Risk of Developing Metabolic Syndrome Is Affected by Length of Daily Siesta: Results from a Prospective Cohort Study

Gribble, Anne Katherine; Sayón-Orea, Carmen; Bes–Rastrollo, Maira; Kales, Stefanos N.; Shirahama, Ryutaro; Martínez‐González, Miguel Ángel; Fernández-Montero, Alejandro

doi:10.3390/nu13114182

Cited by 10 publications

(6 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In agreement with previous studies [13,16,17], our data showed that long siestas were associated with higher values of obesity-and MetS-related traits, particularly BMI, waist circumference, glucose, and blood pressure (SBP and DBP), as compared with no siesta, whereas short siestas were nominally associated with lower values of SBP and with a significantly lower prevalence of elevated blood pressure, i.e., SBP ≥ 120 mm Hg (cutoff point for "elevated" blood pressure) [25].…”

Section: Discussionsupporting

confidence: 93%

“…Among habitual nappers (i.e., on average, those who take a siesta at least once per week during weekdays), the question “What is the duration in minutes?” allowed us to quantify habitual siestas and to categorize as follows: 1 = short siesta; and 2 = long siesta, ≤30 and >30 minutes, respectively. A short siesta was defined as ≤30 minutes based on previous studies [16, 17, 26].…”

Section: Methodsmentioning

confidence: 99%

“…allowed us to quantify habitual siestas and to categorize as follows: 1 = short siesta; and 2 = long siesta, ≤30 and >30 minutes, respectively. A short siesta was defined as ≤30 minutes based on previous studies [16,17,26].…”

Section: Siesta Characteristicsmentioning

confidence: 99%

“…Based on recent studies that have shown the relationship between prolonged napping and health risk [15][16][17], we hypothesize that the association of siestas with obesity depends, in part, on siesta duration (i.e., whether one takes a short or long siesta). Different lifestyle factors previously related to obesity and napping, such as lower levels of physical activity, higher energy intake, delayed meal or sleep behaviors [10], and individual chronotype, as well as other classical obesity risk factors such as smoking, alcohol intake, etc., may mediate the association of siestas with obesity and related metabolic alterations.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Lifestyle mediators of associations among siestas, obesity, and metabolic health

Vizmanos

Cascales

Rodríguez‐Martín

et al. 2023

Obesity

View full text Add to dashboard Cite

Objective The aim of this study was to determine the association between siestas/no siestas and obesity, considering siesta duration (long: >30 minutes, short: ≤30 minutes), and test whether siesta traits and/or lifestyle factors mediate the association of siestas with obesity and metabolic syndrome (MetS). Methods This was a cross‐sectional study of 3275 adults from a Mediterranean population (the Obesity, Nutrigenetics, TIming, and MEditerranean [ONTIME] study) who had the opportunity of taking siestas because it is culturally embedded. Results Thirty‐five percent of participants usually took siestas (16% long siestas). Compared with the no‐siesta group, long siestas were associated with higher values of BMI, waist circumference, fasting glucose, systolic blood pressure, and diastolic blood pressure, as well as with a higher prevalence of MetS (41%; p = 0.015). In contrast, the probability of having elevated SBP was lower in the short‐siesta group (21%; p = 0.044) than in the no‐siesta group. Smoking a higher number of cigarettes per day mediated the association of long siestas with higher BMI (by 12%, percentage of association mediated by smoking; p < 0.05). Similarly, delays in nighttime sleep and eating schedules and higher energy intake at lunch (the meal preceding siestas) mediated the association between higher BMI and long siestas by 8%, 4%, and 5% (all p < 0.05). Napping in bed (vs. sofa/armchair) showed a trend to mediate the association between long siestas and higher SBP (by 6%; p = 0.055). Conclusions Siesta duration is relevant in obesity/MetS. Timing of nighttime sleep and eating, energy intake at lunch, cigarette smoking, and siesta location mediated this association.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Methodsmentioning

confidence: 99%

Section: Siesta Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lifestyle mediators of associations among siestas, obesity, and metabolic health

Vizmanos

Cascales

Rodríguez‐Martín

et al. 2023

Obesity

View full text Add to dashboard Cite

show abstract

“…Existen distintos factores que han demostrado tener un papel en la génesis del SM: la obesidad 167 , el peso al nacer 168 , algunas endocrinopatías 169 , la esteatohepatitis grasa no alcohólica 170 171 , la elevación de la proteína C reactiva y sustancias pro inflamatorias en sangre 172 , la edad , la depresión 173 174 , el estrés emocional 175 , el estado civil 176 , el nivel socioeconómico 177 , la raza 178 , factores genéticos 179 180 y factores modificables como la dieta 181 121 182 119 120 121 , la AF 181 , el sedentarismo 183 , el consumo de tabaco 184 , el consumo de alcohol 185 , las horas de sueño 186 187 y la siesta prongada 188 . Todos ellos contribuyen a la aparición de los dos componentes principales del SM: la obesidad central y la resistencia a la insulina.…”

