Associations between Short Sleep Duration and Central Obesity in Women
Abstract
The aim was to assess associations between sleep duration, sleep stages, and central obesity in women. Cross-sectional study. City of Uppsala, Sweden. Population-based sample of 400 women (range 20–70 years). Full-night polysomnography and measurement of anthropometric variables. Sleep duration was inversely related to both waist circumference and sagittal abdominal diameter. Sleep duration remained inversely related to waist circumference (adj. β = -1.22 cm/h; P = 0.016) and sagittal abdominal diameter (adj. β = -0.46 cm/h; P = 0.001) after adjusting for potential confounders. Duration of slow wave sleep (SWS, adj. β = -0.058 cm/min; P = 0.025) and REM sleep (adj. β = -0.062 cm/min; P = 0.002) were both inversely related to waist circumference after adjustments. Moreover, duration of REM sleep was inversely related to sagittal abdominal diameter (adj. β = -0.021 cm/min; P < 0.0001). These associations were stronger in young women (age < 50 years). An inverse relationship between short sleep duration and central obesity was found in women after adjusting for confounders. Loss of SWS and REM sleep may be important factors in the association between sleep loss and central obesity.
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Four studies using objective measurements found a much stronger cross-sectional association than similar studies using self-reported data.
“In support of this hypothesis, four studies that performed objective measurements reported a much stronger cross-sectional association than other studies of similar cross-sectional design but using self-reported data [63, 125, 182, 190].”
From Sleep and metabolic function (2012) · cites this paper as [182]
Cites
Taheri, S., Lin, L., Austin, D., Young, T., & Mignot, E. (2004) · PLoS Medicine · doi:10.1371/journal.pmed.0010062 · Cited by 2,477 · see citing works
General and abdominal adiposity and risk of death in Europe
Pischon, T., Boeing, H., Hoffmann, K., Bergmann, M., Schulze, M. B., Overvad, K., van der Schouw, Y. T., Spencer, E., Moons, K. G. M., Tjønneland, A., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0801891 · Cited by 2,155 · see citing works
Waist circumference and not body mass index explains obesity-related health risk
Janssen, I., Katzmarzyk, P. T., & Ross, R. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.3.379 · Cited by 2,009 · see citing works
Inadequate Sleep as a Risk Factor for Obesity: Analyses of the NHANES I
Gangwisch, J. E., Malaspina, D., Boden-Albala, B., & Heymsfield, S. B. (2005) · Sleep · doi:10.1093/sleep/28.10.1289 · Cited by 905 · see citing works
Van Cauter, E. (2000) · JAMA · doi:10.1001/jama.284.7.861 · Cited by 773 · see citing works
Hasler, G., Buysse, D. J., Klaghofer, R., Gamma, A., Ajdacic, V., Eich, D., Rössler, W., & Angst, J. (2004) · Sleep · doi:10.1093/sleep/27.4.661 · Cited by 672 · see citing works
Short and Long Sleep and Sleeping Pills: Is Increased Mortality Associated?
