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Journal of Behavioral Medicine

, Volume 39, Issue 3, pp 386–397 | Cite as

Sleep and health-related factors in overweight and obese rural women in a randomized controlled trial

  • Marcia Y. Shade
  • Ann M. Berger
  • Paul J. Dizona
  • Bunny J. Pozehl
  • Carol H. Pullen
Article

Abstract

This secondary analysis describes sleep and health-related factors in healthy overweight and obese mid-life and older rural women enrolled in the” Women Weigh-In for Wellness” randomized clinical trial. The aim of the trial was to promote healthy behaviors and weight-loss. We analyzed demographic, anthropometric, and biomarker variables, self-reported measurements of sleep disturbance and pain interference, and objective 24-h sleep/wake patterns at baseline, 6 months, and the change over time. Although self-reported sleep disturbance reflected normal sleep, pain interference was slightly higher than normal. There were associations between higher self-reported sleep disturbance, pain interference and several other variables. Women who achieved 5 % or more weight loss exhibited positive associations between sleep, pain, and health-related factors. Weight loss and lower pain predicted lower self-reported sleep disturbance. Our results suggest that overweight and obese rural women who adopt healthy behaviors and achieve weight loss also may experience improved sleep and other health benefits.

Clinical trial # NCT01307644.

Keywords

Overweight Sleep Pain Middle-aged Rural Women 

Notes

Acknowledgments

Support: NINR/NIH 1R01NR010589.

Compliance with ethical standards

Conflict of interest

Marcia Y. Shade, Ann M. Berger, Paul J. Dizona, Bunny J. Pozehl, and Carol H. Pullen declare that they have no conflict of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

