Sugar-sweetened beverages and poor sleep quality in adults from resource-limited settings in Peru

Authors

DOI:

https://doi.org/10.14306/renhyd.30.1.2544

Keywords:

Sleep quality, Diet, Sugar-Sweetened Beverages

Abstract

Introduction: To describe the association between sugar-sweetened beverages (SSBs) consumption and sleep patterns (sleep quality, daytime sleepiness, and sleep difficulties) among adults in a resource constrained setting.

Methods: A secondary analysis of a population-based study, conducted in northern Peru, was performed. SSBs consumption was assessed using a semiquantitative food frequency questionnaire. Sleep quality was assessed with the Pittsburgh Sleep Quality Index; whereas daytime sleepiness was assessed using the Epworth scale, and self-reported sleep difficulties were also included. Associations were evaluated with multivariable Poisson regression analyses, reporting prevalence ratios (PR) and 95% confidence intervals (95%CI).

Results: Data from 1603 adults, mean age 48.2 (standard deviation [SD]: 10.6) years, and 50.3% females, were analysed. A total of 17.9% reported the consumption of soda at least once a week, whereas only 10.2% reported the consumption of sugar-added juice. The prevalence of poor sleep quality, sleep difficulties and daytime sleepiness was 19.4%, 38.6%, and 6.5%, respectively. The consumption of soda was found to be associated with poor sleep quality (PR = 1.33; 95%CI: 1.05 – 1.70) and daytime sleepiness (PR = 1.56; 95%CI: 1.02 – 2.37), whereas consumption of sugar-added juice was only associated with self-reported sleep difficulties (PR = 1.29; 95%CI: 1.08 – 1.55).

Conclusions: Soda consumption only but not sugar-added juice consumption was associated with a greater prevalence of poor sleep quality and daytime sleepiness. Sugar-added juice consumption was associated with self-reported sleep difficulties. There is a need to better understand the role of sugar-sweetened beverages on sleep patterns and health.

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References

1. Sleep and sleep disorders. 2022 2022. https://www.cdc.gov/sleep/data-and-statistics/adults.html2023).

2. Lee S, Kim JH, Chung JH. The association between sleep quality and quality of life: a population-based study. Sleep Med 2021; 84: 121-6, doi: 10.1016/j.sleep.2021.05.022.

3. Kudrnáčová M, Kudrnáč A. Better sleep, better life? testing the role of sleep on quality of life. PLoS One 2023; 18(3): e0282085, doi: 10.1371/journal.pone.0282085

4. Zuraikat FM, Wood RA, Barragán R, St-Onge MP. Sleep and Diet: Mounting Evidence of a Cyclical Relationship. Annu Rev Nutr 2021; 41: 309-32, doi: 10.1146/annurev-nutr-120420-021719.

5. Cordova FV, Barja S, Brockmann PE. Consequences of short sleep duration on the dietary intake in children: A systematic review and metanalysis. Sleep Med Rev 2018; 42: 68-84, doi: 10.1016/j.smrv.2018.05.006.

6. Longo VD, Panda S. Fasting, Circadian Rhythms, and Time-Restricted Feeding in Healthy Lifespan. Cell Metab 2016; 23(6): 1048-59, doi: 10.1016/j.cmet.2016.06.001.

7. Pistollato F, Sumalla Cano S, Elio I, Masias Vergara M, Giampieri F, Battino M. Associations between Sleep, Cortisol Regulation, and Diet: Possible Implications for the Risk of Alzheimer Disease. Adv Nutr 2016; 7(4): 679-89, doi: 10.3945/an.115.011775.

8. Reichert CF, Deboer T, Landolt HP. Adenosine, caffeine, and sleep-wake regulation: state of the science and perspectives. J Sleep Res 2022; 31(4): e13597, doi: 10.1111/jsr.13597.

9. Sánchez-Pimienta TG, Batis C, Lutter CK, Rivera JA. Sugar-Sweetened Beverages Are the Main Sources of Added Sugar Intake in the Mexican Population. J Nutr 2016; 146(9): 1888s-96s, doi: 10.3945/jn.115.220301.

10. Gangwisch JE, Hale L, St-Onge MP, et al. High glycemic index and glycemic load diets as risk factors for insomnia: analyses from the Women's Health Initiative. Am J Clin Nutr 2020; 111(2): 429-39, doi: 10.1093/ajcn/nqz275.

11. Shih YH, Wu HC, Pan WH, Chang HY. The Association Between Frequent Sugar-Sweetened Beverage Intake and Sleep Duration in School Children: A Cross-Sectional Study. Front Nutr 2022; 9: 847704, doi: 10.3389/fnut.2022.847704.

12. Boozari B, Saneei P, Safavi SM. Association between sleep duration and sleep quality with sugar and sugar-sweetened beverages intake among university students. Sleep Breath 2021; 25(2): 649-56, doi: 10.1007/s11325-020-02155-5.

13. Min C, Kim HJ, Park IS, et al. The association between sleep duration, sleep quality, and food consumption in adolescents: A cross-sectional study using the Korea Youth Risk Behavior Web-based Survey. BMJ Open 2018; 8(7): e022848, doi: 10.1136/bmjopen-2018-022848.

14. Matsunaga T, Nishikawa K, Adachi T, Yasuda K. Associations between dietary consumption and sleep quality in young Japanese males. Sleep Breath 2021; 25(1): 199-206, doi: 10.1007/s11325-020-02077-2.

