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Journal of Clinical and

                                                                   Basic Psychosomatics




                                        ORIGINAL RESEARCH ARTICLE
                                        Impact of protein consumption on sleep

                                        problems: Insights from NHANES data



                                                                                                    2
                                                                                      1
                                                                          1
                                        Chenxi Zhang * , Yan Xu 1  , Weimin Li , Qianyun Wu , Bingnan Hou ,
                                                    1
                                                 3
                                                                1
                                        Qiguang Li , and Bin Zhang *
                                        1 Department of Psychiatry, Nanfang Hospital, Southern Medical University; Center of Sleep
                                        Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China
                                        2 College of Computer, National University of Defense Technology, Changsha, Hunan, China
                                        3 Department of Psychiatry, Xi’an Mental Health Center, Xi’ an, Shaanxi, China
                                        Abstract

                                        Sleep problems are common and significantly impact health and well-being. Diet,
                                        particularly protein intake, may affect sleep, yet the precise relationship remains
                                        unclear. This study investigates the association between protein consumption and
                                        sleep problems while considering potential confounders and gender differences,
                                        using data from the National Health and Nutrition Examination Survey. Our cross-
                                        sectional  analysis included  18,077  women (51.3%)  and  17,175  men (48.7%),
                                        averaging 45.9 years (standard deviation = 17.7). Protein consumption was assessed
            *Corresponding authors:     through 24-h dietary recall interviews and sleep problems were assessed through
            Chenxi Zhang                the question: “Have you ever told a doctor or other health professional that you have
            (zhangchx@smu.edu.cn)
            Bin Zhang                   trouble sleeping?” Using binary logistic regression models, we found that 24.6% of
            (zhang73bin@hotmail.com)    individuals reported sleep problems. A statistically significant association emerged
            Citation: Zhang C, Xu Y, Li W,   between protein consumption and the likelihood of experiencing sleep problems
            Wu  Q, Hou B, Li Q, Zhang B.   across quartiles of protein intake. Specifically, individuals in the highest quartile of
            Impact of protein consumption   protein consumption had the lowest odds of sleep problems compared to those in
            on sleep problems: Insights
            from NHANES data. J Clin Basic   the lowest quartile, even after adjusting for various demographic and lifestyle factors
            Psychosom. 2025;3(1):59-67.   (P < 0.001). Gender-stratified analysis revealed a persistent association between
            doi: 10.36922/jcbp.4148     protein intake and sleep problems, with a stronger effect observed in females (P <
            Received: July 4, 2024      0.002) compared to males (P = 0.337). Overall, our findings suggest that higher protein
                                        consumption is independently associated with reduced odds of sleep problems. This
            Revised: August 9, 2024
                                        underscores the importance of adequate protein intake for promoting better sleep
            Accepted: August 23, 2024   outcomes and highlights potential implications for public health interventions and
            Published Online: November 8,   clinical practice.
            2024
            Copyright: © 2024 Author(s).   Keywords: Protein; Sleep; Sleep problem; Diet; High protein diet
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,   1. Introduction
            provided the original work is
            properly cited.             Sleep problems, including difficulties with sleep initiation, maintenance, or overall sleep
                                                                                        1
            Publisher’s Note: AccScience   quality, are prevalent issues affecting individuals worldwide.  In addition to negatively
            Publishing remains neutral with   impacting daily functioning and quality of life, sleep problems have been related to various
            regard to jurisdictional claims in
            published maps and institutional   adverse health consequences, such as cardiovascular diseases, metabolic disorders, and
                                                            2,3
            affiliations.               mental health disorders.  Given the substantial burden of sleep problems on public

            Volume 3 Issue 1 (2025)                         59                              doi: 10.36922/jcbp.4148
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