Sleep during, overweight and obesity in adolescence: a systematic review.

Introduction: In adolescence, intense social and school demands, hormonal changes that modify the circadian rhythms and the overuse of electronic equipments causes an inadequate sleep duration to adolescents. Studies have linked short sleep duration with the increase odds to have overweight and obesity. Objective: To identify articles that analyzed relationship between inadequate sleep time and overweight and obesity in adolescents. Method: It was done a research on Bireme (Lilacs and MEDLINE), PubMed, Scielo and Ibecs for two independents researchers using Portuguese and English keywords: “sleep”, “sleep duration”, “adolescence”, “obesity” and “overweigh”. It was considerated as inclusion criteria: sample with 10-19-year adolescents, original articles between 2002 and 2013 in Portuguese and English. Therefore, it was excluded review articles, thesis, dissertations and monographs. Results: The initial Electronic search resulted in 663 articles and, after process of article select with read of titles, resumes and the complete form, it was selected 15 articles. Conclusion: Inadequate levels of sleep duration are associated with increase of overweight and obesity in adolescents.

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ASSOCIATION BETWEEN SHORT SLEEP DURATION AND OBESITY IN MEDICAL STUDENTS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i1.15067 ◽

2016 ◽

Vol 10 (1) ◽

pp. 242 ◽

Cited By ~ 1

Author(s):

Tapaswini Mishra ◽

Dipti Mohapatra ◽

Manasi Behera ◽

Srimannarayan Mishra

Keyword(s):

Body Mass Index ◽

Medical Students ◽

Waist Circumference ◽

Sleep Duration ◽

Body Mass ◽

Overweight And Obesity ◽

The Body ◽

Short Sleep Duration ◽

Short Sleep ◽

Obese Class

ABSTRACTObjective: Adequate sleep has been considered important for the adolescent’s health and well-being. On the other hand, self-imposed sleepcurtailment is now recognized as a potentially important and novel risk factor for obesity. The objective of the study is to find the association betweenshort sleep duration and obesity (by calculating the body mass index [BMI]) among medical students.Methods: The study was conducted on 100 medical students. A brief history of sleep duration was taken. The height and weight were taken and thebody mass index (BMI) was calculated by formula weight in kg / height in m. Based on the BMI criteria the students were classified into six groups:Underweight, normal, overweight, obese class I, obese class II and obese III. The waist circumference (WC) was also taken. The data obtained werestatistically analysed by ANOVA test and the p < 0.5 was considered significant.2Results: The present cross-sectional study showed that there is an association between short sleep duration and obesity which was highly significant(p<0.001). This study also shows that there is an association between short sleep duration and waist circumference which was also highly significant(p<0.001).Conclusion: The present study observed a high association of short sleep duration among medical students of IMS and SUM Hospital and that shortsleep duration was significantly associated with increased risk of overweight and obesity. We should further investigate whether adults adopting ahealthy lifestyle with short sleep duration would improve their sleeping habits or not.Keywords: Sleep duration, Body mass index, Waist circumference, Obesity.

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Short sleep duration is independently associated with overweight and obesity in Canadian children

Canadian Journal of Diabetes ◽

10.1016/s1499-2671(11)52027-1 ◽

2011 ◽

Vol 35 (2) ◽

pp. 143-144 ◽

Cited By ~ 3

Author(s):

J.P. Chaput ◽

M. Lambert ◽

K. Gray-Donald ◽

J.J. McGrath ◽

M.S. Tremblay ◽

...