References

  1. Alfaris, N., Wadden, T. A., Sarwer, D. B., Diwald, L., Volger, S., Hong, P., et al. (2015). Effects of a 2-year behavioral weight loss intervention on sleep and mood in obese individuals treated in primary care practice. Obesity, 23, 558–564.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Anic, G. M., Titus-Ernstoff, L., Newcomb, P. A., Trentham-Dietz, A., & Egan, K. M. (2010). Sleep duration and obesity in a population-based study. Sleep Medicine, 11, 447–451. doi: 10.1016/j.sleep.2009.11.013 CrossRefPubMedPubMedCentralGoogle Scholar
  3. Appelhans, B. M., Janssen, I., Cursio, J. F., Matthews, K. A., Hall, M., Gold, E. B., et al. (2013). Sleep duration and weight change in midlife women: The SWAN Sleep Study. Obesity, 21, 77–84. doi: 10.1002/oby.20251 CrossRefPubMedPubMedCentralGoogle Scholar
  4. Bansil, P., Kuklina, E. V., Merritt, R. K., & Yoon, P. W. (2011). Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: Results from the National Health and Nutrition Examination Survey, 2005 to 2008. Journal of Clinical Hypertension, 13, 739–743. doi: 10.1111/j.1751-7176.2011.00500.x CrossRefPubMedGoogle Scholar
  5. Beccuti, G., & Pannain, S. (2011). Sleep and obesity. Current Opinion in Clinical Nutrition and Metabolic Care, 14, 402–412. doi: 10.1097/MCO.0b013e3283479109 CrossRefPubMedPubMedCentralGoogle Scholar
  6. Befort, C. A., Nazir, N., & Perri, M. G. (2012). Prevalence of obesity among adults from rural and urban areas of the United States: Findings from NHANES (2005–2008). The Journal of Rural Health, 28, 392–397. doi: 10.1111/j.1748-0361.2012.00411.x CrossRefPubMedPubMedCentralGoogle Scholar
  7. Bennett, K. J., Probst, J. C., & Pumkam, C. (2011). Obesity among working age adults: The role of county-level persistent poverty in rural disparities. Health & Place, 17, 1174–1181.CrossRefGoogle Scholar
  8. Berger, A. M., Parker, K. P., Young-McCaughan, S., Mallory, G. A., Barsevick, A. M., Beck, S. L., et al. (2005). Sleep wake disturbances in people with cancer and their caregivers: State of the science. Oncology Nursing Forum, 32, E98–E126.CrossRefPubMedGoogle Scholar
  9. Cardinal, B. J. (1997). Assessing the physical activity readiness of inactive older adults. Adapted Physical Activity Quarterly, 14, 65–73.Google Scholar
  10. Centers for Disease Control. (2014). Overweight and obesity. Retrieved from http://www.cdc.gov/obesity/data/facts.html. Updated 2014. Accessed Jan 13, 2015.
  11. Centers for Disease Control and Prevention (CDC). (2011). Effect of short sleep duration on daily activities–United States, 2005–2008. MMWR. Morbidity and Mortality Weekly Report, 60, 239–242.Google Scholar
  12. Crosby, R. A., Wendel, M. L., Vanderpool, R. C., & Casey, B. R. (Eds.). (2012). Rural populations and health determinants disparities and solutions. San Francisco, CA: Jossey-Bass A Wiley Imprint.Google Scholar
  13. Czeisler, C. (2015). Duration, timing and quality of sleep are each vital for health, performance and safety. Sleep Health, 1, 5–8.CrossRefGoogle Scholar
  14. Di Milia, L., Vandelanotte, C., & Duncan, M. J. (2013). The association between short sleep and obesity after controlling for demographic, lifestyle, work and health related factors. Sleep Medicine, 14, 319–323. doi: 10.1016/j.sleep.2012.12.007 CrossRefPubMedGoogle Scholar
  15. Evans, D. S., Snitker, S., Wu, S. H., Mody, A., Njajou, O. T., Perlis, M. L., et al. (2011). Habitual sleep/wake patterns in the old order Amish: Heritability and association with non-genetic factors. Sleep, 34, 661–669.PubMedPubMedCentralGoogle Scholar
  16. Fang, J., Wheaton, A. G., Keenan, N. L., Greenlund, K. J., Perry, G. S., & Croft, J. B. (2012). Association of sleep duration and hypertension among US adults varies by age and sex. American Journal of Hypertension, 25, 335–341. doi: 10.1038/ajh.2011.201 CrossRefPubMedGoogle Scholar
  17. Finan, P. H., Goodin, B. R., & Smith, M. T. (2013). The association of sleep and pain: an update and a path forward. The Journal of Pain, 14, 1539–1552.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Gangwisch, J. E., Feskanich, D., Malaspina, D., Shen, S., & Forman, J. P. (2013). Sleep duration and risk for hypertension in women: Results from the nurses’ health study. American Journal of Hypertension, 26, 903–911. doi: 10.1093/ajh/hpt044 CrossRefPubMedPubMedCentralGoogle Scholar
  19. Gershon, R. C., Rothrock, N., Hanrahan, R., Bass, M., & Cella, D. (2010). The use of PROMIS and assessment center to deliver patient-reported outcome measures in clinical research. Journal of Applied Measurement, 11, 304–314.PubMedPubMedCentralGoogle Scholar
  20. Girschik, J., Fritschi, L., Heyworth, J., & Waters, F. (2012). Validation of self-reported sleep against actigraphy. Journal of Epidemiology, 22, 462–468. doi: 10.2188/jea.JE20120012.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., et al. (2014). Heart disease and stroke statistics–2014 update: A report from the American Heart Association. Circulation, 129, e28.CrossRefPubMedGoogle Scholar
  22. Grandner, M. A. (2012). Sleep duration across the lifespan: Implications for health. Sleep Medicine Reviews, 16, 199–201. doi: 10.1016/j.smrv.2012.02.001 CrossRefPubMedPubMedCentralGoogle Scholar
