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Sleep Duration and Obesity in Adults: What Are the Connections?

  • The Obesity Epidemic: Causes and Consequences (A Peeters and A Cameron, Section Editors)
  • Published:
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Abstract

Collectively, cross-sectional and longitudinal studies on self-reported sleep duration and obesity do not show a clear pattern of association with some showing a negative linear relationship, some showing a U-shaped relationship, and some showing no relationship. Associations between sleep duration and obesity seem stronger in younger adults. Cross-sectional studies using objectively measured sleep duration (actigraphy or polysomnography (PSG)) also show this mixed pattern whereas all longitudinal studies to date using actigraphy or PSG have failed to show a relationship with obesity/weight gain. It is still too early and a too easy solution to suggest that changing the sleep duration will cure the obesity epidemic. Given novel results on emotional stress and poor sleep as mediating factors in the relationship between sleep duration and obesity, detection and management of these should become the target of future clinical efforts as well as future research.

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References

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  1. Kripke DF et al. Short and long sleep and sleeping pills. Is increased mortality associated? Arch Gen Psychiatry. 1979;36(1):103–16.

    Article  CAS  PubMed  Google Scholar 

  2. Walsleben JA et al. Sleep and reported daytime sleepiness in normal subjects: the Sleep Heart Health Study. Sleep. 2004;27(2):293–8.

    PubMed  Google Scholar 

  3. Patel SR et al. Association between reduced sleep and weight gain in women. Am J Epidemiol. 2006;164(10):947–54.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Gangwisch JE et al. Inadequate sleep as a risk factor for obesity: analyses of the NHANES I. Sleep. 2005;28(10):1289–96.

    PubMed  Google Scholar 

  5. Hasler G et al. The association between short sleep duration and obesity in young adults: a 13-year prospective study. Sleep. 2004;27(4):661–6.

    PubMed  Google Scholar 

  6. Kohatsu ND et al. Sleep duration and body mass index in a rural population. Arch Intern Med. 2006;166(16):1701–5.

    Article  PubMed  Google Scholar 

  7. Lindberg E et al. Sleep distubances in a young adult population: can gender differences be explained by differences in psychological status? Sleep. 1997;20(6):381–7.

    CAS  PubMed  Google Scholar 

  8. Spiegel K et al. Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med. 2004;141(11):846–50.

    Article  PubMed  Google Scholar 

  9. Schmid SM et al. A single night of sleep deprivation increases ghrelin levels and feelings of hunger in normal-weight healthy men. J Sleep Res. 2008;17(3):331–4.

    Article  PubMed  Google Scholar 

  10. Ohida T et al. The influence of lifestyle and health status factors on sleep loss among the Japanese general population. Sleep. 2001;24(3):333–8.

    CAS  PubMed  Google Scholar 

  11. Stamatakis KA, Brownson RC. Sleep duration and obesity-related risk factors in the rural Midwest. Prev Med. 2008;46(5):439–44.

    Article  PubMed  Google Scholar 

  12. Kim J, Jo I. Age-dependent association between sleep duration and hypertension in the adult Korean population. Am J Hypertens. 2010;23(12):1286–91.

    Article  PubMed  Google Scholar 

  13. Chaput JP et al. Risk factors for adult overweight and obesity in the Quebec Family Study: have we been barking up the wrong tree? Obesity (Silver Spring). 2009;17(10):1964–70.

    Article  Google Scholar 

  14. Nedeltcheva AV et al. Insufficient sleep undermines dietary efforts to reduce adiposity. Ann Intern Med. 2010;153(7):435–41.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Chaput JP et al. Short sleep duration is associated with reduced leptin levels and increased adiposity: results from the Quebec family study. Obesity (Silver Spring). 2007;15(1):253–61.

