Sleep Disorders

11 July 2011

Sleep deprivation and weight gain tied

People who got very little sleep ate more, but didn't burn any extra kilojoules in a new study that adds to evidence supporting a link between sleep deprivation and weight gain.

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People who got very little sleep ate more, but didn't burn any extra kilojoules in a new study that adds to evidence supporting a link between sleep deprivation and weight gain.

Although the findings don't prove that sleeplessness causes people to pack on extra kilograms, or exactly how the relationship between sleep and body weight might work, they do show that "sleep should be a priority", said Michael Grandner, who studies sleep and sleep disorders at the University of Pennsylvania in Philadelphia.

Grandner, who was not involved in the new work, said that previous studies have tested the link between sleep and diet and weight in multiple ways. Some surveyed large populations with questions about sleeping and eating habits and tracked subjects over time.

 Others, including the new study, looked at a smaller group of people very closely, manipulating their sleep schedule and observing how their food cravings and appetite responded.

Research put to test

Both kinds of research have generally supported the idea that less sleep is associated with extra weight.

One recent study in Sweden, for example, found that young men who were sleep-deprived ate about the same amount of food as usual, but burned between 5% and 20% fewer calories than when they were well-rested.

Millions – including a significant number of shift workers – suffer from chronic sleep loss and sleep disorders, according to the National Institutes of Health.

For the current study, Marie-Pierre St-Onge of the New York Obesity Research Centre at St. Luke's-Roosevelt Hospital and colleagues recruited 30 men and women in their 30's and 40's, all of roughly normal weight. The participants lived and slept in a research centre during two different five-night periods.

During one of those visits, they were allowed to sleep for nine hours each night. During the other, participants were only permitted four hours of shut-eye. Both times, they were fed a strict diet for the first four days of their stay and then were allowed to eat whatever they wanted on the fifth and final full day.

Results of research

The tests showed that regardless of which sleep schedule they were on, people burned a similar amount of kilojoules – about 10,920kJ per day.

But when they were sleep-deprived, they fed themselves about 1260kJ more on average on the final day of the study compared to when they had been sleeping normally. Well-rested participants ate an average of 10.500kJ that day, compared to 11,760kJ when they were running on less sleep.

If that kept up in a person's normal daily life, it would put the sleep-deprived at higher risk for obesity, the authors said in their report, published in the American Journal of Clinical Nutrition.

Participants also said they felt more sluggish and less energetic after a few days on the short sleep schedule.

There are a few possible explanations behind the link between sleep and eating. One is that sleep "seems to play a role in how your body manages the hormones that control how hungry you are, when you're hungry (and) what kinds of foods you're hungry for", Grandner said.

Bad food decisions made when tired

Another explanation is that when we're tired, we're less good at making healthy eating decisions.

"It's possible that when you're on short sleep you're more susceptible to giving in to your desires," St-Onge said. "You walk past a food cart or a bakery and it smells so good. If you're sleep-deprived you may be like, 'Oh, what the heck,'" she said.

Grandner added that it's possible the link goes both ways, and that eating too much of certain kinds of foods can disrupt a person's sleep schedule. Or, someone who has a stressful job may sleep too little and also eat too much as a result.

Too little sleep has also been tied to a host of other health problems, he said, including heart disease and diabetes - which have their own associations with weight, complicating the picture even further.

The bottom line? "If you're trying to control your weight, it would be helpful not to be sleep-deprived," St-Onge said.

(Reuters Health, July 2011)

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Sleep disorders

Chronic sleep

 

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Dr Alison Bentley is a general practitioner who has consulted in sleep medicine and sleep disorders, in both adults and children of all ages, for almost 30 years. She also researches and publishes on a number of sleep-related topics both in formal research journals and lay publications including as editor of Sleep Matters, an educational newsletter on sleep disorders for doctors.

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