Relationship of evening meal with sleep quality in obese individuals with obstructive sleep apnea

Melo, Camila Maria de; Re, Mariana Pantaleão del; Quaresma, Marcus Vinícius Lúcio dos Santos; Antunes, Hanna Karen Moreira; Togeiro, Sônia Maria; Ribeiro, Sandra Maria Lima; Tufik, Sérgio; Mello, Marco Túlio de

doi:10.1016/j.clnesp.2018.09.077

Cited by 20 publications

(19 citation statements)

References 33 publications

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“…In fact, St-Onge et al, (2016) showed an increase in SL and a decrease in slow wave sleep (Stage N3) following one day of ad libitum feeding compared to those obtained upon 3 days of adapted and balanced diet in 26 normal-weight adults [ 36 ]. In another study carried out among 45 adults with obesity and obstructive sleep apnea, a higher caloric intake at night was also associated with higher sleep latency [ 37 ]. As detailed above, most studies dealing with the effect of nutrition on sleep focused on macronutrient proportions and their “quality effect”, on sleep.…”

Section: Discussionmentioning

confidence: 99%

Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity

et al. 2021

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Background: A better understanding of the influence of energy balance on sleep in adolescents, particularly those with obesity, could help develop strategies to optimize sleep in these populations. The purpose of this study was to investigate sleep under ad libitum-vs-controlled diets adjusted to energy requirement (eucaloric) among adolescents with obesity and their normal weight controls. Methods: Twenty-eight male adolescents aged between 12 and 15 years, n = 14 adolescents with obesity (OB: BMI ≥ 90th centile) and n = 14 normal weight age matched controls (NW), completed an experimental protocol comprising ad libitum or eucaloric meals for three days, in random order. During the third night of each condition, they underwent in home polysomnography (PSG). Results: An interaction effect of energy intake (EI) was detected (p < 0.001). EI was higher during ad libitum compared to the eucaloric condition (p < 0.001) and in OB compared to NW (p < 0.001) in the absence of any substantial modification to macronutrient proportions. Analyses of energy intake distribution throughout the day showed a significant interaction with both a condition and group effect during lunch and dinner. Sleep improvements were noted in OB group during the eucaloric condition compared to ad libitum with reduced sleep onset latency and N1 stage. Sleep improvements were correlated to reduced EI, especially during the evening meal. Conclusion: Simply adjusting dietary intake to energy requirement and reducing the energy proportion of the evening meal could have therapeutic effects on sleep in adolescents with obesity. However, positive energy balance alone cannot justify worsened sleep among adolescents with obesity compared to normal weight counterparts.

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Section: Discussionmentioning

confidence: 99%

Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity

et al. 2021

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“…Not only activity-induced dyspnoea, but also dyspnoea at rest are thus often found in obese individuals. This may, in some cases, even lead to obstructive sleep apnoea [22], [29]. Furthermore, adipose tissue dysfunction may most likely have an adverse effect on the development of some tumours [30][31].…”

Section: Introductionmentioning

confidence: 99%

Effect of Physical Activity on Obesity in Second Stage Pupils of Elementary Schools in the Region of Ústí nad Labem

Pyšná¹,

Pyšný²,

Cihlář³

et al. 2020

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Obesity is a serious problem of our society. A long-term positive trend in body weight gain continues to persist. Paediatric obesity arises from a changed lifestyle of children, characterised by an important restriction of their spontaneous physical activity. A lack of physical activity is one of the most important causes of paediatric obesity associated with a number of serious disorders. The paper evaluates the effect of physical activity on obesity in second stage pupils of elementary schools in the region of Ústí nad Labem. In their research survey, the authors determine the incidence of obesity and overweight as well as the relationship between physical activity and obesity in second stage pupils of elementary schools in the region of Ústí nad Labem. The data collection was based on questions of the CAV 2001 questionnaire and BMI-for-age. As revealed by the research survey, problems with obesity and overweight are present particularly in boys. Only a third of boys and girls engage in sufficient physical activity. At the same time, differences were shown in the study group where groups with higher BMI values had lower values of physical activity. Subsequently, a relationship was shown between those who use their bicycle as a means of transport and spend their leisure time bicycling at the same time. More than two thirds of the study subjects reported using a bicycle as a means of transport and using their bicycle in their leisure time as a means of being active; 93% of these subjects had normal body weight. Our results confirm the continued pandemic prevalence of obesity and indicate that appropriate physical activity should be included in the everyday life of children both at school and outside of school.

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“…31 A study of 45 men with obstructive sleep apnea and obesity associated higher food intake in the evening period with lower sleep efficiency, lower slow wave sleep, more arousals, and a greater apnea-hypopnea index. 32 Among 52 men in Brazil, higher nocturnal fat intake (including dinner plus late-night snack) was associated with worse sleep quality, including lower sleep efficiency, longer sleep latency, and higher WASO. Women with higher total caloric intake at night, typically 30-60 min before bed, had higher sleep latency and lower sleep efficiency, 25 but no associations were observed between nocturnal total caloric intake and sleep among men.…”

Section: Discussionmentioning

confidence: 99%

Associations between bedtime eating or drinking, sleep duration and wake after sleep onset: findings from the American time use survey

et al. 2021

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Sleep hygiene recommendations discourage eating before bedtime, however, the impact of mealtime on sleep has been inconsistent. We examined gender-stratified associations between eating or drinking <1, <2 and <3 hours before bedtime, sleep duration, and wake after sleep onset (WASO>30 minutes). This study utilized 2003-2018 data from the American Time Use Survey (ATUS), a nationally representative sample of US residents aged≥15. Participants recorded weekday/weekend activities during a 24-hour period. Age-specific Sleep duration and WASO were estimated categorically and continuously. Eating or drinking were identified from all activities recorded <1, <2 and <3 hours before bedtime. Mean±SE sleep duration was 8.0±0.006 hours, and 6% of participants ate or drank <1 hour prior to weekdays bedtime. Overall, eating or drinking <1 hour prior to bedtime was associated with longer weekdays sleep duration. Women and men who ate or drank <1 hour before bedtime, vs. those who did not, had 35 minutes [95%CI (30,39)] and 25 minutes [95%CI (21,29)] longer sleep duration, respectively, as well as increased odds of WASO; women [OR=2.03,95%CI (1.66,2.49)] and men [OR=2.64,95%CI (2.08,3.36)]. As the interval of eating or drinking prior to bedtime expanded, odds of short and long sleep durations and WASO decreased. This population-based data linked eating or drinking <1 hour before bedtime to longer sleep duration, but increased WASO. Eating or drinking further from bedtime lowers the odds of short and long sleep duration and WASO. Causal pathways are difficult to discern, though inefficient sleep after late-night eating could increase WASO and trigger compensatory increases in sleep duration.

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Relationship of evening meal with sleep quality in obese individuals with obstructive sleep apnea

Cited by 20 publications

References 33 publications

Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity

Eucaloric Balanced Diet Improved Objective Sleep in Adolescents with Obesity

Effect of Physical Activity on Obesity in Second Stage Pupils of Elementary Schools in the Region of Ústí nad Labem

Associations between bedtime eating or drinking, sleep duration and wake after sleep onset: findings from the American time use survey

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