Andreas Palm1, Christer Janson2, Eva Lindberg2. 1. Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University, Uppsala, Sweden; Centre for Research and Development, Uppsala University, Uppsala, County Council of Gävleborg, Sweden. Electronic address: andreas.palm@lg.se. 2. Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala University, Uppsala, Sweden.
Abstract
OBJECTIVES: The objective of this study was to investigate the role of obesity and weight gain in the development of sleep problems in a population-based cohort. MATERIAL AND METHODS: A population-based sample of men (n = 1896, aged 40-79 years) and women (n = 5116, age ≥20 years) responded to questionnaires at baseline and follow-up after 10-13 years. Sleep problems were assessed through questions about difficulties initiating sleep (DIS), difficulties maintaining sleep (DMS), excessive daytime sleepiness (EDS), and insomnia. Body mass index (BMI) was calculated from self-reported weight and height at both baseline and follow-up, while confounding factors (physical activity, tobacco and alcohol use, somatic disease, and snoring) were based on responses at baseline. RESULTS: Although overweight and obese subjects reported more sleep problems at baseline, there was no independent association between BMI level at baseline and development of new sleep problems. Subjects in the quartile with the highest rise in BMI with a weight gain exceeding 2.06 kg/m2 had a higher risk of developing DMS [adjusted odds ratio (OR) 1.58; 95% confidence interval (CI) 1.25-2.01), EDS (2.25; 1.65-3.06], and insomnia (2.78; 1.60-4.82). Weight gain was not associated with the development of DIS. CONCLUSIONS: Weight gain is an independent risk factor for developing several sleep problems and daytime sleepiness. The presence of overweight and weight gain should be considered when treating patients with sleep problems.
OBJECTIVES: The objective of this study was to investigate the role of obesity and weight gain in the development of sleep problems in a population-based cohort. MATERIAL AND METHODS: A population-based sample of men (n = 1896, aged 40-79 years) and women (n = 5116, age ≥20 years) responded to questionnaires at baseline and follow-up after 10-13 years. Sleep problems were assessed through questions about difficulties initiating sleep (DIS), difficulties maintaining sleep (DMS), excessive daytime sleepiness (EDS), and insomnia. Body mass index (BMI) was calculated from self-reported weight and height at both baseline and follow-up, while confounding factors (physical activity, tobacco and alcohol use, somatic disease, and snoring) were based on responses at baseline. RESULTS: Although overweight and obese subjects reported more sleep problems at baseline, there was no independent association between BMI level at baseline and development of new sleep problems. Subjects in the quartile with the highest rise in BMI with a weight gain exceeding 2.06 kg/m2 had a higher risk of developing DMS [adjusted odds ratio (OR) 1.58; 95% confidence interval (CI) 1.25-2.01), EDS (2.25; 1.65-3.06], and insomnia (2.78; 1.60-4.82). Weight gain was not associated with the development of DIS. CONCLUSIONS:Weight gain is an independent risk factor for developing several sleep problems and daytime sleepiness. The presence of overweight and weight gain should be considered when treating patients with sleep problems.
Authors: Valentina A Andreeva; Marion J Torres; Damien Léger; Virginie Bayon; Paloma Gonzalez; Fabien Szabo de Edelenyi; Serge Hercberg; Pilar Galan Journal: Int J Behav Med Date: 2017-08
Authors: Xiao Tan; Markku Alén; Kun Wang; Jarkko Tenhunen; Petri Wiklund; Markku Partinen; Sulin Cheng Journal: Nutrients Date: 2016-11-23 Impact factor: 5.717
Authors: Daniel Silverforsen; Jenny Theorell-Haglöw; Mirjam Ljunggren; Roelinde Middelveld; Juan Wang; Karl Franklin; Dan Norbäck; Bo Lundbäck; Bertil Forsberg; Eva Lindberg; Christer Janson Journal: BMJ Open Date: 2021-06-09 Impact factor: 2.692