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BMC Women's Health
Published in: BMC Women's Health 1/2021

01-12-2021 | Obesity | Research article

Association between sleep quality and central obesity among southern Chinese reproductive-aged women

Authors: Bingbing Li, Nan Liu, Donghui Guo, Bo Li, Yan Liang, Lingling Huang, Xiaoxiao Wang, Zhenzhen Su, Guozeng Zhang, Peixi Wang

Published in: BMC Women's Health | Issue 1/2021

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Abstract

Background

The connections between sleep quality and central obesity among reproductive-aged women are not clear. The study aimed to explore the association between sleep quality and central obesity among Chinese reproductive-aged women and identify the independent contributions of sociodemographic characteristics, health-related factors, and sleep quality to central obesity.

Methods

In this cross-sectional survey, the minimal sample sizes were 2404 subjects; 2449 Chinese women aged 18–49 participated in this study. Sleep quality was assessed by the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). Central obesity as the outcome of interest was a binary variable; women were categorized as with versus without central obesity measured by waist circumference (WC). The independent contribution of sociodemographic characteristics (Cluster 1), health-related variables (Cluster 2), and sleep quality (Cluster 3) to central obesity was derived from the corresponding R2 change (individual R2 change/total R2 × 100%), using clustered multiple logistic regression analyses.

Results

The risk of central obesity increased significantly with poor sleep quality (assessed by global PSQI score) [adjusted odds ratio (OR) = 2.20 per SD increase; 95% confidence interval (CI) = 1.28–3.78; P = 0.004], increased sleep disturbance score (adjusted OR = 1.11 per SD increase; 95% CI = 1.01–1.22; P = 0.042) and decreased subjective sleep quality score (adjusted OR = 0.81 per SD increase; 95% CI = 0.73–0.90; P < 0.001). The independent contribution of sleep quality was 9.9%, less than those of sociodemographic (73.3%) and health-related (16.8%) variables. Among complaints related to sleep disturbance, the inability to breathe comfortably, and having bad dreams showed significant associations with central obesity.

Conclusions

There exists some degree of correlation between sleep quality and central obesity among Chinese reproductive-aged women. These findings underscore the need for future public health guidelines to formulate some detailed strategies to improve sleep quality, such as preventing and intervening risk factors that influence sleep quality and suggesting optimal sleep duration, which might effectively reduce the incidence of central obesity in this population group.
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Metadata
Title
Association between sleep quality and central obesity among southern Chinese reproductive-aged women
Authors
Bingbing Li
Nan Liu
Donghui Guo
Bo Li
Yan Liang
Lingling Huang
Xiaoxiao Wang
Zhenzhen Su
Guozeng Zhang
Peixi Wang
Publication date
01-12-2021
Publisher
BioMed Central
Keywords
Obesity
Obesity
Published in
BMC Women's Health / Issue 1/2021
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-021-01407-0

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