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http://dx.doi.org/10.3961/jpmph.22.313

The Relationship Between Thiamine Intake and Long Sleep Duration: Results From the Korea National Health and Nutrition Examination Survey  

Dongkyu, Lee (Department of Preventive Medicine, Yonsei University College of Medicine)
Kwanghyun, Kim (Department of Preventive Medicine, Yonsei University College of Medicine)
Youngrong, Lee (Department of Preventive Medicine, Yonsei University College of Medicine)
Kyungwon, Oh (Division of Health and Nutrition Survey, Korea Disease Control and Prevention Agency)
Sun Jae, Jung (Department of Preventive Medicine, Yonsei University College of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.55, no.6, 2022 , pp. 520-528 More about this Journal
Abstract
Objectives: Thiamine is thought to modify sleeping patterns, while alcohol use diminishes internal thiamine levels. We investigated the association between thiamine intake and sleep duration and explored possible heterogeneity in the effect according to alcohol use. Methods: In total, 15 384 participants aged 19-64 were obtained from the Korea National Health and Nutrition Examination Survey 2012-2016. Nutrient intake, including thiamine, was measured using a food frequency questionnaire. Sleep duration was measured by a self-reported questionnaire. The highest thiamine intake quartile was set as the reference group. Participants were divided into 3 groups, with 7-8 hours of daily sleep as a reference group and those who slept more or less than that as "oversleeping" and "insufficient sleeping," respectively. Multivariate logistic regression was used, adjusting for socioeconomic, medical, and nutritional factors. Additionally, participants were stratified according to high-risk alcohol use defined by the World Health Organization standards on alcohol use. Results: Low thiamine intake was associated with oversleeping (Q3: odds ratio [OR], 1.06; 95% confidence interval [CI], 0.86 to 1.32; Q2: OR, 1.24; 95% CI, 0.99 to 1.55; Q1: OR, 1.49; 95% CI, 1.16 to 1.91) and showed a significant trend for higher ORs at lower intake levels (p-trend<0.001). The effect was stronger in the high-risk alcohol use group (Q1: OR, 1.78; 95% CI, 1.28 to 2.49). Conclusions: Low thiamine intake was associated with oversleeping, and alcohol use intensified that association. These results were found in a context where overt clinical symptoms due to thiamine deficiency are considered rare. More awareness of the potential relationship of thiamine intake with oversleeping and its related risks should be considered.
Keywords
Korea National Health and Nutrition Examination Survey; Sleep; Thiamine; Vitamins; Vitamin B1;
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1 Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep 2010;33(5):585-592.   DOI
2 Gallicchio L, Kalesan B. Sleep duration and mortality: a systematic review and meta-analysis. J Sleep Res 2009;18(2):148-158.   DOI
3 Mesas AE, Lopez-Garcia E, Leon-Munoz LM, Guallar-Castillon P, Rodriguez-Artalejo F. Sleep duration and mortality according to health status in older adults. J Am Geriatr Soc 2010;58(10):1870-1877.   DOI
4 Kakizaki M, Kuriyama S, Nakaya N, Sone T, Nagai M, Sugawara Y, et al. Long sleep duration and cause-specific mortality according to physical function and self-rated health: the Ohsaki Cohort Study. J Sleep Res 2013;22(2):209-216.   DOI
5 Hublin C, Partinen M, Koskenvuo M, Kaprio J. Sleep and mortality: a population-based 22-year follow-up study. Sleep 2007;30(10):1245-1253.   DOI
6 National Research Council. Recommended dietary allowances. 10th ed. Washington, DC: National Academies Press; 1989, p. 125-129.
7 Korean Nutrition Society. Dietary reference intakes for Koreans 2020: vitamins. Sejong: Ministry of Health and Welfare; 2020, p. 168 (Korean).
8 World Health Organization. Thiamine deficiency and its prevention and control in major emergencies; 1999 [cited 2022 Aug 26]. Available from: https://www.who.int/publications/i/item/WHO-NHD-99.13.
9 Whitfield KC, Bourassa MW, Adamolekun B, Bergeron G, Bettendorff L, Brown KH, et al. Thiamine deficiency disorders: diagnosis, prevalence, and a roadmap for global control programs. Ann N Y Acad Sci 2018;1430(1):3-43.   DOI
10 Temu P, Temple VJ, Saweri A, Saweri W. Thiamine (vitamin B1) status of boarding school students in the Southern Region of Papua New Guinea. P N G Med J 2009;52(1-2):21-27.
11 O'Keeffe ST, Tormey WP, Glasgow R, Lavan JN. Thiamine deficiency in hospitalized elderly patients. Gerontology 1994;40(1):18-24.   DOI
12 Korea Disease Control and Prevention Agency. Korea health statistics 2020: Korea National Health and Nutrition Examination Survey (KNHANES VIII-2). Cheongju: Korea Disease Control and Prevention Agency; 2022, p. 127 (Korean).
