Intra-Individual Variability in Sleep Quality Among Coffee Consumers: A Cross-Sectional Study


Authors

  • Sowmya Ramakrishnappa Faculty of Medicine, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Malaysia
  • Deepa Anbazhagan Faculty of Medicine, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Malaysia
  • Verasingam Kumarasamy Faculty of Medicine, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Malaysia
  • Vinoth Kumarasamy Faculty of Medicine, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Malaysia

DOI:

https://doi.org/10.3923/pjn.2020.146.152

Keywords:

Coffee, depression, insomnia, medical students, sleep quality

Abstract

Background and Objective: Coffee is one of the most popular beverages in the world. Caffeine contained in coffee is a stimulant that acts on adenosine receptors to prevent sleepiness and promote alertness. In this study, we investigated the effect of coffee consumption on sleep quality of undergraduate students studying medicine. Materials and Methods: A cross-sectional study and convenient sampling method was used. A total of 350 students were enrolled and data were collected via a self-administered questionnaire based on the validated Pittsburgh Sleep Quality Index (PSQI) questionnaire. Results: The majority of students (73.1%) in this study consumed coffee, with instant coffee being the most preferred type. Coffee consumption was most frequent after 8 pm and the most common volume consumed daily was between 251 and 500 mL. The volume of coffee consumed daily was related to sleep quality. Conclusion: Although, coffee consumption had a non-significant impact on the quality of sleep among the total study population, we observed a large degree of intra-individual variability in the effects of caffeine.

References

Blanchard, J. and S.J.A. Sawers, 1983. The absolute bioavailability of caffeine in man. Eur. J. Clin. Pharmacol., 24: 93-98.

Clarka, I. and H.P. Landolt, 2017. Coffee, caffeine and sleep: A systematic review of epidemiological studies and randomized controlled trials. Sleep Med. Rev., 31: 70-78.

Lloret-Linares, C., C. Lafuente-Lafuente, O. Chassany, A. Green, V. Delcey, S. Mouly and J.F. Bergmann, 2012. Does a single cup of coffee at dinner alter the sleep? A controlled cross-over randomised trial in real-life conditions. Nutr. Diet., 69: 250-255.

Sawah, M.A., N. Ruffin, M. Rimawi, C. Concerto and E. Aguglia et al., 2015. Perceived stress and coffee and energy drink consumption predict poor sleep quality in podiatric medical students. J. Am. Podiatr. Med. Assoc., 105: 429-434.

Shohet, K.L. and R.E. Landrum, 2001. Caffeine consumption questionnaire: a standardized measure for caffeine consumption in undergraduate students. Psychol. Rep., 89: 521-526.

O’Brien, M.C., T.P. McCoy, S.D. Rhodes, A. Wagoner and M. Wolfson, 2008. Caffeinated cocktails: Energy drink consumption, highâ€risk drinking, and alcoholâ€related consequences among college students. Acad. Emergency Med., 15: 453-460.

Norton, T.R., A.B. Lazev and M.J. Sullivan, 2011. The “Buzz†on caffeine: Patterns of caffeine use in a convenience sample of college students. J. Caffeine Res., 1: 35-40.

Lund, H.G., B.D. Reider, A.B. Whiting and J.R. Prichard, 2010. Sleep patterns and predictors of disturbed sleep in a large population of college students. J. Adolesc. Health, 46: 124-132.

Bryant, L.A. and A.R. Wolfson, 2010. Understanding adolescent caffeine use: connecting use patterns with expectancies, reasons and sleep. Health Educ. Behav., 37: 330-342.

Lemma, S., S.V. Patel, Y.A. Tarekegn, M.G. Tadesse, Y. Berhane, B. Gelaye and M.A. Williams, 2012. The Epidemiology of Sleep Quality, Sleep Patterns, Consumption of Caffeinated Beverages, and Khat Use among Ethiopian College Students. Sleep Disord., Vol. 2012.

Patel, N.P., M.A. Grandner, D. Xie, C.C. Branas and N. Gooneratne, 2010. "Sleep disparity" in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Public Health, Vol. 10.

