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Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?

PURPOSE: Sleep impairment is reported to be a consequence of overweight and obesity. However, the weight–sleep relationship can alternately be explained by demographics (e.g. age) and covariates (i.e. mood/affect and behaviour in overweight/obese people; e.g. night-eating). Thus, we examined the wei...

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Autores principales: Eid, S. W., Brown, R. F., Maloney, S. K., Birmingham, C. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9556342/
https://www.ncbi.nlm.nih.gov/pubmed/35790669
http://dx.doi.org/10.1007/s40519-022-01435-1
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author Eid, S. W.
Brown, R. F.
Maloney, S. K.
Birmingham, C. L.
author_facet Eid, S. W.
Brown, R. F.
Maloney, S. K.
Birmingham, C. L.
author_sort Eid, S. W.
collection PubMed
description PURPOSE: Sleep impairment is reported to be a consequence of overweight and obesity. However, the weight–sleep relationship can alternately be explained by demographics (e.g. age) and covariates (i.e. mood/affect and behaviour in overweight/obese people; e.g. night-eating). Thus, we examined the weight–sleep quality relationship after controlling for the effects of affect and common behaviour (i.e. night-eating, insufficient exercise, alcohol and electronic device use). METHODS: Online questionnaires asked 161 overweight, obese or normal-weight participants about their sleep quality, night-eating, physical activity, alcohol use, electronic device use and anxiety and depression at T0 (baseline) and T1 (3 months later). Height and weight and waist and hip circumference were objectively measured at T0 and T1, and physical activity was assessed over 24 h (using actigraphy) at T0 and T1. Hierarchical multiple regression analyses evaluated whether the weight measures (i.e. body-mass-index [BMI], waist-to-hip ratio [WHR] and obesity category [overweight/obese vs. normal-weight]) predicted sleep quality and its components at T0 and T1, after controlling demographics (at step 1) and covariates (affective distress and behaviour) at step 2, and entering weight measures at step 3; maximum 8 variables in the analyses. RESULTS: High BMI predicted several aspects of sleep quality after taking into account co-existing behaviour, affect and demographics: sleep disturbances at T0 and lower sleep efficiency at T1. WHR and obesity category did not predict any aspects of sleep quality. Several co-existing behaviour were related to or predicted sleep quality score and aspects of sleep quality including night-eating, alcohol use and electronic device use and affective symptoms (i.e. anxiety, depression). CONCLUSION: Results suggest that a person’s weight may impact on their sleep quality above and beyond the effects of their co-existing behaviour and affect, although their co-existing behaviour and affect may also adversely impact on sleep quality. LEVEL OF EVIDENCE: Level III, evidence obtained from well-designed cohort.
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spelling pubmed-95563422022-10-14 Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour? Eid, S. W. Brown, R. F. Maloney, S. K. Birmingham, C. L. Eat Weight Disord Original Article PURPOSE: Sleep impairment is reported to be a consequence of overweight and obesity. However, the weight–sleep relationship can alternately be explained by demographics (e.g. age) and covariates (i.e. mood/affect and behaviour in overweight/obese people; e.g. night-eating). Thus, we examined the weight–sleep quality relationship after controlling for the effects of affect and common behaviour (i.e. night-eating, insufficient exercise, alcohol and electronic device use). METHODS: Online questionnaires asked 161 overweight, obese or normal-weight participants about their sleep quality, night-eating, physical activity, alcohol use, electronic device use and anxiety and depression at T0 (baseline) and T1 (3 months later). Height and weight and waist and hip circumference were objectively measured at T0 and T1, and physical activity was assessed over 24 h (using actigraphy) at T0 and T1. Hierarchical multiple regression analyses evaluated whether the weight measures (i.e. body-mass-index [BMI], waist-to-hip ratio [WHR] and obesity category [overweight/obese vs. normal-weight]) predicted sleep quality and its components at T0 and T1, after controlling demographics (at step 1) and covariates (affective distress and behaviour) at step 2, and entering weight measures at step 3; maximum 8 variables in the analyses. RESULTS: High BMI predicted several aspects of sleep quality after taking into account co-existing behaviour, affect and demographics: sleep disturbances at T0 and lower sleep efficiency at T1. WHR and obesity category did not predict any aspects of sleep quality. Several co-existing behaviour were related to or predicted sleep quality score and aspects of sleep quality including night-eating, alcohol use and electronic device use and affective symptoms (i.e. anxiety, depression). CONCLUSION: Results suggest that a person’s weight may impact on their sleep quality above and beyond the effects of their co-existing behaviour and affect, although their co-existing behaviour and affect may also adversely impact on sleep quality. LEVEL OF EVIDENCE: Level III, evidence obtained from well-designed cohort. Springer International Publishing 2022-07-06 2022 /pmc/articles/PMC9556342/ /pubmed/35790669 http://dx.doi.org/10.1007/s40519-022-01435-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Eid, S. W.
Brown, R. F.
Maloney, S. K.
Birmingham, C. L.
Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?
title Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?
title_full Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?
title_fullStr Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?
title_full_unstemmed Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?
title_short Can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?
title_sort can the relationship between overweight/obesity and sleep quality be explained by affect and behaviour?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9556342/
https://www.ncbi.nlm.nih.gov/pubmed/35790669
http://dx.doi.org/10.1007/s40519-022-01435-1
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