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Poor sleep quality associated with obesity in men

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Abstract

Objective

The objective of this study is to examine the association between sleep quality and obesity status.

Methods

A cross-sectional study of 3225 Chinese participants aged 18 to 65 years was conducted in Beijing in 2007. Body mass index (BMI) was classified according to the Working Group on Obesity in China, and sleep quality was assessed by the modified Pittsburg Sleep Quality Index questionnaire. Logistic regression models were applied to estimate the odds ratios (OR) and 95 % CIs of obesity by sleep quality adjusted for potential confounders. Two sets of potential confounders were used in the adjusted models. Model 1 was adjusted for sex and age. Model 2 was further adjusted for education level, occupation, marriage status, smoking, alcohol consumption, body pain, and health status.

Results

Poor sleep quality was significantly negatively associated with overweight/obesity in men but not in women. Additional adjustment for education level, occupation, marriage status, smoking, alcohol consumption, body pain, and health status did not attenuate the association (OR = 1.41 with 95 % CI 1.03–1.93; P < 0.05) among men. The adjusted OR per sleep quality score hour was 1.07 (1.01–1.14) for overweight/obesity, suggesting that for one score increase in sleep quality, obesity/overweight risk increased by 7 % in men.

Conclusion

Sleep quality was negatively associated with overweight/obesity in Chinese men but not in women.

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References

  1. Suen LK, Hon KL, Tam WW (2008) Association between sleep behavior and sleep-related factors among university students in Hong Kong. Chronobiol Int 25(5):760–775. doi:10.1080/07420520802397186

    Article  PubMed  Google Scholar 

  2. Lao XQ, Ma WJ, Sobko T, Zhang YH, Xu YJ, Xu XJ, Yu DM, Nie SP, Cai QM, Xia L, Thomas GN, Griffiths SM (2014) Overall obesity is leveling off while abdominal obesity continues to rise in a Chinese population experiencing rapid economic development: analysis of serial cross-sectional health survey data 2002–2010. Int J Obes (Lond). doi:10.1038/ijo.2014.95

    Google Scholar 

  3. Chen DR, Truong KD, Tsai MJ (2013) Prevalence of poor sleep quality and its relationship with body mass index among teenagers: evidence from Taiwan. J Sch Health 83(8):582–588. doi:10.1111/josh.12068

    Article  PubMed  Google Scholar 

  4. Gupta NK, Mueller WH, Chan W, Meininger JC (2002) Is obesity associated with poor sleep quality in adolescents? Am J Hum Biol 14(6):762–768. doi:10.1002/ajhb.10093

    Article  PubMed  Google Scholar 

  5. Yan Z, Chang-Quan H, Zhen-Chan L, Bi-Rong D (2012) Association between sleep quality and body mass index among Chinese nonagenarians/centenarians. Age (Dordr) 34(3):527–537. doi:10.1007/s11357-011-9251-3

    Article  Google Scholar 

  6. Gonnissen HK, Adam TC, Hursel R, Rutters F, Verhoef SP, Westerterp-Plantenga MS (2013) Sleep duration, sleep quality and body weight: parallel developments. Physiol Behav 121:112–116. doi:10.1016/j.physbeh.2013.04.007

    Article  CAS  PubMed  Google Scholar 

  7. Van Cauter E, Leproult R, Plat L (2000) Age-related changes in slow wave sleep and REM sleep and relationship with growth hormone and cortisol levels in healthy men. JAMA 284(7):861–868

    Article  PubMed  Google Scholar 

  8. Deurenberg P, Weststrate JA, Seidell JC (1991) Body mass index as a measure of body fatness: age- and sex-specific prediction formulas. Br J Nutr 65(2):105–114

    Article  CAS  PubMed  Google Scholar 

  9. Kim M (2015) Association between objectively measured sleep quality and obesity in community-dwelling adults aged 80 years or older: a cross-sectional study. J Korean Med Sci 30(2):199–206. doi:10.3346/jkms.2015.30.2.199

    Article  PubMed  PubMed Central  Google Scholar 

  10. Gildner TE, Liebert MA, Kowal P, Chatterji S, Snodgrass JJ (2014) Associations between sleep duration, sleep quality, and cognitive test performance among older adults from six middle income countries: results from the Study on Global Ageing and Adult Health (SAGE). J Clin Sleep Med 10(6):613–621. doi:10.5664/jcsm.3782

