Associations between inadequate sleep and obesity in the US adult population: Analysis of the national health interview survey (1977-2009)

Girardin Jean-Louis, Natasha J. Williams, Daniel Sarpong, Abhishek Pandey, Shawn Youngstedt, Ferdinand Zizi, Gbenga Ogedegbe

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Background: Epidemiologic studies show a curvilinear relationship between inadequate sleep (< 7 or > 8 hours) and obesity (Body Mass Index > 30 kg/m2), which have enormous public health impact. Methods. Using data from the National Health Interview Survey, an ongoing nationally representative cross-sectional study of non-institutionalized US adults (≥18 years) (1977 through 2009), we examined the hypothesis that inadequate sleep is independently related to overweight/obesity, with adjustment for socio-demographic, health risk, and medical factors. Self- reported data on health risks, physician-diagnosed medical conditions, sleep duration, and body weight and height were used. Results: Prevalence of overweight and obesity increased from 31.2% to 36.9% and 10.2% to 27.7%, respectively. Whereas prevalence of very short sleep (<5 hours) and short sleep (5-6 hours) has increased from 1.7% to 2.4% and from 19.7% to 26.7%, it decreased from 11.6% to 7.8% for long sleep. According to multivariate-adjusted multinomial regression analyses, odds of overweight and obesity associated with very short sleep and short sleep increased significantly from 1977 to 2009. Odds of overweight and obesity conferred by long sleep did not show consistent and significant increases over the years. Analyses based on aggregated data showed very short sleepers had 30% greater odds of being overweight or were twice as likely to be obese, relative to 7-8 hour sleepers. Likewise, short sleepers had 20% greater odds of being overweight or 57% greater odds of being obese. Long sleepers had 20% greater odds of being obese, but no greater odds of being overweight. Conclusions: Our findings support the hypothesis that prevalence of very short and short sleep has gradually increased over the last 32 years. Inadequate sleep was associated with overweight and obesity for each available year.

Original languageEnglish (US)
Article number290
JournalBMC Public Health
Volume14
Issue number1
DOIs
StatePublished - Mar 29 2014
Externally publishedYes

Fingerprint

Health Surveys
Sleep
Obesity
Interviews
Population
Body Height
Health
Epidemiologic Studies
Body Mass Index
Public Health
Cross-Sectional Studies
Body Weight
Regression Analysis
Demography
Physicians

Keywords

  • Long sleep
  • Obesity
  • Overweight
  • Short sleep

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Associations between inadequate sleep and obesity in the US adult population : Analysis of the national health interview survey (1977-2009). / Jean-Louis, Girardin; Williams, Natasha J.; Sarpong, Daniel; Pandey, Abhishek; Youngstedt, Shawn; Zizi, Ferdinand; Ogedegbe, Gbenga.

In: BMC Public Health, Vol. 14, No. 1, 290, 29.03.2014.

Research output: Contribution to journalArticle

Jean-Louis, Girardin ; Williams, Natasha J. ; Sarpong, Daniel ; Pandey, Abhishek ; Youngstedt, Shawn ; Zizi, Ferdinand ; Ogedegbe, Gbenga. / Associations between inadequate sleep and obesity in the US adult population : Analysis of the national health interview survey (1977-2009). In: BMC Public Health. 2014 ; Vol. 14, No. 1.
@article{3d6c09adcc6d4ddfa0d5ffe1f2754f26,
title = "Associations between inadequate sleep and obesity in the US adult population: Analysis of the national health interview survey (1977-2009)",
abstract = "Background: Epidemiologic studies show a curvilinear relationship between inadequate sleep (< 7 or > 8 hours) and obesity (Body Mass Index > 30 kg/m2), which have enormous public health impact. Methods. Using data from the National Health Interview Survey, an ongoing nationally representative cross-sectional study of non-institutionalized US adults (≥18 years) (1977 through 2009), we examined the hypothesis that inadequate sleep is independently related to overweight/obesity, with adjustment for socio-demographic, health risk, and medical factors. Self- reported data on health risks, physician-diagnosed medical conditions, sleep duration, and body weight and height were used. Results: Prevalence of overweight and obesity increased from 31.2{\%} to 36.9{\%} and 10.2{\%} to 27.7{\%}, respectively. Whereas prevalence of very short sleep (<5 hours) and short sleep (5-6 hours) has increased from 1.7{\%} to 2.4{\%} and from 19.7{\%} to 26.7{\%}, it decreased from 11.6{\%} to 7.8{\%} for long sleep. According to multivariate-adjusted multinomial regression analyses, odds of overweight and obesity associated with very short sleep and short sleep increased significantly from 1977 to 2009. Odds of overweight and obesity conferred by long sleep did not show consistent and significant increases over the years. Analyses based on aggregated data showed very short sleepers had 30{\%} greater odds of being overweight or were twice as likely to be obese, relative to 7-8 hour sleepers. Likewise, short sleepers had 20{\%} greater odds of being overweight or 57{\%} greater odds of being obese. Long sleepers had 20{\%} greater odds of being obese, but no greater odds of being overweight. Conclusions: Our findings support the hypothesis that prevalence of very short and short sleep has gradually increased over the last 32 years. Inadequate sleep was associated with overweight and obesity for each available year.",
keywords = "Long sleep, Obesity, Overweight, Short sleep",
author = "Girardin Jean-Louis and Williams, {Natasha J.} and Daniel Sarpong and Abhishek Pandey and Shawn Youngstedt and Ferdinand Zizi and Gbenga Ogedegbe",
year = "2014",
month = "3",
day = "29",
doi = "10.1186/1471-2458-14-290",
language = "English (US)",
volume = "14",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Associations between inadequate sleep and obesity in the US adult population

