Short Sleep Duration and Weight Gain: a Systematic Review

Overview

Journal Obesity (Silver Spring)

Specialties Endocrinology
Nutritional Sciences
Physiology

Date 2008 Feb 2

PMID 18239586

Citations 576

Authors

Sanjay R Patel

Frank B Hu

Affiliations

Soon will be listed here.

Abstract

Objective: The recent obesity epidemic has been accompanied by a parallel growth in chronic sleep deprivation. Physiologic studies suggest sleep deprivation may influence weight through effects on appetite, physical activity, and/or thermoregulation. This work reviews the literature regarding short sleep duration as an independent risk factor for obesity and weight gain.

Methods And Procedures: A literature search was conducted for all articles published between 1966 and January 2007 using the search "sleep" and ("duration" or "hour" or "hours") and ("obesity" or "weight") in the MEDLINE database. Additional references were identified by reviewing bibliographies and contacting experts in the field. Studies reporting the association between sleep duration and at least one measure of weight were included.

Results: Thirty-six publications (31 cross-sectional, 5 prospective, and 0 experimental) were identified. Findings in both cross-sectional and cohort studies of children suggested short sleep duration is strongly and consistently associated with concurrent and future obesity. Results from adult cross-sectional analyses were more mixed with 17 of 23 studies supporting an independent association between short sleep duration and increased weight. In contrast, all three longitudinal studies in adults found a positive association between short sleep duration and future weight. This relationship appeared to wane with age.

Discussion: Short sleep duration appears independently associated with weight gain, particularly in younger age groups. However, major study design limitations preclude definitive conclusions. Further research with objective measures of sleep duration, repeated assessments of both sleep and weight, and experimental study designs that manipulate sleep are needed to better define the causal relationship of sleep deprivation on obesity.

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References

Ohayon M . Interactions between sleep normative data and sociocultural characteristics in the elderly. J Psychosom Res. 2004; 56(5):479-86. DOI: 10.1016/j.psychores.2004.04.365. View

Patel S, Ayas N, Malhotra M, White D, Schernhammer E, Speizer F . A prospective study of sleep duration and mortality risk in women. Sleep. 2004; 27(3):440-4. DOI: 10.1093/sleep/27.3.440. View

Ko G, Chan J, Chan A, Wong P, Hui S, Tong S . Association between sleeping hours, working hours and obesity in Hong Kong Chinese: the 'better health for better Hong Kong' health promotion campaign. Int J Obes (Lond). 2006; 31(2):254-60. DOI: 10.1038/sj.ijo.0803389. View

Spiegel K, Tasali E, Penev P, Van Cauter E . Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med. 2004; 141(11):846-50. DOI: 10.7326/0003-4819-141-11-200412070-00008. View

Tamakoshi A, Ohno Y . Self-reported sleep duration as a predictor of all-cause mortality: results from the JACC study, Japan. Sleep. 2004; 27(1):51-4. View

Agras W, Hammer L, McNicholas F, Kraemer H . Risk factors for childhood overweight: a prospective study from birth to 9.5 years. J Pediatr. 2004; 145(1):20-5. DOI: 10.1016/j.jpeds.2004.03.023. View

Patel S, Malhotra A, White D, Gottlieb D, Hu F . Association between reduced sleep and weight gain in women. Am J Epidemiol. 2006; 164(10):947-54. PMC: 3496783. DOI: 10.1093/aje/kwj280. View

Vioque J, Torres A, Quiles J . Time spent watching television, sleep duration and obesity in adults living in Valencia, Spain. Int J Obes Relat Metab Disord. 2000; 24(12):1683-8. DOI: 10.1038/sj.ijo.0801434. View

Lauderdale D, Knutson K, Yan L, Rathouz P, Hulley S, Sidney S . Objectively measured sleep characteristics among early-middle-aged adults: the CARDIA study. Am J Epidemiol. 2006; 164(1):5-16. DOI: 10.1093/aje/kwj199. View

10.

Kenchaiah S, Evans J, Levy D, Wilson P, Benjamin E, Larson M . Obesity and the risk of heart failure. N Engl J Med. 2002; 347(5):305-13. DOI: 10.1056/NEJMoa020245. View

11.

Shigeta H, Shigeta M, Nakazawa A, Nakamura N, Yoshikawa T . Lifestyle, obesity, and insulin resistance. Diabetes Care. 2001; 24(3):608. DOI: 10.2337/diacare.24.3.608. View

12.

Sivak M . Sleeping more as a way to lose weight. Obes Rev. 2006; 7(3):295-6. DOI: 10.1111/j.1467-789X.2006.00262.x. View

13.

Slama F, Achour A, Belhadj O, Hsairi M, Oueslati M, Achour N . [Obesity and life style in a population of male school children aged 6 to 10 years in Ariana (Tunisia)]. Tunis Med. 2003; 80(9):542-7. View

14.

Giugliano R, Carneiro E . [Factors associated with obesity in school children]. J Pediatr (Rio J). 2004; 80(1):17-22. View

15.

Felson D, Anderson J, Naimark A, Walker A, Meenan R . Obesity and knee osteoarthritis. The Framingham Study. Ann Intern Med. 1988; 109(1):18-24. DOI: 10.7326/0003-4819-109-1-18. View

16.

Knutson K . Sex differences in the association between sleep and body mass index in adolescents. J Pediatr. 2005; 147(6):830-4. DOI: 10.1016/j.jpeds.2005.07.019. View

17.

Gupta N, Mueller W, Chan W, Meininger J . Is obesity associated with poor sleep quality in adolescents?. Am J Hum Biol. 2002; 14(6):762-8. DOI: 10.1002/ajhb.10093. View

18.

Kohatsu N, Tsai R, Young T, VanGilder R, Burmeister L, Stromquist A . Sleep duration and body mass index in a rural population. Arch Intern Med. 2006; 166(16):1701-5. DOI: 10.1001/archinte.166.16.1701. View

19.

Manini T, Everhart J, Patel K, Schoeller D, Colbert L, Visser M . Daily activity energy expenditure and mortality among older adults. JAMA. 2006; 296(2):171-9. DOI: 10.1001/jama.296.2.171. View

20.

Hasler G, Buysse D, Klaghofer R, Gamma A, Ajdacic V, Eich D . The association between short sleep duration and obesity in young adults: a 13-year prospective study. Sleep. 2004; 27(4):661-6. DOI: 10.1093/sleep/27.4.661. View