    PubMed  PubMed Central  Google Scholar 

  11. Valentine RJ, McAuley E, Vieira VJ, Baynard T, Hu L, Evans EM, Woods JA (2009) Sex differences in the relationship between obesity, C-reactive protein, physical activity, depression, sleep quality and fatigue in older adults. Brain Behav Immun 23(5):643–648. doi:10.1016/j.bbi.2008.12.003

    Article  CAS  PubMed  Google Scholar 

  12. Bidulescu A, Din-Dzietham R, Coverson DL, Chen Z, Meng YX, Buxbaum SG, Gibbons GH, Welch VL (2010) Interaction of sleep quality and psychosocial stress on obesity in African Americans: the Cardiovascular Health Epidemiology Study (CHES). BMC Public Health 10:581. doi:10.1186/1471-2458-10-581

    Article  PubMed  PubMed Central  Google Scholar 

  13. Hung HC, Yang YC, Ou HY, Wu JS, Lu FH, Chang CJ (2013) The association between self-reported sleep quality and overweight in a Chinese population. Obesity (Silver Spring) 21(3):486–492. doi:10.1002/oby.20259

    Article  Google Scholar 

  14. Jennings JR, Muldoon MF, Hall M, Buysse DJ, Manuck SB (2007) Self-reported sleep quality is associated with the metabolic syndrome. Sleep 30(2):219–223

    PubMed  Google Scholar 

  15. Javaheri S, Storfer-Isser A, Rosen CL, Redline S (2008) Sleep quality and elevated blood pressure in adolescents. Circulation 118(10):1034–1040. doi:10.1161/circulationaha.108.766410

    Article  PubMed  PubMed Central  Google Scholar 

  16. Lou P, Chen P, Zhang L, Zhang P, Chang G, Zhang N, Li T, Qiao C (2014) Interaction of sleep quality and sleep duration on impaired fasting glucose: a population-based cross-sectional survey in China. BMJ Open 4(3), e004436. doi:10.1136/bmjopen-2013-004436

    Article  PubMed  PubMed Central  Google Scholar 

  17. Bei-Fan Z (2002) Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults: study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Asia Pac J Clin Nutr 11(Suppl 8):S685–693

    Article  Google Scholar 

  18. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213

    Article  CAS  PubMed  Google Scholar 

  19. Liu X, Liu L (2005) Sleep habits and insomnia in a sample of elderly persons in China. Sleep 28(12):1579–1587

    PubMed  Google Scholar 

  20. Chung KF, Tang MK (2006) Subjective sleep disturbance and its correlates in middle-aged Hong Kong Chinese women. Maturitas 53(4):396–404. doi:10.1016/j.maturitas.2005.07.001

    Article  PubMed  Google Scholar 

  21. Valrie CR, Bond K, Lutes LD, Carraway M, Collier DN (2014) Relationship of sleep quality, baseline weight status, and weight-loss responsiveness in obese adolescents in an immersion treatment program. Sleep Med. doi:10.1016/j.sleep.2014.11.007

    PubMed  PubMed Central  Google Scholar 

  22. Filiatrault ML, Chaput JP, Drapeau V, Tremblay A (2014) Eating behavior traits and sleep as determinants of weight loss in overweight and obese adults. Nutrition Diabetes 4, e140. doi:10.1038/nutd.2014.37

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kutner NG, Bliwise DL, Zhang R (2004) Linking race and well-being within a biopsychosocial framework: variation in subjective sleep quality in two racially diverse older adult samples. J Health Soc Behav 45(1):99–113

    Article  PubMed  Google Scholar 

  24. Perry AC, Martin L (2014) Race differences in obesity and its relationship to the sex hormone milieu. Hormone Mol Biol Clin Investig 19(3):151–161. doi:10.1515/hmbci-2014-0004

    Article  CAS  Google Scholar 

  25. Vargas PA, Flores M, Robles E (2014) Sleep quality and body mass index in college students: the role of sleep disturbances. J Am Coll Health:0. doi:10.1080/07448481.2014.933344

  26. Yeh SS, Brown RF (2014) Disordered eating partly mediates the relationship between poor sleep quality and high body mass index. Eat Behav 15(2):291–297. doi:10.1016/j.eatbeh.2014.03.014

    Article  PubMed  Google Scholar 

  27. Tranah GJ, Parimi N, Blackwell T, Ancoli-Israel S, Ensrud KE, Cauley JA, Redline S, Lane N, Paudel ML, Hillier TA, Yaffe K, Cummings SR, Stone KL (2010) Postmenopausal hormones and sleep quality in the elderly: a population based study. BMC Womens Health 10:15. doi:10.1186/1472-6874-10-15

