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Association between objectively measured sleep duration, adiposity and weight loss history

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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  4. Consistent sleep onset and maintenance of body weight after weight loss: An analysis of data from the NoHoW trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Sofus C Larsen
  • Graham Horgan
  • Marie-Louise K Mikkelsen
  • Antonio L Palmeira
  • Sarah Scott
  • Cristiana Duarte
  • Inês Santos
  • Jorge Encantado
  • Ruairi O' Driscoll
  • Jake Turicchi
  • Joanna Michalowska
  • James Stubbs
  • Berit L Heitmann
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BACKGROUND: An association between sleep and obesity has been suggested in several studies, but many previous studies relied on self-reported sleep and on BMI as the only adiposity measure. Moreover, a relationship between weight loss history and attained sleep duration has not been thoroughly explored.

DESIGN: The study comprised of 1202 participants of the European NoHoW trial who had achieved a weight loss of ≥5% and had a BMI of ≥25 kg/m2 prior to losing weight. Information was available on objectively measured sleep duration (collected during 14 days), adiposity measures, weight loss history and covariates. Regression models were conducted with sleep duration as the explanatory variable and BMI, fat mass index (FMI), fat-free mass index (FFMI) and waist-hip ratio (WHR) as response variables. Analyses were conducted with 12-month weight loss, frequency of prior weight loss attempts or average duration of weight maintenance after prior weight loss attempts as predictors of measured sleep duration.

RESULTS: After adjusting for physical activity, perceived stress, smoking, alcohol consumption, education, sex and age, sleep duration was associated to BMI (P < 0.001), with the highest BMI observed in the group of participants sleeping <6 h a day [34.0 kg/m2 (95% CI: 31.8-36.1)]. Less difference in BMI was detected between the remaining groups, with the lowest BMI observed among participants sleeping 8-<9 h a day [29.4 kg/m2 (95% CI: 28.8-29.9)]. Similar results were found for FMI (P = 0.008) and FFMI (P < 0.001). We found no association between sleep duration and WHR. Likewise, we found no associations between weight loss history and attained sleep duration.

CONCLUSION: In an overweight population who had achieved a clinically significant weight loss, short sleep duration was associated with higher BMI, with similar associations for fat and lean mass. We found no evidence of association between weight loss history and attained sleep duration.

OriginalsprogEngelsk
TidsskriftInternational journal of obesity (2005)
Vol/bind44
Udgave nummer7
Sider (fra-til)1577-1585
Antal sider9
ISSN0307-0565
DOI
StatusUdgivet - jul. 2020

ID: 61193381