The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Overweight and Obese Patients in a Primary Care Population Report Less Sleep Than Patients With a Normal Body Mass Index
Abstract
BACKGROUND: Insufficient sleep and obesity are common in the United States. Restricted sleep causes important neurocognitive changes, including excessive daytime sleepiness and altered mood. This may result in work-related injuries and automotive crashes. Evidence links sleep loss to hormonal changes that could result in obesity. This article examines the association between restricted sleep and obesity in a heterogeneous adult primary care population. METHODS: A total of 1001 patients from 4 primary care practices participated in this prospective study. Patients completed a questionnaire administered by a nurse or study coordinator concerning demographics, medical problems, sleep habits, and sleep disorders. Professional staff measured height and weight in the office. The relationship between body mass index (BMI) and reported total sleep time per 24 hours was analyzed after categorizing patients according to their BMI (calculated as weight in kilograms divided by the square of height in meters) as being of normal weight (<25), overweight (25-29.9), obese (30-39.9), or extremely obese (> or =40). RESULTS: Analyzable forms from 924 patients aged between 18 and 91 years indicated that (1) the mean BMI was 30; (2) women slept more than men; (3) overweight and obese patients slept less than patients with a normal BMI (patients reported less sleep in a nearly linear relationship from the normal through the obese group); and (4) this trend of decreasing sleep time was reversed in the extremely obese patients. CONCLUSIONS: This study found that reduced amounts of sleep are associated with overweight and obese status. Interventions manipulating total sleep time could elucidate a cause-and-effect relationship between insufficient sleep and obesity.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Insufficient sleep duration (quantity) has been associated with an increased risk of obesity (3–6,51), type 2 diabetes (7–11), hypertension (12), cardiovascular disease (13,14), metabolic syndrome (a combination of cardiovascular and metabolic dysfunction) (15), and early mortality (14,16,17,19–21,52).”
From Sleep Restriction for 1 Week Reduces Insulin Sensitivity in Healthy Men (2010) · cites this paper as [6]
In the citing paper
“An increasing number of epidemiological studies have reported an association between short sleep duration and higher risk of developing obesity and type II diabetes [86–89].”
From Impact of Sleep and Its Disturbances on Hypothalamo-Pituitary-Adrenal Axis Activity (2010) · cites this paper as [87]
Citations
Cites
Adipose Expression of Tumor Necrosis Factor-α: Direct Role in Obesity-Linked Insulin Resistance
Hotamisligil, G. S., Shargill, N. S., & Spiegelman, B. M. (1993) · Science · doi:10.1126/science.7678183 · Cited by 7,518
Prevalence and trends in obesity among US adults, 1999–2000
Flegal, K. M. (2002) · JAMA · doi:10.1001/jama.288.14.1723 · Cited by 6,190
Prevalence and Trends in Overweight Among US Children and Adolescents, 1999-2000
Ogden, C. L. (2002) · JAMA · doi:10.1001/jama.288.14.1728 · Cited by 4,060
Impact of sleep debt on metabolic and endocrine function
Spiegel, K., Leproult, R., & Van Cauter, E. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01376-8 · Cited by 3,668
Fatigue, alcohol and performance impairment
Dawson, D., & Reid, K. (1997) · Nature · doi:10.1038/40775 · Cited by 1,199
Vgontzas, A. N., Papanicolaou, D. A., Bixler, E. O., Kales, A., Tyson, K., & Chrousos, G. P. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.5.3950 · Cited by 974
Sleep Apnea and Sleep Disruption in Obese Patients
Vgontzas, A. N. (1994) · Archives of Internal Medicine · doi:10.1001/archinte.1994.00420150073007 · Cited by 470
Sekine, M., Yamagami, T., Handa, K., Saito, T., Nanri, S., Kawaminami, K., Tokui, N., Yoshida, K., & Kagamimori, S. (2002) · Child Care Health and Development · doi:10.1046/j.1365-2214.2002.00260.x · Cited by 418
Effects of insufficient sleep on blood pressure in hypertensive patients: a 24-h study
Lusardi, P. (1999) · American Journal of Hypertension · doi:10.1016/s0895-7061(98)00200-3 · Cited by 331
Obesity Without Sleep Apnea Is Associated With Daytime Sleepiness
Vgontzas, A. N., Bixler, E. O., Tan, T. L., Kantner, D., Martin, L. F., & Kales, A. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.12.1333 · Cited by 329
Flagged first, then by citations
Cited by
Sorted by citations
Items 401–406 of 406
Uncovering the Link Between Sleep, Alexithymia, and Overweight Status
Uludağ, K. (2025) · Advances in computational intelligence and robotics book series · doi:10.4018/979-8-3693-9521-9.ch008
Influence de polymorphismes génétiques sur le sommeil et l'efficacité de la caféine
Erblang, M. (2020) · theses.fr (ABES) · doi:10.70675/10d39c5czed91z47dez802cz926b956f3874
Alghamdi, M. A., Wasaif Mubark Albarqawi, F. J. A., Alasmary, M., Alfawzan, K., Alharbi, A., Mubaraky, B., Albarqawi, W., Alotaibi, F., Almuflih, A., Mushbari, I., et al. (2025) · Research Square · doi:10.21203/rs.3.rs-5953157/v1
Sleep Disorders and Cardiac Consequences
Vorona, R. D. (2015)
Self-citationEndocrine–Metabolic Disorders and Sleep Medicine
Leproult, R., & Copinschi, G. (2015) · Springer eBooks · doi:10.1007/978-1-4939-2089-1_50
Sleep and Sleep Disorders in Later Life
Vorona, R. D. (2009) · VCU Scholars Compass (Virginia Commonwealth University)
Self-citation
Metadata
- Authors
- Vorona, R. D., Winn, M. P., Babineau, T. W., Eng, B. P., Feldman, H. R., & Ware, J. C.
- Affiliations
- Sentara Norfolk General Hospital (US)
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2005-01-10
- Volume
- 165
- Issue
- 1
- Pages
- 25
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2171783792
- Cited by
- 405
- References
- 18
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 7 · 2023: 5 · 2022: 8 · 2021: 12 · 2020: 14 · 2019: 12 · 2018: 8 · 2017: 21 · 2016: 18 · 2015: 13 · 2014: 30 · 2013: 22 · 2012: 28
- FWCI
- 40.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eastern Virginia Medical School
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep duration, obesity, overweight, body mass index, insufficient sleep, primary care patients, sex differences in sleep, extremely obese patients
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Obesity, Primary Health Care, Prospective Studies, Surveys and Questionnaires, Sleep Deprivation, United States, Weight Gain, Body Mass Index
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review