Abstract
We examined the individual association between body mass index (BMI) and sleep quality among the very elderly. The present study analyzed data from survey that was conducted on all residents aged 90 years or more in a district, there were 2,311,709 inhabitants in 2005. Subjects were divided into four groups according to quartile of BMI (<16.6, 16.6–18.9, 18.9–21.1, >21.1 kg/m2) and according to classification criteria of underweight, normal weight, overweight, and obesity in BMI (<18.5, 18.5–23.0, 23.0–27.5, >27.5 kg/m2), respectively. Sleep quality was measured using The Pittsburgh Sleep Quality Index (PSQI). Sleep quality included quality classification and scores, sleep duration, sleep latency, and sleep efficiency. The subjects included in the statistical analysis were 216 men and 444 women. According to quartile of BMI or classification criteria of underweight, normal weight, overweight, and obesity in BMI, none of the differences in sleep quality scores, sleep latency, sleep duration, sleep efficiency percentage, and prevalence of poor sleep quality was significant among different BMI groups. The difference in BMI between subjects with good and poor sleep quality was non-significant. Unadjusted and adjusted multiple logistic regression showed that none of the BMI groups had a function of decreasing the risk for poor quality. Among longevity Chinese, there is no association between BMI and sleep quality.
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Bauer L, Dick D, Bierut L, Bucholz K, Edenberg H, Kuperman S, Kramer J, Nurnberger J, O’Connor S, Rice J, Rohrbaugh J, Schuckit M, Tischfield J, Porjesz B, Hesselbrock V (2010) Obesity, smoking, and frontal brain dysfunction. Am J Addict 19(5):391–400
Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213
Chan KM, Pang WS, Ee CH, Ding YY, Choo P (1998) Self-perception of health among elderly community dwellers in Singapore. Ann Acad Med Singapore 27(4):461–467
Drøyvold WB, Nilsen TI, Krüger O, Holmen TL, Krokstad S, Midthjell K, Holmen J (2006) Change in height, weight and body mass index: longitudinal data from the HUNT study in Norway. Int J Obes Lond 30(6):935–939
Erik Landhuis C, Poulton R, Welch D, Hancox RJ (2008) Childhood sleep time and long-term risk for obesity: a 32-year prospective birth cohort study. Pediatrics 122:955–960
Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among US adults. 1999–2000. JAMA 288:1723–1727
French MT, Norton EC, Fang H, Maclean JC (2010) Alcohol consumption and body weight. Health Econ 19(7):814–832
Gangwisch JE, Malaspina D, Boden-Albala B, Heymsfield SB (2005) Inadequate sleep as a risk factor for obesity: analyses of the NHANES I. Sleep 28:1289–1296
Grandner MA, Hale L, Moore M, Patel NP (2010) Mortality associated with short sleep duration: the evidence, the possible mechanisms, and the future. Sleep Med Rev 14(3):191–203
Hall MH, Muldoon MF, Jennings JR, Buysse DJ, Flory JD, Manuck SB (2008) Self-reported sleep duration is associated with the metabolic syndrome in midlife adults. Sleep 31(5):635–643
Horber FF, Gruber B, Thomi F, Jensen EX, Jaeger P (1997) Effect of sex and age on bone mass, body composition and fuel metabolism in humans. Nutrition 13:524–534
Huang CQ, Dong BR, Zhang YL, Wu HM, Liu QX, Flaherty JH (2009a) Moderate or severe dementia and hypertension among Chinese nonagenarians and centenarians. Hypertens Res 32(7):554–558
Huang CQ, Dong BR, Wu HM, Zhang YL, Wu JH, Lu ZC, Flaherty JH (2009b) Association of moderate or severe dementia with serum lipid/lipoprotein among Chinese nonagenarians and centenarians. Dement Geriatr Cogn Disord 27(2):111–116
Jean-Louis G, Kripke DF, Ancoli-Israel S, Klauber MR, Sepulveda RS, Mowen MA, Assmus JD et al (2000) Circadian sleep, illumination, and activity patterns in women: influences of aging and time reference. Physiol Behav 68:347–352
Karra E, Batterham RL (2010) The role of gut hormones in the regulation of body weight and energy homeostasis. Mol Cell Endocrinol 316(2):120–128
Keith SW, Redden DT, Katzmarzyk PT, Boggiano MM, Hanlon EC, Benca RM, Ruden D, Pietrobelli A, Barger JL, Fontaine KR, Wang C, Aronne LJ, Wright SM, Baskin M, Dhurandhar NV, Lijoi MC, Grilo CM, Deluca M, Westfall AO, Allison DB (2006) Putative contributors to the secular increase in obesity: exploring the roads less traveled. Int J Obes 30:1585–1594
Lamberg L (2006) Rx for obesity: eat less, exercise more, and maybe get more sleep. JAMA 295:2341–2344
