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Sleep problems and their association with weight and waist gain - The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

Abstract：

OBJECTIVE:To evaluate the association of sleep problems with weight and waist size gain during four years of follow-up. METHODS:We investigated 13,030 participants (35-74 years) of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a multicentric cohort conducted with civil servants from six academic institutions recruited between 2008 and 2010. Sleep problems were assessed at baseline by the Clinical Interview Schedule - Revised (CIS-R), designed to detect common mental disorders based on somatic, depressive and anxiety symptoms. Weight and waist size were measured at baseline and at follow-up (2012-2014). Large weight and waist size gain were defined as ≥ 90th percentile (≥1.65 kg/year and ≥2.41 cm/year, respectively). RESULTS:Sleep problems were associated with higher risk of a large weight gain (RR = 1.11; 95% CI 1.01-1.24) and large waist size gain (RR = 1.19; 95% CI 1.07-1.32), adjusted for age, sex, ethnicity, income, educational level, investigation center, smoking, alcohol intake, dietary energy intake, leisure-time physical activity and body mass index (BMI) or waist circumference at baseline. After additional adjustment for common mental disorders the associations became non-significant (RR = 0.99; 95% CI 0.88-1.12; RR = 1.08; 95% CI 0.97-1.22, respectively). CONCLUSION:Sleep problems are associated with increased risk of developing large weight and waist size gain, but are not independently associated with common mental disorders.

journal_name

Sleep Med

journal_title

Sleep medicine

authors

Camargo TR,Luft VC,Duncan BB,Nunes MAA,Chor D,Griep RH,da Fonseca MJM,Barreto SM,de Matos SMA,Schmidt MI

doi

10.1016/j.sleep.2020.06.017

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

196-201

eissn

1389-9457

issn

1878-5506

pii

S1389-9457(20)30284-7

journal_volume

73

pub_type

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