SleepNCT03554954
Association Between Food/Nutrient Intake and Sleep Quality in Middle Aged and Older Population
An observational study of Sleep, run by National University of Singapore at 1 site in Singapore.
Trial summary
Sleep is essential to health. Quality of sleep, measure through indexes of sleep, is related to the incidence of obesity, type 2 diabetes, cardiovascular disease, hypertension, and premature death. Sleep pattern changes as people age. Read more about this study
- Who is it for?
- Ages 50 to 75 years
- Conditions the study is for
- Sleep
- How many people
- 108 participants
- Where
- 1 siteSingapore
- Study dates
- 2 Aug 2018to 31 Oct 2019
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 75 years
- All sexes
- Adult, Older adult
Study population: Study population includes middle-aged and older adults (aged 50 to 75 years) who are in general good health and not regularly having protein or vitamin supplements.
Who may be able to join
- Ability to give an informed consent
- Age 50 to 75 years
- Not taking dietary supplements which may impact the outcome of the interests (I.e. dietary protein and vitamin supplements)
- Not having significant dietary changes for the past 1 year (i.e. weight loss, vegetarian diet)
- Having sufficient venous access to allow the blood collection
- Willing to follow the study procedure
Who cannot join
- Unable to give an informed consent
- Age < 50 years
- Taking dietary supplements which may impact the outcome of the interest (i.e. dietary proteins and vitamin supplements)
- Having/had significant dietary changes for the past 1 year
- Not having sufficient venous access to allow the blood collection
- Unwilling to follow the study procedure
Trial locations and contacts
1 site in 1 country.
About this study
Sleep is essential to health. Quality of sleep, measure through indexes of sleep, is related to the incidence of obesity, type 2 diabetes, cardiovascular disease, hypertension, and premature death. Sleep pattern changes as people age. They tend to have a harder time falling asleep and more trouble staying asleep than when they were younger. Studies have shown that food/nutrient intake may be associated with sleep duration, quality, and patterns. Singapore's population is aging rapidly and improving their indexes of sleep may result in their health promotion.
Read the detailed description
Sleep is essential to health and indexes of sleep including duration, quality, and patterning are related to the incidence of chronic diseases and premature death. Changes in sleep patterns are a part of the aging process and as people age, they tend to have a harder time falling asleep and more trouble staying asleep than when they were younger. Certain cross-sectional studies have shown that food/nutrient intake may be associated with sleep duration, quality, and patterns. In the last decade, Singapore's population has grown older. However, limited research examined the association between food/nutrient intake and indexes of sleep in middle-aged and older population in Singapore. Therefore, with a growing number of elderly, studies on improving their sleep quality can play a significant role in improving their quality of life. This is a cross-sectional study and subjects require a 1-day visit (one time visit ONLY). Generally healthy middle-aged and older population will be recruited and after the phone screening and validated subjects will complete the medical history questionnaire and to be brought on the day of visit. During the visit, subjects will stay approximately 3-h to complete the testing. After completing the consent form, fasting-state blood collection and general health assessment will be conducted. Then subjects will be asked to complete the questionnaires to assess sleep quality and dietary intake.
- Conditions
- Sleep
- Keywords
- Nutrients, Diet, Sleep Quality, Middle-aged adults, Older adults
- Medical subject headings
- Sleep Initiation and Maintenance Disorders
What is being measured
The primary outcome is the main question the study is designed to answer.
Sleep Quality Assessment 1 (GSS)
Pittsburgh sleep quality index (PSQI)
Global Sleep Score (GSS): 0-21 (arbitrary unit; au) A lower value indicates better sleep quality
Measured: Day 1
Sleep Quality Assessment 2
Sleep evaluation questionnaire
Score: 0-56 (arbitrary unit) Lower score suggests better sleep
Measured: Day 1
Dietary Assessment
Food Frequency Questionnaire (FFQ)
Measured: Day 1
Dietary Assessment 2 (Dietary Carotenoids)
3 Day 24-Hr Dietary Recall: Participants will be given a diagram showing serving sizes that they can refer to for measurements. Only 3 out of the 7 days of the week are required for the participants to record their food intake. Results are reported as the average value of the analysed nutrients (dietary carotenoids) across the 3 days the dietary data was collected.
