06Jan 2018

ASSOCIATION BETWEEN AMOUNT OF WATER INTAKE AND QUALITY OF SLEEP IN ADULTS - JEDDAH, SAUDI ARABIA.

  • King Saud bin Abdulaziz Uiniversity for Health Sciences ? Jeddah, Saudi Arabia.
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Background: Water is one of the main components that our body is made of. Dehydration results when there is no enough water in the body to carry out its normal functions. Objectives: This study was carried out to determine the association between the amount of water intake per day and quality of sleep among adults in Jeddah, Saudi Arabia. Methods: A brief questionnaire that assessed the amount of water intake per day in adults and Pittsburgh Sleep Quality Index (PSQI) were administered via direct communication with 278 participants of Jeddah city, Saudi Arabia. Results: The daily intake of water of the respondents was < 1000 ml in 31.7%, 1000-1999 ml in 29.9%, 2000-2999 ml in 23%, and ? 3000 ml in 15.5%. Half of them practiced exercise; among them 70.5% exercised for 4 hours or less weekly, 25.2% had exercise for 5 to 10 hours per week, and only 4.3% for more than 10 hours weekly. There were no significant differences in global PSQI as regards gender (p = 0.889), night work (p = 0.141), caffeine intake (p = 0.154), caffeine cups/day (p = 0.085), and hours of exercise/week (p = 0.345). Conclusion: It appears that the quality of sleep improves with increased water intake per day. The quality of sleep was not significantly affected by gender, night work, caffeine intake and amount, and hours of exercise per week. The general public should be educated about the benefits of adequate daily water intake, particularly those who suffer from sleep disturbances. Keywords: sleep quality; water; insomnia; alertness.

  1. Magnavita N, Garbarino S. Sleep, Health and Wellness at Work: A Scoping Review. International journal of environmental research and public health. 2017;14(11).
  2. Salminen S, Oksanen T, Vahtera J, Sallinen M, Harma M, Salo P, et al. Sleep disturbances as a predictor of occupational injuries among public sector workers. Journal of sleep research. 2010;19(1 Pt 2):207-13.
  3. Sarsour K, Kalsekar A, Swindle R, Foley K, Walsh JK. The association between insomnia severity and healthcare and productivity costs in a health plan sample. Sleep. 2011;34(4):443-50.
  4. Bixler E. Sleep and society: an epidemiological perspective. Sleep medicine. 2009;10 Suppl 1:S3-6.
  5. Reid KJ, Martinovich Z, Finkel S, Statsinger J, Golden R, Harter K, et al. Sleep: a marker of physical and mental health in the elderly. The American journal of geriatric psychiatry. 2006;14(10):860-6.
  6. Shanahan L, Copeland WE, Angold A, Bondy CL, Costello EJ. Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder. Journal of the American Academy of Child & Adolescent Psychiatry. 2014;53(5):550-8.
  7. Foti KE, Eaton DK, Lowry R, McKnight-Ely LR. Sufficient sleep, physical activity, and sedentary behaviors. American Journal of Preventive Medicine. 2011;41:596-602.
  8. Zammit GK, Weiner J, Damato N, Sillup GP, McMillan CA. Quality of life in people with insomnia. Sleep: Journal of Sleep Research & Sleep Medicine. 1999.
  9. Yoo S-S, Gujar N, Hu P, Jolesz FA, Walker MP. The human emotional brain without sleep?a prefrontal amygdala disconnect. Current Biology. 2007;17(20):R877-R8.
  10. Siegel JM. The REM sleep-memory consolidation hypothesis. Science. 2001;294(5544):1058-63.
  11. Curcio G, Ferrara M, De Gennaro L. Sleep loss, learning capacity and academic performance. Sleep medicine reviews. 2006;10(5):323-37.
  12. Patel SR, Ayas NT, Malhotra MR, White DP, Schernhammer ES, Speizer FE, et al. A prospective study of sleep duration and mortality risk in women. Sleep. 2004;27(3):440-4.
  13. Meier-Ewert HK, Ridker PM, Rifai N, Regan MM, Price NJ, Dinges DF, et al. Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk. Journal of the American College of Cardiology. 2004;43(4):678-83.
  14. Gottlieb DJ, Redline S, Nieto FJ, Baldwin CM, Newman AB, Resnick HE, et al. Association of usual sleep duration with hypertension: the Sleep Heart Health Study. Sleep. 2006;29(8):1009-14.