Kabrita, C., T. Hajjar-Muça and J. Duffy, 2013. Predictors of poor sleep quality among Lebanese university students: association between evening typology, lifestyle behaviors and sleep habits. Nat. Sci. Sleep, 6: 11-18.

Knutson, K.L., P.J. Rathouz, L.L. Yan, K. Liu and D.S. Lauderdale, 2007. Intra-individual daily and yearly variability in actigraphically recorded sleep measures: the CARDIA study. Sleep, 30: 793-796.

Mezick, E.J., K.A. Matthews, M. Hall, T.W. Kamarck, D.J. Buysse, J.F. Owens and S.E. Reis, 2009. Corrigendum to “Intra-individual variability in sleep duration and fragmentation: Associations with stress†[Psychoneuroendocrinology 34 (2009) 1346-1354]. Psychoneuroendocrinology, 34: 1346-1354.

Okun, M.L., C.F. Reynolds, D.J. Buysse, T.H. Monk, S. Mazumdar, A. Begley and M. Hall, 2011. Sleep variability, health-related practices, and inflammatory markers in a community dwelling sample of older adults. Psychosom. Med., 73: 142-150.

Roehrs, T. and T. Roth, 2008. Caffeine: Sleep and daytime sleepiness. Sleep Med. Rev., 12: 153-162.

Calamaro, C.J., T.B.A. Mason and S.J. Ratcliffe, 2009. Adolescents living the 24/7 lifestyle: Effects of caffeine and technology on sleep duration and daytime functioning. Pediatrics, 123: 1005-1010.

Cole, J.C., S.J. Motivala, D.J. Buysse, M.N. Oxman, M.J. Levin and M.R. Irwin, 2006. Validation of a 3-factor scoring model for the Pittsburgh sleep quality index in older adults. Sleep, 29: 112-116.

O'Keefe, J.H., S.K. Bhatti, H.R. Patil, J.J. DiNicolantonio, S.C. Lucan and C.J. Lavie, 2013. Effects of habitual coffee consumption on cardiometabolic disease, cardiovascular health and all-cause mortality. J. Am. Coll. Cardiol., 62: 1043-1051.

Jose, R., C.A. Gore, J.J. Plathottam, M.S. Priyanka and H.K. Nikitha, 2016. Depression and insomnia among medical students in Bengaluru, India. Int. J. Preventive Public Health Sci., 2: 22-24.

Demura, S., H. Aoki, T. Mizusawa, K. Soukura, M. Noda and T. Sato, 2013. Gender differences in coffee consumption and its effects in young people. Food Nutr. Sci., 4: 748-757.

Gaultney, J.F., 2010. The prevalence of sleep disorders in college students: Impact on academic performance. J. Am. Coll. Health, 59: 91-97.

Cornelis, M.C., T. Kacprowski, C. Menni, S. Gustafsson and Edward Pivin et al., 2016. Genome-wide association study of caffeine metabolites provides new insights to caffeine metabolism and dietary caffeine-consumption behavior. Hum. Mol. Genet., 25: 5472-5482.

Goldstein, A. and S. Kaizer, 1969. Psychotropic effects of caffeine in man. III. A questionnaire survey of coffee drinking and its effects in a group of housewives. Clin. Pharmacol. Ther., 10: 477-488.

Hughes, J.R., S.T. Higgins, W.K. Bickel, W.K. Hunt, J.W. Fenwick, S.B. Gulliver and G.C. Mireault, 1991. Caffeine self-administration, withdrawal and adverse effects among coffee drinkers. Arch. Gen. Psychiatry, 48: 611-617.

Treur, J.L., M. Gibson, A.E. Taylor, P.J. Rogers and M.R. Munafò, 2018. Investigating genetic correlations and causal effects between caffeine consumption and sleep behaviours. J. Sleep Res., Vol. 38, No. 5.

Watson, E.J., A.M. Coates, M. Kohler and S. Banks, 2016. Caffeine consumption and sleep quality in Australian adults. Nutrients, Vol. 8, No. 8.