    Article  PubMed  PubMed Central  Google Scholar 

  28. Bagnoli VR, Fonseca AM, Arie WM, Das Neves EM, Azevedo RS, Sorpreso IC, Soares Junior JM, Baracat EC (2014) Metabolic disorder and obesity in 5027 Brazilian postmenopausal women. Gynecol Endocrinol:1-4. doi:10.3109/09513590.2014.925869

  29. Tom SE, Berenson AB (2013) Associations between poor sleep quality and psychosocial stress with obesity in reproductive-age women of lower socioeconomic status. Womens Health Issues 23(5):e295–300. doi:10.1016/j.whi.2013.06.002

    Article  PubMed  PubMed Central  Google Scholar 

  30. Vgontzas AN, Bixler EO, Chrousos GP (2006) Obesity-related sleepiness and fatigue: the role of the stress system and cytokines. Ann N Y Acad Sci 1083:329–344. doi:10.1196/annals.1367.023

    Article  CAS  PubMed  Google Scholar 

  31. Harada Y, Oga T, Chihara Y, Azuma M, Murase K, Toyama Y, Aihara K, Tanizawa K, Yoshimura C, Hitomi T, Handa T, Tsuboi T, Mishima M, Chin K (2014) Differences in associations between visceral fat accumulation and obstructive sleep apnea by sex. Ann Am Thorac Soc 11(3):383–391. doi:10.1513/AnnalsATS.201306-182OC

    Article  PubMed  Google Scholar 

  32. Zhang J, Ma RC, Kong AP, So WY, Li AM, Lam SP, Li SX, Yu MW, Ho CS, Chan MH, Zhang B, Wing YK (2011) Relationship of sleep quantity and quality with 24-hour urinary catecholamines and salivary awakening cortisol in healthy middle-aged adults. Sleep 34(2):225–233

    CAS  PubMed  PubMed Central  Google Scholar 

  33. Zhang J, Lam SP, Li SX, Ma RC, Kong AP, Chan MH, Ho CS, Li AM, Wing YK (2014) A community-based study on the association between insomnia and hypothalamic-pituitary-adrenal axis: sex and pubertal influences. J Clin Endocrinol Metab 99(6):2277–2287. doi:10.1210/jc.2013-3728

    Article  CAS  PubMed  Google Scholar 

  34. Ng SW, Norton EC, Popkin BM (2009) Why have physical activity levels declined among Chinese adults? Findings from the 1991–2006 China Health and Nutrition Surveys. Soc Sci Med 68(7):1305–1314. doi:10.1016/j.socscimed.2009.01.035

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

We wish to thank all the participants for their cooperation in the data collection. This study was funded by National High Technology Research and Development Program of China (863 Program) (NO. 2006AA02Z428) and Fogarty International Center of the National Institutes of Health under Award Number D43TW009107.

Conflicts of interest

The authors declare no conflict of interest.

Author information

Author notes

    Authors and Affiliations

    1. School of Food Science, Guangdong Pharmaceutical University, Zhongshan, 528458, China

      Wenjie Sun

    2. School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, 70112, USA

      Wenjie Sun

    3. Ningxia Autonomous Region Department of Public Health, Yinchuan, Ningxia, 750001, China

      Jingqin Yuan

    4. Department of Epidemiology, School of Public Health, Jilin University, Changchun, 130021, China

      Yaqin Yu

    5. Department of Epidemiology and Health Statistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

      Zengzhen Wang

    6. Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore

      Nivedita Shankar

    7. School of Medicine, Tulane University, New Orleans, LA, 70112, USA

      Gholam Ali

    8. Payer and Provider Research HealthCore Inc., Wilmington, DE, 19801, USA

      Yiqiong Xie

    9. School of Public Health and Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Medical College of Soochow University, Suzhou, China

      Tan Xu

    10. Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences; School of Basic Medicine, Peking Union Medical College, Beijing, 100005, China

      Guangliang Shan

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    1. Wenjie Sun
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    Corresponding authors

    Correspondence to Tan Xu or Guangliang Shan.

    Additional information

    Wenjie Sun and Jingqin Yuan contributed equally to this work.

    Appendix

    Appendix

    Table 4 Adjusted odd ratio for obesity/overweight by sex
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    Cite this article

    Sun, W., Yuan, J., Yu, Y. et al. Poor sleep quality associated with obesity in men. Sleep Breath 20, 873–880 (2016). https://doi.org/10.1007/s11325-015-1193-z

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    • DOI: https://doi.org/10.1007/s11325-015-1193-z

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