The association between short sleep duration and obesity in young adults:: A 13-year prospective study

The association between short sleep duration and obesity in young adults:: A 13-year prospective study
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DOI:
10.1093/sleep/27.4.661
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发表时间:
2004-06-15
期刊:
影响因子:
5.6
通讯作者:
Angst, J
Angst, J
中科院分区:
医学2区
文献类型:
--
作者:
Hasler, G;Buysse, DJ;Angst, J

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研究目的:肥胖症已成为一个主要的健康问题,日益普遍。鉴于有效治疗体重问题的方法有限,识别潜在的可改变的风险因素可能会导致预防肥胖的方法。本研究的目的是检验这一假设,即短睡眠时间与肥胖和体重增加在年轻adult.Design:前瞻性单年龄队列研究的年轻人。信息来自4个采访时,参与者的年龄为27,29,34,和40 years.Setting:Community setting.Participants:496 young adults. Measures and Results:训练有素的卫生专业人员进行了半结构化的采访精神和医疗条件和健康习惯。这项研究表明,睡眠时间短与肥胖之间存在关联(27岁时,比值比:7.4,95%置信区间:1.3-43.1),年轻人的睡眠时间与体重指数之间存在负相关。在控制了各种潜在的混杂变量后,这些关联仍然存在,包括体重问题的家族史,体力活动水平和人口统计学变量。睡眠时间和肥胖之间的联系在34岁后消失。有一个趋势(P = .08)的平均变化率体重增加呈负相关的平均变化率的睡眠daily.Conclusions:由于睡眠时间是一个潜在的可修改的危险因素,这些研究结果可能有重要的临床意义的预防和治疗肥胖。
Study Objectives: Obesity has become a major health problem with increasing prevalence. Given the limited availability of effective treatment of weight problems, the identification of potentially modifiable risk factors may lead to preventive approaches to obesity. The objective of this study was to test the hypothesis that short sleep duration is associated with obesity and weight gain during young adulthood.Design: Prospective single-age cohort study of young adults. Information was derived from 4 interviews when participants were ages 27, 29, 34, and 40 years.Setting: Community setting.Participants: 496 young adults.Measurements and Results: Trained health professionals administered a semistructured interview for psychiatric and medical conditions and health habits. This study showed an association between short sleep duration and obesity (at age 27 years, odds ratio: 7.4, 95% confidence interval: 1.3-43.1) and a negative association between sleep duration and body mass index in young adults. These associations persisted after controlling for a variety of potentially confounding variables, including family history of weight problems, levels of physical activity, and demographic variables. Associations between sleep duration and obesity diminished after age 34 years. There was a trend (P = .08) for average change rate of weight gain to be negatively associated with average change rate of sleep duration.Conclusions: Because sleep duration is a potentially modifiable risk factor, these findings might have important clinical implications for the prevention and treatment of obesity.