  15. Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et al. Sleep duration as a risk factor for diabetes incidence in a large US sample. Sleep. 2007;30(12):1667-73.
  16. Cappuccio FP, Taggart FM, Kandala N-B, Currie A, Peile E, Stranges S, et al. Meta-analysis of short sleep duration and obesity in children and adults. Sleep. 2008;31(5):619-26.
  17. Sabanayagam C, Shankar A. Sleep duration and cardiovascular disease: results from the National Health Interview Survey. Sleep. 2010;33(8):1037-42.
  18. Bixler E. Sleep and society: an epidemiological perspective. Journal of Sleep Medicine. 2009;10:S3-S6.
  19. Watson N, Badr M, Belenky G, Bliwise D, Buxton O, Buysse D. Consensus Conference Panel (2015) Joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: Methodology and discussion. J Clin Sleep Med.11:931-52.
  20. Kronholm E, Partonen T, Laatikainen T, Peltonen M, Harma M, Hublin C, et al. Trends in self-reported sleep duration and insomnia-related symptoms in Finland from 1972 to 2005: a comparative review and re-analysis of Finnish population samples. Journal of Sleep Research. 2008;17:54-62.
  21. Megdal SP, Schernhammer ES. Correlates for poor sleepers in a Los Angeles high school. Sleep medicine. 2007;9(1):60-3.
  22. Matsumoto Y, Uchimura N, Ishida T, Morimatsu Y, Mori M, Inoue M, et al. The relationship of sleep complaints risk factors with sleep phase, quality, and quantity in Japanese workers. Sleep and biological rhythms. 2017;15(4):291-7.
  23. Munezawa T, Kaneita Y, Osaki Y, Kanda H, Minowa M, Suzuki K, et al. The association between use of mobile phones after lights out and sleep disturbances among Japanese adolescents: a nationwide cross-sectional survey. Sleep. 2011;34(8):1013-20.
  24. Muzet A. Environmental noise, sleep and health. Sleep medicine reviews. 2007;11(2):135-42.
  25. Van Reen E, Roane BM, Barker DH, McGeary JE, Borsari B, Carskadon MA. Current Alcohol Use is Associated with Sleep Patterns in First-Year College Students. Sleep. 2016;39(6):1321-6.
  26. Zhang L, Samet J, Caffo B, Punjabi NM. Cigarette smoking and nocturnal sleep architecture. American journal of epidemiology. 2006;164(6):529-37.
  27. Alhazmi RS, Ahmed AAB, Alshalan MH, Alfuhigi ZD, Alhazmi SF, Aldughmi AN, et al. Prevalence of diabetes mellitus and its relation with obesity in Turaif (Saudi Arabia) in 2017. Electronic physician. 2017;9(10):5531-5.
  28. Alotaibi A, Perry L, Gholizadeh L, Al-Ganmi A. Incidence and prevalence rates of diabetes mellitus in Saudi Arabia: An overview. Journal of epidemiology and global health. 2017;7(4):211-8.
  29. Ahmed AE, Al-Jahdali F, Al AA, Abuabat F, Bin Salih SA, Al-Harbi A, et al. Prevalence of sleep duration among Saudi adults. Saudi medical journal. 2017;38(3):276-83.
  30. Pross N, Demazieres A, Girard N, Barnouin R, Metzger D, Klein A, et al. Effects of changes in water intake on mood of high and low drinkers. PloS one. 2014;9(4):e94754.
  31. PSQI developed by Buysse,D.J., Reynolds,C.F., Monk,T.H., Berman,S.R., and Kupfer,D.J. of the University of Pittsburgh using National Institute of Mental Health Funding.?Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ:?Psychiatry Research, 28:193-213, 1989.
  32. Miller ME, Cosgriff J, Forbes GB. Bromide space determination using anion-exchange chromatography for measurement of bromide. The American journal of clinical nutrition. 1989;50(1):168-71.
  33. Gudivaka R, Schoeller D, Kushner RF. Effect of skin temperature on multifrequency bioelectrical impedance analysis. Journal of Applied Physiology. 1996;81(2):838-45.
  34. Vaisman N, Pencharz PB, Koren G, Johnson JK. Comparison of oral and intravenous administration of sodium bromide for extracellular water measurements. The American journal of clinical nutrition. 1987;46(1):1-4.