Keyword(s):

Sleep Duration ◽

Overweight And Obesity ◽

Short Sleep Duration ◽

Short Sleep

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Insomnia and sleep state misperception: Clinical features, diagnosis, management and implications

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1696 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s853-s853

Author(s):

J. Isaac ◽

C. Santos ◽

A. Matos Pires

Keyword(s):

Sleep Duration ◽

Clinical Features ◽

Mental Disease ◽

Sleep Time ◽

Sleep State ◽

Short Sleep Duration ◽

Short Sleep ◽

Psychological Therapies ◽

Normal Sleep ◽

Competing Interest

BackgroundInsomnia is a highly prevalent complaint, largely associated with mental disease. Clinical evidence classifies insomnia in 2 subtypes: with sleep misperception (WSM) and without sleep misperception (wSM). That presents distinctive pathophysiologic pathways and different public health implications.ObjectivesDescribe the main differences between primary insomnia WSM and wSM regarding:– clinical features;– diagnosis;– management;– implications.MethodsWe conducted a systematic review. PubMed, Embase and PsycInfo were searched from 2000–2016. The reference lists of systematic reviews, narrative synthesis and some important articles were included. Following the inclusion criteria, we selected 25 studies from 59 articles.ResultsThe prevalence of sleep-state misperception in primary insomniacs (total sleep time > 6.5 h and sleep efficiency > 85%) is around 26%. Insomniacs with normal sleep duration showed a profile of high depression and anxiety and low ego strength, whereas insomniacs with short sleep duration showed a profile of a medical disorder.Cortical hyperarousal is higher in insomniacs and could be related to an alteration in sleep protection mechanisms. The sleep architecture was relatively normal for the WSM comparing with the group wSM. Risk of cardiometabolic, neurocognitive morbidity and mortality, and responses to treatment are different between these two insomnia phenotypes. Patients with short sleep duration may respond better to biological treatments, whereas insomnia with normal sleep duration may respond primarily to psychological therapies.ConclusionsThe clinical characteristics of patients with sleep-state misperception differed from those without this condition. Available research related to these conditions is expanding rapidly, but many questions remain unanswered.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Sleep duration and sleep efficiency in UK long-distance heavy goods vehicle drivers

Occupational and Environmental Medicine ◽

10.1136/oemed-2021-107643 ◽

2021 ◽

pp. oemed-2021-107643

Author(s):

Aron Peter Sherry ◽

Stacy A Clemes ◽

Yu-Ling Chen ◽

Charlotte Edwardson ◽

Laura J Gray ◽

...

Keyword(s):

Sleep Duration ◽

Traffic Accidents ◽

Road Traffic ◽

Sleep Efficiency ◽

Short Sleep Duration ◽

Long Distance ◽

Cross Sectional ◽

Short Sleep ◽

Increased Risk ◽

Inadequate Sleep

ObjectivesTo profile sleep duration and sleep efficiency in UK long-distance heavy goods vehicle (HGV) drivers and explore demographic, occupational and lifestyle predictors of sleep.MethodsCross-sectional analyses were carried out on 329 HGV drivers (98.5% men) recruited across an international logistics company within the midland’s region, UK. Sleep duration and efficiency were assessed via wrist-worn accelerometry (GENEActiv) over 8 days. Proportions of drivers with short sleep duration (<6 hour/24 hours and <7 hour/24 hours) and inadequate sleep efficiency (<85%) were calculated. Demographic, occupational and lifestyle data were collected via questionnaires and device-based measures. Logistic regression assessed predictors of short sleep duration and inadequate sleep efficiency.Results58% of drivers had a mean sleep duration of <6 hour/24 hours, 91% demonstrated <7-hour sleep/24 hours and 72% achieved <85% sleep efficiency. Sleeping <6 hour/24 hours was less likely in morning (OR 0.45, 95% CI 0.21 to 0.94) and afternoon (OR 0.24, CI 0.10 to 0.60) shift workers (vs night) and if never smoked (vs current smokers) (OR 0.45, CI –0.22 to 0.92). The likelihood of sleeping <7 hour/24 hours reduced with age (OR 0.92, CI 0.87 to 0.98). The likelihood of presenting inadequate sleep efficiency reduced with age (OR 0.96, CI 0.93 to 0.99) and overweight body mass index category (vs obese) (OR 0.47, CI 0.27 to 0.82).ConclusionsThe high prevalence of short sleep duration and insufficient sleep quality (efficiency) rate suggest that many HGV drivers have increased risk of excessive daytime sleepiness, road traffic accidents and chronic disease. Future sleep research in UK HGV cohorts is warranted given the road safety and public health implications.