Kripke, D. F. (1979) · Archives of General Psychiatry · doi:10.1001/archpsyc.1979.01780010109014 · Cited by 660 · see citing works
Association between Reduced Sleep and Weight Gain in Women
Patel, S. R., Malhotra, A., White, D. P., Gottlieb, D. J., & Hu, F. B. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj280 · Cited by 617 · see citing works
Objectively Measured Sleep Characteristics among Early-Middle-Aged Adults
Lauderdale, D. S., Knutson, K. L., Yan, L. L., Rathouz, P. J., Hulley, S. B., Sidney, S., & Liu, K. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj199 · Cited by 581 · see citing works
Youngstedt, S. D. (2005) · Clinics in Sports Medicine · doi:10.1016/j.csm.2004.12.003 · Cited by 540 · see citing works
Changes in Body Composition in Women over Six Years at Midlife: Ovarian and Chronological Aging
Sowers, M., Zheng, H., Tomey, K., Karvonen-Gutierrez, C., Jannausch, M., Li, X., Yosef, M., & Symons, J. (2007) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-1393 · Cited by 470 · see citing works
Vorona, R. D., Winn, M. P., Babineau, T. W., Eng, B. P., Feldman, H. R., & Ware, J. C. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.1.25 · Cited by 405 · see citing works
Chaput, J., Brunet, M., & Tremblay, A. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803291 · Cited by 379 · see citing works
Lindberg, E., Janson, C., Gislason, T., Björnsson, E., Hetta, J., & Boman, G. (1997) · Sleep · doi:10.1093/sleep/20.6.381 · Cited by 332 · see citing works
Self-citationShort sleep duration and obesity: the role of emotional stress and sleep disturbances
Vgontzas, A. N., Lin, H.-M., Papaliaga, M., Calhoun, S., Vela-Bueno, A., Chrousos, G. P., & Bixler, E. O. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.4 · Cited by 224 · see citing works
Sleep Duration and Body Mass Index in a Rural Population
Kohatsu, N. D. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.16.1701 · Cited by 205 · see citing works
Sleep and Reported Daytime Sleepiness in Normal Subjects: the Sleep Heart Health Study
Walsleben, J. A., Kapur, V. K., Newman, A. B., Shahar, E., Bootzin, R. R., Rosenberg, C., O’Connor, G. T., & Nieto, F. J. (2004) · SLEEP · doi:10.1093/sleep/27.2.293 · Cited by 197 · see citing works
The effects of nocturnal life on endocrine circadian patterns in healthy adults
Qin, L.-Q., Li, J., Wang, Y., Wang, J., Xu, J.-Y., & Kaneko, T. (2003) · Life Sciences · doi:10.1016/s0024-3205(03)00628-3 · Cited by 192 · see citing works
The Association Between Obesity and Short Sleep Duration: A Population-Based Study
Singh, M., Drake, C. L., Roehrs, T., Hudgel, D. W., & Roth, A. T. (2005) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26361 · Cited by 184 · see citing works
Adaptation of the 24-h growth hormone profile to a state of sleep debt
Spiegel, K., Leproult, R., Colecchia, E. F., L'Hermite-Balériaux, M., Nie, Z., Copinschi, G., & Van Cauter, E. (2000) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.2000.279.3.r874 · Cited by 183 · see citing works
on behalf of the BHBHK Research Committee, T. H. I. O. H. K. H. A., Ko, G. T. C., Chan, J. C. N., Chan, A. W. Y., Wong, P. T. S., Hui, S. S. C., Tong, S. D. Y., Ng, S.-M., Chow, F., & Chan, C. L. W. (2007) · International Journal of Obesity · doi:10.1038/sj.ijo.0803389 · Cited by 176 · see citing works
What are the Important Risk Factors for Daytime Sleepiness and Fatigue in Women?
