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Associations between short sleep duration and central obesity in women.

Jenny Theorell‐Haglöw · Christian Berne · Christer Janson · Carin Sahlin · Eva Lindberg

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Abstract

STUDY OBJECTIVES: The aim was to assess associations between sleep duration, sleep stages, and central obesity in women. DESIGN: Cross-sectional study. SETTING: City of Uppsala, Sweden. PARTICIPANTS: Population-based sample of 400 women (range 20-70 years). INTERVENTIONS: Full-night polysomnography and measurement of anthropometric variables. MEASUREMENTS AND RESULTS: Sleep duration was inversely related to both waist circumference and sagittal abdominal diameter. Sleep duration remained inversely related to waist circumference (adj. beta = -1.22 cm/h; P = 0.016) and sagittal abdominal diameter (adj. beta = -0.46 cm/h; P = 0.001) after adjusting for potential confounders. Duration of slow wave sleep (SWS, adj. beta = -0.058 cm/min; P = 0.025) and REM sleep (adj. beta = -0.062 cm/min; P = 0.002) were both inversely related to waist circumference afteradjustments. Moreover,duration of REM sleep was inversely related to sagittal abdominal diameter (adj. beta = -0.021 cm/min; P < 0.0001). These associations were stronger in young women (age < 50 years). CONCLUSION: An inverse relationship between short sleep duration and central obesity was found in women after adjusting for confounders. Loss of SWS and REM sleep may be important factors in the association between sleep loss and central obesity.

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References

1968A manual for standardized terminology, techniques and scoring system for sleep stages in human subjects 2005Inadequate Sleep as a Risk Factor for Obesity: Analyses of the NHANES I 2004The Association Between Short Sleep Duration and Obesity in Young Adults: a 13-Year Prospective Study 1979Short and Long Sleep and Sleeping Pills 2006Association between Reduced Sleep and Weight Gain in Women 2006Objectively Measured Sleep Characteristics among Early-Middle-Aged Adults 2005Effects of Exercise on Sleep 2005Overweight and Obese Patients in a Primary Care Population Report Less Sleep Than Patients With a Normal Body Mass Index

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