Is sleep associated with BMI, waist circumference, and diet among long-term colorectal cancer survivors?: Results from the population - based PROFILES registry
de Winter,J. Ezendam,N.P.M. Bours,M.J. Winkels,R.M. Weijenberg,M.P. Kampman,E. Vissers,P.A.J. Mols,F. Beijer,S.
de Winter,J.
Ezendam,N.P.M.
Bours,M.J.
Winkels,R.M.
Weijenberg,M.P.
Kampman,E.
Vissers,P.A.J.
Mols,F.
Beijer,S.
Abstract
Purpose In the general population, poor sleep quality and short sleep duration are associated with a higher body mass index (BMI) and waist circumference (WC), and an unhealthy diet. The aim of this study was to assess if the association between sleep quality and duration and BMI, WC, and diet quality also exists among colorectal cancer (CRC) survivors, as many CRC survivors have an unhealthy weight and diet. Methods Cross-sectional data from a longitudinal CRC cohort were used. In this study, survivors were 4–13 years post diagnosis. The Pittsburgh Sleep Quality Index (PSQI) was used to assess both sleep quality and sleep duration. Diet quality was assessed by scoring adherence (low, moderate, high) to the 2007 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendations of five food groups and nutrients: fruit and vegetables, dietary fiber, red and processed meat, alcoholic beverages, and sugary drinks, using a brief diet screener. BMI and WC were self-measured. Associations were analyzed by multivariable linear and multinomial logistic regression analyses. Results Among 1002 CRC survivors, 23% reported poor sleep quality (PSQI score ≥ 8) and 24% reported short sleep duration (≤ 6 h). No associations between sleep and BMI, WC, and diet quality were found. Conclusion Sleep problems are common in long-term CRC survivors; however, sleep quality and duration was not associated with BMI, WC, and diet quality in this population. It is unknown why the results differ from findings in the general population.
Description
Funding Information: The present study was supported by a grant from the Alpe d’HuZes Foundation within the research program “Leven met kanker” of the Dutch Cancer Society (grant no. UM-2012–5653). In addition, the present study was supported by a VENI grant (#451–10-041) from the Netherlands Organization for Scientific Research awarded to F. Mols. M.J.L. Bours is partly supported by a grant from Kankeronderzoekfonds Limburg as part of Health Foundation Limburg (grant no. 00005739).
Date
2021
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Research Projects
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Keywords
ADULTS, BODY-MASS INDEX, Body weight, CONSUMPTION, Cancer survivors, Colorectal cancer, DURATION, Diet, HEALTH, LIFE-STYLE, OBESITY, PSYCHOMETRIC EVALUATION, QUALITY INDEX, RESEARCH FUND/AMERICAN INSTITUTE, Sleep duration, Sleep quality, SDG 3 - Good Health and Well-being
Citation
de Winter, J, Ezendam, N P M, Bours, M J, Winkels, R M, Weijenberg, M P, Kampman, E, Vissers, P A J, Mols, F & Beijer, S 2021, 'Is sleep associated with BMI, waist circumference, and diet among long-term colorectal cancer survivors? Results from the population - based PROFILES registry', Supportive Care in Cancer, vol. 29, no. 12, pp. 7225-7235. https://doi.org/10.1007/s00520-021-06393-5