  35. Maw GJ, MacKenzie IL, Comer D, Taylor N. Whole-body hyperhydration in endurance-trained males determined using radionuclide dilution. Medicine and science in sports and exercise. 1996;28(8):1038-44.
  36. Fairbanks VF, Klee GG, Wiseman GA, Hoyer JD, Tefferi A, Petitt RM, et al. Measurement of blood volume and red cell mass: re-examination of 51 Cr and 125 I methods. Blood Cells, Molecules, and Diseases. 1996;22(2):169-86.
  37. Shirreffs SM, Merson SJ, Fraser SM, Archer DT. The effects of fluid restriction on hydration status and subjective feelings in man. British Journal of Nutrition. 2004;91(6):951-8.
  38. Szinnai G, Schachinger H, Arnaud MJ, Linder L, Keller U. Effect of water deprivation on cognitive-motor performance in healthy men and women. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology. 2005;289(1):R275-R80.
  39. Petri NM, Dropulić N, Kardum G. Effects of voluntary fluid intake deprivation on mental and psychomotor performance. Croatian medical journal. 2006;47(6):0-861.
  40. Ganio MS, Armstrong LE, Casa DJ, McDermott BP, Lee EC, Yamamoto LM, et al. Mild dehydration impairs cognitive performance and mood of men. British Journal of Nutrition. 2011;106(10):1535-43.
  41. Armstrong LE, Ganio MS, Casa DJ, Lee EC, McDermott BP, Klau JF, et al. Mild Dehydration Affects Mood in Healthy Young Women, 2. The Journal of nutrition. 2011;142(2):382-8.
  42. Pross N, Demazi?res A, Girard N, Barnouin R, Metzger D, Klein A, et al. Effects of changes in water intake on mood of high and low drinkers. PLoS One. 2014;9(4):e94754.
  43. Groeger JA, Zijlstra FR, Dijk DJ. Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some 2000 British adults. J Sleep Res. 2004;13.
  44. Sweileh WM, Ali IA, Sawalha AF, Abu-Taha AS, Zyoud SeH, Al-Jabi SW. Sleep habits and sleep problems among Palestinian students. Child and Adolescent Psychiatry and Mental Health. 2011;5(1):25.
  45. Ban DJ, Lee TJ. Sleep duration, subjective sleep disturbances and associated factors among university students in Korea. J Korean Med Sci. 2001;16.
  46. Joo S, Shin C, Kim J. Prevalence and correlates of excessive daytime sleepiness in high school students in Korea. Psychiatry Clin Neurosci. 2005;59.
  47. Ghanizadeh A, Kianpoor M, Rezaei M. Sleep patterns and habits in high school students in Iran. Annals of General Psychiatry. 2008;7:5.
  48. Loessl G, Valerius G, Kopasz M, Hornyak M, Riemann D, Voderholzer U. Are adolescents chronically sleep-deprived? An investigation of sleep habits of adolescents in the Southwest of Germany. Child Care Health Dev. 2008;34.
  49. Tsui Y, Wing Y. A study on the sleep patterns and problems of university business students in Hong Kong. Journal of American college health. 2009;58(2):167-76.
  50. Oluwole OS. Sleep habits in Nigerian undergraduates. Acta Neurol Scand. 2010;121.
  51. Al-Hazzaa HM, Musaiger AO, Abahussain NA, Al-Sobayel HI, Qahwaji DM. Prevalence of short sleep duration and its association with obesity among adolescents 15-to 19-year olds: A cross-sectional study from three major cities in Saudi Arabia. Annals of thoracic medicine. 2012;7(3):133.
  52. Ahmed AE, Al-Jahdali F, AlALwan A, Abuabat F, Salih SB, Al-Harbi A, et al. Prevalence of sleep duration among Saudi adults. Saudi medical journal. 2017;38(3):276.
  53. Resnick HE, Redline S, Shahar E, Gilpin A, Newman A, Walter R, et al. Diabetes and sleep disturbances. Diabetes care. 2003;26(3):702-9.
  54. Tuomilehto H, Peltonen M, Partinen M, Sepp? J, Saaristo T, Korpi-Hy?v?lti E, et al. Sleep duration is associated with an increased risk for the prevalence of type 2 diabetes in middle-aged women?The FIN-D2D survey. Sleep medicine. 2008;9(3):221-7.
  55. Liu Y. Prevalence of healthy sleep duration among adults?United States, 2014. MMWR Morbidity and mortality weekly report. 2016;65.
