Sleep disturbances, body mass index and eating behaviour in undergraduate students
Abstract
This study investigates the association between sleep disturbances, body mass index (BMI) and eating behaviour in a sample of undergraduate students. The sample comprises 870 medicine and dentistry students from Coimbra University (62.5% females), aged between 17 and 25 years. The Eating Attitudes Test-40 was used to measure eating behaviour, and two questions were applied addressing difficulties of initiating sleep (DIS) and difficulties of maintaining sleep (DMS). A sleep disturbance index (SDI) was calculated from the sum of DIS and DMS scores. Body mass index (BMI) was determined from self-reported weight and height. The correlation analyses generally indicated that global eating disturbance, bulimic behaviour dimension and social pressure to eat were associated particularly with sleep difficulties. An association between diet concerns and sleep difficulties was less consistent. Regression analyses showed that bulimic behaviour (BB) and social pressure to eat (SPE) dimensions were associated significantly with sleep difficulties (DIS, DMS, SDI) in the total sample (BB: from P<0.01 to P<0.001; SPE: P<0.05) and in males (BB: from P<0.05 to P<0.001; SPE: P<0.05) and with insomnia symptoms (P<0.01). In females, bulimic behaviour was the only factor associated significantly with sleep difficulties (SDI, DIS; P<0.01) and with insomnia symptoms (P<0.05). Although BMI was correlated negatively with sleep difficulties (P<0.05), regression analyses indicated that it was not associated significantly with them. Our findings support an association between eating behaviour and sleep disturbances in both genders, which may have treatment implications.
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Sleep disturbances among undergraduate students in Portugal were associated with more bulimic behavior and more social pressure to eat.
“Sleep disturbances among undergraduate students in Portugal were associated with more bulimic behavior and more social pressure to eat [155].”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [155]
Cites
Establishing a standard definition for child overweight and obesity worldwide: international survey
Cole, T. J. (2000) · BMJ · doi:10.1136/bmj.320.7244.1240 · Cited by 16,500 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
The Eating Attitudes Test: an index of the symptoms of anorexia nervosa
Garner, D. M., & Garfinkel, P. (1979) · Psychological Medicine · doi:10.1017/s0033291700030762 · Cited by 3,617 · see citing works
Body mass index cut offs to define thinness in children and adolescents: international survey
Cole, T. J., Flegal, K. M., Nicholls, D., & Jackson, A. A. (2007) · BMJ · doi:10.1136/bmj.39238.399444.55 · Cited by 2,614 · see citing works
Spiegel, K., Tasali, E., Penev, P., & Cauter, E. V. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-141-11-200412070-00008 · Cited by 2,459 · see citing works
THE BIOLOGY OF HUMAN STARVATION
Keys, A., BROŽEK, J., & Henschel, A. (1951) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1951.tb56499.x · Cited by 2,053 · see citing works
The Biology of Human Starvation: Volume I
KEYS, A., BROŽEK, J., HENSCHEL, A., MICKELSEN, O., & TAYLOR, H. L. (1950) · doi:10.5749/j.ctv9b2tqv · Cited by 2,039 · see citing works
Gómez, J. G., & Dally, P. (1979) · Cited by 1,965 · see citing works
Short Sleep Duration and Weight Gain: A Systematic Review
Patel, S. R., & Hu, F. B. (2008) · Obesity · doi:10.1038/oby.2007.118 · Cited by 1,505 · see citing works
Stice, E. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.1.124 · Cited by 1,251 · see citing works
Stice, E. M. (2001) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.110.1.124 · Cited by 1,247 · see citing works
Spiegel, K., Leproult, R., L’Hermite-Balériaux, M., Copinschi, G., Penev, P. D., & Van Cauter, E. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-1003 · Cited by 1,006 · see citing works
Orexin/Hypocretin: A Neuropeptide at the Interface of Sleep, Energy Homeostasis, and Reward System
Tsujino, N., & Sakurai, T. (2009) · Pharmacological Reviews · doi:10.1124/pr.109.001321 · Cited by 479 · see citing works
Crisp, A. H. (1980) · Medical Entomology and Zoology · Cited by 415 · see citing works
Insomnia causes, consequences, and therapeutics: An overview
Drake, C. L., Roehrs, T., & Roth, T. G. (2003) · Depression and Anxiety · doi:10.1002/da.10151 · Cited by 307 · see citing works
Bodosi, B., Gardi, J., Hajdu, I., Szentirmai, É., Obál, F., & Krueger, J. M. (2004) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00294.2004 · Cited by 304 · see citing works
Insomnia in Men—A 10-Year Prospective Population Based Study
Janson, C., Lindberg, E., Gíslason, Þ., Elmasry, A., & Boman, G. (2001) · SLEEP · doi:10.1093/sleep/24.4.425 · Cited by 264 · see citing works
Childhood Sleep Time and Long-Term Risk for Obesity: A 32-Year Prospective Birth Cohort Study
Landhuis, C. E., Poulton, R., Welch, D., & Hancox, R. J. (2008) · Pediatrics · doi:10.1542/peds.2007-3521 · Cited by 237 · see citing works
Prevalence of insomnia and associated factors in South Korea
Ohayon, M. M., & Hong, S. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00449-x · Cited by 225 · see citing works
The associations between psychopathology and being overweight: a 20-year prospective study
Hasler, G., Pine, D. S., Gamma, A., Milos, G. F., Ajdacic‐Gross, V., Eich, D., Wulf Rössler, A., & Angst, J. (2004) · Psychological Medicine · doi:10.1017/s0033291703001697 · Cited by 192 · see citing works
Sleep quality and more common sleep-related problems in medical students
Veldi, M., Aluoja, A., & Vasar, V. (2005) · Sleep Medicine · doi:10.1016/j.sleep.2004.12.003 · Cited by 187 · see citing works
Reduced sleep as an obesity risk factor
Patel, S. R. (2009) · Obesity Reviews · doi:10.1111/j.1467-789x.2009.00664.x · Cited by 164 · see citing works
Rollins, N. K. (1981) · General Hospital Psychiatry · doi:10.1016/0163-8343(81)90028-1 · Cited by 148 · see citing works
Nocturnal awakenings and comorbid disorders in the American general population
Ohayon, M. M. (2008) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2008.02.001 · Cited by 141 · see citing works
Weight gain and the sleeping electroencephalogram: study of 10 patients with anorexia nervosa.