Section: 62 Factores De Riesgo Del Síndrome Metabólicounclassified

La intensidad de la actividad física y su papel en la prevención cardiovascular en la cohorte SUN

Hidalgo¹

View full text Add to dashboard Cite

Introduction Emerging evidence suggests that vigorous physical activity may be associated with greater cardioprotective and metabolic benefits than moderate physical activity, but this topic requires further study. Furthermore, no longitudinal study has investigated the combined effect of the Mediterranean diet and the intensity of physical activity on mortality and cardiovascular disease.. Objective This study aims to evaluate the long-term relationship betweenthe intensity of physical activity and the risk of developing metabolic syndrome and cardiovascular disease in a prospective cohort study. We also intend to assess the individual and combined effects of adherence to the Mediterranean diet and intensity of physical activity on all-cause mortality and cardiovascular disease. Methods and design The Seguimiento Universidad de Navarra (SUN) Project comprises Spanish university graduates. When evaluating the incidence of metabolic syndrome or cardiovascular disease, we excluded participants with any component of metabolic syndrome or cardiovascular disease prior to study entry. We estimated the mean intensity of leisuretime physical activity using a validated questionnaire. An 8-item score was also constructed to assess an active lifestyle. Adherence to the Mediterranean diet was obtained from a validated 136-item food frequency questionnaire and we used two validated dietary scores. The association between intensity of leisure-time physical activity and metabolic syndrome or cardiovascular disease (myocardial infarction, stroke, and death from cardiovascular causes) was evaluated with logistic regression models or Cox proportional hazards models respectively, adjusting for total energy expenditure and other confounding factors. In addition, multivariable Cox regression models were used to study the individual and combined effect of adherence to the Mediterranean diet, intensity of physical activity, and an active lifestyle on all-cause mortality and cardiovascular disease. 4 Results Among 10,145 participants without any criteria for metabolic syndrome, 412 new cases of metabolic syndrome were observed. Vigorous physical activity was associated with a 37% relatively lower risk (Adjusted OR=0.63, 95% CI=0.44, 0.89) compared with light activity, independent of the total energy expenditure and with a linear trend. During 172,299 person-years of follow-up, we recorded 127 cases of cardiovascular disease. Vigorous physical activity was associated with a 69% relatively lower risk (Adjusted HR=0.31, 95% CI=0.12, 0.79) compared with inactivity, independent of the total energy expenditure and with a linear trend. During a median follow-up of 10.3 years, we recorded 305 deaths. Participants with an active lifestyle and greater adherence to the Mediterranean diet had lower mortality (adjusted HR=0.39, 95% CI=0.21, 0.72), and when intensity was added to this combination, its power protective was even greater (adjusted HR=0.33, 95% CI=0.15, 0.71). Likewise, when analyzing joint exposure to the Mediterranean diet and an active lifestyle or intensity of physical activity, the greatest benefit was related to greater adherence to the Mediterranean diet and a more active lifestyle or vigorous physical activity, respectively. In any case, although there is a synergy, a multiplicative interaction between the Mediterranean diet and the intensity of physical activity was not found. Conclusions In the SUN cohort, given the same level of energy expenditure, respondents who engage in vigorous leisure-time physical activity have a lower risk of developing metabolic syndrome and cardiovascular disease. In the SUN cohort, the combined effect of Mediterranean diet adherence and physical activity intensity had synergistic effects on mortality and cardiovascular disease risk reduction.

show abstract

Association between length of daily siesta and brachial-ankle pulse wave velocity (baPWV): a community-based cross sectional study in North China

et al. 2023

View full text Add to dashboard Cite

Risk of Developing Metabolic Syndrome Is Affected by Length of Daily Siesta: Results from a Prospective Cohort Study

Cited by 10 publications

References 59 publications

Lifestyle mediators of associations among siestas, obesity, and metabolic health

Lifestyle mediators of associations among siestas, obesity, and metabolic health

La intensidad de la actividad física y su papel en la prevención cardiovascular en la cohorte SUN

Association between length of daily siesta and brachial-ankle pulse wave velocity (baPWV): a community-based cross sectional study in North China

Contact Info

Product

Resources

About