Title: Study to Assess the Association between Sleep Duration and Prevalence of Overweight/Obesity

Authors: Dr Achla Jain, Dr Neera Mrathe, Dr Prayank Jain, Dr Anvita Mishra, Dr Anjana Niranjan

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.102

Abstract

Background: Sleep disturbance has been shown to cause metabolic and endocrine alternations. Sleep has been known to influence the physical and emotional well being of adolescents by causing substantial biological and psychosocial changes. According to recent estimates, the worldwide prevalence of obesity has doubled since 1980. Lack of adequate sleep predisposes overweight and obesity. Growing evidence suggests that short sleep duration is a risk factor for obesity and its complications.

Objective: The objective was to investigate the association between self-reported usual sleep duration and the prevalence of overweight and obesity among the adolescents of Rewa city, M.P.

Material and Methods: A cross-sectional community-based study was conducted among 744 adolescents aged 10-19 years from Rewa city M.P. India using modified questionnaire and standardized anthropometric measures through house-to-house visits. Data was entered in Microsoft Excel sheet, analysed and interpreted using descriptive statistics.

Results: In our study significantly higher prevalence of overweight/obesity was found among subjects sleeping < 6hours as compared to those sleeping 6 to 8 hours in night.

Conclusion: Short sleep duration would get exaggerated with increase in weight gain and incident overweight/obesity. Further research is needed to understand the mechanisms by which sleep duration may affect weight.

Keywords: sleep, overweight, adolescents.

References

  1. Popkin BM. Global nutrition dynamics: The world is shifting rapidly toward a diet linked with non-communicable diseases. Am J Clin Nutr 2006;84:289-98.
  1. WHO health topic; nutrition, Available on: https://www.who.int/nutrition/topics /obesity /en/,[Last assesed 1-09-19]
  2. Available from:  http://www. Iaso .org/iotf/obesity/obesitytheglobalepidemic/for Saudi, Canada, South Africa, Australia and NZ estimates, accessed on November 22, 2013].
  3. SS, Chumlea WC. Tracking of body mass index in children in relation to overweight in adulthood. Am J Clin Nutr 1999;70(1):145S–8.
  4. National Sleep Foundation. “Sleep-wake cycle: Its physiology and impact on health”. (PDF). National Sleep Foundation; 2006. Available from: https://sleepfoundation.org/sites/default/ files/SleepWakeCycle.pdf.
  5. Gangwisch JE, Melaspina D, Bodex-Albala B, Heymsfield SB.Inadequate Sleep as a risk factor for Obesity: Analysis of the NHANES I. Sleep 2005;28:1289-96
  6. Yu Y, Lu BS, Wang B, Wang H, Yang J, Li Z, et al. Short Sleep Duration And Adiposity In Chinese Adolescents. Sleep 20071; 30:1688-97
  7. Snell EK, Adam EK, Duncan GJ. Sleep and the Body Mass Index and Overweight Status of Children and Adolescents. Child Development. 2007;78:309-23.
  8. Schoenborn CA, Adams PE. Health behaviors of adults: United States, 2005-2007. Vital Health Stat 10. 2010;245:1-132
  9. SE, Tak S, Calvert GM. The prevalence of short sleep duration by industry and occupation in the National Health Interview Survey. Sleep. 2010;33(2):149-59.
  10. Knutson KL, Van Cauter E, Rathouz PJ, DeLeire T, Lauderdale DS. Trends in the prevalence of short sleepers in the USA: 1975-2006. Sleep. 2010;33(1):37-45.
  11. Sleep statistics,. Available at: https://www.sleepassociation.org/about-sleep/sleep-statistics/{ Last assessed on 2-09-19].
  12. Gohil A and Hannon TS (2018) Poor Sleep and Obesity: Concurrent Epidemics in Adolescent Youth. Front. Endocrinol. 9:364. doi: 10.3389/fendo.2018.00364
  13. Spiegel, R. Leproult, and E. van Cauter, “Impact of sleep debt on metabolic and endocrine function,” The Lancet, vol.354, no. 9188, pp. 1435–1439, 199.
  14. Spiegel, E. Tasali, R. Leproult, and E. van Cauter, “Effects of poor and short sleep on glucose metabolism and obesity risk,”Nature Reviews Endocrinology, vol. 5, no. 5, pp. 253–261, 2009.
  15. Institute of Medicine, Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem, National Academies Press, Washington, DC, USA, 2006.}
  16. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey.  2000 ;320: 1240–3.  [PubMed]
  17. Mishra T, Mohapatra D, Behera M, MishraS. Association between short sleep and obesity in medical students. Asian J Pharm Clin Res. 2017;10(1):242-4.
  18. Patel SR, Hu FB. Short sleep duration and weight gain: A systematic review. Obesity (Silver Spring) 2008;16(3):643-53.
  19. 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.
  20. Yadav N 1$, Yadav S2, Relation between Changing Lifestyle and Adolescent Obesity in India: A Community Based Study among School Children, IMJH, Vol-1, Issue-10, Dec.- 2015
  21. Xiao Q, Arem H, Moore SC, et al. A large prospective investigation of sleep duration, weight change, and obesity in the NIH-AARP Dietand Health Study cohort. Am J Epidemiol 2013;178:1600–10
  22. Cappuccio FP, Taggart FM, Kandala NB, et al. Meta-analysis of short sleep duration and obesity in children and adults. Sleep 2008;31:619–26
  23. Krutarth R Brahmbhatt , Umesh N Oza, Obesity among adolescents of ahmedabad city, gujarat, india- a community based cross-sectional study, Int J Biol Med Res. 2012; 3(2): 1554-1557
  24. Richard Lowry, Danice K. Eaton,Kathryn Foti, Lela Mc Knight-Eily, Geraldine Perry,and Deborah A. Galuska, Association of Sleep Duration with Obesity among US High School Students , Journal of Obesity
    Volume 2012, Article ID 476914
  25. Cooper CB,Neufeld EV, Dolezal BA,et al. Sleep deprivation and obesity in adults: a brief narrative review. BMJ Open Sport & Exercise Medicine 2018;4:e000392. doi:10.1136/bmjsem-2018-000392
  26. Olds T, Maher C, Blunden S, Matricciani L. Normative data on the sleep habits of Australian children and adolescents. Sleep 2010;33(10):1381-8.
  27. Iglowstein I, Jenni OG, Molinari L, Largo RH. Sleep duration from infancy to adolescence: Reference values and generational trends. Pediatrics 2003; 111(2):302-7.
  28. Hitze B, Bosy-Westphal A, Bielfeldt F, Settler U, Plachta-Danielzik S, Pfeuffer M, et al. Determinants and impact of sleep duration in children and adolescents: Data of the Kiel Obesity Prevention Study. Eur J Clin Nutr 2009;63(6):739-46.
  29. Rathod SS, Nagose VB, Kanagala A, Bhuvangiri H, Kanneganti J, Annepaka E. Sleep duration and its association with obesity and overweight in medical students: A cross-sectional study. Natl J Physiol Pharm Pharmacol 2018;8(1):113-117.

Corresponding Author

Dr Prayank Jain, DM Cardiology