Gan, S.H., R. Norzihana and M. Norman, 2009. Dual effects of low and high dose caffeine. Latin Am. J. Pharm., 28: 465-469.

Chaudhary, N.S., M.A. Grandner, N.J. Jackson and S. Chakravorty, 2016. Caffeine consumption, insomnia, and sleep duration: Results from a nationally representative sample. Nutrition, 32: 1193-1199.

Brick, C.A., D.L. Seely and T.M. Palermo, 2010. Association between sleep hygiene and sleep Quality in Medical students. Behav. Sleep Med., 8: 113-121.

Lund, H.G., B.D. Reider, A.B. Whiting and J.R. Prichard, 2010. Sleep patterns and predictors of disturbed sleep in a large population of college students. J. Adolesc. Health, 46: 124-132.

Kerpershoek, M.L., N. Antypa, J.F.V.d. Berg, 2018. Evening use of caffeine moderates the relationship between caffeine consumption and subjective sleep quality in students. J. Sleep Res.

Downloads

Published

15.02.2020

Issue

Section

Research Article

How to Cite

Ramakrishnappa, S., Anbazhagan, D., Kumarasamy, V., & Kumarasamy, V. (2020). Intra-Individual Variability in Sleep Quality Among Coffee Consumers: A Cross-Sectional Study. Pakistan Journal of Nutrition, 19(3), 146–152. https://doi.org/10.3923/pjn.2020.146.152

Most read articles by the same author(s)

  • Saeid Reza Doustjalali, Kumar Raghav Gujjar, Ratika Sharma, M. Nurfatiha, R. Nur Firzanah, M.K. Muhamad Syukri, W.A. Napatr, T.K.Z. Nurul Syahirah, Karim Al-Jashamy, Mohammed Irfan, Magdi El-Sersi, Khin Thant Zin, Nyan Htain Linn, Wai Ma Lin, Vinothini Appalanaidu, Samiah Yasmin Abdul Kadir, Rohaini Mohamad, Wong Ah-Chin, Ahmad Yusuf, S.Y. Rebecca Wong, Vinoth Kumarasamy, Jeyaseelan Nadankutty, S.F. Nazrila Suhaimi, Hlaing Thaw Dar, Myo Nandar Htwe, M.H.M. Nazmul, Ahmad Taha Khalaf, Htet Htet, Saw Ai Yong, Munira Bhuiyan, P.W.T. Christinal, Sami Abdo Radman Al-Dubai, Fidel Fernandez, A.E. Muftah, Seyyed Amirhossein Mirhasheminasab, Marzalina Mansor, Negar Shafiei Sabet, Correlation Between Body Mass Index (BMI) and Waist to Hip Ratio (WHR) among Undergraduate Students , Pakistan Journal of Nutrition: Vol. 15 No. 7 (2016)
  • Saeid Reza Doustjalali, Hlaing Thaw Dar, Khin Thant Zin, Kumar Raghav Gujjar, Ratika Sharma, Nabil Nuraiman Jasman, Waseem Bhaukaurally, Fatoumatta Laibo Sisay, Lim Sook Jin, Izyan Yusoff Hilmy, Ye Kyaw Lwin, Karim Al-Jashamy, Mohammed Irfan, Magdi El Sersi, Nyan Htain Linn, Wai Ma Lin, Vinothini Appalanaidu, Samiah Yasmin Abdul Kadir, Rohaini Mohamad, Wong Ah-Chin, Ahmad Yusuf, Rebecca SY Wong, Vinoth Kumarasamy, Jeyaseelan Nadankutty, Nazrila SF Suhaimi, Christinal PWT, Myo Nandar Htwe, Ahmad Taha Khalaf, Htet Htet, Saw Ai Yong, Munira Bhuiyan, Sami Abdo Radman Al-dubai, Fidel Fernandez, A.E. Muftah, Seyyed Amirhossein Mirhasheminasab, Marzalina Mansor, Negar Shafiei Sabet, Correlation Between Body Mass Index (BMI) and Fasting Total Blood Cholesterol Level among Undergraduate Students , Pakistan Journal of Nutrition: Vol. 15 No. 9 (2016)