    Article  CAS  Google Scholar 

  16. McDuffie JR et al. Effects of exogenous leptin on satiety and satiation in patients with lipodystrophy and leptin insufficiency. J Clin Endocrinol Metab. 2004;89(9):4258–63.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Taheri S et al. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med. 2004;1(3):e62.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Cummings DE, Foster KE. Ghrelin-leptin tango in body-weight regulation. Gastroenterology. 2003;124(5):1532–5.

    Article  PubMed  Google Scholar 

  19. Anic GM et al. Sleep duration and obesity in a population-based study. Sleep Med. 2010;11(5):447–51.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Bjorkelund C et al. Sleep disturbances in midlife unrelated to 32-year diabetes incidence: the prospective population study of women in Gothenburg. Diabetes Care. 2005;28(11):2739–44.

    Article  PubMed  Google Scholar 

  21. Gildner TE et al. Sleep duration, sleep quality, and obesity risk among older adults from six middle-income countries: findings from the study on global AGEing and adult health (SAGE). Am J Hum Biol. 2014;26(6):803–12.

    Article  PubMed  Google Scholar 

  22. Heslop P et al. Sleep duration and mortality: the effect of short or long sleep duration on cardiovascular and all-cause mortality in working men and women. Sleep Med. 2002;3(4):305–14.

    Article  PubMed  Google Scholar 

  23. Hsieh SD et al. Association of short sleep duration with obesity, diabetes, fatty liver and behavioral factors in Japanese men. Intern Med. 2011;50(21):2499–502.

    Article  PubMed  Google Scholar 

  24. Moreno CR et al. Short sleep is associated with obesity among truck drivers. Chronobiol Int. 2006;23(6):1295–303.

    Article  CAS  PubMed  Google Scholar 

  25. Park SE et al. The association between sleep duration and general and abdominal obesity in Koreans: data from the Korean National Health and Nutrition Examination Survey, 2001 and 2005. Obesity (Silver Spring). 2009;17(4):767–71.

    Article  Google Scholar 

  26. Rontoyanni VG, Baic S, Cooper AR. Association between nocturnal sleep duration, body fatness, and dietary intake in Greek women. Nutrition. 2007;23(11-12):773–7.

    Article  PubMed  Google Scholar 

  27. Stranges S et al. Cross-sectional versus prospective associations of sleep duration with changes in relative weight and body fat distribution: the Whitehall II Study. Am J Epidemiol. 2008;167(3):321–9.

    Article  PubMed  Google Scholar 

  28. Vioque J, Torres A, Quiles J. Time spent watching television, sleep duration and obesity in adults living in Valencia, Spain. Int J Obes Relat Metab Disord. 2000;24(12):1683–8.

    Article  CAS  PubMed  Google Scholar 

  29. Vorona RD et al. Overweight and obese patients in a primary care population report less sleep than patients with a normal body mass index. Arch Intern Med. 2005;165(1):25–30.

    Article  PubMed  Google Scholar 

  30. Kim NH et al. Short sleep duration combined with obstructive sleep apnea is associated with visceral obesity in Korean adults. Sleep. 2013;36(5):723–9.

    PubMed  PubMed Central  Google Scholar 

  31. Vgontzas AN et al. Short sleep duration and obesity: the role of emotional stress and sleep disturbances. Int J Obes (Lond). 2008;32(5):801–9.

    Article  CAS  Google Scholar 

  32. Bjorvatn B et al. The association between sleep duration, body mass index and metabolic measures in the Hordaland Health Study. J Sleep Res. 2007;16(1):66–76.

    Article  PubMed  Google Scholar 

  33. Chaput JP et al. The association between sleep duration and weight gain in adults: a 6-year prospective study from the Quebec Family Study. Sleep. 2008;31(4):517–23.

    PubMed  PubMed Central  Google Scholar 

  34. Johnsen MT, Wynn R, Bratlid T. Optimal sleep duration in the subarctic with respect to obesity risk is 8-9 hours. PLoS ONE. 2013;8(2):e56756.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Logue EE et al. Sleep duration, quality, or stability and obesity in an urban family medicine center. J Clin Sleep Med. 2014;10(2):177–82.

