Top

Published in:

01-06-2016

Sleep and health-related factors in overweight and obese rural women in a randomized controlled trial

Authors: Marcia Y. Shade, Ann M. Berger, Paul J. Dizona, Bunny J. Pozehl, Carol H. Pullen

Published in: Journal of Behavioral Medicine | Issue 3/2016

Abstract

This secondary analysis describes sleep and health-related factors in healthy overweight and obese mid-life and older rural women enrolled in the” Women Weigh-In for Wellness” randomized clinical trial. The aim of the trial was to promote healthy behaviors and weight-loss. We analyzed demographic, anthropometric, and biomarker variables, self-reported measurements of sleep disturbance and pain interference, and objective 24-h sleep/wake patterns at baseline, 6 months, and the change over time. Although self-reported sleep disturbance reflected normal sleep, pain interference was slightly higher than normal. There were associations between higher self-reported sleep disturbance, pain interference and several other variables. Women who achieved 5 % or more weight loss exhibited positive associations between sleep, pain, and health-related factors. Weight loss and lower pain predicted lower self-reported sleep disturbance. Our results suggest that overweight and obese rural women who adopt healthy behaviors and achieve weight loss also may experience improved sleep and other health benefits.

Clinical trial # NCT01307644.

Alfaris, N., Wadden, T. A., Sarwer, D. B., Diwald, L., Volger, S., Hong, P., et al. (2015). Effects of a 2-year behavioral weight loss intervention on sleep and mood in obese individuals treated in primary care practice. Obesity, 23, 558–564.CrossRefPubMedPubMedCentral

Anic, G. M., Titus-Ernstoff, L., Newcomb, P. A., Trentham-Dietz, A., & Egan, K. M. (2010). Sleep duration and obesity in a population-based study. Sleep Medicine, 11, 447–451. doi:10.1016/j.sleep.2009.11.013 CrossRefPubMedPubMedCentral

Appelhans, B. M., Janssen, I., Cursio, J. F., Matthews, K. A., Hall, M., Gold, E. B., et al. (2013). Sleep duration and weight change in midlife women: The SWAN Sleep Study. Obesity, 21, 77–84. doi:10.1002/oby.20251 CrossRefPubMedPubMedCentral

Bansil, P., Kuklina, E. V., Merritt, R. K., & Yoon, P. W. (2011). Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: Results from the National Health and Nutrition Examination Survey, 2005 to 2008. Journal of Clinical Hypertension, 13, 739–743. doi:10.1111/j.1751-7176.2011.00500.x CrossRefPubMed

Beccuti, G., & Pannain, S. (2011). Sleep and obesity. Current Opinion in Clinical Nutrition and Metabolic Care, 14, 402–412. doi:10.1097/MCO.0b013e3283479109 CrossRefPubMedPubMedCentral

Befort, C. A., Nazir, N., & Perri, M. G. (2012). Prevalence of obesity among adults from rural and urban areas of the United States: Findings from NHANES (2005–2008). The Journal of Rural Health, 28, 392–397. doi:10.1111/j.1748-0361.2012.00411.x CrossRefPubMedPubMedCentral

Bennett, K. J., Probst, J. C., & Pumkam, C. (2011). Obesity among working age adults: The role of county-level persistent poverty in rural disparities. Health & Place, 17, 1174–1181.CrossRef

Berger, A. M., Parker, K. P., Young-McCaughan, S., Mallory, G. A., Barsevick, A. M., Beck, S. L., et al. (2005). Sleep wake disturbances in people with cancer and their caregivers: State of the science. Oncology Nursing Forum, 32, E98–E126.CrossRefPubMed

Cardinal, B. J. (1997). Assessing the physical activity readiness of inactive older adults. Adapted Physical Activity Quarterly, 14, 65–73.

Centers for Disease Control. (2014). Overweight and obesity. Retrieved from http://www.cdc.gov/obesity/data/facts.html. Updated 2014. Accessed Jan 13, 2015.

Centers for Disease Control and Prevention (CDC). (2011). Effect of short sleep duration on daily activities–United States, 2005–2008. MMWR. Morbidity and Mortality Weekly Report, 60, 239–242.

Crosby, R. A., Wendel, M. L., Vanderpool, R. C., & Casey, B. R. (Eds.). (2012). Rural populations and health determinants disparities and solutions. San Francisco, CA: Jossey-Bass A Wiley Imprint.

