Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

The Association between Sleep and Obesity in Korean Adults

우리나라 성인에서 수면 시간과 비만과의 관련성

  • Park, Young-Jun (Departments of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Yim, Hyeon-Woo (Departments of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Young-Moon (Departments of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Won-Chul (Departments of Preventive Medicine, College of Medicine, The Catholic University of Korea)
  • 박영준 (가톨릭대학교 의과대학 예방의학교실) ;
  • 임현우 (가톨릭대학교 의과대학 예방의학교실) ;
  • 박용문 (가톨릭대학교 의과대학 예방의학교실) ;
  • 이원철 (가톨릭대학교 의과대학 예방의학교실)
  • Published : 2007.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : Obesity is currently an epidemic in Korea, and sleep duration is thought to be one of the risk factors for obesity. The objective of this study was to test the hypothesis that short sleep duration is associated with obesity in Korean adults. Methods : The data from the 2001 Korean National Health and Nutrition Survey were used, and 6,174 subjects aged $18{\sim}80$ years were included in the analysis. Sleep duration was measured using information obtained from self-reported questionnaires. Obesity, the main outcome variable, was measured according to body mass index. Multiple regression modeling was used to adjust for potential confounding variables. Results : The study results revealed a negative association between sleep duration and body mass index among Korean adults. These associations persisted after controlling for the potential confounding variables. Conclusions : These findings support the hypothesis that sleep duration is associated with obesity in Korean adults. In addition, these observations support earlier experimental sleep studies and provide a basis for future studies on weight control intervention by increasing the amount of sleep.