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Association of Sleep Duration and Overweight/Obesity among Children in China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17061962 ◽

2020 ◽

Vol 17 (6) ◽

pp. 1962 ◽

Cited By ~ 1

Author(s):

Jing Fan ◽

Caicui Ding ◽

Weiyan Gong ◽

Fan Yuan ◽

Yan Zhang ◽

...

Keyword(s):

Sleep Duration ◽

Family Income ◽

Multinomial Logistic Regression ◽

Continuous Variable ◽

Normal Weight ◽

Overweight And Obesity ◽

Short Sleep Duration ◽

Short Sleep ◽

Restricted Cubic Splines ◽

Positive Effect

To investigate the association of sleep duration with overweight and obesity among children aged 6 to 17 years in China, 2010–2012 data from the China National Nutrition and Health Surveillance (CNHHS) were analyzed. A total of 35,414 children were recruited in the survey. Body mass index (BMI) was converted into three categories: normal weight, overweight and obesity. In multinomial logistic regression model, sleep duration was divided into four groups: very short, short, recommended and long. In restricted cubic splines (RCS), sleep duration was examined as a continuous variable in relation to overweight and obesity. In the very short and short groups, sleep duration was a risk factor for obesity after adjusting for the potential impacts of age, gender, residence, family income, leisure sedentary behavior (SB) and leisure exercise, with OR (Odds Ratio) = 3.01 (95% CI (confidence interval): 2.19–4.15) and OR = 1.24 (95% CI: 1.14–1.35), respectively. The adjusted OR of overweight for short sleep duration relative to a recommended sleep duration was 1.17(95% CI: 1.09–1.26). No significant associations of very short sleep with overweight, of long sleep duration with overweight and obesity were found. The RCS curves between sleep duration and overweight and obesity were both inverted J-shaped. To conclude, the shorter the sleep duration, the higher the risk of overweight and obesity in children. Increasing sleep duration would have a positive effect on reducing overweight and obesity rates in Chinese children.

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1130 Insomnia Short Sleep Phenotype is Associated With Frailty in Patients With Mild Cognitive Impairment (MCI)

SLEEP ◽

10.1093/sleep/zsaa056.1124 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A430-A430

Author(s):

M Basta ◽

A Vgontzas ◽

E Koutentaki ◽

I Zaganas ◽

J Fernandez-Mendoza ◽

...

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Sleep Duration ◽

Large Population ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Sleep Time ◽

Physical And Mental Health ◽

Short Sleep Duration ◽

Short Sleep

Abstract Introduction Insomnia short sleep phenotype is associated with cardiometabolic morbidity and mortality and neuropsychological impairment. In elderly untreated insomnia is associated with worse cognitive performance. The goal of the study was to examine the association between insomnia, objective sleep duration and physical and mental health in elderly patients with Mild Cognitive Impairment (MCI). Methods A sub-sample of 105 patients with MCI (mean age: 75.9 years, males 36%) were recruited from a large population-based cohort (Cretan Aging Cohort) in the island of Crete, Greece of 3,140 elders (≥ 60yrs). All participants underwent a complete medical history/ physical examination, extensive neuropsychiatric and neuropsychological evaluation and 3-day 24hr actigraphy. Insomnia was defined based on a question “do you have insomnia for more than a year”. Frailty was assessed with the Simple “Frail” Questionnaire Screening Tool. Comparisons between patients with insomnia and without insomnia were made using ANOVA controlling for age, gender and BMI. Results MCI patients with insomnia (n=23) compared to those without insomnia (n=82), had significantly shorter objective total sleep time (TST: 377 vs. 410 min, p=0.05) and significantly higher scores on the Geriatric Depression Scale and the Hospital Anxiety Scale (both p <0.001). Furthermore, total frailty score, as well as scores in individual items, were significantly lower in MCI patients with insomnia (p<0.01). This association remained significant after controlling for demographics, depression and anxiety. Finally, there was a statistical trend of association between insomnia and hypertension (p= 0.1). Conclusion In MCI patients, insomnia is associated with objective short sleep duration, and frailty. Improving insomnia and lengthening sleep duration may decrease frailty, a major problem associated with morbidity, disability and mortality in elders with cognitive decline. Support National Strategic Reference Framework (ESPA) 2007-2013, Program: THALES, University of Crete, title: “A multi-disciplinary network for the study of Alzheimer’s Disease” (Grant: MIS 377299).