15. Wang ML, Libby BA, Moore Simas TA, Waring ME. Sugar-Sweetened Beverage Consumption and Sleep Duration and Quality Among Pregnant Women. J Nutr Educ Behav 2021; 53(9): 793-7, doi: 10.1016/j.jneb.2021.02.010.

16. Singh GM, Micha R, Khatibzadeh S, et al. Global, Regional, and National Consumption of Sugar-Sweetened Beverages, Fruit Juices, and Milk: A Systematic Assessment of Beverage Intake in 187 Countries. PLOS ONE 2015; 10(8): e0124845, doi: 10.1371/journal.pone.0124845.

17. Robert RC, Penny ME, Barbagelatta G, Gainer SA. Feeding Homemade Sugar Sweetened Beverages in Addition to Breastfeeding: Survey Results from Caregivers of Infants and Young Children in Peri-Urban Lima, Peru. Maternal and child health journal 2023; 27(12): 2105-12, doi: 10.1007/s10995-023-03668-7.

18. Guzman-Vilca WC, Yovera-Juarez EA, Tarazona-Meza C, García-Larsen V, Carrillo-Larco RM. Sugar-Sweetened Beverage Consumption in Adults: Evidence from a National Health Survey in Peru. Nutrients 2022; 14(3), doi: 10.3390/nu14030582.

19. Bernabe-Ortiz A, Perel P, Miranda JJ, Smeeth L. Diagnostic accuracy of the Finnish Diabetes Risk Score (FINDRISC) for undiagnosed T2DM in Peruvian population. Prim Care Diabetes 2018; 12(6): 517-25, doi: 10.1016/j.pcd.2018.07.015.

20. INEI. Instituto Nacional de Estadistica e Informatica. Lima, 2017.

21. Ministerio de Salud. Centro Nacional de Epidemiologìa, Prevenciòn y Control de Enfermedades, 2016.

22. Etindele Sosso FA, Holmes SD, Weinstein AA. Influence of socioeconomic status on objective sleep measurement: A systematic review and meta-analysis of actigraphy studies. Sleep Health 2021; 7(4): 417-28, doi: 10.1016/j.sleh.2021.05.005.

23. Alviso-Orellana C, Estrada-Tejada D, Carrillo-Larco RM, Bernabé-Ortiz A. Sweetened beverages, snacks and overweight: findings from the Young Lives cohort study in Peru. Public Health Nutr 2018; 21(9): 1627-33, doi: 10.1017/S1368980018000320.

24. Buysse DJ, Reynolds CF, 3rd, 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.

25. Rosales-Mayor E, Rey de Castro J, Huayanay L, Zagaceta K. Validation and modification of the Epworth Sleepiness Scale in Peruvian population. Sleep Breath 2012; 16(1): 59-69, doi: 10.1007/s11325-011-0485-1.

26. Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009; 120(16): 1640-5, doi: 10.1161/CIRCULATIONAHA.109.192644.

27. Vézina-Im LA, Beaulieu D, Turcotte S, et al. Association between Beverage Consumption and Sleep Quality in Adolescents. Nutrients 2024; 16(2), doi: 10.3390/nu16020285.

28. Franckle RL, Falbe J, Gortmaker S, et al. Insufficient sleep among elementary and middle school students is linked with elevated soda consumption and other unhealthy dietary behaviors. Prev Med 2015; 74: 36-41, doi: 10.1016/j.ypmed.2015.02.007.

29. Alahmary SA, Alduhaylib SA, Alkawii HA, et al. Relationship Between Added Sugar Intake and Sleep Quality Among University Students: A Cross-sectional Study. Am J Lifestyle Med 2022; 16(1): 122-9, doi: 10.1177/1559827619870476.

30. St-Onge MP, Mikic A, Pietrolungo CE. Effects of Diet on Sleep Quality. Adv Nutr 2016; 7(5): 938-49, doi: 10.3945/an.116.012336.

31. Jansen EC, Corcoran K, Perng W, et al. Relationships of beverage consumption and actigraphy-assessed sleep parameters among urban-dwelling youth from Mexico. Public Health Nutr 2022; 25(7): 1844-53, doi: 10.1017/S136898002100313X.

32. 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.

33. Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health 2014; 56(5): 359-68, doi: 10.1539/joh.14-0051-oa.

34. 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.

35. Oliveira JL, Marques-Vidal P. Sweet dreams are not made of this: no association between diet and sleep quality. J Clin Sleep Med 2023; 19(12): 2005-14, doi: 10.5664/jcsm.10738.

36. Herran OF, Patiño GA, Gamboa EM. Consumption of sweetened-beverages and poverty in Colombia: when access is not an advantage. BMC Public Health 2018; 18(1): 136, doi: https://doi.org/10.1186/s12889-018-5037-1.

37. Galea G, Ekberg A, Ciobanu A, et al. Quick buys for prevention and control of noncommunicable diseases. Lancet Reg Health Eur. 2025:52:101281, doi: 10.1016/j.lanepe.2025.101281.

38. Ogilvie RP, Lutsey PL, Widome R, Laska MN, Larson N, Neumark-Sztainer D. Sleep indices and eating behaviours in young adults: findings from Project EAT. Public Health Nutr 2018; 21(4): 689-701, doi: 10.1017/S1368980017003536.

Published

2026-03-02

How to Cite

Ruiz-Alejos, A., & Bernabe-Ortiz, A. (2026). Sugar-sweetened beverages and poor sleep quality in adults from resource-limited settings in Peru. Spanish Journal of Human Nutrition and Dietetics. https://doi.org/10.14306/renhyd.30.1.2544

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Section

Research articles