Obesity, diabetes, and exercise associated with sleep-related complaints in the American population

被引：36
作者：
Grandner M.A. [1 ,2 ]
Patel N.P. [3 ]
Perlis M.L. [1 ,4 ]
Gehrman P.R. [1 ,4 ]
Xie D. [5 ]
Sha D. [5 ]
Pigeon W.R. [6 ]
Teff K. [7 ,8 ]
Weaver T. [1 ,9 ]
Gooneratne N.S. [1 ,10 ]
机构：
[1] Center for Sleep and Respiratory Neurobiology, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104
[2] Division of Sleep Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA
[3] Reading Hospital and Medical Center, Reading, PA
[4] Department of Psychiatry, University of Pennsylvania, Philadelphia, PA
[5] Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA
[6] Department of Psychiatry, University of Rochester, Rochester, NY
[7] Institute for Diabetes, Obesity and Metabolism, University of Pennsylvania, Philadelphia, PA
[8] Monell Chemical Senses Center, Philadelphia, PA
[9] Biobehavioral and Health Sciences Division, University of Pennsylvania School of Nursing, Philadelphia, PA
[10] Division of Geriatric Medicine, University of Pennsylvania, Philadelphia, PA
来源：
Journal of Public Health | 2011年 / 19卷 / 5期
关键词：
Exercise; Obesity; Diabetes; Sleep; Sleep disturbance;
D O I：
10.1007/s10389-011-0398-2
中图分类号：
学科分类号：
摘要：
Aim Previous studies have demonstrated relationships between sleep and both obesity and diabetes. Additionally, exercise may improve sleep and daytime function, in addition to weight and metabolic function. The present study extends these findings by examining how general sleep-related complaints are associated with body mass index (BMI), diabetes diagnosis, and exercise in a large, nationally representative sample. Subject and methods Participants were respondents to the Behavioral Risk Factor Surveillance System (BRFSS). Sleep complaint (SC) was measured with "Over the last 2 weeks, how many days have you had trouble falling asleep or staying asleep or sleeping too much?" Daytime complaint (DC) was measured with "Over the last 2 weeks, how many days have you felt tired or had little energy?" Responses were dichotomized, with ≥6 days indicating complaint. Covariates included age, race/ethnicity, income, and education. Results Being overweight was associated with DC in women only. Obesity was significantly associated with SC and DC in women, and DC in men. Diabetes was associated with SC and DC in both genders. Any exercise in the past 30 days did not attenuate any BMI or diabetes relationships, but was independently associated with a decrease in SC and DC in both men and women. Conclusion These results suggest that for both men and women diabetes is a significant predictor of sleep and daytime complaints, and there is a relationship between obesity and sleep and complaints for women to a greater extent than men. Finally, exercise was associated with much fewer sleep and daytime complaints in both genders. © Springer-Verlag 2011.
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收藏
页码：463 / 474
页数：11
相关论文
共 89 条
[21]  
Gallicchio L., Kalesan B., Sleep duration and mortality: A systematic review and meta-analysis, J Sleep Res, 18, 2, pp. 148-158, (2009)
[22]  
Gangwisch J.E., Epidemiological evidence for the links between sleep, circadian rhythms and metabolism, Obes Rev, 10, SUPPL. 2, pp. 37-45, (2009)
[23]  
Gangwisch J.E., Heymsfield S.B., Boden-Albala B., Buijs R.M., Kreier F., Pickering T.G., Rundle A.G., Zammit G.K., Malaspina D., Sleep duration as a risk factor for diabetes incidence in a large US sample, Sleep, 30, 12, pp. 1667-1673, (2007)
[24]  
Gangwisch J.E., Malaspina D., Babiss L.A., Opler M.G., Posner K., Shen S., Turner J.B., Zammit G.K., Ginsberg H.N., Short sleep duration as a risk factor for hypercholesterolemia: Analyses of the National Longitudinal Study of Adolescent Health, Sleep, 33, 7, pp. 956-961, (2010)
[25]  
Gerber M., Brand S., Holsboer-Trachsler E., Puhse U., Fitness and exercise as correlates of sleep complaints: Is it all in our minds?, Med Sci Sports Exerc, 42, pp. 893-901, (2010)
[26]  
Gimble J.M., Bray M.S., Young A., Circadian biology and sleep: Missing links in obesity and metabolism?, Obes Rev, 10, SUPPL. 2, pp. 1-5, (2009)
[27]  
Grandner M.A., Patel N.P., From sleep duration to mortality: Implications of meta-analysis and future directions, J Sleep Res, 18, 2, pp. 145-147, (2009)
[28]  
Grandner M.A., Kripke D.F., Yoon I.-Y., Youngstedt S.D., Criterion validity of the Pittsburgh Sleep Quality Index: Investigation in a non-clinical sample, Sleep and Biological Rhythms, 4, 2, pp. 129-136, (2006)
[29]  
Grandner M.A., Patel N.P., Gehrman P.R., Xie D., Sha D., Weaver T., Gooneratne N., Who sleeps better? Socioeconomic differences in reports of sleep disturbance, Sleep, 32, ABSTRACT SUPPL., (2009)
[30]  
Grandner M.A., Kripke D.F., Naidoo N., Langer R.D., Relationships among dietary nutrients and subjective sleep, objective sleep, and napping in women, Sleep Med, 11, 2, pp. 180-184, (2010)
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