Successful weight loss maintenance associated with morning chronotype and better sleep quality
It is not known whether individuals successful at long term weight loss maintenance differ in chronotype (i.e., being a “morning” or “evening” person) or sleep habits compared to those who are overweight and obese. We compared Morningness–Eveningness Questionnaire (MEQ) and Pittsburgh Sleep Quality Index scores of 690 National Weight Control Registry (NWCR) members (73 % female, 93 % white, age = 51.7 ± 12.5, BMI = 26.4 ± 5.1) to 75 enrollees in two behavioral weight loss interventions (INT; 77 % female, 88 % white, age = 55.7 ± 10.4, BMI = 36.2 ± 4.7). Controlling for age, MEQ scores were higher in NWCR than INT, p = .004, such that more NWCR than INT were morning-types and fewer were evening types, p = .014. Further, NWCR participants reported better sleep quality, longer sleep duration, and shorter latency to sleep onset compared to INT, ps < .05, and fewer NWCR participants reported <6 or <7 h of sleep, ps < .01. Future studies should examine if these factors change as a result of weight loss or are predictors of weight outcome.
KeywordsObesity Weight loss maintenance Sleep Chronotype Morningness/eveningness
This study was funded by the National Cancer Institute (National Institutes of Health) under award number 5U01CA150387 awarded to RRW, and by the National Institute of Diabetes Digestive and Kidney Diseases (National Institutes of Health) under award number F32DK100069 awarded to KMR. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Compliance with ethical standards
Conflict of interest
Kathryn M. Ross, J. Graham Thomas and Rena R. Wing declare that they have no conflict of interest.
Human and animal rights and Informed consent
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
- Broussard, J. L., Ehrmann, D. A., Van Cauter, E., Tasali, E., & Brady, M. J. (2012). Impaired insulin signaling in human adipocytes after experimental sleep restriction: A randomized, crossover study. Annals of Internal Medicine, 157, 549–557. doi: 10.7326/0003-4819-157-8-201210160-00005 CrossRefPubMedPubMedCentralGoogle Scholar
- Foster, G. D., Borradaile, K. E., Sanders, M. H., Millman, R., Zammit, G., Newman, A. B., et al. (2009). A randomized study on the effect of weight loss on obstructive sleep apnea among obese patients with type 2 diabetes: The Sleep AHEAD study. Archives of Internal Medicine, 169, 1619–1626. doi: 10.1001/archinternmed.2009.266 CrossRefPubMedPubMedCentralGoogle Scholar
- Garaulet, M., Esteban Tardido, A., Lee, Y.-C., Smith, C. E., Parnell, L. D., & Ordovás, J. M. (2012). SIRT1 and CLOCK 3111T> C combined genotype is associated with evening preference and weight loss resistance in a behavioral therapy treatment for obesity. International Journal of Obesity, 36, 1436–1441. doi: 10.1038/ijo.2011.270 CrossRefPubMedPubMedCentralGoogle Scholar
- Horne, J., & Ostberg, O. (1975). A self-assessment questionnaire to determine morningness–eveningness in human circadian rhythms. International Journal of Chronobiology, 4, 97–110.Google Scholar
- Ishihara, K., Miyasita, A., Inugami, M., Fukuda, K., & Miyata, Y. (1987). Differences in sleep-wake habits and EEG sleep variables between active morning and evening subjects. Sleep: Journal of Sleep Research & Sleep Medicine, 10(4), 330–342.Google Scholar
- Kerkhof, G. A., Korving, H. J., Geest, H. M. M. W., & Rietveld, W. J. (1980). Diurnal differences between morning-type and evening-type subjects in self-rated alertness, body temperature and the visual and auditory evoked potential. Neuroscience Letters, 16, 11–15. doi: 10.1016/0304-3940(80)90093-2 CrossRefPubMedGoogle Scholar
- Lindroos, A. K., Lissner, L., Mathiassen, M. E., Karlsson, J., Sullivan, M., Bengtsson, C., & Sjöström, L. (1997). Dietary intake in relation to restrained eating, disinhibition, and hunger in obese and nonobese Swedish women. Obesity Research, 5, 175–182. doi: 10.1002/j.1550-8528.1997.tb00290.x CrossRefPubMedGoogle Scholar
- Quick, V., Byrd-Bredbenner, C., White, A. A., Brown, O., Colby, S., Shoff, S., et al. (2013). Eat, sleep, work, play: Associations of weight status and health-related behaviors among young adult college students. American Journal of Health Promotion, 29, e64–e72. doi: 10.4278/ajhp.130327-QUAN-130 CrossRefPubMedGoogle Scholar
- SAS Institute Inc. (2011). SAS version 9.3. Cary, NC: SAS Institute Inc.Google Scholar
- Sivertsen, B., Omvik, S., Pallesen, S., Bjorvatn, B., Havik, O. E., Kvale, G., et al. (2006). Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: A randomized controlled trial. JAMA, 295, 2851–2858. doi: 10.1001/jama.295.24.2851 CrossRefPubMedGoogle Scholar
- Spiegel, K., Tasali, E., Penev, P., & Cauter, E. V. (2004). Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Annals of Internal Medicine, 141, 846–850. doi: 10.7326/0003-4819-141-11-200412070-00008 CrossRefPubMedGoogle Scholar
- 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
- Vitiello, M. V., Rybarczyk, B., Von Korff, M., & Stepanski, E. J. (2009). Cognitive behavioral therapy for insomnia improves sleep and decreases pain in older adults with co-morbid insomnia and osteoarthritis. Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine, 5, 355–362.Google Scholar