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The Relationship between Sleep Duration and Compliance to the DASH diet in Adolescents with High Blood Pressure

Lee, Bekah
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1394724938

Abstract Details

2014, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Purpose: To investigate the relationship between sleep duration and compliance to the Dietary Approaches to Stop Hypertension (DASH) diet in adolescents with high blood pressure. Subjects: One hundred and eleven adolescents between 11-18 years of age with diagnosed pre-hypertension or stage 1 hypertension were enrolled in the DASH-4-Teens randomized clinical trial at the Cincinnati Children’s Hypertension Center located at Cincinnati Children’s Hospital Medical Center (CCHMC). Methods: Subjects were randomly assigned to one of two groups: the DASH-4-Teens intervention group (n=57) or the usual care group (n=54). Only participants that had completed both baseline and 6 months (post-intervention) study assessments were included in this study. Both groups received dietary counseling on the DASH diet, including strategies to increase consumption of fruits, vegetables and low fat dairy foods and decrease consumption of sodium and fat. The DASH-4-Teens intervention included telephone based behavioral counseling and individualized treatment goals. The usual care group did not receive behavioral counseling nor were treatment goals individualized. Sleep duration was measured by 7-day recall and averaged. Dietary intake was measured by 3-day food recall and averaged. Servings of daily food groups, and sodium intake were calculated from Nutrition Data Systems Software output files and a DASH index score was derived according the method of Gunther et al [68]; a high score indicated greater adherence to the DASH diet. Multiple regression models were used to evaluate the association between sleep duration (categorized as less than recommended, recommended, and more than recommended based on hours of sleep recommended by the National Sleep Foundation [27]) and adherence to the DASH dietary pattern, measured by the change in a DASH score from baseline to 6 months. Statistical significance was defined as P < 0.05 and data analysis was conducted using SAS version 9.2 (SAS Inc., Daly, NC, USA). Results: Only 1/3 of the study participants met the recommended number of hours of sleep/day, with over half getting more than 10 hours of sleep per day. In this sample, there was no significant relationship between sleep duration and adherence to a DASH dietary pattern. Conclusion: There is evidence from prior research to suggest that sleep deprivation is associated with increased appetite and hunger, suggesting a possible role in diet quality modification. Findings from the present study suggest that sleep duration was not related to compliance to a DASH dietary pattern among teenagers who completed a six-month dietary intervention focused on the DASH diet.
Sarah Couch, Ph.D. (Committee Chair)
Abigail Peairs, Ph.D. (Committee Member)
39 p.
Nutrition
DASH; sleep; adolescents; high blood pressure

Recommended Citations

Citations

  • Lee, B. (2014). The Relationship between Sleep Duration and Compliance to the DASH diet in Adolescents with High Blood Pressure [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1394724938

    APA Style (7th edition)

  • Lee, Bekah. The Relationship between Sleep Duration and Compliance to the DASH diet in Adolescents with High Blood Pressure. 2014. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1394724938.

    MLA Style (8th edition)

  • Lee, Bekah. "The Relationship between Sleep Duration and Compliance to the DASH diet in Adolescents with High Blood Pressure." Master's thesis, University of Cincinnati, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1394724938

    Chicago Manual of Style (17th edition)

ucin1394724938
445
© 2014, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.