Leptin Levels Are Dependent on Sleep Duration: Relationships with Sympathovagal Balance, Carbohydrate Regulation, Cortisol, and Thyrotropin
Open accessAbstract
Sleep plays an important role in energy homeostasis. The present study tests the hypothesis that circulating levels of leptin, a hormone that signals energy balance to the brain, are influenced by sleep duration. We also analyzed associations between leptin and sympathovagal balance, cortisol, TSH, glucose, and insulin under different bedtime conditions. Twenty-four-hour hormonal and glucose profiles were sampled at frequent intervals, and sympathovagal balance was estimated from heart rate variability in 11 subjects studied after 6 d of 4-h bedtimes (mean +/- sem of sleep duration during last 2 d: 3 h and 49 +/- 2 min) and after 6 d of 12-h bedtimes (sleep: 9 h and 03 +/- 15 min). A study with 8-h bedtimes was performed 1 yr later (sleep: 6 h and 52 +/- 10 min). Caloric intake and activity levels were carefully controlled in all studies. Mean levels, maximal levels, and rhythm amplitude of leptin were decreased (-19%, -26%, and -20%, respectively) during sleep restriction compared with sleep extension. The decrease in leptin levels was concomitant with an elevation of sympathovagal balance. The effects of sleep duration on leptin were quantitatively associated with alterations of the cortisol and TSH profiles and were accompanied by an elevation of postbreakfast homeostasis model assessment values. Measures of perceived stress were not increased during sleep restriction. During the study with 8-h bedtimes, hormonal and metabolic parameters were intermediate between those observed with 4-h and 12-h bedtimes. In conclusion, sleep modulates a major component of the neuroendocrine control of appetite.
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Sleep loss from acute total sleep deprivation or severe recurrent sleep restriction (≤5 h/night) results in elevated evening cortisol levels, often with a slower decline of cortisol concentrations across the day.
“sleep loss, resulting from either acute total sleep deprivation or severe recurrent sleep restriction (≤5, 5 h/ night) resulted in elevated evening cortisol levels, often associated with a slower decline of cortisol concentrations across the day.[8][9][10][11][12][13][14][15][16][17]”
From Effects of Insufficient Sleep on Pituitary–Adrenocortical Response to CRH Stimulation in Healthy Men (2017) · cites this paper as [10]
The Experimental protocol describes six nights with four hours in bed, and the cortisol findings report higher late-afternoon and evening levels and a slower decline during restriction than during sleep extension (page numbers unavailable). The copy does not establish that acute total sleep deprivation produced those cortisol effects; its discussion of acute total deprivation concerns leptin and TSH. (LLM, conf=0.86)
Experimental — accuracy not yet measuredReduced leptin is implicated as a hormonal mechanism by which sleep restriction can worsen insulin sensitivity, increase circulating lipids, and lead to obesity and abdominal obesity via disruption of energy balance and increased cravings for carbohydrate rich foods.
“These data implicate reduced leptin as a hormonal mechanism by which sleep restriction can worsen insulin sensitivity, increase circulating lipids, and lead to obesity and abdominal obesity via disruption of energy balance and increased cravings for carbohydrate rich foods.”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [17]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredSleep restriction is linked with obesity via disruption of leptin and increased cravings for carbohydrate rich foods.
“This prompted the hypothesis that sleep restriction is linked with obesity via disruption of leptin and increased cravings for carbohydrate rich foods [17].”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [17]
The Discussion (page unavailable) reports that sleep restriction lowers leptin and may adversely affect appetite regulation; it also describes the evidence linking shorter sleep with obesity as suggestive. It does not report increased cravings specifically for carbohydrate-rich foods. The carbohydrate-rich meals mentioned in the Experimental protocol were provided to participants, not foods they reported craving. (LLM, conf=0.87)
Experimental — accuracy not yet measuredBoth the hypothalamic-pituitary-adrenal axis and the autonomic nervous system pathways have been proposed as possible mediators of the impairments in glucose tolerance associated with sleep restriction.