Czeisler, C. (2015). Duration, timing and quality of sleep are each vital for health, performance and safety. Sleep Health, 1, 5–8.CrossRef

Di Milia, L., Vandelanotte, C., & Duncan, M. J. (2013). The association between short sleep and obesity after controlling for demographic, lifestyle, work and health related factors. Sleep Medicine, 14, 319–323. doi:10.1016/j.sleep.2012.12.007 CrossRefPubMed

Evans, D. S., Snitker, S., Wu, S. H., Mody, A., Njajou, O. T., Perlis, M. L., et al. (2011). Habitual sleep/wake patterns in the old order Amish: Heritability and association with non-genetic factors. Sleep, 34, 661–669.PubMedPubMedCentral

Fang, J., Wheaton, A. G., Keenan, N. L., Greenlund, K. J., Perry, G. S., & Croft, J. B. (2012). Association of sleep duration and hypertension among US adults varies by age and sex. American Journal of Hypertension, 25, 335–341. doi:10.1038/ajh.2011.201 CrossRefPubMed

Finan, P. H., Goodin, B. R., & Smith, M. T. (2013). The association of sleep and pain: an update and a path forward. The Journal of Pain, 14, 1539–1552.CrossRefPubMedPubMedCentral

Gangwisch, J. E., Feskanich, D., Malaspina, D., Shen, S., & Forman, J. P. (2013). Sleep duration and risk for hypertension in women: Results from the nurses’ health study. American Journal of Hypertension, 26, 903–911. doi:10.1093/ajh/hpt044 CrossRefPubMedPubMedCentral

Gershon, R. C., Rothrock, N., Hanrahan, R., Bass, M., & Cella, D. (2010). The use of PROMIS and assessment center to deliver patient-reported outcome measures in clinical research. Journal of Applied Measurement, 11, 304–314.PubMedPubMedCentral

Girschik, J., Fritschi, L., Heyworth, J., & Waters, F. (2012). Validation of self-reported sleep against actigraphy. Journal of Epidemiology, 22, 462–468. doi:10.2188/jea.JE20120012.CrossRefPubMedPubMedCentral

Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., et al. (2014). Heart disease and stroke statistics–2014 update: A report from the American Heart Association. Circulation, 129, e28.CrossRefPubMed

Grandner, M. A. (2012). Sleep duration across the lifespan: Implications for health. Sleep Medicine Reviews, 16, 199–201. doi:10.1016/j.smrv.2012.02.001 CrossRefPubMedPubMedCentral

Grandner, M. A., Jackson, N. J., Pak, V. M., & Gehrman, P. R. (2012). Sleep disturbance is associated with cardiovascular and metabolic disorders. Journal of Sleep Research, 21, 427–433. doi:10.1111/j.1365-2869.2011.00990.x CrossRefPubMedPubMedCentral

Grandner, M. A., Sands-Lincoln, M. R., Pak, V. M., & Garland, S. N. (2013). Sleep duration, cardiovascular disease, and proinflammatory biomarkers. Nature and Science of Sleep, 5, 93–107.CrossRefPubMedPubMedCentral

Guo, X., Zheng, L., Wang, J., Zhang, X., Zhang, X., Li, J., & Sun, Y. (2013). Epidemiological evidence for the link between sleep duration and high blood pressure: A systematic review and meta-analysis. Sleep Medicine, 14, 324–332.CrossRefPubMed

Hageman, P. A., Pullen, C. H., Hertzog, M., Boeckner, L. S., & Walker, S. N. (2011). Web-based interventions for weight loss and weight maintenance among rural midlife and older women: Protocol for a randomized controlled trial. BMC Public Health, 11, 521–531. doi:10.1186/1471-2458-11-521 CrossRefPubMedPubMedCentral

Hart, G. L., & Casey, B. R. (2012). Defining rurality. In R. A. Crosby, M. L. Wendel, R. C. Vanderpool, & B. R. Casey (Eds.), Rural populations and health determinants, disparities, and solutions (pp. 23–37). San Francisco, CA: Jossey-Bass.

Hartz, A. J., Daly, J. M., Kohatsu, N. D., Stromquist, A. M., Jogerst, G. J., & Kukoyi, O. A. (2007). Risk factors for insomnia in a rural population. Annals of Epidemiology, 17, 940–947. doi:10.1016/j.annepidem.2007.07.097.CrossRefPubMed

Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., et al. (2015). National Sleep Foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1, 40–43.CrossRef

Hung, H. C., Yang, Y. C., Ou, H. Y., Wu, J. S., Lu, F. H., & Chang, C. J. (2013). The association between self-reported sleep quality and overweight in a Chinese population. Obesity, 21, 486–492. doi:10.1002/oby.20259 CrossRefPubMed

James, P., Oparil, S., Carter, B., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., et al. (2014). 2014 Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint National committee (JNC 8). JAMA, 311, 507–520.CrossRefPubMed

Jones, C. D., Parker, T., Ahearn, M., & Jayachandran, V. (2009). Health status and health care access of farm and rural populations. (bulletin No. 57). United States Department of Agriculture.

