J Korean Med Sci.  2015 Feb;30(2):199-206. 10.3346/jkms.2015.30.2.199.

Association between Objectively Measured Sleep Quality and Obesity in Community-dwelling Adults Aged 80 Years or Older: A Cross-sectional Study

• Kim M

• KMID: 2129652
• DOI: http://doi.org/10.3346/jkms.2015.30.2.199

Abstract

The purpose of this study was to examine the association between objective measures of sleep quality and obesity in older community-dwelling people. This cross-sectional study included 189 community-dwelling adults aged > or = 80 yr (83.4 +/- 2.5 yr [age range, 80-95 yr]). Participants wore an accelerometer (ActiGraph GT3X+) on their non-dominant wrist 24 hr per day for 7 consecutive nights. Sleep parameters measured included total sleep time, sleep efficiency, and wake after sleep onset (WASO) during the night. Associations between sleep parameters and obesity were investigated by using multivariate logistic regression analysis. In multivariate models, those with sleep efficiency lower than 85% had a 2.85-fold increased odds of obesity, compared with those with sleep efficiency of 85% or higher. Similarly, those with WASO of > or = 60 min (compared with < 60 min) had a 3.13-fold increased odds of obesity. However, there were no significant associations between total sleep time or self-reported napping duration and obesity. We found that poor sleep quality was an independent risk factor for obesity in community-dwelling Japanese adults aged > or = 80 yr, even after controlling for potential confounding factors, including daily physical activity.

Keyword

Sleep Quality; Motor Activity; Obesity; Aged, 80 and over; Accelerometer

MeSH Terms

Accelerometry/*methods
Aged, 80 and over
Cross-Sectional Studies
Female
Humans
Male
Obesity/*complications
Republic of Korea
Risk Factors
Sleep/*physiology
Sleep Initiation and Maintenance Disorders/*complications

Figure

• 

  Fig. 1 The association between the body mass index and (A) sleep efficiency and (B) wake time after sleep onset in men and women.

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