Changes in fruit and vegetable consumption in relation to changes in sleep characteristics over a 3-month period among young adults

Published:April 08, 2021DOI:



      To evaluate whether increases in fruit and vegetable (FV) consumption were associated with concomitant changes in insomnia symptoms, sleep duration, and quality.


      Secondary longitudinal analysis of a randomized trial, baseline to 3 months.


      Integrated health care systems in Detroit, Michigan and Danville, Pennsylvania.


      About 1165 young adults who were low consumers of FV (<3 servings/day) at baseline.


      Online 3-arm program designed to increase FV consumption.


      We categorized FV changes into 4 categories: no change or decrease, 1 serving increase, 2 serving increase, and 3 or more serving increase. We then compared the changes in chronic insomnia classification (yes or no), sleep duration, quality, and time to fall asleep (all self-reported) across the FV change categories. Analyses were both overall and stratified by gender, adjusting for potential confounders (depression, physical activity, education, children, and study site).


      Average age ± SD was 26 ± 2.8 years (71% women). At 3-month follow-up, participants on average increased FV intake by 1.2 ± 1.4 servings. Women who increased FV intake by 3+ servings showed improvements in insomnia symptoms (2-fold higher odds of improvement; 95% CI 1.1 to 3.6), sleep quality (0.2-point higher sleep quality score; 95% CI -0.01, 0.3), and time to fall asleep (4.2 minutes; 95% CI -8, 0) compared to women who did not change or decreased their FV intake. Associations were not as apparent among men.


      Young women with low consumption of FV may experience improvements in insomnia-related sleep difficulties by increasing their consumption of FV.