“Both these pathways also have been proposed as possible mediators of the impairments in glucose tolerance associated with sleep restriction (22,44–48).”
From Sleep Restriction for 1 Week Reduces Insulin Sensitivity in Healthy Men (2010) · cites this paper as [47]
The Discussion (page unavailable) reports altered cortisol regulation and sympathovagal balance after sleep restriction, alongside impaired morning glucose tolerance. It does not explicitly propose either pathway as a mediator of the glucose impairment; the reported changes are concomitant. (LLM, conf=0.82)
Experimental — accuracy not yet measuredSevere sleep restriction results in elevated evening cortisol levels.
“Severe sleep restriction results in elevated evening cortisol levels.”
From Effects of Insufficient Sleep on Pituitary–Adrenocortical Response to CRH Stimulation in Healthy Men (2017) · cites this paper as [10]
Some studies showed that sleep restriction significantly increases plasma cortisol levels during the late afternoon to early evening hours.
“Some studies showed that sleep restriction significantly increases plasma cortisol levels during the late afternoon to early evening hours [17], [18], whereas others showed little to no changes [16], [21], [23], [27].”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [17]
Early studies showed sleep restriction decreased leptin levels.
“Early studies investigating the relationship between sleep restriction and leptin showed that sleep restriction decreased leptin levels [17], [19], and increased self-reported appetite and hunger [19].”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [17]
Early experimental studies found leptin decreases after two and six nights of sleep restriction to 4 h TIB.
“Early experimental studies exploring the relationship between sleep restriction and the adipose-derived hormone leptin found decreases after both two [19] and six [17] nights of sleep restriction to 4 h TIB.”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [17]
Several other studies found elevated cortisol in the latter part of the day instead of the usual diurnal decline.
“several others have found elevated cortisol in the latter part of the day instead of the usual diurnal decline [17], [18], [54].”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [17]
Other published findings documented decreases in leptin and increases in hunger and appetite following sleep restriction.
“other published findings in the field which have previously documented decreases in leptin and increases in hunger and appetite following sleep restriction [17], [19].”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [17]
The approximately 30% reduction in adipocyte insulin signaling lies within the range of differences in insulin sensitivity between obese and lean participants and between diabetic and nondiabetic participants.
“The approximate 30% reduction in cellular insulin signaling in adipocytes induced by 4 nights of sleep restriction lies within the range of the difference in insulin sensitivity in adipocytes from obese versus lean participants (30) and from diabetic patients versus nondiabetic participants (31).”
From Impaired Insulin Signaling in Human Adipocytes After Experimental Sleep Restriction: A Randomized, Crossover Study (2012) · cites this paper as [31]
The citation is attached to the obese-versus-lean adipocyte comparison. Our copy studies lean young subjects, and the Postmeal glucose and insulin responses section says HOMA was used to measure meal responses, not insulin sensitivity. Searches for adipocyte insulin sensitivity and obese-versus-lean differences found no passage supporting the comparison; the paper's approximately 30% figure concerns glucose tolerance and insulin response to intravenous glucose, not adipocyte signaling. (LLM, conf=0.74)
Experimental — accuracy not yet measuredMultiple studies have observed that sleep loss, either from acute partial or total sleep deprivation or from recurrent sleep curtailment or insomnia, results in elevated evening cortisol levels.
“Multiple studies have observed that sleep loss, either from acute partial or total sleep deprivation or from recurrent sleep curtailment or insomnia, results in elevated evening cortisol levels (12–19).”
From Adverse effects of two nights of sleep restriction on the hypothalamic-pituitary-adrenal axis in healthy men (2014) · cites this paper as [15]
Consistent with our previous study of 6 nights of sleep restriction, levels of perceived stress in the present study remained low and were not affected by sleep loss.