    PubMed  PubMed Central  Google Scholar 

  36. Lopez-Garcia E et al. Sleep duration, general and abdominal obesity, and weight change among the older adult population of Spain. Am J Clin Nutr. 2008;87(2):310–6.

    CAS  PubMed  Google Scholar 

  37. Singh M et al. The association between obesity and short sleep duration: a population-based study. J Clin Sleep Med. 2005;1(4):357–63.

    PubMed  Google Scholar 

  38. Westerlund A et al. Habitual sleep patterns and the distribution of body mass index: cross-sectional findings among Swedish men and women. Sleep Med. 2014;15(10):1196–203.

    Article  PubMed  Google Scholar 

  39. Wolff B et al. Relation of self-reported sleep duration with carotid intima-media thickness in a general population sample. Atherosclerosis. 2008;196(2):727–32.

    Article  CAS  PubMed  Google Scholar 

  40. Gottlieb DJ et al. Association of sleep time with diabetes mellitus and impaired glucose tolerance. Arch Intern Med. 2005;165(8):863–7.

    Article  PubMed  Google Scholar 

  41. Tamakoshi A, Ohno Y. Self-reported sleep duration as a predictor of all-cause mortality: results from the JACC study, Japan. Sleep. 2004;27(1):51–4.

    PubMed  Google Scholar 

  42. Yaggi HK, Araujo AB, McKinlay JB. Sleep duration as a risk factor for the development of type 2 diabetes. Diabetes Care. 2006;29(3):657–61.

    Article  PubMed  Google Scholar 

  43. Bonke J. Trends in short and long sleep in Denmark from 1964 to 2009, and the associations with employment, SES (socioeconomic status) and BMI. Sleep Med. 2015;16(3):385–90.

    Article  PubMed  Google Scholar 

  44. Fogelholm M et al. Sleep-related disturbances and physical inactivity are independently associated with obesity in adults. Int J Obes (Lond). 2007;31(11):1713–21.

    Article  CAS  Google Scholar 

  45. Ko GT et al. Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the ‘better health for better Hong Kong’ health promotion campaign. Int J Obes (Lond). 2007;31(2):254–60.

    Article  CAS  Google Scholar 

  46. Kripke DF et al. Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry. 2002;59(2):131–6.

    Article  PubMed  Google Scholar 

  47. Sun W et al. Sleep duration associated with body mass index among Chinese adults. Sleep Med. 2015;16(5):612–6.

    Article  PubMed  Google Scholar 

  48. Magee CA, Iverson DC, Caputi P. Sleep duration and obesity in middle-aged Australian adults. Obesity (Silver Spring). 2010;18(2):420–1.

    Article  Google Scholar 

  49. Theorell-Haglow J et al. Sleep duration and central obesity in women—differences between short sleepers and long sleepers. Sleep Med. 2012;13(8):1079–85.

    Article  PubMed  Google Scholar 

  50. Appelhans BM et al. Sleep duration and weight change in midlife women: the SWAN sleep study. Obesity (Silver Spring). 2013;21(1):77–84.

    Article  Google Scholar 

  51. Haba-Rubio J et al. Objective sleep structure and cardiovascular risk factors in the general population: the HypnoLaus Study. Sleep. 2015;38(3):391–400.

    PubMed  PubMed Central  Google Scholar 

  52. Kim M. 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. 2015;30(2):199–206.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Lauderdale DS et al. Objectively measured sleep characteristics among early-middle-aged adults: the CARDIA study. Am J Epidemiol. 2006;164(1):5–16.

    Article  PubMed  Google Scholar 

  54. Theorell-Haglow J et al. Associations between short sleep duration and central obesity in women. Sleep. 2010;33(5):593–8.

    PubMed  PubMed Central  Google Scholar 

  55. van den Berg JF et al. Actigraphic sleep duration and fragmentation are related to obesity in the elderly: the Rotterdam Study. Int J Obes (Lond). 2008;32(7):1083–90.