Knutson, K. (2015). Sleep and pain: Summary of the 2015 Sleep in America Poll. Sleep Health: Journal of the National Sleep Foundation, 1, 85.CrossRef

Knutson, K. L., Zhao, X., Mattingly, M., Galli, G., & Cizza, G. (2012). Predictors of sleep-disordered breathing in obese adults who are chronic short sleepers. Sleep Medicine, 13, 484–489.CrossRefPubMedPubMedCentral

Kohatsu, N. D., Tsai, R., Young, T., Vangilder, R., Burmeister, L. F., Stromquist, A. M., & Merchant, J. A. (2006). Sleep duration and body mass index in a rural population. Archives of Internal Medicine, 166, 1701–1705. doi:10.1001/archinte.166.16.1701.CrossRefPubMed

Lauderdale, D. S., Knutson, K. L., Rathouz, P. J., Yan, L. L., Hulley, S. B., & Liu, K. (2009). Cross-sectional and longitudinal associations between objectively measured sleep duration and body mass index: The CARDIA sleep study. American Journal of Epidemiology, 170, 805–813. doi:10.1093/aje/kwp230 CrossRefPubMedPubMedCentral

Lee, M., Choh, A. C., Demerath, E. W., Knutson, K. L., Duren, D. L., Sherwood, R. J., et al. (2009). Sleep disturbance in relation to health-related quality of life in adults: The Fels Longitudinal Study. The Journal of Nutrition, Health and Aging, 13, 576–583.CrossRefPubMedPubMedCentral

Madsen, M. T., Huang, C., & Gogenur, I. (2015). Actigraphy for measurements of sleep in relation to oncological treatment of patients with cancer: A systematic review. Sleep Medicine Reviews, 20, 73–83. doi:10.1016/j.smrv.2014.07.002.CrossRefPubMed

Mezick, E. J., Wing, R. R., & McCaffery, J. M. (2014). Associations of self-reported and actigraphy-assessed sleep characteristics with body mass index and waist circumference in adults: Moderation by gender. Sleep Medicine, 15, 64–70. doi:10.1016/j.sleep.2013.08.784 CrossRefPubMedPubMedCentral

Moldofsky, H. (2001). Sleep and pain. Sleep Medicine Reviews, 5, 385–396.CrossRefPubMed

Moraes, W., Poyares, D., Zalcman, I., De Mello, M., Bittencourt, L., Santos-Silva, R., & Tufik, S. (2013). Association between body mass index and sleep duration assessed by objective methods in a representative sample of the adult population. Sleep Medicine, 14, 312–318.CrossRefPubMed

Nielsen, L. S., Danielsen, K. V., & Sorensen, T. I. (2011). Short sleep duration as a possible cause of obesity: Critical analysis of the epidemiological evidence. Obesity Reviews, 12, 78–92. doi:10.1111/j.1467-789X.2010.00724.x CrossRefPubMed

O’Brien, E. M., Fava, J., Subak, L. L., Stone, K., Hart, C. N., Demos, K., & Wing, R. (2012). Sleep duration and weight loss among overweight/obese women enrolled in a behavioral weight loss program. Nutrition & Diabetes, 2, e43. doi:10.1038/nutd.2012.17 CrossRef

Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA, 311, 806–814.CrossRefPubMedPubMedCentral

Okifuji, A., & Hare, B. D. (2015). The association between chronic pain and obesity. Journal of Pain Research, 8, 399–408.CrossRefPubMedPubMedCentral

Organization for Economic Cooperation and Development. (2012). Obesity update 2012. Retrieved from http://www.oecd.org/health/49716427.pdf Updated 2012, Accessed January 13, 2015.

