Associations between inadequate sleep and obesity in the US adult population: analysis of the national health interview survey (1977–2009)

BMC Public Health

Gbenga Ogedegbe²  Ferdinand Zizi²  Shawn Youngstedt⁴  Abhishek Pandey³  Daniel Sarpong¹  Natasha J Williams²  Girardin Jean-Louis² 

[1] RTRN-DCC, SHS and RCMI-CEH, Jackson State University, Jackson, MS, USA;Division of Internal Medicine, Center for Healthful Behavior Change, NYU Medical Center, New York, NY, USA;Department of Family Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA;Dorn VA Medical Center, Columbia, SCUSA

关键词: Long sleep;    Short sleep;    Obesity;    Overweight;   

Others  :  1131776
DOI  :  10.1186/1471-2458-14-290

 received in 2013-08-19, accepted in 2014-03-18,  发布年份 2014

【 摘 要 】

Background

Epidemiologic studies show a curvilinear relationship between inadequate sleep (< 7 or > 8 hours) and obesity (Body Mass Index > 30 kg/m2), which have enormous public health impact.

Methods

Using data from the National Health Interview Survey, an ongoing nationally representative cross-sectional study of non-institutionalized US adults (≥18 years) (1977 through 2009), we examined the hypothesis that inadequate sleep is independently related to overweight/obesity, with adjustment for socio-demographic, health risk, and medical factors. Self- reported data on health risks, physician-diagnosed medical conditions, sleep duration, and body weight and height were used.

Results

Prevalence of overweight and obesity increased from 31.2% to 36.9% and 10.2% to 27.7%, respectively. Whereas prevalence of very short sleep (<5 hours) and short sleep (5–6 hours) has increased from 1.7% to 2.4% and from 19.7% to 26.7%, it decreased from 11.6% to 7.8% for long sleep. According to multivariate-adjusted multinomial regression analyses, odds of overweight and obesity associated with very short sleep and short sleep increased significantly from 1977 to 2009. Odds of overweight and obesity conferred by long sleep did not show consistent and significant increases over the years. Analyses based on aggregated data showed very short sleepers had 30% greater odds of being overweight or were twice as likely to be obese, relative to 7–8 hour sleepers. Likewise, short sleepers had 20% greater odds of being overweight or 57% greater odds of being obese. Long sleepers had 20% greater odds of being obese, but no greater odds of being overweight.

Conclusions

Our findings support the hypothesis that prevalence of very short and short sleep has gradually increased over the last 32 years. Inadequate sleep was associated with overweight and obesity for each available year.

【 授权许可】

   
2014 Jean-Louis et al.; licensee BioMed Central Ltd.

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