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Abstract

Background: n-3 and n-6 PUFAs have physiologic roles in sleep processes. but little is known regarding circulating n-3 and n-6 PUFA and sleep parameters.Objectives: We sought to assess associations between biomarkers of n-3 and n-6 PUFA intake with self-reported sleep duration and difficulty falling sleeping in the Fatty Acids and Outcome Research Consortium.Methods: Harmonized, de novo. individual-level analyses were performed and pooled across 12 cohorts. Participants were 35-96 y old and from 5 nations. Circulating measures included alpha-linolenic acid (ALA), EPA, docosapentaenoic acid (DPA), DHA, EPA + DPA DHA, linoleic acid, and arachidonic acid. Sleep duration (10 cohorts. n = 18.791) was categorized as short (<= 6 h), 7-8 h (reference), or long (>= 9 h). Difficulty falling asleep (8 cohorts, n = 12,500) was categorized as yes or no. Associations between PUFAs, sleep duration, and difficulty falling sleeping were assessed by cross-sectional multinomial logistic regression using standardized protocols and covariates. Cohort-specific multivariable-adjusted ORs per quintile of PUFAs were pooled with inverse-variance weighted meta-analysis.Results: In pooled analysis adjusted for sociodemographic characteristics and health status, participants with higher very long-chain n-3 PUFAs were less likely to have long sleep duration. In the top compared with the bottom quintiles. the multivariable-adjusted ORs (95% CIs) for long sleep were 0.78 (95% CI: 0.65, 0.95) for DHA and 0.76 (95% CI: 0.63, 0.93) for EPA + DPA + DHA. Significant associations for ALA and n-6 PUFA with short sleep duration or difficulty falling sleeping were not identified.Conclusions: Participants with higher concentrations of very long-chain n-3 PUFAs were less likely to have long sleep duration. While objective biomarkers reduce recall bias and misclassification, the cross-sectional design limits assessment of the temporal nature of this relation. These novel findings across 12 cohorts highlight the need for experimental and biological assessments of very long-chain n-3 PUFAs and sleep duration.

Authors

Murphy, Rachel A.;  Tintle, Nathan;  Harris, William S.;  Darvishian, Maryam;  Marklund, Matti;  Virtanen, Jyrki K.;  Hantunen, Sari;  de Mello, Vanessa D.;  Tuomilehto, Jaakko;  Lindstrom, Jaana;  Bolt, Matthew A.;  Brouwer, Ingeborg A.;  Wood, Alexis C.;  Senn, Mackenzie;  Redline, Susan;  Tsai, Michael Y.;  Gudnason, Vilmundur;  Eiriksdottir, Gudny;  Lindberg, Eva;  Shadyab, Aladdin H.;  Liu, Buyun;  Carnethon, Mercedes;  Uusitupa, Matti;  Djousse, Luc;  Riserus, Ulf;  Lind, Lars;  van Dam, Rob M.;  Koh, Woon-Puay;  Shi, Peilin;  Siscovick, David;  Lemaitre, Rozenn N.;  Mozaffarian, Dariush

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