Eating behavior traits and sleep as determinants of weight loss in overweight and obese adults

Filiatrault, Marie-Lou; Chaput, Jean‐Philippe; Drapeau, Vicky; Tremblay, Angelo

doi:10.1038/nutd.2014.37

Cited by 23 publications

(38 citation statements)

References 36 publications

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“…The Pittsburgh Sleep Quality Index measures 7 domains including subjective sleep quality, sleep onset latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction over the last month to distinguish between poor and good sleepers. A global sum ≥5 indicates poor sleep 24, 25, 26. According to the Sleep Research Society/American Academy of Sleep Medicine consensus statement,27 adequate sleep should be ≥7 hours/night, while sleeping <7 hours/night is considered insufficient.…”

Section: Methodsmentioning

confidence: 99%

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Aggarwal

Makarem

Shah

et al. 2018

JAHA

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BackgroundInsufficient sleep increases blood pressure. However, the effects of milder, highly prevalent but frequently neglected sleep disturbances, including poor sleep quality and insomnia, on vascular health in women are unclear. We investigated whether poor sleep patterns are associated with blood pressure and endothelial inflammation in a diverse sample of women.Methods and ResultsWomen who participated in the ongoing American Heart Association Go Red for Women Strategically Focused Research Network were studied (n=323, 57% minority, mean age=39±17 years, range=20–79 years). Sleep duration, sleep quality, and time to sleep onset were assessed using the Pittsburgh Sleep Quality Index (score ≥5=poor sleep quality). Risk for obstructive sleep apnea was evaluated using the Berlin questionnaire, and insomnia was assessed using the Insomnia Severity Index. In a subset of women who participated in the basic study (n=26), sleep duration was assessed objectively using actigraphy, and endothelial inflammation was assessed directly in harvested endothelial cells by measuring nuclear translocation of nuclear factor kappa B. Vascular reactivity was measured by brachial artery flow‐mediated dilation (n=26). Systolic and diastolic blood pressure were measured by trained personnel (n=323). Multivariable linear regressions were used to evaluate associations between sleep patterns and blood pressure, nuclear factor kappa B, and flow‐mediated dilation. Mean sleep duration was 6.8±1.3 hours/night in the population study and 7.5±1.1 hour/night in the basic study. In the population study sample, 50% had poor sleep quality versus 23% in the basic study, and 37% had some level of insomnia versus 15% in the basic study. Systolic blood pressure was associated directly with poor sleep quality, and diastolic blood pressure was of borderline significance with obstructive sleep apnea risk after adjusting for confounders (P=0.04 and P=0.08, respectively). Poor sleep quality was associated with endothelial nuclear factor kappa B activation (β=30.6; P=0.03). Insomnia and longer sleep onset latency were also associated with endothelial nuclear factor kappa B activation (β=27.6; P=0.002 and β=8.26; P=0.02, respectively). No evidence was found for an association between sleep and flow‐mediated dilation.ConclusionsThese findings provide direct evidence that common but frequently neglected sleep disturbances such as poor sleep quality and insomnia are associated with increased blood pressure and vascular inflammation even in the absence of inadequate sleep duration in women.Clinical Trial Registration URL: https://www.clinicaltrials.gov. Unique identifier: NCT02835261.

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Section: Methodsmentioning

confidence: 99%

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Aggarwal

Makarem

Shah

et al. 2018

JAHA

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“…During 17 weeks of moderate caloric restriction among 123 overweight and obese adults, sleep duration and sleep quality at baseline predicted fat loss . Also among 150 obese (BMI 33.3 ± 3.5 kg/m 2 ) men and women (age 38.8 ± 8.6 years), sleep quality (assessed by Pittsburgh Sleep Quality Index) was associated with loss of body weight, fat mass and waist circumference . Furthermore, better subjective sleep quality among 245 women enrolled in a 6‐month weight‐loss programme increased the likelihood of successful weight loss by 33% .…”

Section: The Influence Of Stress On Sleep Patterns and Quality: Linksmentioning

confidence: 97%

Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa?

et al. 2017

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SummaryDecades of research have reported only weak associations between the intakes of specific foods or drinks and weight gain and obesity. Randomized controlled dietary intervention trials have only shown very modest effects of changes in nutrient intake and diet composition on body weight in obese subjects. This review summarizes the scientific evidence on the role mental stress (either in or not in association with impaired sleep) may play in poor sleep, enhanced appetite, cravings and decreased motivation for physical activity. All these factors contribute to weight gain and obesity, possibly via decreasing the efficacy of weight loss interventions. We also review evidence for the role that lifestyle and stress management may play in achieving weight loss in stress-vulnerable individuals with overweight.

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“…Standardized laboratory studies in humans have confirmed the validity of this relationship that is likely explained by numerous effects promoting a positive energy balance. These effects include an increase in the orexigenic hormones ghrelin and cortisol , a decrease or a lower than predicted plasma concentration of the anorexigenic hormone leptin , an accentuation of mild hypoglycaemia that is predictive of long‐term weight gain , an increase in ad libitum energy intake , a decrease in physical activity , an increase in alcohol consumption and suboptimal eating behaviours .…”

Section: The Need To Better Understandmentioning

confidence: 99%

Tackling obesity at the community level by integrating healthy diet, movement and non‐movement behaviours

Tremblay

Lachance

2017

Obesity Reviews

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The increase in obesity prevalence over the last decades has generally been attributed to suboptimal macronutrient diet composition and insufficient physical activities. However, recent literature has revealed that other environmental factors contribute to the positive energy balance that underlies body-weight gain and should be considered in efforts to tackle obesity. As discussed in this paper, it also appears that successful obesity management could not happen without actions at a community level that would ultimately impact energy balance. These measures generally include a better use of the school environment to promote healthy behaviours. Furthermore, in a foreseeable future, communities will probably have to consider sustainable development in their list of criteria deserving attention in the global management of obesity.

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Eating behavior traits and sleep as determinants of weight loss in overweight and obese adults

Cited by 23 publications

References 36 publications

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Effects of Inadequate Sleep on Blood Pressure and Endothelial Inflammation in Women: Findings From the American Heart Association Go Red for Women Strategically Focused Research Network

Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa?

Tackling obesity at the community level by integrating healthy diet, movement and non‐movement behaviours

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