Measured: Day 3
Blood Amino Acid Concentration (Plasma Tryptophan)
Amino acid analysis on collected blood serum for blood amino acid profile.
Measured: Day 1
Dietary Assessment 2 (Dietary Macronutrients)
3 Day 24-Hr Dietary Recall: Participants will be given a diagram showing serving sizes that they can refer to for measurements. Only 3 out of the 7 days of the week are required for the participants to record their food intake. Results are reported as the average value of the analysed nutrients (dietary fat) across the 3 days the dietary data was collected.
Measured: Day 3
Sleep Quality Assessment 1 (Sleep Duration)
Pittsburgh sleep quality index (PSQI)
Sleep duration (hours)
Measured: Day 1
Sleep Quality Assessment 1 (Sleep Latency)
Pittsburgh sleep quality index (PSQI)
Sleep latency (minutes)
Measured: Day 1
Sleep Quality Assessment 1 (Sleep Efficiency)
Pittsburgh sleep quality index (PSQI)
Sleep efficiency (%)
Measured: Day 1
Secondary outcomes (8)
Blood Pressure
Blood pressure using electronic devices that work on the oscillometric technique. The systolic and diastolic blood pressure are both collected and reported
Measured: Day 1
Anthropometric Measurements 1
Height (kg)
Measured: Day 1
Anthropometric Measurements 2
Weight (kg)
Measured: Day 1
Anthropometric Measurements 3
Waist circumference (cm)
Measured: Day 1
Skin Carotenoid Status
Measure with resonance Raman spectroscopy. A higher score is indicative of raised skin carotenoid levels and hence, a better outcome
Measured: Day 1
Perceived Stress Assessment
Perceived stress assessment (PSS) questionnaire
Score: 0-40 (arbitrary unit; au) A higher score indicates higher perceived stress
Measured: Day 1
Blood Lipid and Glucose Profile
Plasma triglycerides, total cholesterol, ldl-cholesterol, hdl-cholesterol and glucose concentration
Measured: Day 1
Plasma Carotenoids Concentration
High performance liquid chromatography quantitative analyses of carotenoids in plasma samples
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jun 2018
- Study start2 Aug 2018
- Primary completion31 Oct 2019
- Study completion31 Oct 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for SleepStudies of the same condition, open and under way.
- More trials run by National University of SingaporeThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 108 participants (actual)
Sponsor and investigators
- Lead sponsor
- National University of Singapore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Jung Eun Kim, National University of Singapore
- Investigators
- Jung Eun Kim, PhD, RD, Principal investigator, NUS (Chemistry, FST)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03554954
- Sponsor's protocol ID
- S1
- Status last verified
- May 2020
- First submitted
- 22 Apr 2018
- Last updated
- 1 Jun 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Electronic copies of the data with identifiable participant information will be kept on a secure computer with access limited to the principal investigator and her research staff. All data will be de-identified prior to statistical analyses
Publications
Smagula SF, Koh WP, Wang R, Yuan JM. Chronic disease and lifestyle factors associated with change in sleep duration among older adults in the Singapore Chinese Health Study. J Sleep Res. 2016 Feb;25(1):57-61. doi: 10.1111/jsr.12342.
PubMed 26412328Pan A, De Silva DA, Yuan JM, Koh WP. Sleep duration and risk of stroke mortality among Chinese adults: Singapore Chinese health study. Stroke. 2014 Jun;45(6):1620-5. doi: 10.1161/STROKEAHA.114.005181. Epub 2014 Apr 17.
PubMed 24743442Dashti HS, Scheer FA, Jacques PF, Lamon-Fava S, Ordovas JM. Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Adv Nutr. 2015 Nov 13;6(6):648-59. doi: 10.3945/an.115.008623. Print 2015 Nov.
PubMed 26567190Tan D, Sutanto CN, Lin JWX, Toh DWK, Le KA, Kim JE. Measures of carbohydrate quality and their association with diet quality and cardiometabolic health outcomes in Singapore middle-aged and older adults. Nutr Metab Cardiovasc Dis. 2023 Apr;33(4):778-788. doi: 10.1016/j.numecd.2023.01.008. Epub 2023 Jan 16.