“Consistent with our previous study of 6 nights of sleep restriction (15), we found that levels of perceived stress in the present study remained low and were not affected by sleep loss.”
From Adverse effects of two nights of sleep restriction on the hypothalamic-pituitary-adrenal axis in healthy men (2014) · cites this paper as [15]
Three studies that enforced similar food intake and measured leptin at more than two time points in normal-weight men all found decreased leptin after sleep loss.
“Three studies assessed leptin at more than 2 time points in a rested sleep condition and in a sleep restriction condition in normal-weight men after similar food intake had been enforced in both conditions. All found decreased levels of anorexigenic leptin after sleep loss [62, 161, 162].”
From Sleep and metabolic function (2012) · cites this paper as [161]
In healthy lean young men under stable caloric intake and activity, six days of 4-, 8-, and 12-h bedtimes produced gradual increases in all characteristics of the 24-h leptin profile from the 4-h to the 12-h condition.
“In a study that assessed the 24-h leptin profiles after 6 days of 4-, 8-, and 12-h bedtimes in healthy lean young men under conditions of stable caloric intake and activity levels, all characteristics of the 24-h leptin profile (overall mean, nocturnal maximum, and amplitude) gradually increased from the 4- to the 12-h bedtime condition [161].”
From Sleep and metabolic function (2012) · cites this paper as [161]
Cortisol evening levels observed under 8-hour bedtime condition were intermediate between those measured under 4-hour and 12-hour bedtime conditions.
“Interestingly, cortisol evening levels observed under 8-hour bedtime condition were intermediate between those measured under 4-hour and 12-hour bedtime conditions [84] (Figure 5).”
From Impact of Sleep and Its Disturbances on Hypothalamo-Pituitary-Adrenal Axis Activity (2010) · cites this paper as [84]
Insufficient sleep duration is associated with weight gain and obesity.
“short sleep duration (6 hours or less), and especially very short sleep duration (less than 5 hours) is associated with increased cardiometabolic morbidity and mortality, including weight gain and obesity, hypertension, hyperlipidemia, and diabetes.”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [30]
Insufficient sleep is linked to lower energy expenditure, altered glucose homeostasis, and alterations in hormones that mediate hunger.
“insufficient sleep has been linked to lower energy expenditure, altered glucose homeostasis and alterations in hormones that mediate hunger(24, 25, 27-31).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [30]
Glucose effectiveness was 30% lower in the state of sleep debt.
“SG was 30% lower in the state of sleep debt.”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [19]
Acute insulin response to glucose was reduced by more than 30% after sleep restriction despite a trend for decreased insulin sensitivity.
“AIRg was reduced by more than 30% after sleep restriction despite a trend for decreased SI.”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [19]
In the first partial sleep deprivation study, glucose tolerance was lower in the sleep-debt condition than in the fully rested condition.
“Glucose tolerance, assessed during an intravenous glucose tolerance test (ivGTT) and a high-carbohydrate breakfast, was lower in the sleep-debt condition than in the fully rested condition.”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [19]
For HOMA, cortisol, GH, leptin and cardiac sympathovagal balance, clear changes are observed in a dose-response relationship with sleep duration after 6 days of 4h, 8h and 12h in bed.
“For all these variables, clear changes are observed in a dose-response relationship with sleep duration.”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [19]
All characteristics of the 24-h leptin profile (overall mean, nocturnal maximum, amplitude) gradually increased from the 4h to the 12h bedtime, signaling the brain an unnecessary need for extra caloric intake in a state of sleep debt.
“For instance, Panels D of Figure 2 show that all characteristics of the 24-h leptin profile (overall mean, nocturnal maximum, amplitude) gradually increased from the 4h to the 12h bedtime, signaling the brain an unnecessary need for extra caloric intake in a state of sleep debt.”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [19]
In a study of healthy lean young men under stable caloric intake and activity, all characteristics of the 24-h leptin profile (overall mean, nocturnal maximum, amplitude) gradually increased from the 4-h to the 12-h bedtime condition.