  23. Grandner, M. A., Jackson, N. J., Pak, V. M., & Gehrman, P. R. (2012). Sleep disturbance is associated with cardiovascular and metabolic disorders. Journal of Sleep Research, 21, 427–433. doi: 10.1111/j.1365-2869.2011.00990.x CrossRefPubMedPubMedCentralGoogle Scholar
  24. Grandner, M. A., Sands-Lincoln, M. R., Pak, V. M., & Garland, S. N. (2013). Sleep duration, cardiovascular disease, and proinflammatory biomarkers. Nature and Science of Sleep, 5, 93–107.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Guo, X., Zheng, L., Wang, J., Zhang, X., Zhang, X., Li, J., & Sun, Y. (2013). Epidemiological evidence for the link between sleep duration and high blood pressure: A systematic review and meta-analysis. Sleep Medicine, 14, 324–332.CrossRefPubMedGoogle Scholar
  26. Hageman, P. A., Pullen, C. H., Hertzog, M., Boeckner, L. S., & Walker, S. N. (2011). Web-based interventions for weight loss and weight maintenance among rural midlife and older women: Protocol for a randomized controlled trial. BMC Public Health, 11, 521–531. doi: 10.1186/1471-2458-11-521 CrossRefPubMedPubMedCentralGoogle Scholar
  27. Hart, G. L., & Casey, B. R. (2012). Defining rurality. In R. A. Crosby, M. L. Wendel, R. C. Vanderpool, & B. R. Casey (Eds.), Rural populations and health determinants, disparities, and solutions (pp. 23–37). San Francisco, CA: Jossey-Bass.Google Scholar
  28. Hartz, A. J., Daly, J. M., Kohatsu, N. D., Stromquist, A. M., Jogerst, G. J., & Kukoyi, O. A. (2007). Risk factors for insomnia in a rural population. Annals of Epidemiology, 17, 940–947. doi: 10.1016/j.annepidem.2007.07.097.CrossRefPubMedGoogle Scholar
  29. Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., et al. (2015). National Sleep Foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1, 40–43.CrossRefGoogle Scholar
  30. Hung, H. C., Yang, Y. C., Ou, H. Y., Wu, J. S., Lu, F. H., & Chang, C. J. (2013). The association between self-reported sleep quality and overweight in a Chinese population. Obesity, 21, 486–492. doi: 10.1002/oby.20259 CrossRefPubMedGoogle Scholar
  31. James, P., Oparil, S., Carter, B., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., et al. (2014). 2014 Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint National committee (JNC 8). JAMA, 311, 507–520.CrossRefPubMedGoogle Scholar
  32. Jones, C. D., Parker, T., Ahearn, M., & Jayachandran, V. (2009). Health status and health care access of farm and rural populations. (bulletin No. 57). United States Department of Agriculture.Google Scholar
  33. Knutson, K. (2015). Sleep and pain: Summary of the 2015 Sleep in America Poll. Sleep Health: Journal of the National Sleep Foundation, 1, 85.CrossRefGoogle Scholar
  34. Knutson, K. L., Zhao, X., Mattingly, M., Galli, G., & Cizza, G. (2012). Predictors of sleep-disordered breathing in obese adults who are chronic short sleepers. Sleep Medicine, 13, 484–489.CrossRefPubMedPubMedCentralGoogle Scholar
  35. Kohatsu, N. D., Tsai, R., Young, T., Vangilder, R., Burmeister, L. F., Stromquist, A. M., & Merchant, J. A. (2006). Sleep duration and body mass index in a rural population. Archives of Internal Medicine, 166, 1701–1705. doi: 10.1001/archinte.166.16.1701.CrossRefPubMedGoogle Scholar
  36. Lauderdale, D. S., Knutson, K. L., Rathouz, P. J., Yan, L. L., Hulley, S. B., & Liu, K. (2009). Cross-sectional and longitudinal associations between objectively measured sleep duration and body mass index: The CARDIA sleep study. American Journal of Epidemiology, 170, 805–813. doi: 10.1093/aje/kwp230 CrossRefPubMedPubMedCentralGoogle Scholar
  37. Lee, M., Choh, A. C., Demerath, E. W., Knutson, K. L., Duren, D. L., Sherwood, R. J., et al. (2009). Sleep disturbance in relation to health-related quality of life in adults: The Fels Longitudinal Study. The Journal of Nutrition, Health and Aging, 13, 576–583.CrossRefPubMedPubMedCentralGoogle Scholar
  38. Madsen, M. T., Huang, C., & Gogenur, I. (2015). Actigraphy for measurements of sleep in relation to oncological treatment of patients with cancer: A systematic review. Sleep Medicine Reviews, 20, 73–83. doi: 10.1016/j.smrv.2014.07.002.CrossRefPubMedGoogle Scholar
  39. Mezick, E. J., Wing, R. R., & McCaffery, J. M. (2014). Associations of self-reported and actigraphy-assessed sleep characteristics with body mass index and waist circumference in adults: Moderation by gender. Sleep Medicine, 15, 64–70. doi: 10.1016/j.sleep.2013.08.784 CrossRefPubMedPubMedCentralGoogle Scholar
  40. Moldofsky, H. (2001). Sleep and pain. Sleep Medicine Reviews, 5, 385–396.CrossRefPubMedGoogle Scholar
  41. Moraes, W., Poyares, D., Zalcman, I., De Mello, M., Bittencourt, L., Santos-Silva, R., & Tufik, S. (2013). Association between body mass index and sleep duration assessed by objective methods in a representative sample of the adult population. Sleep Medicine, 14, 312–318.CrossRefPubMedGoogle Scholar
  42. Nielsen, L. S., Danielsen, K. V., & Sorensen, T. I. (2011). Short sleep duration as a possible cause of obesity: Critical analysis of the epidemiological evidence. Obesity Reviews, 12, 78–92. doi: 10.1111/j.1467-789X.2010.00724.x CrossRefPubMedGoogle Scholar