Keywords

References

  1. Eckel RH. Obesity: Mechanisms and Clinical Management. Philadelphia: Lippincott Williams & Wilkins; 2003
  2. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med 1992; 327(19): 1350-1355 https://doi.org/10.1056/NEJM199211053271904
  3. WHO. Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation. Geneva: WHO; 2000
  4. Ministry of Health & Welfare. The Third Korea National Health and Nutrition Examination Survey(KNHANES III), 2005 : Health Examination. Ministry of Health & Welfare; 2006 (Korean)
  5. Kim NS, Moon OR, Kang JH, Lee SY, Jeong BG, Lee SJ, Yoon TH. Increasing prevalence of obesity related disease for Koreans associated with overweight and obesity. Korean J Prev Med 2001; 34(4): 309-315 (Korean)
  6. Jeong BG, Moon OR, Kim NS, Kang JH, Yoon TH, Lee SY, Lee SJ. Socioeconomic costs of obesity for Korean adults. Korean J Prev Med 2002; 35(1): 1-12 (Korean) https://doi.org/10.1006/pmed.2002.1042
  7. Lee HJ, Kim L. Effects of chronic insufficient sleep on Society. Sleep Med Psychophysiol 2003; 10(2): 77-83 (Korean)
  8. Ministry of Health & Welfare. 1998 National Health and Nutrition Survey : Health behavior. Ministry of Health & Welfare; 1999 (Korean)
  9. Ministry of Health & Welfare. 2001 National Health and Nutrition Survey : Health behavior. Ministry of Health & Welfare; 2002 (Korean)
  10. Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MR. Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry 2002; 59(2): 131-136 https://doi.org/10.1001/archpsyc.59.2.131
  11. Ayas NT, White DP, Manson JE, Starnpfer MJ, Speizer FE, Malhotra A, Hu FB. A prospective study of sleep duration and coronary heart disease in women. Arch Intern Med 2003; 163(2): 205-209 https://doi.org/10.1001/archinte.163.2.205
  12. Ayas NT, White DP, Al-Delaimy WK, Manson JE, Stampfer MJ, Speizer FE, Patel S, Hu FB. A prospective study of self-reported sleep duration and incident diabetes in women. Diabetes Care 2003; 26(2): 380-384 https://doi.org/10.2337/diacare.26.2.380
  13. Gupta NK, Mueller WH, Chan W, Meininger JC. Is obesity associated with poor sleep quality in adolescent? Am J Hum Biol 2002; 14(6): 762-768 https://doi.org/10.1002/ajhb.10093
  14. Hasler G, Buysse DJ, Klaghofer R, Gamma A, Ajdacic V, Eich D, Rossler W, Angst J. The association between short sleep duration and obesity in young adults: A 13-year prospective study. Sleep 2004; 27(4): 661-666 https://doi.org/10.1093/sleep/27.4.661
  15. Heslop P, Smith GD, Metcalfe C, Macleod J, Hart C. Sleep duration and mortality: The effect of short or long sleep duration on cardiovascular and all-cause mortality in working men and women. Sleep Med 2002; 3(4): 305-314 https://doi.org/10.1016/S1389-9457(02)00016-3
  16. Vioque J, Torres A, Quiles J. Time spent watching television, sleep duration and obesity in adults living in Valencia, Spain. Int J Obes Relat Metab Disord 2000; 24(12): 1683-1688 https://doi.org/10.1038/sj.ijo.0801434
  17. Kohatsu ND, Tsai R, Young T, Vangilder R, Burmeister LF, Stromquist AM, Merchant JA. Sleep duration and body mass index in a rural population. Arch Intern Med 2006; 166(16): 1701-1705 https://doi.org/10.1001/archinte.166.16.1701
  18. Bjorvatn B, Sagen IM, Oyane N, Waage S, Fetveit A, Pallesen S, Ursin R. The association between sleep duration, body mass index and metabolic measures in the Hordaland Health Study. J Sleep Res 2007; 16(1): 66-76 https://doi.org/10.1111/j.1365-2869.2007.00569.x
  19. Gangwisch JE., Malaspina D, Boden-Albala, B, Heymsfield, SB. Inadequate sleep as a risk factor for obesity: Analyses of the NHANES I. Sleep 2005; 28(10): 1289-1296 https://doi.org/10.1093/sleep/28.10.1289
  20. Spiegel K, Tasali E, Penev P, Van Cauter E. Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med 2004; 141(11): 846-850 https://doi.org/10.1001/archinte.141.7.846
  21. Taheri S, Lin L, Austin D, Young T, Mignot E. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 2004; 1(3): e62 https://doi.org/10.1371/journal.pmed.0010062
  22. Han SJ, Joo EY, Kim JH, Kim MS, Hong SB. Body mass index and neck circumference in patient with obstructive sleep apnea-hypopnea syndrome. J Korean Sleep Soc 2004; 1(1): 37-41 (Korean) https://doi.org/10.13078/jksrs.04016
  23. Seo JS, Lee JH, Lee KK. Lifestyle and health state in individuals with frequent nocturnal sleep interruption. J Korean Acad Fam Med 2006; 27(12); 967-974 (Korean)
  24. Ministry of Health & Welfare. 2001 National Health and Nutrition Survey : National Health Part Processing Report. Ministry of Health & Welfare; 2002 (Korean)
  25. Bendel RB, Afifi AA. Comparison of stopping rules in forward stepwise regression. J Am Stat Assoc 1977; 72(1): 46-53 https://doi.org/10.2307/2286904
  26. Patel SR, Ayas NT, Malhotra MR, White DP, Schernhammer ES, Speizer FE, Starnpfer MJ, Hu FE. A prospective study of sleep duration and mortality risk in women. Sleep 2004; 27(3): 440-444 https://doi.org/10.1093/sleep/27.3.440
  27. Solomon CG, Manson JE. Obesity and mortality: A review of the epidemiologic data. Am J Clin Nutr 1997; 66(4 Suppl): 1044S-1050S
  28. Webb WB. Age-related changes in sleep. Clin Geriatr Med 1989; 5(2): 275-287 https://doi.org/10.1016/S0749-0690(18)30678-5
  29. Steptoe A, Peacey V, Wardle J. Sleep duration and health in young adults. Arch Intern Med 2006; 166(16): 1689-1692 https://doi.org/10.1001/archinte.166.16.1689
  30. Saad MF, Riad-Gabriel MG, Khan A, Sharma A, Michael R, Jinagouda SD, Boyadjian R, Steil GM. Diurnal and ultradian rhythmicity of plasma leptin: Effects of gender and adiposity. J Clin Endocrinol Metab 1998; 83(2): 453-459 https://doi.org/10.1210/jc.83.2.453
  31. National Sleep Foundation. 2002 'Sleep in America' Poll. Washington: National Sleep Foundation; 2001
  32. Lockley SW, Skene DJ, Arendt J. Comparison between subjective and actigraphic measurement of sleep and sleep rhythms. J Sleep Res 1999; 8(3): 175-183 https://doi.org/10.1046/j.1365-2869.1999.00155.x
  33. Singh M, Drake CL, Roehrs T, Hudgel DW, Roth T. The association between obesity and short sleep duration: A population-based study. J Clin Sleep Med 2005; 1(4): 357-363
  34. Ursin R, Bjorvatn B, Holsten F. Sleep duration, subjective sleep need, and sleep habits of 40-to 45-year-olds in the Hordaland Health Study. Sleep 2005; 28(10): 1260-1269 https://doi.org/10.1093/sleep/28.10.1260
  35. Punjabi NM, Ahmed MM, Polotsky VY, Beamer BA, O'Donnell CP. Sleep-disordered breathing, glucose intolerance, and insulin resistance. Respir Physial Neurobial 2003; 136(2-3): 167-178 https://doi.org/10.1016/S1569-9048(03)00079-X