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. 2013 Mar 5;23(2):132–138. doi: 10.2188/jea.JE20120101

Table 2. Odds ratios and 95% CIs for DIS, DMS, and PQS according to intakes of protein, fat, and carbohydrate.

Variable Odds ratios (CI) P for trendb    
    Protein intake categories (% energy)

<16 16–<19 19–<26 26≤   <16 vs 16– (ref) <19 (ref) vs 19–


Mean energy intake (kcal/day) 1700 1642 1744 1849   1699/1745 NA
Number of participants 1209 1209 1209 1208   1209/3626
DIS number of cases (%) 186 (15.4) 154 (12.7) 137 (11.3) 144 (11.9)   186/435
  crude 1 0.80 (0.64–1.01) 0.70 (0.56–0.89)* 0.74 (0.59–0.94)*   1.33 (1.10–1.60)*
  adjusteda 1 0.83 (0.65–1.06) 0.74 (0.54–1.01) 0.76 (0.47–1.24) 0.25 1.24 (0.99–1.56)
DMS number of cases (%) 213 (17.6) 208 (17.2) 254 (21.0) 305 (25.2)   NA 675/305
  crude 1 0.97 (0.79–1.20) 1.25 (1.01–1.53)* 1.58 (1.30–1.92)*   1.47 (1.26–1.72)
  adjusteda 1 0.98 (0.78–1.22) 1.37 (1.05–1.79)* 1.59 (1.06–2.38)* 0.02* 1.40 (1.12–1.76)*
PQS number of cases (%) 450 (37.2) 392 (32.4) 372 (30.8) 353 (29.2)   450/1117 NA
  crude 1 0.81 (0.68–0.96)* 0.75 (0.63–0.89)* 0.70 (0.59–0.83)*   1.33 (1.16–1.53)*
  adjusteda 1 0.79 (0.66–0.95)* 0.84 (0.67–1.06) 0.87 (0.61–1.24) 0.49 1.24 (1.04–1.48)*
    Fat intake categories (% energy)    

<20 20–<25 25≤        

Mean energy intake (kcal/day) 1888 1724 1559        
Number of participants 1743 1633 1459        
DIS number of cases (%) 226 (13.0) 204 (12.5) 191 (13.1)        
  crude 1.04 (0.85–1.28) 1 1.06 (0.85–1.30)        
  adjusteda 1.06 (0.86–1.32) 1 0.94 (0.75–1.17)   0.31    
DMS number of cases (%) 380 (21.8) 321 (19.7) 279 (19.1)        
  crude 1.14 (0.96–1.35) 1 0.97 (0.81–1.16)        
  adjusteda 0.96 (0.80–1.15) 1 1.05 (0.87–1.27)   0.38    
PQS number of cases (%) 542 (31.1) 534 (32.7) 491 (33.7)        
  crude 0.93 (0.80–1.07) 1 1.04 (0.90–1.21)        
  adjusteda 0.98 (0.83–1.15) 1 0.88 (0.75–1.04)   0.24    
    Carbohydrate intake categories (% energy)  

<50 50–<70 70≤     <50 vs 50– (ref)  


Mean energy intake (kcal/day) 1693 1733 2042     NA  
Number of participants 1104 3583 148      
DIS number of cases (%) 128 (11.6) 472 (13.2) 21 (14.2)      
  crude 0.86 (0.70–1.06) 1 1.09 (0.68–1.75)      
  adjusteda 0.86 (0.67–1.11) 1 1.05 (0.64–1.71)   0.27  
DMS number of cases (%) 268 (24.3) 687 (19.2) 25 (16.9)     268/712  
  crude 1.35 (1.15–1.59)* 1 0.86 (0.55–1.33)     1.36 (1.16–1.60)*  
  adjusteda 1.18 (0.97–1.45) 1 0.85 (0.54–1.34)   0.07 1.19 (0.97–1.45)  
PQS number of cases (%) 335 (30.3) 1181 (33.0) 51 (34.5)     NA  
  crude 0.89 (0.77–1.03) 1 1.07 (0.76–1.51)      
  adjusteda 0.93 (0.78–1.12) 1 1.12 (0.77–1.62)   0.35  

DIS, difficulty in initiating sleep; DMS, difficulty in maintaining sleep; PQS, poor quality of sleep; ref, reference category; NA, not applicable. *P < 0.05.

aOdds ratios adjusted for age, sex, body mass index, mental well-being, perceived stress, smoking status, regular exercise, alcohol intake, coffee drinking habit, total energy intake, and histories of hypertension, hyperlipidemia, diabetes, and cardiovascular disease.

bTests for linear trends used the median value in each group as a continuous variable in logistic regression.