“In a study that assessed the 24-h leptin profiles after 6 days of 4-h, 8-h, and 12-h bedtimes in healthy lean young men under conditions of stable caloric intake and activity levels, all characteristics of the 24-h leptin profile (overall mean, nocturnal maximum, amplitude) gradually increased from the 4-h to the 12-h bedtime condition [19] (Figure 2; panels D).”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [19]
HOMA levels post-breakfast increased from the 12-h to the 4-h in bed condition, indicating a decrease in glucose tolerance and/or a decrease in insulin sensitivity proportional to the severity of sleep loss.
“HOMA levels post-breakfast increased from the 12-h to the 4-h in bed condition indicating a decrease in glucose tolerance and/or a decrease in SI proportional to the severity of sleep loss (Figure 2; panels A).”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [19]
Following partial sleep deprivation, mean daytime leptin values are approximately 18% lower than in the rested state.
“Following partial sleep deprivation, mean daytime values of leptin were approximately 18% lower compared to the rested state.104,105”
From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [105]
After two 4-hour nights, daytime appetite ratings increase by 24%, and sleep deprivation specifically increases appetite for sweet and salty foods.
“After two 4-h nights, there was a 24% increase in daytime appetite ratings;105 in addition, sleep deprivation specifically increased appetite for sweet and salty foods.”
From Interacting epidemics? Sleep curtailment, insulin resistance, and obesity (2012) · cites this paper as [105]
Four hours in bed per night for 6 days significantly decreased leptin's amplitude by 20% compared with 12 hours in bed per night for 6 nights in 11 lean men.
“Similarly, 4 hours in bed per night for 6 days significantly decreased leptin’s amplitude by 20% when compared with 12 hours in bed per night for 6 nights in 11 lean men [39].”
From Association between sleep deficiency and cardiometabolic disease: implications for health disparities (2016) · cites this paper as [39]
Obstructive sleep apnea stimulates the sympathetic nervous system.
“obstructive sleep apnea, which stimulates the SNS; 41,43,44”
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Sleep Deprivation and Neurological Disorders
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Sleep, Anesthesiology, and the Neurobiology of Arousal State Control
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PERIOD3, circadian phenotypes, and sleep homeostasis
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Acute sleep deprivation reduces energy expenditure in healthy men
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- Authors
- Spiegel, K., Leproult, R., L’Hermite-Balériaux, M., Copinschi, G., Penev, P. D., & Van Cauter, E.
- Affiliations
- Université Libre de Bruxelles (BE)
- University of Chicago (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2004-11
- Volume
- 89
- Issue
- 11
- Pages
- 5762-5771
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2115505164
- Cited by
- 1,006
- References
- 69
- Citations by year
- 2026: 18 · 2025: 29 · 2024: 28 · 2023: 52 · 2022: 48 · 2021: 40 · 2020: 50 · 2019: 30 · 2018: 42 · 2017: 41 · 2016: 57 · 2015: 57 · 2014: 61 · 2013: 78 · 2012: 74
- FWCI
- 9.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
- Funders
- University of Chicago
- National Institutes of Health
- National Institute on Aging (P01AG011412, AG-11412)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 20595, DK-41814, R01DK041814)
- National Center for Research Resources (M01-RR 00055, M01RR000055)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- leptin, sleep duration, sleep restriction, sleep extension, sympathovagal balance, heart rate variability, cortisol, thyroid-stimulating hormone, glucose, insulin, HOMA, carbohydrate regulation, energy homeostasis, appetite regulation, neuroendocrine regulation, perceived stress
- MeSH terms
- Adult, Homeostasis, Humans, Hydrocortisone, Male, Sleep, Sympathetic Nervous System, Thyrotropin, Time Factors, Vagus Nerve, Leptin, Carbohydrate Metabolism
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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.
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