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Major Change in Body Weight over 5 Years and Total Sleep Time: Investigation of Effect Modification by Sex and Obesity in a Large e-Cohort

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Abstract

Purpose

We assessed the association of long-term weight change ≥5 kg with total sleep time (TST), investigating effect modification by sex and overweight/obesity.

Method

In a cross-sectional context, we studied 41,610 adults from the general population-based NutriNet-Santé e-cohort. A sleep questionnaire was self-administered in 2014. It included sleep logs for the estimation of average TST at night, and items for the calculation of major weight change as experienced over the previous 5 years. We fit multivariate polytomous logistic regression models.

Results

Overall, women with major weight loss had an increased likelihood of short TST (≤6 h) when compared with women with stable weight (OR = 1.15, 95% CI: 1.05–1.25). Individuals with major weight gain had an increased likelihood of short TST compared with their counterparts with stable weight (men: OR = 1.20, 95% CI: 1.05–1.37; women: OR = 1.24, 95% CI: 1.15–1.33). Men with major weight gain were less likely to report long TST compared with men with stable weight (OR = 0.83, 95% CI: 0.70–0.97). Overweight or obesity did not moderate the associations.

Conclusions

The study advances knowledge in the fields of public health and nutrition by providing some evidence of a sex-specific association of major weight change with both short and long TST. These associations merit future investigation in a longitudinal context with repeated, objective measures of both weight and sleep time, while applying more stringent interaction test criteria and accounting for changes in health behaviors.

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Acknowledgements

The authors wish to thank the NutriNet-Santé statistics and computing team for the assistance with the data management.

Author information

Authors and Affiliations

  1. Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne Paris Cité, Université Paris 13, F-93017, Bobigny, France

    Valentina A. Andreeva, Marion J. Torres, Paloma Gonzalez, Fabien Szabo de Edelenyi, Serge Hercberg & Pilar Galan

  2. Sorbonne Paris Cité, AP-HP Hôtel-Dieu, Centre du Sommeil et de la Vigilance et EA7330 VIFASOM, Université Paris Descartes, F-75004, Paris, France

    Damien Léger & Virginie Bayon

  3. Département de Santé Publique, Hôpital Avicenne, F-93017, Bobigny, France

    Serge Hercberg

Authors
  1. Valentina A. Andreeva
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  2. Marion J. Torres
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  3. Damien Léger
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  4. Virginie Bayon
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  5. Paloma Gonzalez
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  6. Fabien Szabo de Edelenyi
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  7. Serge Hercberg
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  8. Pilar Galan
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Corresponding author

Correspondence to Valentina A. Andreeva.

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Funding

This study was funded by the French National Institute of Sleep and Vigilance, the French Ministry of Health, the French Institute for Health Surveillance, the National Institute for Prevention and Health Education, the Foundation for Medical Research, the National Institute for Health and Medical Research, the National Institute for Agricultural Research, the National Conservatory of Arts and Crafts, and the University of Paris 13.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures involving human participants were in accordance with the ethical standards of the institutional and national research committees and with the 1964 Helsinki declaration and its later amendments.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Andreeva, V.A., Torres, M.J., Léger, D. et al. Major Change in Body Weight over 5 Years and Total Sleep Time: Investigation of Effect Modification by Sex and Obesity in a Large e-Cohort. Int.J. Behav. Med. 24, 493–500 (2017). https://doi.org/10.1007/s12529-017-9635-6

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  • DOI: https://doi.org/10.1007/s12529-017-9635-6

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