  43. O’Brien, E. M., Fava, J., Subak, L. L., Stone, K., Hart, C. N., Demos, K., & Wing, R. (2012). Sleep duration and weight loss among overweight/obese women enrolled in a behavioral weight loss program. Nutrition & Diabetes, 2, e43. doi: 10.1038/nutd.2012.17 CrossRefGoogle Scholar
  44. Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA, 311, 806–814.CrossRefPubMedPubMedCentralGoogle Scholar
  45. Okifuji, A., & Hare, B. D. (2015). The association between chronic pain and obesity. Journal of Pain Research, 8, 399–408.CrossRefPubMedPubMedCentralGoogle Scholar
  46. Organization for Economic Cooperation and Development. (2012). Obesity update 2012. Retrieved from http://www.oecd.org/health/49716427.pdf Updated 2012, Accessed January 13, 2015.
  47. Patel, S. R., Blackwell, T., Redline, S., Ancoli-Israel, S., Cauley, J. A., Hillier, T. A., et al. (2008). The association between sleep duration and obesity in older adults. International Journal of Obesity, 32, 1825–1834. doi: 10.1038/ijo.2008.198 CrossRefPubMedPubMedCentralGoogle Scholar
  48. Perloff, D., Grim, C., Flack, J., Frohlich, E. D., Hill, M., McDonald, M., & Morgenstern, B. Z. (1993). Human blood pressure determination by sphygmomanometry. Circulation, 88, 2460–2470.CrossRefPubMedGoogle Scholar
  49. Singh, M., Drake, C. L., Roehrs, T., Hudgel, D. W., & Roth, T. (2005). The association between obesity and short sleep duration: A population-based study. Journal of Clinical Sleep Medicine, 1, 357–363.PubMedGoogle Scholar
  50. Stamatakis, K. A., & Brownson, R. C. (2008). Sleep duration and obesity-related risk factors in the rural Midwest. Preventive Medicine, 46, 439–444.CrossRefPubMedPubMedCentralGoogle Scholar
  51. St-Onge, M. P., Perumean-Chaney, S., Desmond, R., Lewis, C. E., Yan, L. L., Person, S. D., & Allison, D. B. (2010). Gender differences in the association between sleep duration and body composition: The Cardia Study. International Journal of Endocrinology, 2010, 1–8. doi: 10.1155/2010/726071 CrossRefGoogle Scholar
  52. Theorell-Haglow, J., Berglund, L., Janson, C., & Lindberg, E. (2012). Sleep duration and central obesity in women—Differences between short sleepers and long sleepers. Sleep Medicine, 13, 1079–1085. doi: 10.1016/j.sleep.2012.06.013 CrossRefPubMedGoogle Scholar
  53. Thomson, C. A., Morrow, K. L., Flatt, S. W., Wertheim, B. C., Perfect, M. M., Ravia, J. J., et al. (2012). Relationship between sleep quality and quantity and weight loss in women participating in a weight-loss intervention trial. Obesity, 20, 1419–1425. doi: 10.1038/oby.2012.62 CrossRefPubMedGoogle Scholar
  54. Tworoger, S. S., Yasui, Y., Vitiello, M. V., Schwartz, R. S., Ulrich, C. M., Aiello, E. J., et al. (2003). Effects of a yearlong moderate-intensity exercise and a stretching intervention on sleep quality in postmenopausal women. Sleep, 26, 830–836.PubMedGoogle Scholar
  55. US Department of Health and Human Services. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adultsthe evidence report. (No. 6 Suppl 298-4083). NIH.Google Scholar
  56. Vgontzas, A. N., Fernandez-Mendoza, J., Miksiewicz, T., Kritikou, I., Shaffer, M. L., Liao, D., et al. (2014). Unveiling the longitudinal association between short sleep duration and the incidence of obesity: The Penn State cohort. International Journal of Obesity, 38, 825–832. doi: 10.1038/ijo.2013.172 CrossRefPubMedPubMedCentralGoogle Scholar
  57. Wachholtz, A., Binks, M., Suzuki, A., & Eisenson, H. (2009). Sleep disturbance and pain in an obese residential treatment-seeking population. The Clinical Journal of Pain, 25, 584–589. doi: 10.1097/AJP.0b013e3181a0ff17 CrossRefPubMedGoogle Scholar
  58. Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., et al. (2015). Recommended amount of sleep for a healthy adult: A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. SLEEP, 38, 843–844.PubMedPubMedCentralGoogle Scholar
  59. Whinnery, J., Jackson, N., Rattanaumpawan, P., & Grandner, M. A. (2014). Short and long sleep duration associated with race/ethnicity, sociodemographics, and socioeconomic position. SLEEP, 37, 601–611. doi: 10.5665/sleep.3508 PubMedPubMedCentralGoogle Scholar
  60. Wing, R. R., Lang, W., Wadden, T. A., Safford, M., Knowler, W. C., Bertoni, A. G., … Wagenknecht, L. (2011). Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care, 34, 1481–1486.Google Scholar
  61. Zinkhan, M., Berger, K., Hense, S., Nagel, M., Obst, A., Koch, B., et al. (2014). Agreement of different methods for assessing sleep characteristics: A comparison of two actigraphs, wrist and hip placement, and self-report with polysomnography. Sleep Medicine, 15, 1107–1114.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Marcia Y. Shade
    • 1
  • Ann M. Berger
    • 1
  • Paul J. Dizona
    • 1
  • Bunny J. Pozehl
    • 2
  • Carol H. Pullen
    • 1
  1. 1.College of Nursing-OmahaUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.College of Nursing-LincolnUniversity of Nebraska Medical CenterLincolnUSA

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