Contributors to the obesity and hyperglycemia epidemics. A prospective study in a population-based cohort
Open accessAbstract
Objective Relatively unexplored contributors to the obesity and diabetes epidemics may include sleep restriction, increased house temperature (HT), television watching (TW), consumption of restaurant meals (RMs), use of air conditioning (AC) and use of antidepressant/antipsychotic drugs (ADs).Design and subjects In a population-based cohort (n=1597), we investigated the possible association among these conditions, and obesity or hyperglycemia incidence at 6-year follow-up. Subjects with obesity (n=315) or hyperglycemia (n=618) at baseline were excluded, respectively, 1282 and 979 individuals were therefore analyzed.Results At follow-up, 103/1282 became obese; these subjects showed significantly higher body mass index, waist circumference, saturated fat intake, RM frequency, TW hours, HT, AC and AD use, and lower fiber intake, metabolic equivalent of activity in h per week (METS) and sleep hours at baseline. In a multiple logistic regression model, METS (odds ratio=0.94; 95% confidence interval (CI) 0.91-0.98), RMs (odds ratio=1.47 per meal per week; 1.21-1.79), being in the third tertile of HT (odds ratio=2.06; 1.02-4.16) and hours of sleep (odds ratio=0.70 per h; 0.57-0.86) were associated with incident obesity. Subjects who developed hyperglycemia (n=174/979; 17.8%) had higher saturated fat intake, RM frequency, TW hours, HT, AC and AD use at baseline and lower METS and fiber intake. In a multiple logistic regression model, fiber intake (odds ratio=0.97 for each g per day; 0.95-0.99), RM (1.49 per meal per week; 1.26-1.75) and being in the third tertile of HT (odds ratio=1.95; 1.17-3.26) were independently associated with incident hyperglycemia.Conclusions Lifestyle contributors to the obesity and hyperglycemia epidemics may be regular consumption of RM, sleep restriction and higher HT, suggesting potential adjunctive non-pharmacological preventive strategies for the obesity and hyperglycemia epidemics.
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Among 28 longitudinal studies on short sleep and later obesity risk in children and adults, 22 found that short sleep was linked to greater weight gain, obesity, or fat mass after a few years.
“Of the 28 longitudinal studies that examined the impact of short sleep on obesity risk in children and adults, 22 reported that short sleep is associated with an increased risk of weight gain or development of obesity and/or increased fat mass a few years later”
From Sleep and metabolic function (2012) · cites this paper as [8]
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- Authors
- Bo, S., Ciccone, G., Durazzo, M., Ghinamo, L., Villois, P., Canil, S., Gambino, R., Cassader, M., Gentile, L., & Cavallo-Perin, P.
- Affiliations
- University of Turin (IT)
- Azienda Sanitaria Locale di Asti (IT)
- Corresponding author
- Bo, S
- Venue
- International Journal of Obesity
- Published
- 2011-02-01
- Volume
- 35
- Issue
- 11
- Pages
- 1442-1449
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W1963895904
- Cited by
- 61
- References
- 40
- Citations by year
- 2025: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 23 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 10 · 2013: 4 · 2012: 5
- Type
- paratext
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- Funders
- Regione Piemonte
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- hyperglycemia, diabetes risk, sleep restriction, indoor temperature, television viewing, restaurant meals, air conditioning, physical activity, dietary fiber intake, saturated fat intake, lifestyle risk factors, obesity prevention, non-pharmacological prevention, body mass index, waist circumference
- MeSH terms
- Feeding Behavior, Female, Follow-Up Studies, Humans, Hyperglycemia, Italy, Life Style, Male, Middle Aged, Obesity, Prospective Studies, Surveys and Questionnaires, Restaurants, Risk Factors, Sleep Deprivation, Television, Temperature, Cohort Studies, Body Mass Index, Logistic Models, Odds Ratio
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 ›
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