Lacey, J. H., Crisp, A. H., Kalucy, R. S., Hartmann, M. K., & Chien, C.-P. (1975) · BMJ · doi:10.1136/bmj.4.5996.556 · Cited by 102 · see citing works
The influence of sleep and sleep loss upon food intake and metabolism
Crispim, C. A., Zimberg, I. Z., Dattilo, M., Padilha, H. G., Edwards, B., Waterhouse, J. M., Tufik, S., & de Mello, M. T. (2007) · Nutrition Research Reviews · doi:10.1017/s0954422407810651 · Cited by 79 · see citing works
Longitudinal study on perfectionism and sleep disturbance
de Azevedo, M. H. P., Bos, S. C., Soares, M. J., Marques, M., Pereira, A. T., Maia, B., Gomes, A. A., & Macedo, A. (2010) · The World Journal of Biological Psychiatry · doi:10.3109/15622970903304467 · Cited by 73 · see citing works
Self-citationHypocretin/Orexin: A Molecular Link Between Sleep, Energy Regulation, and Pleasure
Ganjavi, H., & Shapiro, C. M. (2007) · Journal of Neuropsychiatry · doi:10.1176/jnp.2007.19.4.413 · Cited by 70 · see citing works
Pharmacology of eating disorders: Theoretical and clinical developments
Winn, P. (1987) · Appetite · doi:10.1016/0195-6663(87)90058-4 · Cited by 66 · see citing works
Factors associated with abnormal eating attitudes among female college students in Japan
Makino, M., Hashizume, M., Yasushi, M., Tsuboi, K., & Dennerstein, L. (2006) · Archives of Women s Mental Health · doi:10.1007/s00737-006-0128-x · Cited by 65 · see citing works
Is perfectionism related to pre‐existing and future insomnia? A prospective study
Jansson‐Fröjmark, M., & Linton, S. J. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466506x158824 · Cited by 62 · see citing works
The relationship between sleep, nutrition and mood: a study of patients with anorexia nervosa
Crisp, A. H., Stonehill, E., & Fenton, G. W. (1971) · Postgraduate Medical Journal · doi:10.1136/pgmj.47.546.207 · Cited by 62 · see citing works
Perfectionism and sleep disturbance
de Azevedo, M. H. P., Soares, M. J., Bos, S. C., Gomes, A. A., Maia, B., Marques, M., Pereira, A. T., & Macedo, A. (2008) · The World Journal of Biological Psychiatry · doi:10.1080/15622970701367930 · Cited by 42 · see citing works
Self-citationPerfectionism and eating attitudes in portuguese students: A longitudinal study
Soares, M. J., Macedo, A., Bos, S. C., Marques, M., Maia, B., Pereira, A. T., Gomes, A. A., Valente, J., Pato, M. T., & de Azevedo, M. H. P. (2009) · European Eating Disorders Review · doi:10.1002/erv.926 · Cited by 33 · see citing works
Self-citationBenca, R. M., & Schenck, C. H. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50121-x · Cited by 15 · see citing works
Problemas de sueño y síntomas de trastornos de la conducta alimentaria (TCA) en mujeres jóvenes
Seigel, K., Broman, J., & Hetta, J. E. (2004) · The European journal of psychiatry (edición en español) · doi:10.4321/s1579-699x2004000100001 · Cited by 5 · see citing works
周仲华 (2007) · doi:10.3760/cma.j.issn.1671-7368.2007.09.013 · Cited by 2 · see citing works
Ross (1999) · doi:10.1002/(sici)1098-108x(199911)26:3
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Rangaraj, V. R., & Knutson, K. L. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2015.02.535 · Cited by 120 · see citing works
- Authors
- SOARES, M. J., MACEDO, A., BOS, S. C., MAIA, B., MARQUES, M., PEREIRA, A. T., GOMES, A. A., VALENTE, J., NOGUEIRA, V., & AZEVEDO, M. H.
- Affiliations
- University of Coimbra (PT)
- University of Aveiro (PT)
- Unidade Local de Saúde de Coimbra (PT)
- ORCID
- Venue
- Journal of Sleep Research
- Publisher
- Wiley
- Published
- 2010-09-30
- Volume
- 20
- Issue
- 3
- Pages
- 479-486
- ISSN
- 0962-1105 (ISSN-L)
- OpenAlex
- W1524524413
- Cited by
- 43
- References
- 38
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 3 · 2013: 3 · 2012: 1
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Sleep Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Keywords
- sleep disorders, body mass index, eating behaviour, insomnia symptoms, university students, sex differences
- MeSH terms
- Adolescent, Adult, Analysis of Variance, Feeding Behavior, Female, Humans, Male, Sex Factors, Sleep Wake Disorders, Body Mass Index, Statistics, Nonparametric, Young Adult
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