Short sleep duration and obesity: the role of emotional stress and sleep disturbances

Vgontzas, AN; Hua, Lin; Papaliaga, Maria; Calhoun, Susan L.; Vela‐Bueno, Antonio; Gp, Chrousos; Bixler, EO

doi:10.1038/ijo.2008.4

Cited by 188 publications

(147 citation statements)

References 41 publications

(60 reference statements)

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“…22 Greater BMI and obesity has also been linked with the diagnosis of insomnia. 23 Nonetheless in this study, no significant association of weight (p=0.0503), BMI (p=0.1889) or cardiovascular event (p=0.1810) with insomnia was reported.…”

Section: Discussioncontrasting

confidence: 69%

A cross-sectional, multi-centric, epidemiology study to determine the prevalence of insomnia and related sleep habits in Indian hypertensive patients

Karnik¹,

Peethambaran²,

Adsule³

2017

Int J Res Med Sci

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Background: Hypertension is a leading risk factor affecting mortality and disability-adjusted life years worldwide. The objective of the study was to determine the prevalence of insomnia, co-morbid medical conditions, lifestyle attributes, related sleep habits and sleep quality among Indian hypertensive patients.Methods: Adults (≥18 years) with newly diagnosed or known history of hypertension, willing to participate were enrolled in this cross-sectional, epidemiological study. Several variables including lifestyle attributes, sleep habits, quality, medications, demographics, medical/surgical history and other details pertaining to hypertension were analyzed. Insomnia was assessed by Athens Insomnia Scale (AIS) in patients not identified in the past one month.Results: All the 657 enrolled patients completed the study (mean age: 55.4±11.61 years; men: 53.7%; women: 46.3%). Prevalence of insomnia among hypertensive population was approximately 47.2% (n=310; 95% CI: 43.4, 51.0). Number of patients newly diagnosed with insomnia by AIS scale was higher compared with patients already diagnosed with insomnia (34.9% [95% CI: 31.2, 38.5] vs. 12.3% [95% CI: 9.81, 14.8]). Common medical conditions associated with hypertension were diabetes mellitus (61.1%) and dyslipidemia (28.3%). More than half of the hypertensive patients with insomnia had sleep-related problems once or twice a week. Further, the daytime impact of insufficient sleep on wellbeing and functioning was markedly decreased in insomniac patients.Conclusions: Prevalence of insomnia among patients suffering from hypertension was higher than that reported in general Indian population in various studies. Present study shows that about 75% insomniac cases were undiagnosed, indicating that insomnia diagnosis may have been missed in a large proportion of hypertensive patients.

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Section: Discussioncontrasting

confidence: 69%

A cross-sectional, multi-centric, epidemiology study to determine the prevalence of insomnia and related sleep habits in Indian hypertensive patients

Karnik¹,

Peethambaran²,

Adsule³

2017

Int J Res Med Sci

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“…Ko et al 16) postulated that long hours and short sleep may be symptomatic of individuals under high levels of stress. Vgontzas et al 25) also reported that obese short sleepers had elevated levels of emotional stress. In turn, there is some evidence of increased food intake among stressed individuals 26,27) .…”

Section: Discussionmentioning

confidence: 95%

The Association between Job Related Factors, Short Sleep and Obesity

Milia

Mummery

2009

INDUSTRIAL HEALTH

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Epidemiological studies have found a consistent inverse relationship between increased body mass index (BMI) and sleep duration. These studies have not controlled for the role that job related factors such as shift work and working hours may have on this relationship. A cross sectional survey of shift and day workers (N=346; 292 males and 59 females) was employed to investigate the association between obesity, job related factors and sleep duration. Mean age for the overall sample was 41.1 yr (± 11.1). Mean BMI was significantly higher in shift workers than in day workers (p<.001). Mean BMI (12.60 h ± 0.41) was also significantly (p<.001) higher in the group working long daily hours followed by medium working hours (10.95 h ± 0.56) and short working hours (8.72 h ± 0.56). Obese individuals worked significantly longer hours (p<.001) and slept 18 min less per day (p<.06) compared to those with a normal BMI. The adjusted odds ratio (OR) indicated the most significant predictor of obesity was long working hours (OR=2.82, CI: 1.10-7.19), followed by being older (OR=2.05, CI: 1.17-3.59) and short sleep duration (OR=1.92, CI: 1.03-3.55). The limitations of the study are discussed.

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“…Research findings suggest that obesity in adolescence may be considered as a long-term stressor (cf. Vgontzas, Lin, Papaliaga, Calhoun, Vela-Bueno, Chrouso, & Bixler, 2008). Obesity is associated with strong stigmatization (Muennig & Bench, 2009), that may lead to increased emotional tension and anxiety in the obese.…”

Section: Discussionmentioning

confidence: 99%

Mediating role of coping styles in the relationship between anxiety and health behaviors of obese adolescents

Ziarko¹,

Kaczmarek²,

Mojs³

2012

Polish Psychological Bulletin

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Short sleep duration and obesity: the role of emotional stress and sleep disturbances

Abstract: Self-reported short sleep duration in obese individuals may be a surrogate marker of emotional stress and subjective sleep disturbances, whose detection and management should be the focus of our preventive and therapeutic strategies for obesity.

Cited by 188 publications

References 41 publications

A cross-sectional, multi-centric, epidemiology study to determine the prevalence of insomnia and related sleep habits in Indian hypertensive patients

A cross-sectional, multi-centric, epidemiology study to determine the prevalence of insomnia and related sleep habits in Indian hypertensive patients

The Association between Job Related Factors, Short Sleep and Obesity

Mediating role of coping styles in the relationship between anxiety and health behaviors of obese adolescents

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