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


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.


Overweight Sleep Pain Middle-aged Rural Women 



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.


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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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