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        • Gradisar M
        • Wolfson AR
        • Harvey AG
        • Hale L
        • Rosenberg R
        • Czeisler CA.
        The sleep and technology use of Americans: findings from the National Sleep Foundation's 2011 sleep in America poll.
        J Clin Sleep Med. 2013; 9: 1291-1299
        • Levenson JC
        • Shensa A
        • Sidani JE
        • Colditz JB
        • Primack BA.
        The association between social media use and sleep disturbance among young adults.
        Prev Med (Baltim). 2016; 85: 36-41
        • Jansen EC
        • She R
        • Rukstalis MM
        • Alexander GL.
        Sleep duration and quality in relation to fruit and vegetable intake of US young adults: a secondary analysis.
        Int J Behav Med. 2020;
        • Freeman D
        • Sheaves B
        • Goodwin GM
        • et al.
        The effects of improving sleep on mental health (OASIS): a randomised controlled trial with mediation analysis.
        Lancet Psychiatry. 2017;
        • Milojevich HM
        • Lukowski AF.
        Sleep and mental health in undergraduate students with generally healthy sleep habits.
        PLoS One. 2016; 11
        • Nelson MC
        • Story M
        • Larson NI
        • Neumark-Sztainer D
        • Lytle LA.
        Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change.
        Obesity. 2008; 16: 2205-2211
        • Lunsford-Avery JR
        • Engelhard MM
        • Navar AM
        • Kollins SH.
        Validation of the sleep regularity index in older adults and associations with cardiometabolic risk.
        Sci Rep. 2018; 8
        • Gooley JJ
        • Chamberlain K
        • Smith KA
        • et al.
        Exposure to room light before bedtime suppresses melatonin onset and shortens melatonin duration in humans.
        J Clin Endocrinol Metab. 2011; 96: E463-E472
        • Castro-Diehl C
        • Wood AC
        • Redline S
        • et al.
        Mediterranean diet pattern and sleep duration and insomnia symptoms in the multi-ethnic study of atherosclerosis.
        Sleep. 2018; 41
        • Jansen EC
        • Stern D
        • Monge A
        • et al.
        Healthier dietary patterns are associated with better sleep quality among mid-life Mexican women.
        J Clin Sleep Med. 2020;
        • Wirth MD
        • Jessup A
        • Turner-McGrievy G
        • Shivappa N
        • Hurley TG
        • Hébert JR.
        Changes in dietary inflammatory potential predict changes in sleep quality metrics, but not sleep duration.
        Sleep. 2020;
        • Resnicow K
        • Jackson A
        • Wang T
        • et al.
        A motivational interviewing intervention to increase fruit and vegetable intake through Black churches: results of the eat for life trial.
        Am J Public Health. 2001; 91: 1686-1693
        • Buysse DJ
        • Reynolds 3rd, CF
        • Monk TH
        • Berman SR
        • Kupfer DJ
        The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research.
        Psychiatry Res. 1989; : 193-213
        • Dugas EN
        • Sylvestre MP
        • O'Loughlin EK
        • et al.
        Nicotine dependence and sleep quality in young adults.
        Addict Behav. 2017;
        • Sateia MJ.
        International classification of sleep disorders-third edition highlights and modifications.
        Chest. 2014; 146: 1387-1394
        • Greenblatt DW.
        The International Classification of Sleep Disorders. 49. 2014
        • Arnett JJ.
        Emerging adulthood: understanding the new way of coming of age.
        Emerging Adults in America: Coming of Age in the 21st Century. American Psychological Association, Washington, DC2007: 3-19
        • Arnett JJ.
        Does emerging adulthood theory apply across social classes? National data on a persistent question.
        Emerg Adulthood. 2016; 4: 227-235
        • Cohen S
        • Kamarck T
        • Mermelstein R.
        A global measure of perceived stress.
        J Health Soc Behav. 1983; 24: 385
        • Booth M.
        Assessment of physical activity: an international perspective.
        Res Q Exerc Sport. 2000; 71: 114-120
        • Rock VJ
        • Malarcher A
        • Kahende JW
        • Asman K
        • Husten C
        • Caraballo R.
        Cigarette smoking among adults—United States, 2006.
        Morb Mortal Wkly Rep. 2007; 56: 1157-1161
        • Babor TF.
        A cross-national trial of brief interventions with heavy drinkers.
        Am J Public Health. 1996; 86: 948-955
        • Jansen E
        • Baylin A
        • Cantoral A
        • et al.
        Dietary patterns in relation to prospective sleep duration and timing among Mexico city adolescents.
        Nutrients. 2020; 12: 2305
        • Tan X
        • Alen M
        • Wiklund P
        • Partinen M
        • Cheng S.
        Effects of aerobic exercise on home-based sleep among overweight and obese men with chronic insomnia symptoms: a randomized controlled trial.
        Sleep Med. 2016; 25: 113-121
        • Godos J
        • Ferri R
        • Caraci F
        • et al.
        Dietary inflammatory index and sleep quality in Southern Italian adults.
        Nutrients. 2019; 11: 1324
        • Crispim CA
        • Zimberg IZ
        • Gomes Dos Reis B
        • Diniz RM
        • Tufik S
        • Túlio De Mello M
        Relationship between food intake and sleep pattern in healthy individuals.
        J Clin Sleep Med. 2011; 7: 659-664
        • Sousa R da S
        • Bragança MLBM
        • de Oliveira BR
        • Coelho CCN
        • da S
        • da Silva AAM.
        Association between the degree of processing of consumed foods and sleep quality in adolescents.
        Nutrients. 2020; 12
        • Lana A
        • Struijk EA
        • Arias-Fernandez L
        • et al.
        Habitual meat consumption and changes in sleep duration and quality in older adults.
        Aging Dis. 2019; 10: 267-277
        • Meers J
        • Stout-Aguilar J
        • Nowakowski S.
        Sex differences in sleep health.
        Sleep Health. 2019;
        • Abbasi B
        • Kimiagar M
        • Sadeghniiat K
        • Shirazi MM
        • Hedayati M
        • Rashidkhani B.
        The effect of magnesium supplementation on primary insomnia in elderly: a double-blind placebo-controlled clinical trial.
        J Res Med Sci. 2012; 17: 1161-1169
        • National Institute of Health
        Magnesium—Health Professional Fact Sheet.
        • Peterson KE
        • Hebert JR
        • Hurley TG
        • et al.
        Accuracy and Precision of Two Short Screeners to Assess Change in Fruit and Vegetable Consumption among Diverse Populations Participating in Health Promotion Intervention Trials1,2.
        Journal of Nutrition. 2008; 138: 218S-225S