  56. Trockel MT, Barnes MD, Egget DL. Health-related variables and academic performance among first-year college students: implications for sleep and other behaviors. Journal of American college health. 2000;49(3):125-31.
  57. Chung KF, Tang MK. Subjective sleep disturbance and its correlates in middle-aged Hong Kong Chinese women. Maturitas. 2006;53(4):396-404.
  58. Stein MB, Belik S-L, Jacobi F, Sareen J. Impairment associated with sleep problems in the community: relationship to physical and mental health comorbidity. Psychosomatic Medicine. 2008;70(8):913-9.
  59. Yao K-W, Yu S, Cheng S-P, Chen I-J. Relationships between personal, depression and social network factors and sleep quality in community-dwelling older adults. Journal of Nursing Research. 2008;16(2):131-9.
  60. Yang C-M, Wu C-H, Hsieh M-H, Liu M-H, Lu F-H. Coping with sleep disturbances among young adults: a survey of first-year college students in Taiwan. Behavioral medicine. 2003;29(3):133-8.
  61. Suen LK, Ellis Hon K, Tam WW. Association between Sleep Behavior and Sleep‐Related Factors among University Students in Hong Kong. Chronobiology international. 2008;25(5):760-75.
  62. Cheng SH, Shih C-C, Lee IH, Hou Y-W, Chen KC, Chen K-T, et al. A study on the sleep quality of incoming university students. Psychiatry research. 2012;197(3):270-4.
  63. Feng G, Chen J, Yang X. Study on the status and quality of sleep-related influencing factors in medical college students. Zhonghua liu xing bing xue za zhi= Zhonghua liuxingbingxue zazhi. 2005;26(5):328-31.
  64. Suen LK, Hon KL, Tam WW. Association between sleep behavior and sleep related factors among university students in Hong Kong. Chronobiology International. 2008;25:760-75.
  65. Rogers PJ, Kainth A, Smit H. A drink of water can improve or impair mental performance depending on small differences in thirst. Appetite. 2001;36(1):57-8.
  66. Neave N, Scholey A, Emmett J, Moss M, Kennedy D, Wesnes K. Water ingestion improves subjective alertness, but has no effect on cognitive performance in dehydrated healthy young volunteers. Appetite. 2001;37(3):255-6.
  67. Bruce M, Lader M. Caffeine: Clinical and experimental effects in humans. Human Psychopharmacology: Clinical and Experimental. 1986;1(2):63-82.
  68. Wurzner H. Action du caf? sur les performances humaines. Caf?, Cacao, Th? (Francia) v 32 (1) p 49-56. 1988.
  69. Deckert J, Gleiter CH. Adenosinergic psychopharmaceuticals: just an extra cup of coffee? Journal of Psychopharmacology. 1990;4(4):183-7.
  70. Barone JJ, Roberts HR. Caffeine consumption. Food Chem Toxicol. 1996;34:119-29.
  71. Engleman H, Ronald P, Shapiro C, editors. The effect of caffeine and sleep deprivation on daytime performance. Xth European Congress on Sleep Research, Strasbourg, France; 1990.
  72. Smith JM, Misiak H. Critical flicker frequency (CFF) and psychotropic drugs in normal human subjects?a review. Psychopharmacology. 1976;47(2):175-82.
  73. Curless R, French J, James O, Wynne H. Is caffeine a factor in subjective insomnia of elderly people? Age and ageing. 1993;22(1):41-5.
  74. Penetar D, McCann U, Thorne D, Kamimori G, Galinski C, Sing H, et al. Caffeine reversal of sleep deprivation effects on alertness and mood. Psychopharmacology. 1993;112(2-3):359-65.
  75. Hindmarch I, Rigney U, Stanley N, Quinlan P, Rycroft J, Lane J. A naturalistic investigation of the effects of day-long consumption of tea, coffee and water on alertness, sleep onset and sleep quality. Psychopharmacology. 2000;149(3):203-16.
  76. Sin CW, Ho JS, Chung JW. Systematic review on the effectiveness of caffeine abstinence on the quality of sleep. Journal of Clinical Nursing. 2009;18(1):13-21.
  77. Snel J. Coffee and caffeine: Sleep and wakefulness. Raven Press, New York; 1993.
  78. Zwyghuizen-Doorenbos A, Roehrs TA, Lipschutz L, Timms V, Roth T. Effects of caffeine on alertness. Psychopharmacology. 1990;100(1):36-9.