T2 - Analysis of the national health interview survey (1977-2009)

AU - Jean-Louis, Girardin

AU - Williams, Natasha J.

AU - Sarpong, Daniel

AU - Pandey, Abhishek

AU - Youngstedt, Shawn

AU - Zizi, Ferdinand

AU - Ogedegbe, Gbenga

PY - 2014/3/29

Y1 - 2014/3/29

N2 - Background: Epidemiologic studies show a curvilinear relationship between inadequate sleep (< 7 or > 8 hours) and obesity (Body Mass Index > 30 kg/m2), which have enormous public health impact. Methods. Using data from the National Health Interview Survey, an ongoing nationally representative cross-sectional study of non-institutionalized US adults (≥18 years) (1977 through 2009), we examined the hypothesis that inadequate sleep is independently related to overweight/obesity, with adjustment for socio-demographic, health risk, and medical factors. Self- reported data on health risks, physician-diagnosed medical conditions, sleep duration, and body weight and height were used. Results: Prevalence of overweight and obesity increased from 31.2% to 36.9% and 10.2% to 27.7%, respectively. Whereas prevalence of very short sleep (<5 hours) and short sleep (5-6 hours) has increased from 1.7% to 2.4% and from 19.7% to 26.7%, it decreased from 11.6% to 7.8% for long sleep. According to multivariate-adjusted multinomial regression analyses, odds of overweight and obesity associated with very short sleep and short sleep increased significantly from 1977 to 2009. Odds of overweight and obesity conferred by long sleep did not show consistent and significant increases over the years. Analyses based on aggregated data showed very short sleepers had 30% greater odds of being overweight or were twice as likely to be obese, relative to 7-8 hour sleepers. Likewise, short sleepers had 20% greater odds of being overweight or 57% greater odds of being obese. Long sleepers had 20% greater odds of being obese, but no greater odds of being overweight. Conclusions: Our findings support the hypothesis that prevalence of very short and short sleep has gradually increased over the last 32 years. Inadequate sleep was associated with overweight and obesity for each available year.

AB - Background: Epidemiologic studies show a curvilinear relationship between inadequate sleep (< 7 or > 8 hours) and obesity (Body Mass Index > 30 kg/m2), which have enormous public health impact. Methods. Using data from the National Health Interview Survey, an ongoing nationally representative cross-sectional study of non-institutionalized US adults (≥18 years) (1977 through 2009), we examined the hypothesis that inadequate sleep is independently related to overweight/obesity, with adjustment for socio-demographic, health risk, and medical factors. Self- reported data on health risks, physician-diagnosed medical conditions, sleep duration, and body weight and height were used. Results: Prevalence of overweight and obesity increased from 31.2% to 36.9% and 10.2% to 27.7%, respectively. Whereas prevalence of very short sleep (<5 hours) and short sleep (5-6 hours) has increased from 1.7% to 2.4% and from 19.7% to 26.7%, it decreased from 11.6% to 7.8% for long sleep. According to multivariate-adjusted multinomial regression analyses, odds of overweight and obesity associated with very short sleep and short sleep increased significantly from 1977 to 2009. Odds of overweight and obesity conferred by long sleep did not show consistent and significant increases over the years. Analyses based on aggregated data showed very short sleepers had 30% greater odds of being overweight or were twice as likely to be obese, relative to 7-8 hour sleepers. Likewise, short sleepers had 20% greater odds of being overweight or 57% greater odds of being obese. Long sleepers had 20% greater odds of being obese, but no greater odds of being overweight. Conclusions: Our findings support the hypothesis that prevalence of very short and short sleep has gradually increased over the last 32 years. Inadequate sleep was associated with overweight and obesity for each available year.

KW - Long sleep

KW - Obesity

KW - Overweight

KW - Short sleep

UR - http://www.scopus.com/inward/record.url?scp=84899561527&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84899561527&partnerID=8YFLogxK

U2 - 10.1186/1471-2458-14-290

DO - 10.1186/1471-2458-14-290

M3 - Article

C2 - 24678583

AN - SCOPUS:84899561527

VL - 14

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 290

ER -