Associations of self-reported and actigraphy-assessed sleep characteristics with body mass index and waist circumference in adults: moderation by gender.

Associations of self-reported and actigraphy-assessed sleep characteristics with body mass index and waist circumference in adults: moderation by gender.
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DOI:
10.1016/j.sleep.2013.08.784
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发表时间:
2014-01
期刊:
影响因子:
4.8
通讯作者:
McCaffery, Jeanne M.
McCaffery, Jeanne M.
中科院分区:
医学2区
文献类型:
--
作者:
Mezick, Elizabeth J.;Wing, Rena R.;McCaffery, Jeanne M.

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在之前的研究中,自我报告的睡眠时间与体重指数(BMI)和腰围相关;然而,关于这些关联在男性或女性中是否更强的数据参差不齐,而且很少有研究客观地测量睡眠。我们调查了自我报告和体动记录仪评估的睡眠特征与体重指数和腰围的关系,并研究了这些关联因性别而异的程度。使用了 2004 年至 2006 年收集的美国中年发展全国调查 (MIDUS) 生物标志物研究的存档横截面数据。参与者包括 1248 名成年人(43% 男性),他们报告了自己的习惯性睡眠时间,以及一部分参与者(n = 441 名,40% 男性)接受了 7 晚的腕部活动记录仪。在男性和女性的完整样本中,自我报告的总睡眠时间、体动记录仪评估的总睡眠时间和体动记录仪评估的睡眠效率与 BMI 呈负相关。然而,性别调节了睡眠体动记录仪评估与人体测量变量之间的关联,因此总睡眠时间和睡眠效率仅与女性的体重指数和腰围相关。睡眠和腰围之间的关联与体重指数无关。睡眠持续时间和睡眠连续性与体重和身体脂肪的分布有关,但这些关联在女性中更强,或只存在于女性中。
Self-reported sleep duration has been linked to body mass index (BMI) and waist circumference in previous work; however, data regarding whether these associations are stronger in men or women have been mixed, and few studies have measured sleep objectively. We investigated self-reported and actigraphy-assessed sleep characteristics in relation to BMI and waist circumference, and examined the extent to which these associations differ by gender. Archived, cross-sectional data from the National Survey of Midlife Development in the United States (MIDUS) Biomarkers Study, collected in 2004–2006, were used. Participants included 1248 adults (43% male) who reported their habitual sleep duration, and a subset of participants (n = 441, 40% male) who underwent seven nights of wrist actigraphy. Self-reported total sleep time, actigraphy-assessed total sleep time, and actigraphy-assessed sleep efficiency were inversely associated with BMI in the full sample of both men and women. Gender moderated associations between actigraphy assessments of sleep and anthropometric variables, however, such that total sleep time and sleep efficiency were related to BMI and waist circumference in women only. Associations between sleep and waist circumference were independent of BMI. Sleep duration and sleep continuity are associated with body weight and distribution of body fat, but these associations are stronger, or only present, in women.
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