Lau EM, Lynn HS, Woo JW, Kwok TC, Melton LJ 3rd (2005) Prevalence of and risk factors for sarcopenia in elderly Chinese men and women. J Gerontol A Biol Sci Med Sci 60(2):213–216
Littman AJ, Vitiello MV, Foster-Schubert K, Ulrich CM, Tworoger SS, Potter JD, Weigle DS, Mctiernan A (2006) Sleep, ghrelin, leptin and changes in body weight during a 1-year moderate-intensity physical activity intervention. Int J Obes 31:466–475
Lopez-Garcia E, Faubel R, Leon-Munoz L, Zuluaga MC, Banegas JR, Rodriguez-Artalejo F (2008) Sleep duration, general and abdominal obesity, and weight change among the older adult population of Spain. Am J Clin Nutr 87:310–316
Nevitt MC, Cummings SR, Kidd S, Black D (1989) Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA 261:2663–2668
Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV (2004) Meta-analysis of quantitative sleep param from childhood to old age in healthy individuals: developing normative sleep values across the lifespan. Sleep 27:1255–1273
Patel SR, Hu FB (2008) Short sleep duration and weight gain: a systematic review. Obesity 16:643–653
Rao MN, Blackwell T, Redline S, Stefanick ML, Ancoli-Israel S (2009) Osteoporotic fractures in men (MrOS) study group. Association between sleep architecture and measures of body composition. Sleep 32(4):483–490
Redline S, Kirchner HL, Quan SF, Gottlieb DJ, Kapur V, Newman A (2004) The effects of age, sex, ethnicity, and sleep-disordered breathing on sleep architecture. Arch Intern Med 164:406–418
Scholtens S, Brunekreef B, Visscher TL, Smit HA, Kerkhof M, de Jongste JC, Gerritsen J, Wijga AH (2007) Reported versus measured body weight and height of 4-year-old children and the prevalence of overweight. Eur J Public Health 17(4):369–374
Shinba T, Murashima YL, Yamamoto K (1994) Alcohol consumption and insomnia in a sample of Japanese alcoholics. Addiction 89(5):587–591
Shochat T, Tzischinsky O, Oksenberg A, Peled R (2007) Validation of the Pittsburgh sleep quality index Hebrew translation (PSQI-H) in a sleep clinic sample. Isr Med Assoc J 9:853–856
Snijder MB, van Dam RM, Visser M, Seidell JC (2006) What aspects of body fat are particularly hazardous and how do we measure them? Int J Epidemiol 35:83–92
Spiegel K, Leproult R, Van Cauter E (1999) Impact of sleep debt on metabolic and endocrine function. Lancet 354:1435–1439
Spiegel K, Tasali E, Penev P, Van Cauter E (2004) Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels and increased hunger and appetite. Ann Intern Med 141:846–850
Van Cauter E, Knutson KL (2008) Sleep and the epidemic of obesity in children and adults. Eur J Endocrinol 159(Suppl 1):S59–S66
Vgontzas AN (2008) Does obesity play a major role in the pathogenesis of sleep apnoea and its associated manifestations via inflammation, visceral adiposity, and insulin resistance? Arch Physiol Biochem 114(4):211–223
Wang Q, Hassager C, Ravn P, Wang S, Christiansen C (1994) Total and regional body-composition changes in early postmenopausal women: age-related or menopause-related? Am J Clin Nutr 60:843–848
WHO Expert Consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9403):157–163
Zamboni M, Armellini F, Harris T et al (1997) Effects of age on body fat distribution and cardiovascular risk factors in women. Am J Clin Nutr 66:111–115
Zee PC, Turek FW (2006) Sleep and health: everywhere and in both directions. Arch Intern Med 166(16):1686–1688
Zisberg A, Nurit GY, Tamar S (2010) Contribution of routine to sleep quality in community elderly. Sleep 33(4):509–514
Acknowledgements
This work was supported by the Discipline Construction Foundation of Sichuan University and by grants from the Project of Science and Technology Bureau of Sichuan Province (2006Z09-006-4), the Construction Fund for Subjects of West China Hospital of Sichuan University (XK05001) and the government of SiChuan province of China (2010FZ0061). The authors thank the staff of the Department of Geriatrics Medicine, West China Hospital and Dujiangyan Hospital, and all participants (as well as their legal proxies)for their great contribution.
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H. Chang-Quan is the co-first author of this paper.
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Yan, Z., Chang-Quan, H., Zhen-Chan, L. et al. Association between sleep quality and body mass index among Chinese nonagenarians/centenarians. AGE 34, 527–537 (2012). https://doi.org/10.1007/s11357-011-9251-3
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DOI: https://doi.org/10.1007/s11357-011-9251-3