PubMed 36842956Toh DWK, Sutanto CN, Loh WW, Lee WY, Yao Y, Ong CN, Kim JE. Skin carotenoids status as a potential surrogate marker for cardiovascular disease risk determination in middle-aged and older adults. Nutr Metab Cardiovasc Dis. 2021 Feb 8;31(2):592-601. doi: 10.1016/j.numecd.2020.10.016. Epub 2020 Oct 26.
PubMed 33358716
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Association Between Food/Nutrient Intake and Sleep Quality in Middle Aged and Older Population
- ClinicalTrials.gov ID
- NCT03554954
- Acronym / sponsor ID
- S1
- Conditions
- Sleep
- Keywords
- Nutrients, Diet, Sleep Quality, Middle-aged adults, Older adults
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 108 participants (actual)
- Lead sponsor
- National University of SingaporeUniversity, hospital or other
- Study start
- 2 Aug 2018 (actual)
- Primary completion
- 31 Oct 2019 (actual)
- Study completion
- 31 Oct 2019 (actual)
- First posted
- 13 Jun 2018 (actual)
- Results
- Posted 1 Jun 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Sleep is essential to health. Quality of sleep, measure through indexes of sleep, is related to the incidence of obesity, type 2 diabetes, cardiovascular disease, hypertension, and premature death. Sleep pattern changes as people age. They tend to have a harder time falling asleep and more trouble staying asleep than when they were younger. Studies have shown that food/nutrient intake may be associated with sleep duration, quality, and patterns. Singapore's population is aging rapidly and improving their indexes of sleep may result in their health promotion.
Detailed description
Sleep is essential to health and indexes of sleep including duration, quality, and patterning are related to the incidence of chronic diseases and premature death. Changes in sleep patterns are a part of the aging process and as people age, they tend to have a harder time falling asleep and more trouble staying asleep than when they were younger. Certain cross-sectional studies have shown that food/nutrient intake may be associated with sleep duration, quality, and patterns. In the last decade, Singapore's population has grown older. However, limited research examined the association between food/nutrient intake and indexes of sleep in middle-aged and older population in Singapore. Therefore, with a growing number of elderly, studies on improving their sleep quality can play a significant role in improving their quality of life. This is a cross-sectional study and subjects require a 1-day visit (one time visit ONLY). Generally healthy middle-aged and older population will be recruited and after the phone screening and validated subjects will complete the medical history questionnaire and to be brought on the day of visit. During the visit, subjects will stay approximately 3-h to complete the testing. After completing the consent form, fasting-state blood collection and general health assessment will be conducted. Then subjects will be asked to complete the questionnaires to assess sleep quality and dietary intake.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 50 to 75 years
- Sex
- All
- Age groups
- Adult, Older adult
- Study population
- Study population includes middle-aged and older adults (aged 50 to 75 years) who are in general good health and not regularly having protein or vitamin supplements.
Key inclusion criteria (6 listed)
- Ability to give an informed consent
- Age 50 to 75 years
- Not taking dietary supplements which may impact the outcome of the interests (I.e. dietary protein and vitamin supplements)
- Not having significant dietary changes for the past 1 year (i.e. weight loss, vegetarian diet)
- Having sufficient venous access to allow the blood collection
Key exclusion criteria (6 listed)
- Unable to give an informed consent
- Age < 50 years
- Taking dietary supplements which may impact the outcome of the interest (i.e. dietary proteins and vitamin supplements)
- Having/had significant dietary changes for the past 1 year
- Not having sufficient venous access to allow the blood collection
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Sleep Quality Assessment 1 (GSS)
Time frame: Day 1
Pittsburgh sleep quality index (PSQI) Global Sleep Score (GSS): 0-21 (arbitrary unit; au) A lower value indicates better sleep quality
Sleep Quality Assessment 2
Time frame: Day 1
Sleep evaluation questionnaire Score: 0-56 (arbitrary unit) Lower score suggests better sleep
Dietary Assessment
Time frame: Day 1
Food Frequency Questionnaire (FFQ)
Dietary Assessment 2 (Dietary Carotenoids)
Time frame: Day 3
3 Day 24-Hr Dietary Recall: Participants will be given a diagram showing serving sizes that they can refer to for measurements. Only 3 out of the 7 days of the week are required for the participants to record their food intake. Results are reported as the average value of the analysed nutrients (dietary carotenoids) across the 3 days the dietary data was collected.