  79. Youngstedt SD, Perlis ML, O'Brien PM, Palmer CR, Smith MT, Orff HJ, et al. No association of sleep with total daily physical activity in normal sleepers. Physiology & behavior. 2003;78(3):395-401.
  80. Benefice E, Garnier D, Ndiaye G. Nutritional status, growth and sleep habits among Senegalese adolescent girls. European journal of clinical nutrition. 2004;58(2):292-301.
  81. Nixon GM, Thompson JM, Han DY, Becroft DM, Clark PM, Robinson E, et al. Short sleep duration in middle childhood: risk factors and consequences. Sleep. 2008;31(1):71-8.
  82. Ortega FB, Ruiz JR, Labayen I, Kwak L, Harro J, Oja L, et al. Sleep duration and activity levels in Estonian and Swedish children and adolescents. European journal of applied physiology. 2011;111(10):2615-23.
  83. Al-Hazzaa HM, Al-Ahmadi M. A Self-reported questionnaire for the assessment of physical activity in youth 15-25 years: development, reliability and construct validity. Arab Journal of Food & Nutrition. 2003;4:279-91.
  84. Tanaka H, Taira K, Arakawa M, Masuda A, Yamamoto Y, Komoda Y, et al. An examination of sleep health, lifestyle and mental health in junior high school students. Psychiatry Clin Neurosci. 2002;56(3):235-6.
  85. Hitze B, Bosy-Westphal A, Bielfeldt F, Settler U, Plachta-Danielzik S, Pfeuffer M, et al. Determinants and impact of sleep duration in children and adolescents: data of the Kiel Obesity Prevention Study. European journal of clinical nutrition. 2009;63(6):739-46.
  86. Brand S, Gerber M, Beck J, Hatzinger M, P?hse U, Holsboer-Trachsler E. High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: a comparison of athletes and controls. The Journal of Adolescent Health. 2010;46:133-41.
  87. McKnight-Eily LR, Eaton DK, Lowry R, Croft JB, Presley-Cantrell L, Perry GS. Relationships between hours of sleep and health-risk behaviors in US adolescent students. Preventive Medicine. 2011;53:271-3.
  88. Tsai L-L, Li S-P. Sleep patterns in college students: Gender and grade differences. Journal of psychosomatic research. 2004;56(2):231-7.
  89. Lindberg E, Janson C, Gislason T, Bj?rnsson E, Hetta J, Boman G. Sleep disturbances in a young adult population: can gender differences be explained by differences in psychological status? Sleep. 1997;20(6):381-7.
  90. Ohida T, Osaki Y, Doi Y, Tanihata T, Minowa M, Suzuki K, et al. An epidemiologic study of self-reported sleep problems among Japanese adolescents. Sleep. 2004;27(5):978-85.
  91. Fischer FM, Nagai R, Teixeira LR. Explaining Sleep Duration in Adolescents: The Impact of Socio‐Demographic and Lifestyle Factors and Working Status. Chronobiology international. 2008;25(2-3):359-72.
  92. Xiang Y-T, Ma X, Cai Z-J, Li S-R, Xiang Y-Q, Guo H-L, et al. The prevalence of insomnia, its sociodemographic and clinical correlates, and treatment in rural and urban regions of Beijing, China: a general population-based survey. Sleep. 2008;31(12):1655-62.
  93. Al-Hazzaa HM, Musaiger AO, Abahussain NA, Al-Sobayel HI, Qahwaji DM. Lifestyle correlates of self-reported sleep duration among Saudi adolescents: a multicentre school-based cross-sectional study. Child Care Health Dev. 2014;40(4):533-42.

[Mohammad A. Zwawy, Faisal A. Al-Husayni, Samer A. Alamri, Mahmoud F. Qutub, Rakan M. Aljedaani, Abdulaziz A. Al-Zahrani and Khulood A. Al-Siary. (2018); ASSOCIATION BETWEEN AMOUNT OF WATER INTAKE AND QUALITY OF SLEEP IN ADULTS - JEDDAH, SAUDI ARABIA. Int. J. of Adv. Res. 6 (Jan). 511-520] (ISSN 2320-5407). www.journalijar.com

Mohammad Adil Zwawy
King Saud bin Abdulaziz Uiniversity for Health Sciences – Jeddah, Saudi Arabia

DOI:

Article DOI: 10.21474/IJAR01/6251      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6251

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