Body mass index and sleep disturbances: a systematic review and meta-analysis
Open accessAbstract
Purpose: Overweight and obesity have been common non-communicable diseases in recent years that have far-reaching health effects. This study aimed to study the risk of sleep disturbances based on overweight and obesity using a systematic review and meta-analysis. Views: Three sources of scientific information, namely PubMed, Scopus, and Embase, were selected as scientific databases and searched for articles published in English until May 2021. Also, a manual search on related articles was done. The resulting data required a meta-analysis based on odds ratios, which were extracted and then pooled. The odds ratio was calculated based on the random-effects method. Publication bias and the degree of heterogeneity were studied. Twenty-one longitudinal studies were selected for this meta-analysis. The odds ratio (OR) in this association between body mass index (BMI) ≥ 25 and sleep disturbances was 1.33 and the confidence interval (CI) was between 1.16-1.51. This OR was 1.12 and CI was between 0.98-1.29 in overweight. The OR was 1.24 and CI was between 1.07-1.44 in obesity. The OR was 1.92 and CI was between 0.89-4.15 in men. The OR was 1.47 and CI was between 1.15-1.89 in women. Publication bias and heterogeneity were evident in the meta-analysis. Conclusions: Obesity increases the risk of sleep disturbances in the long term, and both obesity and sleep disturbances have negative effects on health, so it is necessary to develop appropriate interventions to improve obesity.
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Substance use and cessation have complex associations with obesity, with overlapping brain pathways with food reward and disordered eating.
“Substance use and cessation have complex associations with obesity, with overlapping brain pathways with food reward and disordered eating [187, 195].”
From Nutritional priorities to support <scp>GLP</scp> ‐1 therapy for obesity: A joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society (2025) · cites this paper as [187]
The Introduction and Discussion address BMI and sleep disturbances, not substance use or cessation. Searches for substance use, cessation, reward pathways, and disordered eating found no passage in our copy addressing the attributed claim; page numbers were not provided. (LLM, conf=0.76)
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Mozaffarian, D., Agarwal, M., Aggarwal, M., Alexander, L., Apovian, C. M., Bindlish, S., Bonnet, J., Butsch, W. S., Christensen, S., Gianos, E., et al. (2025) · The American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2025.04.023 · Cited by 154 · see citing works
“Substance use and cessation have complex associations with obesity, with over-lapping brain pathways with food reward and disordered eating [178, 186].”
Mozaffarian, D., Agarwal, M., Aggarwal, M., Alexander, L., Apovian, C. M., Bindlish, S., Bonnet, J., Butsch, W. S., Christensen, S., Gianos, E., et al. (2025) · Obesity · doi:10.1002/oby.24336 · Cited by 143 · see citing works
Mozaffarian, D., Agarwal, M., Aggarwal, M., Alexander, L., Apovian, C. M., Bindlish, S., Bonnet, J., Butsch, W. S., Christensen, S., Gianos, E., et al. (2025) · Obesity Pillars · doi:10.1016/j.obpill.2025.100181 · Cited by 28 · see citing works
- Authors
- Amiri, S.
- Affiliations
- Baqiyatallah University of Medical Sciences (IR)
- Corresponding author
- Amiri, Sohrab
- ORCID
- Amiri, Sohrab
- Venue
- Postępy Psychiatrii i Neurologii
- Publisher
- Termedia Sp. z.o.o.
- Published
- 2023
- Volume
- 32
- Issue
- 2
- Pages
- 96-106
- ISSN
- 1230-2813 (ISSN-L)
- PMC
- PMC10367528
- OpenAlex
- W4384570549
- Cited by
- 26
- References
- 9
- Citations by year
- 2026: 6 · 2025: 14 · 2024: 6
- FWCI
- 1.10
- Type
- journal article
- Language
- pl
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Postępy Psychiatrii i Neurologii (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- body mass index, sleep disorders, obesity, overweight, sex differences
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