    Article  Google Scholar 

  56. Patel SR et al. The association between sleep duration and obesity in older adults. Int J Obes (Lond). 2008;32(12):1825–34.

    Article  CAS  PubMed Central  Google Scholar 

  57. Gutierrez-Repiso C et al. Night-time sleep duration and the incidence of obesity and type 2 diabetes. Findings from the prospective Pizarra study. Sleep Med. 2014;15(11):1398–404.

    Article  PubMed  Google Scholar 

  58. Itani O et al. Association of onset of obesity with sleep duration and shift work among Japanese adults. Sleep Med. 2011;12(4):341–5.

    Article  PubMed  Google Scholar 

  59. Nishiura C, Hashimoto H. A 4-year study of the association between short sleep duration and change in body mass index in Japanese male workers. J Epidemiol. 2010;20(5):385–90.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Xiao Q et al. A large prospective investigation of sleep duration, weight change, and obesity in the NIH-AARP Diet and Health Study cohort. Am J Epidemiol. 2013;178(11):1600–10.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Kobayashi D et al. High sleep duration variability is an independent risk factor for weight gain. Sleep Breath. 2013;17(1):167–72.

    Article  PubMed  Google Scholar 

  62. Nagai M et al. Association between sleep duration, weight gain, and obesity for long period. Sleep Med. 2013;14(2):206–10.

    Article  PubMed  Google Scholar 

  63. Nishiura C, Hashimoto H. Sleep duration and weight gain: reconsideration by panel data analysis. J Epidemiol. 2014;24(5):404–9.

    Article  PubMed  Google Scholar 

  64. Theorell-Haglow J et al. Both habitual short sleepers and long sleepers are at greater risk of obesity: a population-based 10-year follow-up in women. Sleep Med. 2014;15(10):1204–11.

    Article  PubMed  Google Scholar 

  65. Sayon-Orea C et al. Association between sleeping hours and siesta and the risk of obesity: the SUN Mediterranean Cohort. Obes Facts. 2013;6(4):337–47.

    Article  PubMed  Google Scholar 

  66. Watanabe M et al. Association of short sleep duration with weight gain and obesity at 1-year follow-up: a large-scale prospective study. Sleep. 2010;33(2):161–7.

    PubMed  PubMed Central  Google Scholar 

  67. Cespedes EM et al. Long-term changes in sleep duration, energy balance and risk of type 2 diabetes. Diabetologia. 2016;59(1):101–9.

    Article  PubMed  Google Scholar 

  68. Lauderdale DS et al. Cross-sectional and longitudinal associations between objectively measured sleep duration and body mass index: the CARDIA Sleep Study. Am J Epidemiol. 2009;170(7):805–13.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Vgontzas AN et al. Unveiling the longitudinal association between short sleep duration and the incidence of obesity: the Penn State Cohort. Int J Obes (Lond). 2014;38(6):825–32. This study has addressed many of the issues raised about previous studies and assessed obesity, subjective, and objective sleep but also sleep difficulty and emotional stress. In addition, they have controlled for confounding factors and examined mediating and moderating effects.

  70. Capers PL et al. A systematic review and meta-analysis of randomized controlled trials of the impact of sleep duration on adiposity and components of energy balance. Obes Rev. 2015;16(9):771–82.

    Article  CAS  PubMed  Google Scholar 

  71. Spaeth AM, Dinges DF, Goel N. Effects of experimental sleep restriction on weight gain, caloric intake, and meal timing in healthy adults. Sleep. 2013;36(7):981–90.

    PubMed  PubMed Central  Google Scholar 

  72. Cizza G et al. Hawthorne effect with transient behavioral and biochemical changes in a randomized controlled sleep extension trial of chronically short-sleeping obese adults: implications for the design and interpretation of clinical studies. PLoS ONE. 2014;9(8):e104176. To date, this is the only study that has set out to test the hypothesis that sleep extension (in a group of chronically sleep-deprived obese subjects) would cause weight loss and give metabolic and endocrine improvements, using a randomized, controlled trial (RCT) setting.

