Advertisement

Reduced sleep duration affects body composition, dietary intake and quality of life in obese subjects

  • Eleonora PoggiogalleEmail author
  • Carla Lubrano
  • Lucio Gnessi
  • Chiara Marocco
  • Luca Di Lazzaro
  • Giampaolo Polidoro
  • Federica Luisi
  • Gianluca Merola
  • Stefania Mariani
  • Silvia Migliaccio
  • Andrea Lenzi
  • Lorenzo M. Donini
Original Article
Part of the following topical collections:
  1. Sleep and Eating and Weight disorders

Abstract

Purpose

Sleep duration has emerged as a crucial factor affecting body weight and feeding behaviour. The aim of our study was to explore the relationship among sleep duration, body composition, dietary intake, and quality of life (QoL) in obese subjects.

Methods

Body composition was assessed by DXA. “Sensewear Armband” was used to evaluate sleep duration. SF-36 questionnaire was used to evaluate quality of life (QoL). A 3-day dietary record was administered. Subjects were divided into 2 groups: sleep duration > and ≤300 min/day.

Results

137 subjects (105 women and 32 men), age: 49.8 ± 12.4 years, BMI: 38.6 ± 6.7 kg/m2, were enrolled. Sleep duration was ≤300 min in 30.6 % of subjects. Absolute and relative fat mass (FM) (40.5 ± 9 vs. 36.5 ± 9.1 kg; 40.2 ± 4.7 vs. 36.9 ± 5.6 %), and truncal fat mass (19.2 ± 6.1 vs. 16.6 ± 5 kg; 38.6 ± 5.3 vs. 35.2 ± 5.5 %) were higher in subjects sleeping ≤300 min when compared to their counterparts (all p < 0.05), whereas just a tendency towards a higher BMI was observed (p = 0.077). Even though energy intake was not different between groups, subjects sleeping ≤300 min reported a higher carbohydrate consumption per day (51.8 ± 5.1 vs. 48.4 ± 9.2 %, p = 0.038). SF-36 total score was lower in subjects sleeping ≤300 min (34.2 ± 17.8 vs. 41.4 ± 12.9, p = 0.025). Sleep duration was negatively associated with FM (r = −0.25, p = 0.01) and SF-36 total score (r = −0.31, p < 0.001). The inverse association between sleep duration and SF-36 total score was confirmed by the regression analysis after adjustment for BMI and fat mass (R = 0.43, R 2 = 0.19, p = 0.012).

Conclusion

Reduced sleep duration negatively influences body composition, macronutrient intake, and QoL in obese subjects.

Keywords

Sleep Body composition Dietary intake Quality of life Obesity 

Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to declare.

Ethical approval

The study protocol was approved by the Ethical Committee of the ‘‘Sapienza’’ University of Rome

Informed consent

Written informed consent was obtained from all participants.

