Sleep fragmentation and the risk of obesity: The Sleep Heart Health Study.
Journal
Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
06
03
2021
received:
08
07
2020
accepted:
02
04
2021
pubmed:
2
7
2021
medline:
26
11
2021
entrez:
1
7
2021
Statut:
ppublish
Résumé
Sleep disturbances have been recognized as a risk factor for obesity. This study used polysomnography records to investigate associations between sleep fragmentation and obesity. Objectively measured sleep fragmentation data recorded by in-home polysomnography, including total arousal index (ArI-total), ArI in rapid eye movement (REM) sleep (ArI-REM), ArI in non-REM sleep (ArI-NREM), sleep fragmentation index, sleep efficiency (SE), and wake after sleep onset (WASO), were based on the Sleep Heart Health Study (2,835 men and 2,888 women with a mean [SD] age of 63.2 [11.2] years). Multivariable regression analyses were used to examine the relationship between sleep fragmentation and obesity. Multinomial logistic regression showed that participants with obesity have a significantly higher ArI-total (odds ratio [OR] 1.018; 95% CI: 1.010-1.026, p < 0.001), ArI-REM (OR 1.010; 95% CI: 1.002-1.018, p = 0.009), ArI-NREM (OR 1.017; 95% CI: 1.009-1.024, p < 0.001), and WASO (OR 1.003; 95% CI: 1.001-1.005, p = 0.007) compared with those with normal weight. Furthermore, multiple linear regression analyses showed an obvious correlation between ArI-total, ArI-REM, ArI-NREM, SE, WASO, and BMI. The results revealed that ArI-total, ArI-REM, ArI-NREM, SE, and WASO were associated with obesity. The improvement of sleep fragmentation may contribute to decreasing the risk of obesity.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1387-1393Informations de copyright
© 2021 The Obesity Society.
Références
Schetz M, De Jong A, Deane AM, et al. Obesity in the critically ill: a narrative review. Intensive Care Med. 2019;45:757-769.
Xu YXZ, Mishra S. Obesity-linked cancers: current knowledge, challenges and limitations in mechanistic studies and rodent models. Cancers (Basel). 2018;10:523.doi:10.3390/cancers10120523
Wu YL, Zhai L, Zhang DF. Sleep duration and obesity among adults: a meta-analysis of prospective studies. Sleep Med. 2014;15:1456-1462.
Koolhaas CM, Kocevska D, te Lindert BHW, et al. Objectively measured sleep and body mass index: a prospective bidirectional study in middle-aged and older adults. Sleep Med. 2019;57:43-50.
Loredo JS, Weng J, Ramos AR, et al. Sleep patterns and obesity: Hispanic Community Health Study/Study of Latinos Sueño Ancillar Study. Chest. 2019;156:348-356.
Byrne DW, Rolando LA, Aliyu MH, et al. Modifiable healthy lifestyle behaviors: 10-year health outcomes from a health promotion program. Am J Prev Med. 2016;51:1027-1037.
Matricciani L, Paquet C, Galland B, Short M, Olds T. Children's sleep and health: a meta-review. Sleep Med Rev. 2019;46:136-150.
Capers PL, Fobian AD, Kaiser KA, Borah R, Allison DB. 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;16:771-782.
de Sousa A, Cercato C, Mancini M, Halpern A. Obesity and obstructive sleep apnea-hypopnea syndrome. Obes Rev. 2008;9:340-354.
Romero-Corral A, Caples S, Lopez-Jimenez F, Somers V. Interactions between obesity and obstructive sleep apnea: implications for treatment. Chest. 2010;137:711-719.
Wang Y, Carreras A, Lee S, et al. Chronic sleep fragmentation promotes obesity in young adult mice. Obesity (Silver Spring). 2014;22:758-762.