  73. Marshall NS, Glozier N, Grunstein RR. Is sleep duration related to obesity? A critical review of the epidemiological evidence. Sleep Med Rev. 2008;12(4):289–98.

    Article  PubMed  Google Scholar 

  74. Nielsen LS, Danielsen KV, Sorensen TI. Short sleep duration as a possible cause of obesity: critical analysis of the epidemiological evidence. Obes Rev. 2011;12(2):78–92.

    Article  CAS  PubMed  Google Scholar 

  75. Wu Y, Zhai L, Zhang D. Sleep duration and obesity among adults: a meta-analysis of prospective studies. Sleep Med. 2014;15(12):1456–62.

    Article  PubMed  Google Scholar 

  76. Magee L, Hale L. Longitudinal associations between sleep duration and subsequent weight gain: a systematic review. Sleep Med Rev. 2012;16(3):231–41.

    Article  PubMed  Google Scholar 

  77. Patel SR, Hu FB. Short sleep duration and weight gain: a systematic review. Obesity (Silver Spring). 2008;16(3):643–53.

    Article  Google Scholar 

  78. Magee CA et al. A link between chronic sleep restriction and obesity: methodological considerations. Public Health. 2008;122(12):1373–81.

    Article  CAS  PubMed  Google Scholar 

  79. Bruyneel M et al. Comparison between home and hospital set-up for unattended home-based polysomnography: a prospective randomized study. Sleep Med. 2015;16(11):1434–8.

    Article  PubMed  Google Scholar 

  80. Zinkhan M et al. Agreement of different methods for assessing sleep characteristics: a comparison of two actigraphs, wrist and hip placement, and self-report with polysomnography. Sleep Med. 2014;15(9):1107–14.

    Article  PubMed  Google Scholar 

  81. Hoyos C, Glozier N, Marshall N. Recent evidence on worldwide trends on sleep duration. Curr Sleep Med Rep. 2015;1(4):195–204. This review is an update on the evidence on trends on sleep duration.

  82. Vgontzas AN, Bixler EO, Basta M. Obesity and sleep: a bidirectional association? Sleep. 2010;33(5):573–4.

    PubMed  PubMed Central  Google Scholar 

  83. Marshall NS et al. Changes in sleep duration and changes in weight in obese patients: the Swedish obese subjects study. Sleep Biol Rythm. 2010;8(1):63–71.

    Article  Google Scholar 

  84. Chaput JP et al. The association between short sleep duration and weight gain is dependent on disinhibited eating behavior in adults. Sleep. 2011;34(10):1291–7.

    PubMed  PubMed Central  Google Scholar 

  85. van Strien T, Koenders PG. Effects of emotional eating and short sleep duration on weight gain in female employees. J Occup Environ Med. 2014;56(6):659–66.

    Article  PubMed  Google Scholar 

  86. Dweck JS, Jenkins SM, Nolan LJ. The role of emotional eating and stress in the influence of short sleep on food consumption. Appetite. 2014;72:106–13. This study has found emotional eating behavior, a marker of distress, to influence the relationship between short sleep duration and weight gain.

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  1. Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden

    Jenny Theorell-Haglöw & Eva Lindberg

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  1. Jenny Theorell-Haglöw
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Correspondence to Jenny Theorell-Haglöw.

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Jenny Theorell-Haglöw and Eva Lindberg declare that they have no conflict of interest.

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References [46, 54, 64] were performed by the authors and human subjects were involved. All participants gave informed consent. The authors have not performed any animal studies.

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This article is part of the Topical Collection on The Obesity Epidemic: Causes and Consequences

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Theorell-Haglöw, J., Lindberg, E. Sleep Duration and Obesity in Adults: What Are the Connections?. Curr Obes Rep 5, 333–343 (2016). https://doi.org/10.1007/s13679-016-0225-8

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