Numerous studies have found an association between shorter sleep duration and higher body mass index (BMI) in adults. Most previous studies have been cross-sectional and relied on self-reported sleep duration, which may not be very accurate. In the Coronary Artery Risk Development in Young Adults (CARDIA) Sleep Study (2000-2006), the authors examine whether objectively measured sleep is associated with BMI and change in BMI. They use several nights of wrist actigraphy to measure sleep among participants in an ongoing cohort of middle-aged adults. By use of linear regression, the authors examine whether average sleep duration or fragmentation is associated with BMI and 5-year change in BMI, adjusting for confounders. Among 612 participants, sleep duration averaged 6.1 hours and was grouped into 4 categories. Both shorter sleep and greater fragmentation were strongly associated with higher BMI in unadjusted cross-sectional analysis. After adjustment, BMI decreased by 0.78 kg/m(2) (95% confidence interval: -1.6, -0.002) for each increasing sleep category. The association was very strong in persons who reported snoring and weak in those who did not. There were no longitudinal associations between sleep measurements and change in BMI. The authors confirmed a cross-sectional association between sleep duration and BMI using objective sleep measures, but they did not find that sleep predicted change in BMI. The mechanism underlying the cross-sectional association is not clear.
AD - Department of Health Studies, University of Chicago, Chicago, IL 60637, USA. lauderdale@health.bsd.uchicago.edu AN - 19651664 BT - American Journal of Epidemiology ET - 2009/08/05 LA - eng M1 - 7 N1 - Lauderdale, Diane SKnutson, Kristen LRathouz, Paul JYan, Lijing LHulley, Stephen BLiu, KiangAG 11412/AG/NIA NIH HHS/United StatesN01-HC-48047/HC/NHLBI NIH HHS/United StatesN01-HC-48048/HC/NHLBI NIH HHS/United StatesN01-HC-48049/HC/NHLBI NIH HHS/United StatesN01-HC-48050/HC/NHLBI NIH HHS/United StatesN01-HC-95095/HC/NHLBI NIH HHS/United StatesResearch Support, N.I.H., ExtramuralUnited StatesAmerican journal of epidemiologyAm J Epidemiol. 2009 Oct 1;170(7):805-13. Epub 2009 Aug 3. N2 -Numerous studies have found an association between shorter sleep duration and higher body mass index (BMI) in adults. Most previous studies have been cross-sectional and relied on self-reported sleep duration, which may not be very accurate. In the Coronary Artery Risk Development in Young Adults (CARDIA) Sleep Study (2000-2006), the authors examine whether objectively measured sleep is associated with BMI and change in BMI. They use several nights of wrist actigraphy to measure sleep among participants in an ongoing cohort of middle-aged adults. By use of linear regression, the authors examine whether average sleep duration or fragmentation is associated with BMI and 5-year change in BMI, adjusting for confounders. Among 612 participants, sleep duration averaged 6.1 hours and was grouped into 4 categories. Both shorter sleep and greater fragmentation were strongly associated with higher BMI in unadjusted cross-sectional analysis. After adjustment, BMI decreased by 0.78 kg/m(2) (95% confidence interval: -1.6, -0.002) for each increasing sleep category. The association was very strong in persons who reported snoring and weak in those who did not. There were no longitudinal associations between sleep measurements and change in BMI. The authors confirmed a cross-sectional association between sleep duration and BMI using objective sleep measures, but they did not find that sleep predicted change in BMI. The mechanism underlying the cross-sectional association is not clear.
PY - 2009 SN - 1476-6256 (Electronic)0002-9262 (Linking) SP - 805 EP - 13 T2 - American Journal of Epidemiology TI - Cross-sectional and longitudinal associations between objectively measured sleep duration and body mass index: the CARDIA Sleep Study VL - 170 ER -