13 Fattal-Valevski A. Thiamine (vitamin B1). J Evid Based Complementary Altern Med 2011;16(1):12-20.   DOI
14 Yoshimura K, Nishibe Y, Inoue Y, Hirono S, Toyoshima K. Animal experiments on thiamine avitaminosis and cerebral function. J Nutr Sci Vitaminol (Tokyo) 1976;22(6):429-437.   DOI
15 Crespi F, Jouvet M. Sleep and indolamine alterations induced by thiamine deficiency. Brain Res 1982;248(2):275-283.   DOI
16 Smidt LJ, Cremin FM, Grivetti LE, Clifford AJ. Influence of thiamin supplementation on the health and general well-being of an elderly Irish population with marginal thiamin deficiency. J Gerontol 1991;46(1):M16-M22.   DOI
17 Wilkinson TJ, Hanger HC, Elmslie J, George PM, Sainsbury R. The response to treatment of subclinical thiamine deficiency in the elderly. Am J Clin Nutr 1997;66(4):925-928.   DOI
18 Grandner MA, Jackson N, Gerstner JR, Knutson KL. Dietary nutrients associated with short and long sleep duration. Data from a nationally representative sample. Appetite 2013;64:71-80.   DOI
19 Cakir B, Nisanci Kilinc F, Ozata Uyar G, Ozenir C, Ekici EM, Karaismailoglu E. The relationship between sleep duration, sleep quality and dietary intake in adults. Sleep Biol Rhythms 2020;18(1):49-57.   DOI
20 Lee JH, Chung SJ, Seo WH. Association between self-reported sleep duration and dietary nutrients in Korean adolescents: a population-based study. Children (Basel) 2020;7(11):221.
21 Martin PR, Singleton CK, Hiller-Sturmhofel S. The role of thiamine deficiency in alcoholic brain disease. Alcohol Res Health 2003;27(2):134-142.
22 Cook CC, Hallwood PM, Thomson AD. B Vitamin deficiency and neuropsychiatric syndromes in alcohol misuse. Alcohol Alcohol 1998;33(4):317-336.   DOI
23 Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43(1):69-77.   DOI
24 Kim DW, Song S, Lee JE, Oh K, Shim J, Kweon S, et al. Reproducibility and validity of an FFQ developed for the Korea National Health and Nutrition Examination Survey (KNHANES). Public Health Nutr 2015;18(8):1369-1377.   DOI
25 Dietch JR, Sethi K, Slavish DC, Taylor DJ. Validity of two retrospective questionnaire versions of the Consensus Sleep Diary: the whole week and split week Self-Assessment of Sleep Surveys. Sleep Med 2019;63:127-136.   DOI
26 Grandner MA, Patel NP, Gehrman PR, Perlis ML, Pack AI. Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. Sleep Med Rev 2010;14(4):239-247.   DOI
27 World Health Organization. International guide for monitoring alcohol consumption and related harm; 2000 [cited 2022 Jul 13]. Available from: https://apps.who.int/iris/handle/10665/66529.
28 Smagula SF, Stone KL, Fabio A, Cauley JA. Risk factors for sleep disturbances in older adults: evidence from prospective studies. Sleep Med Rev 2016;25:21-30.   DOI
29 World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment; 2000 [cited 2022 Aug 26]. Available from: https://apps.who.int/iris/handle/10665/206936.
30 Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. J Korean Acad Fam Med 2007;28:532-541 (Korean).
31 Yun S, Kim HJ, Oh K. Trends in energy intake among Korean adults, 1998-2015: results from the Korea National Health and Nutrition Examination Survey. Nutr Res Pract 2017;11(2):147-154.   DOI
32 Willett WC, Howe GR, Kushi LH. Adjustment for total energy intake in epidemiologic studies. Am J Clin Nutr 1997;65(4 Suppl):1220S-1228S.   DOI
33 Chikahisa S, Sei H. The role of ATP in sleep regulation. Front Neurol 2011;2:87.
34 Dworak M, McCarley RW, Kim T, Kalinchuk AV, Basheer R. Sleep and brain energy levels: ATP changes during sleep. J Neurosci 2010;30(26):9007-9016.
35 Watson CJ, Baghdoyan HA, Lydic R. Neuropharmacology of sleep and wakefulness. Sleep Med Clin 2010;5(4):513-528.   DOI
36 Benington JH, Heller HC. Restoration of brain energy metabolism as the function of sleep. Prog Neurobiol 1995;45(4):347-360.   DOI
37 Lauderdale DS, Knutson KL, Yan LL, Liu K, Rathouz PJ. Self-reported and measured sleep duration: how similar are they? Epidemiology 2008;19(6):838-845.   DOI
38 Pilcher JJ, Ginter DR, Sadowsky B. Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. J Psychosom Res 1997;42(6):583-596.   DOI
39 Seow LS, Tan XW, Chong SA, Vaingankar JA, Abdin E, Shafie S, et al. Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: results from a multi-ethnic population-based study. PLoS One 2020;15(7):e0235816.
40 Caraballo C, Mahajan S, Valero-Elizondo J, Massey D, Lu Y, Roy B, et al. Evaluation of temporal trends in racial and ethnic disparities in sleep duration among US adults, 2004-2018. JAMA Netw Open 2022;5(4):e226385.