References

  1. 1.
    Frange C, de Queiroz SS, da Silva Prado JM, Tufik S, de Mello MT (2014) The impact of sleep duration on self-rated health. Sleep Sci 7:107–113. doi: 10.1016/j.slsci.2014.09.006 CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH (2015) The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev 22:23–36. doi: 10.1016/j.smrv.2014.10.001 CrossRefGoogle Scholar
  3. 3.
    Leger D, Bayon V, de Sanctis A (2015) The role of sleep in the regulation of body weight. Mol Cell Endocrinol. doi: 10.1016/j.mce.2015.06.030 CrossRefGoogle Scholar
  4. 4.
    Chaput JP (2014) Sleep patterns, diet quality and energy balance. Physiol Behav 134:86–91. doi: 10.1016/j.physbeh.2013.09.006 CrossRefGoogle Scholar
  5. 5.
    Cappuccio FP, Taggart FM, Kandala NB, Currie A, Peile E, Stranges S, Miller MA (2008) Meta-analysis of short sleep duration and obesity in children and adults. Sleep 31:619–626CrossRefGoogle Scholar
  6. 6.
    Kim TW, Jeong JH, Hong SC (2015) The impact of sleep and circadian disturbance on hormones and metabolism. Int J Endocrinol 2015:591729. doi: 10.1155/2015/591729 CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    St-Onge MP (2013) The role of sleep duration in the regulation of energy balance: effects on energy intakes and expenditure. J Clin Sleep Med 9:73–80. doi: 10.5664/jcsm.2348 CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Patel SR, Hu FB (2008) Short sleep duration and weight gain: a systematic review. Obesity (Silver Spring) 16:643–653. doi: 10.1038/oby.2007.118 CrossRefGoogle Scholar
  9. 9.
    Chen X, Beydoun MA, Wang Y (2008) Is sleep duration associated with childhood obesity? A systematic review and meta-analysis. Obesity (Silver Spring) 16:265–274. doi: 10.1038/oby.2007.118 CrossRefGoogle Scholar
  10. 10.
    Nedeltcheva AV, Scheer FA (2014) Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes 21:293–298. doi: 10.1097/MED.0000000000000082 CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Poggiogalle E, Di Lazzaro L, Pinto A, Migliaccio S, Lenzi A, Donini LM (2014) Health-related quality of life and quality of sexual life in obese subjects. Int J Endocrinol. 2014:847871. doi: 10.1155/2014/847871 CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Araghi MH, Jagielski A, Neira I, Brown A, Higgs S, Thomas GN, Taheri S (2013) The complex associations among sleep quality, anxiety-depression, and quality of life in patients with extreme obesity. Sleep 36:1859–1865. doi: 10.5665/sleep.3216 CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Lohman TJ, Roache AF, Martorell R (2002) 2002 Anthropometric standardization reference manual. Med Sci Sports Exerc 24:952CrossRefGoogle Scholar
  14. 14.
    Heymsfield SB, Smith R, Aulet M, Bensen B, Lichtman S, Wang J et al (1990) Appendicular skeletal muscle mass: measurement by dual-photon absorptiometry. Am J Clin Nutr 52:214–218CrossRefGoogle Scholar
  15. 15.
    Malavolti M, Pietrobelli A, Dugoni M, Poli M, Romagnoli E, De Cristofaro P, Battistini NC (2007) A new device for measuring resting energy expenditure (REE) in healthy subjects. Nutr Metab Cardiovasc Dis. 17:338–343CrossRefGoogle Scholar
  16. 16.
  17. 17.
    McHorney CA, Ware JE Jr, Raczek AE (1993) The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 31:247–263CrossRefGoogle Scholar
  18. 18.
    Chaput JP, Després JP, Bouchard C, Tremblay A (2007) Short sleep duration is associated with reduced leptin levels and increased adiposity: Results from the Quebec family study. Obesity (Silver Spring). 15:253–261. doi: 10.1111/j.1758-8111.2011.00027.x CrossRefGoogle Scholar
  19. 19.
    Patel SR, Blackwell T, Redline S, Ancoli-Israel S, Cauley JA, Hillier TA, Lewis CE, Orwoll ES, Stefanick ML, Taylor BC, Yaffe K, Stone KL, Osteoporotic Fractures in Men Research Group, Study of Osteoporotic Fractures Research Group (2008) The association between sleep duration and obesity in older adults. Int J Obes (Lond) 32:1825–1834. doi: 10.1038/ijo.2008.198 CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Wirth MD, Hébert JR, Hand GA, Youngstedt SD, Hurley TG, Shook RP, Paluch AE, Sui X, James SL, Blair SN (2015) Association between actigraphic sleep metrics and body composition. Ann Epidemiol 25:773–778. doi: 10.1038/ijo.2008.198 CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Iftikhar IH, Donley MA, Mindel J, Pleister A, Soriano S, Magalang UJ (2015) Sleep duration and metabolic syndrome. An updated dose-risk metaanalysis. Ann Am Thorac Soc. 12:1364–1372. doi: 10.1513/AnnalsATS.201504-190OC CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Nagai M, Tomata Y, Watanabe T, Kakizaki M, Tsuji I (2013) Association between sleep duration, weight gain, and obesity for long period. Sleep Med 14:206–210. doi: 10.1016/j.sleep.2012.09.024 CrossRefGoogle Scholar
  23. 23.
    Nedeltcheva AV, Kilkus JM, Imperial J, Kasza K, Schoeller DA, Penev PD (2009) Sleep curtailment is accompanied by increased intake of calories from snacks. Am J Clin Nutr 89:126–133. doi: 10.3945/ajcn.2008.26574 CrossRefGoogle Scholar
  24. 24.
    Dashti HS, Follis JL, Smith CE, Tanaka T, Cade BE, Gottlieb DJ et al (2015) Habitual sleep duration is associated with BMI and macronutrient intake and may be modified by CLOCK genetic. Am J Clin Nutr 101:135–143. doi: 10.3945/ajcn.114.095026 CrossRefGoogle Scholar
  25. 25.
    Doo M, Kim Y (2015) Association between sleep duration and obesity is modified by dietary macronutrients intake in Korean. Obes Res Clin Pract. doi: 10.1016/j.orcp.2015.08.010 CrossRefGoogle Scholar
  26. 26.
    Patterson RE, Emond JA, Natarajan L, Wesseling-Perry K, Kolonel LN, Jardack P, Ancoli-Israel S, Arab L (2014) Short sleep duration is associated with higher energy intake and expenditure among African-American and non-Hispanic white adults. J Nutr 144:461–466. doi: 10.3945/jn.113.186890 CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Fontaine KR, Barofsky I (2001) Obesity and health-related quality of life. Obes Rev 2:173–182CrossRefGoogle Scholar
  28. 28.
    Isidoro SI, Salvaggio A, Lo Bue A, Romano S, Marrone O, Insalaco G (2015) Effect of obstructive sleep apnea diagnosis on health related quality of life. Health Qual Life Outcomes. 13:68. doi: 10.1186/s12955-015-0253-1 CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Paiva T, Gaspar T, Matos MG (2015) Sleep deprivation in adolescents: correlations with health complaints and health-related quality of life. Sleep Med 16:521–527. doi: 10.1016/j.sleep.2014.10.010 CrossRefGoogle Scholar
  30. 30.
    Heitmann BL, Lissner L (1995) Dietary underreporting by obese individuals-is it specific or non-specific? BMJ 311:986–989CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Eleonora Poggiogalle
    • 1
    Email author
  • Carla Lubrano
    • 1
  • Lucio Gnessi
    • 1
  • Chiara Marocco
    • 1
  • Luca Di Lazzaro
    • 1
  • Giampaolo Polidoro
    • 1
  • Federica Luisi
    • 1
  • Gianluca Merola
    • 1
  • Stefania Mariani
    • 1
  • Silvia Migliaccio
    • 2
  • Andrea Lenzi
    • 1
  • Lorenzo M. Donini
    • 1
  1. 1.Medical Pathophysiology, Food Science and Endocrinology Section, Food Science and Human Nutrition Research Unit, Department of Experimental Medicine“Sapienza” University, RomeRomeItaly
  2. 2.Endocrinology Unit, Department of Movement, Human and Health SciencesUniversity of “Foro Italico”RomeItaly

Personalised recommendations