Patel, S. R., Blackwell, T., Redline, S., Ancoli-Israel, S., Cauley, J. A., Hillier, T. A., et al. (2008). The association between sleep duration and obesity in older adults. International Journal of Obesity, 32, 1825–1834. doi:10.1038/ijo.2008.198 CrossRefPubMedPubMedCentral

Perloff, D., Grim, C., Flack, J., Frohlich, E. D., Hill, M., McDonald, M., & Morgenstern, B. Z. (1993). Human blood pressure determination by sphygmomanometry. Circulation, 88, 2460–2470.CrossRefPubMed

Singh, M., Drake, C. L., Roehrs, T., Hudgel, D. W., & Roth, T. (2005). The association between obesity and short sleep duration: A population-based study. Journal of Clinical Sleep Medicine, 1, 357–363.PubMed

Stamatakis, K. A., & Brownson, R. C. (2008). Sleep duration and obesity-related risk factors in the rural Midwest. Preventive Medicine, 46, 439–444.CrossRefPubMedPubMedCentral

St-Onge, M. P., Perumean-Chaney, S., Desmond, R., Lewis, C. E., Yan, L. L., Person, S. D., & Allison, D. B. (2010). Gender differences in the association between sleep duration and body composition: The Cardia Study. International Journal of Endocrinology, 2010, 1–8. doi:10.1155/2010/726071 CrossRef

Theorell-Haglow, J., Berglund, L., Janson, C., & Lindberg, E. (2012). Sleep duration and central obesity in women—Differences between short sleepers and long sleepers. Sleep Medicine, 13, 1079–1085. doi:10.1016/j.sleep.2012.06.013 CrossRefPubMed

Thomson, C. A., Morrow, K. L., Flatt, S. W., Wertheim, B. C., Perfect, M. M., Ravia, J. J., et al. (2012). Relationship between sleep quality and quantity and weight loss in women participating in a weight-loss intervention trial. Obesity, 20, 1419–1425. doi:10.1038/oby.2012.62 CrossRefPubMed

Tworoger, S. S., Yasui, Y., Vitiello, M. V., Schwartz, R. S., Ulrich, C. M., Aiello, E. J., et al. (2003). Effects of a yearlong moderate-intensity exercise and a stretching intervention on sleep quality in postmenopausal women. Sleep, 26, 830–836.PubMed

US Department of Health and Human Services. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults–the evidence report. (No. 6 Suppl 298-4083). NIH.

Vgontzas, A. N., Fernandez-Mendoza, J., Miksiewicz, T., Kritikou, I., Shaffer, M. L., Liao, D., et al. (2014). Unveiling the longitudinal association between short sleep duration and the incidence of obesity: The Penn State cohort. International Journal of Obesity, 38, 825–832. doi:10.1038/ijo.2013.172 CrossRefPubMedPubMedCentral

Wachholtz, A., Binks, M., Suzuki, A., & Eisenson, H. (2009). Sleep disturbance and pain in an obese residential treatment-seeking population. The Clinical Journal of Pain, 25, 584–589. doi:10.1097/AJP.0b013e3181a0ff17 CrossRefPubMed

Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., et al. (2015). Recommended amount of sleep for a healthy adult: A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. SLEEP, 38, 843–844.PubMedPubMedCentral

Whinnery, J., Jackson, N., Rattanaumpawan, P., & Grandner, M. A. (2014). Short and long sleep duration associated with race/ethnicity, sociodemographics, and socioeconomic position. SLEEP, 37, 601–611. doi:10.5665/sleep.3508 PubMedPubMedCentral

Wing, R. R., Lang, W., Wadden, T. A., Safford, M., Knowler, W. C., Bertoni, A. G., … Wagenknecht, L. (2011). Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care, 34, 1481–1486.

Zinkhan, M., Berger, K., Hense, S., Nagel, M., Obst, A., Koch, B., et al. (2014). Agreement of different methods for assessing sleep characteristics: A comparison of two actigraphs, wrist and hip placement, and self-report with polysomnography. Sleep Medicine, 15, 1107–1114.CrossRefPubMed

Title: Sleep and health-related factors in overweight and obese rural women in a randomized controlled trial
Authors: Marcia Y. Shade
Ann M. Berger
Paul J. Dizona
Bunny J. Pozehl
Carol H. Pullen
Publication date: 01-06-2016
Publisher: Springer US
Published in: Journal of Behavioral Medicine / Issue 3/2016
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-015-9701-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Sleep and health-related factors in overweight and obese rural women in a randomized controlled trial

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2016

Gender, BMI, and eating regulation in the context of same-sex and heterosexual couples

Lifestyle modification and weight reduction among low-income patients with the metabolic syndrome: the CHARMS randomized controlled trial

Endocrine dysregulation in women with irritable bowel syndrome according to Rome II criteria

Identifying when choice helps: clarifying the relationships between choice making, self-construal, and pain

Ethnic differences in the links between benefit finding and psychological adjustment in people living with HIV

The role of social support in weight loss maintenance: results from the MedWeight study