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Association between beverage quality with sleep disorders and quality of life: a cross-sectional study

European Journal of Clinical Nutrition (2025)Cite this article

Subjects

Abstract

Background/Objectives

The interplay between beverage consumption patterns and critical aspects of health, such as quality of life (QoL) and sleep disorders, has been increasingly recognized. This study is essential as it explores how the Healthy Beverage Index (HBI) and Healthy Beverage Score (HBS) relate to sleep disorders and QoL in a diverse adult population, highlighting their impact on various health aspects.

Subjects/Methods

A cross-sectional analysis was conducted using data from the Shiraz University of Medical Sciences Employees Health Cohort Study (SUMS EHCS), encompassing 3380 participants aged 20–65. Data collection included a 119-item Food Frequency Questionnaire (FFQ) and comprehensive anthropometric, lifestyle, and health-related assessments. HBI and HBS were computed to evaluate beverage consumption patterns, and their associations with sleep quality and QoL were analyzed using logistic regression models.

Results

Higher HBI scores were significantly associated with 16% improved QoL (OR: 1.16, 95% CI: 1.02–1.29, p = 0.034) and a 17% reduced risk of sleep disorders (OR = 0.83, 95% CI: 0.69–0.99, p = 0.039). However, HBS did not significantly correlate with QoL or sleep quality.

Conclusion

As indicated by higher HBI scores, the findings emphasize that promoting healthier beverage choices could enhance sleep quality and overall life satisfaction.

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Fig. 1: The size of each bar represents the statistics within a given tertile for a specific variable and is not intended for cross-comparison between different variables.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author upon reasonable request.

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Acknowledgements

We extend our heartfelt gratitude to all the participants who contributed their valuable time and effort to this study. Their participation was essential to the success of our research. We also extend a special thank you to Mehran Noori for his invaluable statistical consultation and advice, which greatly enhanced the quality and rigor of our analysis.

Funding

The Vice-Chancellor of Research and Technology of Shiraz University of Medical Sciences, Shiraz, Iran, financially supported this study. The funders had no role in the design, execution, interpretation, or writing of the study.

Author information

Authors and Affiliations

  1. Nutrition Research Center, School of Nutrition and Food Science, Shiraz University of Medical Sciences, Shiraz, Iran

    Kimia Leilami, Morteza Zare & Seyed Jalil Masoumi

  2. Clinical Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

    Seyedhassan Sadrian

  3. Department of Nutrition, Qazvin University of Medical Science, Qazvin, Iran

    Zahra Ghazimoradi

  4. Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran

    Zahra Rezaei

  5. Center for Cohort Study of SUMS Employees’ Health, Shiraz University of Medical Sciences, Shiraz, Iran

    Atefeh Torabi Ardekani

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  1. Kimia Leilami
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Contributions

KL, SM, and SS conceived the study and designed the experiments. AA, ZG and ZR conducted the experiments and collected data. MZ, SS, and KL analyzed the data. KL and SS wrote the manuscript with contributions from ZG and ZR. All authors reviewed and approved the final manuscript.

Corresponding author

Correspondence to Seyed Jalil Masoumi.

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Competing interests

The authors declare no competing interests concerning this work. Any potential conflict of interest was disclosed to the European Journal of Clinical Nutrition, and measures were taken to manage them as per the guidelines.

Ethical approval

This study was approved by the Ethics Committee of Shiraz University of Medical Sciences (SUMS), with the approval number IR.SUMS.SCHEANUT.REC1402.002. All procedures performed were under the institution’s ethical standards and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.”

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Leilami, K., Sadrian, S., Ghazimoradi, Z. et al. Association between beverage quality with sleep disorders and quality of life: a cross-sectional study. Eur J Clin Nutr (2025). https://doi.org/10.1038/s41430-025-01624-y

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