Food insecurity is associated with the sleep quality and quantity in adults: a systematic review and meta-analysis

Seyadeh Narges Mazloomi, Sepide Talebi, Maryam Kazemi, Seyed Mojtaba Ghoreishy, Seyedeh Parisa Moosavian, Parsa Amirian, Hamed Mohammadi, Saeedeh Nouri-Majd, Wolfgang Marx, Mohammad Ali Hojjati Kermani, Sajjad Moradi

Research output: Contribution to journalReview articleResearchpeer-review

6 Citations (Scopus)
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Abstract

Objective: 

We evaluated associations between food insecurity (FI) and the quality and quantity of sleep in adults (≥18 years). 

Design: 

The current study represented a systematic review and meta-analysis of observational studies. 

Setting: : 

Databases of PubMed, Scopus, Embase and Web of Science were searched from inception until 6 June 2022. Meta-analyses were conducted using random effects models, and effect sizes were reported as OR and 95 % CI. 

Participants: 

Data from ten eligible observational studies, including 83 764 participants, were included.

Results:

 FI was associated with an increased risk of poor sleep quality (OR = 1·45; 95 % CI (1·24, 1·70), I 2 = 95, P < 0·001, n 7). Besides, subgroup analysis showed increased risk of poor sleep quality corresponding to the severity of FI across mild (OR = 1·31; 95 % CI (1·16, 1·48), I 2 = 0 %, P < 0·001, n 5), moderate (OR = 1·49; 95 % CI (1·32, 1·68), I 2 = 0 %, P < 0·001, n 5) and severe (OR = 1·89; 95 % CI (1·63, 2·20), I 2 = 0 %, P < 0·001, n 5) levels. Similarly, subgroup analysis by sleep problems showed that FI was associated with an increased the risk of trouble falling asleep (OR = 1·39; 95 % CI (1·05, 1·83), I 2 = 91 %, P = 0·002, n 3) and trouble staying asleep (OR = 1·91; 95 % CI (1·37, 2·67), I 2 = 89 %, P < 0·001, n 3). Moreover, FI was associated with the odds of shorter (OR = 1·14; 95 % CI (1·07, 1·21), I 2 = 0 %, P < 0·001, n 4) and longer sleep duration (OR = 1·14; 95 % CI (1·03, 1·26), I 2 = 0 %, P = 0·010, n 4). 

Conclusions: 

Collective evidence supports that FI is associated with poor sleep quality and quantity in adults. Preventative and management strategies that address FI may provide health benefits beyond improving nutritional status per se.


Original languageEnglish
Pages (from-to)792-802
Number of pages11
JournalPublic Health Nutrition
Volume26
Issue number4
Early online date23 Nov 2022
DOIs
Publication statusPublished - 23 Apr 2023
Externally publishedYes

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