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Abstract 2455: Short Sleep Duration is an Independent Predictor of Cardiovascular Events in Hypertensive Patients

Circulation ◽

10.1161/circ.118.suppl_18.s_728-c ◽

2008 ◽

Vol 118 (suppl_18) ◽

Author(s):

Kazuo Eguchi ◽

Thomas G Pickering ◽

Joseph E Schwartz ◽

Satoshi Hoshide ◽

Joji Ishikawa ◽

...

Keyword(s):

Sleep Duration ◽

Short Duration ◽

Cardiovascular Events ◽

Sleep Time ◽

Cvd Risk ◽

Short Sleep Duration ◽

Hypertensive Patients ◽

Short Sleep ◽

Multivariable Analyses ◽

Normal Sleep

We aimed this study to test the hypothesis that short duration of sleep is independently associated with incident cardiovascular diseases (CVD) in hypertensive patients. We performed ambulatory BP monitoring (ABPM) in 1255 subjects with hypertension (mean age: 70.4 ± 9.9 years) and they were followed for an average of 50 ± 23 months. Short sleep duration was defined as <7.5 hrs (20 th percentile). Multivariable Cox hazard models predicting CVD events were used to estimate the adjusted hazard ratio (HR) and 95% CI for short sleep duration. A riser pattern was defined when average nighttime SBP exceeded daytime SBP. The end point was cardiovascular events: stroke, fatal or non-fatal myocardial infarction (MI), and sudden cardiac death. In multivariable analyses, short duration of sleep (<7.5 hrs) was associated with incident CVD (HR=1.68; 1.06 –2.66, P=.03). A synergistic interaction was observed between short sleep duration and the riser pattern (P=.089). When subjects were categorized on the basis of their sleep time and riser/non-riser patterns, the shorter sleep+riser group had a highest incidence of CVD among the 4 groups ( Figure ), and substantially and significantly higher incidence of CVD than the predominant normal sleep+non-riser group (HR=4.43; 2.09 –9.39, P<0.001), independent of covariates. Short duration of sleep is associated with incident CVD risk, and the combination of riser pattern and short duration of sleep that is most strongly predictive of future CVD, independent of ambulatory BP levels. Physicians should inquire about sleep duration in the risk assessment of hypertensive patients.

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The contribution of sleep to social inequalities in cardiovascular disorders: a multi-cohort study

Cardiovascular Research ◽

10.1093/cvr/cvz267 ◽

2019 ◽

Vol 116 (8) ◽

pp. 1514-1524 ◽

Cited By ~ 3

Author(s):

Dusan Petrovic ◽

José Haba-Rubio ◽

Carlos de Mestral Vargas ◽

Michelle Kelly-Irving ◽

Paolo Vineis ◽

...