Hursel R, Rutters F, Gonnissen HK, Martens EA, Westerterp-Plantenga MS. Effects of sleep fragmentation in healthy men on energy expenditure, substrate oxidation, physical activity, and exhaustion measured over 48 h in a respiratory chamber. Am J Clin Nutr. 2011;94:804-808.
van den Berg JF, Knvistingh Neven A, Tulen JHM, et al. Actigraphic sleep duration and fragmentation are related to obesity in the elderly: The Rotterdam Study. Int J Obes (Lond). 2008;32:1083-1090.
Quan SF, Howard BV, Iber C, et al. The Sleep Heart Health Study: design, rationale, and methods. Sleep. 1997;20:1077-1085.
SHHS Research Group. Sleep Heart Health Study Manual of Operations. Seattle, WA: SHHS Coordinating Center; 1996.
Redline S, Sanders MH, Lind BK, et al. Methods for obtaining and analyzing unattended polysomnography data for a multicenter study. Sleep Heart Health Research Group. Sleep. 1998;21:759-767.
Nieto FJ, Young TB, Lind BK, et al. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study. JAMA. 2000;283:1829-1836.
St-Onge M-P, Grandner MA, Brown D, et al. Sleep duration and quality: impact on lifestyle behaviors and cardiometabolic health: a scientific statement from the American Heart Association. Circulation. 2016;134:e367-e386.
Cespedes Feliciano EM, Quante M, Rifas-Shiman SL, Redline S, Oken E, Taveras EM. Objective sleep characteristics and cardiometabolic health in young adolescents. Pediatrics. 2018;142:e20174085. doi:10.1542/peds.2017-4085
Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2010;33:414-420.
Okubo N, Matsuzaka M, Takahashi I, et al. Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC Public Health. 2014;14:562.doi:10.1186/1471-2458-14-562
Gangwisch JE, Heymsfield SB, Boden-Albala B, et al. Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension. 2006;47:833-839.
Cappuccio FP, Cooper D, D'Elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. Eur Heart J. 2011;32:1484-1492.
Bowman MA, Duggan KA, Brindle RC, et al. Prospective associations among objectively and subjectively assessed sleep and the metabolic syndrome. Sleep Med. 2019;58:1-6.
Brochard H, Godin O, Geoffroy PA, et al. Metabolic syndrome and actigraphy measures of sleep and circadian rhythms in bipolar disorders during remission. Acta Psychiatr Scand. 2018;138:155-162.
Curtis DS, Fuller-Rowell TE, El-Sheikh M, Carnethon MR, Ryff CD. Habitual sleep as a contributor to racial differences in cardiometabolic risk. Proc Natl Acad Sci USA. 2017;114:8889-8894.
Javaheri S, Storfer-Isser A, Rosen CL, Redline S. Sleep quality and elevated blood pressure in adolescents. Circulation. 2008;118:1034-1040.
Redline S, Storfer-Isser A, Rosen CL, et al. Association between metabolic syndrome and sleep-disordered breathing in adolescents. Am J Respir Crit Care Med. 2007;176:401-408.
Chamorro R, Algarín C, Rojas O, et al. Night-time cardiac autonomic modulation as a function of sleep-wake stages is modified in otherwise healthy overweight adolescents. Sleep Med. 2019;64:30-36.
Knutson KL, Cauter E. Associations between sleep loss and increased risk of obesity and diabetes. Ann N Y Acad Sci. 2008;1129:287-304.
Van Cauter E, Splegel K, Tasali E, Leproult R. Metabolic consequences of sleep and sleep loss. Sleep Med. 2008;9(suppl 1)S23-S28.
Leproult R, Van Cauter E. Role of sleep and sleep loss in hormonal release and metabolism. Endocr Dev. 2010;17:11-21.
St-Onge MP. The role of sleep duration in the regulation of energy balance: effects on energy intakes and expenditure. J Clin Sleep Med. 2013;9:73-80.
Kelesidis T, Kelesidis I, Chou S, Mantzoros CS. Narrative review: the role of leptin in human physiology: emerging clinical applications. Ann Intern Med. 2010;152:93-100.