The association between obesity and short sleep duration: a population-based study.

The association between obesity and short sleep duration: a population-based study.
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肥胖与睡眠时间短之间的关联:一项基于人群的研究。

DOI:
10.5664/jcsm.26361
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发表时间:
2005
期刊:
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
影响因子:
--
通讯作者:
T. Roth
T. Roth
中科院分区:
--
文献类型:
--
作者:
Meeta Singh;C. Drake;T. Roehrs;D. Hudgel;T. Roth

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研究目标 在密歇根州底特律市的流行病学样本中,评估夜间总睡眠时间(TST)与肥胖之间的关系。 方法 数据是通过电话采访收集的,使用了3158个基于人口的样本。访谈前两周的自我报告平均每晚睡眠时间被用来将样本分为6组(每晚睡眠小时数;或=5,或=6,或=7,或=8,或=9,>9)。肥胖被定义为身体质量指数或=30。健康和人口统计变量也进行了评估。 结果 总体肥胖率为24.8%,在TST量较低的个体中肥胖率明显更高。在控制了年龄、性别、鼾声、高血压、糖尿病、关节炎和饮酒后,与7~8小时TST和5小时或6小时以上TST的个体相比,肥胖的风险显著增加(优势比=1.7,95%可信区间=1.3~2.3;优势比=1.4,95%可信区间=1.1~1.8)。低TST是高体重指数的显著预测指标。此外,在控制体重指数之前,低TST也是糖尿病的重要预测因素。有趣的是,与高加索人相比,非裔美国人习惯性TST降低(或=5小时)的患病率更高(18.7%比7.4%;p<.001)。 结论 我们基于人群的数据表明,睡眠时间短与肥胖率上升有关,并增加了支持这种关系的越来越多的证据。
STUDY OBJECTIVES To assess the association between nightly total sleep time (TST) and obesity in an epidemiologic sample of metropolitan Detroit, Michigan. METHODS Data were collected through telephone interviews completed using a population-based sample of 3158. The self-reported average nightly TST during the 2 weeks before the interview was used to divide the sample into 6 groups (hours per night of sleep; < or = 5, > 5 < or = 6, > 6 < or = 7, > 7 < or = 8, > 8 < or = 9, > 9). Obesity was defined as a body mass index > or = 30. Health and demographic variables were also assessed. RESULTS The overall prevalence of obesity was 24.8% and was significantly higher in individuals with lower amounts of TST. Compared with those with 7 to 8 hours of TST, individuals obtaining 5 hours or less and more than 5 but 6 hours or less of TST had significantly increased odds of being obese, after controlling for age, sex, loud snoring, hypertension, diabetes, arthritis, and alcohol intake (odds ratio = 1.7, 95% confidence interval = 1.3-2.3 and odds ratio = 1.4, 95% confidence interval = 1.1-1.8, respectively). A low TST was a significant predictor of a high body mass index. Furthermore, a low TST was also a significant predictor of diabetes, prior to controlling for body mass index. Interestingly, the prevalence of reduced habitual TST (< or = 5 hours) was higher in African Americans, in comparison with Caucasians (18.7% vs 7.4%; p < .001). CONCLUSIONS Our population-based data suggest that short sleep duration is associated with elevated prevalence of obesity and adds to the growing body of evidence supporting this relationship.
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