Keyword(s):

Life Course ◽

Sleep Duration ◽

Social Inequalities ◽

Mediating Effect ◽

Cardiovascular Disorders ◽

Short Sleep Duration ◽

Occupational Position ◽

Short Sleep ◽

Increased Risk ◽

Inadequate Sleep

Abstract Aims Sleep disturbances exhibit a strong social patterning, and inadequate sleep has been associated with adverse health outcomes, including cardiovascular disorders (CVD). However, the contribution of sleep to socioeconomic inequalities in CVD is unclear. This study pools data from eight European cohorts to investigate the role of sleep duration in the association between life-course socioeconomic status (SES) and CVD. Methods and results We used cross-sectional data from eight European cohorts, totalling 111 205 participants. Life-course SES was assessed using father’s and adult occupational position. Self-reported sleep duration was categorized into recommended (6–8.5 h/night), long (>8.5 h/night), and short (<6 h/night). We examined two cardiovascular outcomes: coronary heart disease (CHD) and stroke. Main analyses were conducted using pooled data and examined the association between life-course SES and CVD, and the contribution of sleep duration to this gradient using counterfactual mediation. Low father’s occupational position was associated with an increased risk of CHD (men: OR = 1.19, 95% CI [1.04; 1.37]; women: OR = 1.25, 95% CI [1.02; 1.54]), with marginal decrease of the gradient after accounting for adult occupational position (men: OR = 1.17, 95% CI [1.02; 1.35]; women: OR = 1.22, 95% CI [0.99; 1.52]), and no mediating effect by short sleep duration. Low adult occupational position was associated with an increased risk of CHD in both men and women (men: OR = 1.48, 95% CI [1.14; 1.92]; women: OR = 1.53, 95% CI [1.04; 2.21]). Short sleep duration meaningfully contributed to the association between adult occupational position and CHD in men, with 13.4% mediation. Stroke did not exhibit a social patterning with any of the variables examined. Conclusion This study suggests that inadequate sleep accounts to a meaningful proportion of the association between adult occupational position and CHD, at least in men. With sleep increasingly being considered an important cardiovascular risk factor in its own terms, our study additionally points to its potential role in social inequalities in cardiovascular disease.

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Association between short sleep duration and overweight/obesity among middle-school students: a cross-sectional study in Fuzhou, China

10.21203/rs.3.rs-30129/v4 ◽

2021 ◽

Author(s):

Guobo Li ◽

Shichao Wei ◽

Fuhao Zheng ◽

Xingyan Xu ◽

Yingying Cai ◽

...

Keyword(s):

Middle School ◽

High School Students ◽

Sleep Duration ◽

Overweight And Obesity ◽

The Body ◽

School Students ◽

Short Sleep Duration ◽

Related Factors ◽

Short Sleep ◽

Overweight Or Obesity

Abstract Background: This study was designed to investigate the prevalence of short sleep duration and its association with overweight or obesity in adolescents from middle school in Fuzhou, China.Methods: A total of 13,063 students (male: 6,500; female: 6,553) from 18 different schools in Fuzhou city were included in this study. Questionnaires focusing on short sleep duration and overweight or obesity related factors were collected. The sleep duration was self-reported by the subjects. The body weight and height were measured by the qualified personnel. Logistic regression analysis was used to evaluate the effects of short sleep duration on overweight or obesity in school students.Results: The overall rates of overweight and obesity were 12.1% and 7.1%, respectively. The prevalence of short sleep duration among students was 82.8%. The majority of high school students (92.5%) showed a short sleep duration. Compared with male children with a sleep duration of 8-10 h per day, the odds ratios (ORs) of overweight/obesity for those with a sleep duration of less than 6 h or 6-8 h per day were 1.60 (1.22-2.09) and 1.07 (0.90-1.29) after adjusting social and demographic status, mental health and lifestyle factors. The homologous ORs of female children were 1.45 (1.04-2.04) and 1.11(0.85-1.45), respectively.Conclusions: A large number of adolescents suffered from short sleep duration. Short sleep duration is associated with a higher OR of overweight/obesity in middle-school children, especially in the male adolescences.

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