Blood Amino Acid Concentration (Plasma Tryptophan)
Time frame: Day 1
Amino acid analysis on collected blood serum for blood amino acid profile.
Dietary Assessment 2 (Dietary Macronutrients)
Time frame: Day 3
3 Day 24-Hr Dietary Recall: Participants will be given a diagram showing serving sizes that they can refer to for measurements. Only 3 out of the 7 days of the week are required for the participants to record their food intake. Results are reported as the average value of the analysed nutrients (dietary fat) across the 3 days the dietary data was collected.
Sleep Quality Assessment 1 (Sleep Duration)
Time frame: Day 1
Pittsburgh sleep quality index (PSQI) Sleep duration (hours)
Sleep Quality Assessment 1 (Sleep Latency)
Time frame: Day 1
Pittsburgh sleep quality index (PSQI) Sleep latency (minutes)
Sleep Quality Assessment 1 (Sleep Efficiency)
Time frame: Day 1
Pittsburgh sleep quality index (PSQI) Sleep efficiency (%)
8 secondary outcomes
Blood Pressure
Time frame: Day 1
Anthropometric Measurements 1
Time frame: Day 1
Anthropometric Measurements 2
Time frame: Day 1
Anthropometric Measurements 3
Time frame: Day 1
Skin Carotenoid Status
Time frame: Day 1
Perceived Stress Assessment
Time frame: Day 1
Blood Lipid and Glucose Profile
Time frame: Day 1
Plasma Carotenoids Concentration
Time frame: Day 1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 26412328Smagula SF, Koh WP, Wang R, Yuan JM. Chronic disease and lifestyle factors associated with change in sleep duration among older adults in the Singapore Chinese Health Study. J Sleep Res. 2016 Feb;25(1):57-61. doi: 10.1111/jsr.12342.
- Results publication: PubMed 24743442Pan A, De Silva DA, Yuan JM, Koh WP. Sleep duration and risk of stroke mortality among Chinese adults: Singapore Chinese health study. Stroke. 2014 Jun;45(6):1620-5. doi: 10.1161/STROKEAHA.114.005181. Epub 2014 Apr 17.
- Results publication: PubMed 26567190Dashti HS, Scheer FA, Jacques PF, Lamon-Fava S, Ordovas JM. Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Adv Nutr. 2015 Nov 13;6(6):648-59. doi: 10.3945/an.115.008623. Print 2015 Nov.
- Derived from this study: PubMed 36842956Tan D, Sutanto CN, Lin JWX, Toh DWK, Le KA, Kim JE. Measures of carbohydrate quality and their association with diet quality and cardiometabolic health outcomes in Singapore middle-aged and older adults. Nutr Metab Cardiovasc Dis. 2023 Apr;33(4):778-788. doi: 10.1016/j.numecd.2023.01.008. Epub 2023 Jan 16.
- Derived from this study: PubMed 33358716Toh DWK, Sutanto CN, Loh WW, Lee WY, Yao Y, Ong CN, Kim JE. Skin carotenoids status as a potential surrogate marker for cardiovascular disease risk determination in middle-aged and older adults. Nutr Metab Cardiovasc Dis. 2021 Feb 8;31(2):592-601. doi: 10.1016/j.numecd.2020.10.016. Epub 2020 Oct 26.
- Individual participant dataSharing planned: No. Electronic copies of the data with identifiable participant information will be kept on a secure computer with access limited to the principal investigator and her research staff. All data will be de-identified prior to statistical analyses
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jung Eun Kim, PhD, RD principal investigator
NUS (Chemistry, FST)
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Sleep, run by National University of Singapore at 1 site in Singapore.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Jun 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Sleep Quality Assessment 1 (GSS) (time frame: Day 1). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03554954, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jun 2020.