No. 894). Available from: https://iris.who.int/handle/10665/42330
- Agostini A, Lushington K, Kohler M, Dorrian J. Associations between self-reported sleep measures and dietary behaviours in a large sample of Australian school students. J Sleep Res. 2018;27(5):e12682. doi:10.1111/JSR.12682.
- Gwin JA, Leidy HJ. Breakfast Consumption Augments Appetite, Eating Behavior, and Exploratory Markers of Sleep Quality Compared with Skipping Breakfast in Healthy Young Adults. Curr Dev Nutr. 2018;28;2(11):nzy074. doi: 10.1093/cdn/nzy074.
- St-Onge MP, Mikic A, Pietrolungo CE. Effects of Diet on Sleep Quality. Adv in Nutr. 2016;7(5):938. doi:10.3945/AN.116.012336.
- Theorell-Haglöw J, Lemming EW, Michaëlsson K, Elmståhl S, Lind L, Lindberg E. Sleep duration is associated with healthy diet scores and meal patterns: Results from the population-based EpiHealth study. J of Clin Sleep Med. 2020;16(1):9-18. doi:10.5664/jcsm.8112.
- Çakir B, Nişancı Kılınç F, Özata Uyar G, Özenir Ç, Ekici EM, Karaismailoğlu E. The relationship between sleep duration, sleep quality and dietary intake in adults. Sleep Biol Rhythms. 2020;18(1):49-57. doi:10.1007/s41105-019-00244-x.
- Zhong L, Han X, Li M, Gao S. Modifiable dietary factors in adolescent sleep: A systematic review and meta-analysis. Sleep Med. 2024;115:100-8. doi:10.1016/J.SLEEP.2024.02.009.
- Yang CK, Kim JK, Patel SR, Lee JH. Age-related changes in sleep/wake patterns among Korean teenagers. Pediatrics. 2005;115(1 Suppl):250-6. doi:10.1542/PEDS.2004-0815G.
- Borbély AA. Refining sleep homeostasis in the two-process model: Editorial. J Sleep Res. 2009;18(1):1-2. doi:10.1111/j.1365-2869.2009.00750.x.
- Landolt HP. Sleep homeostasis: a role for adenosine in humans? Biochem Pharmacol. 2008;75(11):2070-9. doi:10.1016/J.BCP.2008.02.024.
- Clark I, Landolt HP. Coffee, caffeine, and sleep: A systematic review of epidemiological studies and randomized controlled trials. Sleep Med Rev. 2017;31:70-8. doi:10.1016/J.SMRV.2016.01.006.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Halk Sağlığı (Diğer) |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 5 Haziran 2025 |
| Gönderilme Tarihi | 17 Mart 2025 |
| Kabul Tarihi | 12 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 10 Sayı: 2 |
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