Theorell‐Haglöw, J., Lindberg, E., & Janson, C. (2006) · SLEEP · doi:10.1093/sleep/29.6.751 · Cited by 170 · see citing works
Self-citationRisérus, U., Ärnlöv, J., Brismar, K., Zethelius, B., Berglund, L., & Vessby, B. O. (2004) · Diabetes Care · doi:10.2337/diacare.27.8.2041 · Cited by 143 · see citing works
Sowers, M. F., Zheng, H. T., Kravitz, H. M., Matthews, K. A., Bromberger, J. T., Gold, E. B., Owens, J., Consens, F. B., & Hall, M. H. (2008) · SLEEP · doi:10.5665/sleep/31.10.1339 · Cited by 137 · see citing works
Reciprocal interactions between the GH axis and sleep
Cauter, E. V., Latta, F., Nedeltcheva, A. V., Spiegel, K., Leproult, R., Vandenbril, C., Weiss, R. E., Mockel, J., Legros, J.-J., & Copinschi, G. (2004) · Growth Hormone & IGF Research · doi:10.1016/j.ghir.2004.03.006 · Cited by 135 · see citing works
Fogelholm, M., Kronholm, E., Kukkonen-Harjula, K., Partonen, T., Partinen, M., & Härmä, M. (2007) · International Journal of Obesity · doi:10.1038/sj.ijo.0803663 · Cited by 127 · see citing works
Association Between Sleep Architecture and Measures of Body Composition
Rao, M. N., Blackwell, T., Redline, S., Stefanick, M. L., Ancoli-Israel, S., Stone, K. L., & for the Osteoporotic Fractures in Men (MrOS) Study Group (2009) · Sleep · doi:10.1093/sleep/32.4.483 · Cited by 118 · see citing works
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Svensson, M., Lindberg, E., Naessen, T., & Janson, C. (2006) · Chest · doi:10.1378/chest.129.4.933 · Cited by 82 · see citing works
Self-citationSleep and the menopause – do postmenopausal women experience worse sleep than premenopausal women?
Kalleinen, N., Polo‐Kantola, P., Himanen, S., Salo, P., Joutsen, A. S., Urrila, A. S., & Polo, O. J. (2008) · Menopause international · doi:10.1258/mi.2008.008013 · Cited by 82 · see citing works
Short Sleep Times Predict Obesity in Internal Medicine Clinic Patients
Buscemi, D., Kumar, A., Nugent, R., & NUGENT, K. M. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27023 · Cited by 41 · see citing works
Sleep Duration and Obesity in Middle‐aged Australian Adults
Magee, C., Iverson, D., & Caputi, P. (2009) · Obesity · doi:10.1038/oby.2009.373 · Cited by 32 · see citing works
Association between duration of the sleep and body weight
Adámková, V., Hubacek, J. A., Lánská, V., Vrablı́k, M., Lesná, I. K., Suchánek, P., Zimmelová, P., & Velemínský, M. (2009) · Physiological Research · doi:10.33549/physiolres.931853 · Cited by 32 · see citing works
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Vgontzas, A. N., Fernandez-Mendoza, J., Liao, D., & Bixler, E. O. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.09.005 · Cited by 776 · see citing works
Beccuti, G., & Pannain, S. (2011) · Current Opinion in Clinical Nutrition and Metabolic Care · doi:10.1097/mco.0b013e3283479109 · Cited by 507 · see citing works
Morselli, L. L., Guyon, A., & Spiegel, K. (2012) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-011-1053-z · Cited by 199 · see citing works
“In support of this hypothesis, four studies that performed objective measurements reported a much stronger cross-sectional association than other studies of similar cross-sectional design but using self-reported data [63, 125, 182, 190].”
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Franklin, K. A., Sahlin, C., Stenlund, H., & Lindberg, E. (2013) · European Respiratory Journal · doi:10.1183/09031936.00212711 · Cited by 183 · see citing works
Self-citationGonnissen, H. K. J., Hursel, R., Rutters, F., Martens, E. A. P., & Westerterp-Plantenga, M. S. (2013) · British Journal of Nutrition · doi:10.1017/s0007114512001894 · Cited by 170 · see citing works
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- Authors
- Theorell-Haglöw, J., Berne, C., Janson, C., Sahlin, C., & Lindberg, E.
- Affiliations
- Uppsala University (SE)
- Umeå University (SE)
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-05
- Volume
- 33
- Issue
- 5
- Pages
- 601-610
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W4321429268
- Cited by
- 102
- References
- 32
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 3 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 4 · 2016: 9 · 2015: 6 · 2014: 5 · 2013: 13 · 2012: 12
- FWCI
- 14.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- short sleep duration, abdominal obesity, women, slow-wave sleep, REM sleep, sleep stages, waist circumference, sagittal abdominal diameter, sleep deprivation, young women
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