Investigating the Bidirectional Associations of Adiposity with Sleep Duration in Older Adults: The English Longitudinal Study of Ageing (ELSA)

Cross-sectional analyses of adiposity and sleep duration in younger adults suggest that increased adiposity is associated with shorter sleep. Prospective studies have yielded mixed findings, and the direction of this association in older adults is unclear. We examined the cross-sectional and potenti...

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Veröffentlicht in:Scientific reports 2017-01, Vol.7 (1), p.40250-40250, Article 40250
Hauptverfasser: Garfield, Victoria, Llewellyn, Clare H., Steptoe, Andrew, Kumari, Meena
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Kumari, Meena
description Cross-sectional analyses of adiposity and sleep duration in younger adults suggest that increased adiposity is associated with shorter sleep. Prospective studies have yielded mixed findings, and the direction of this association in older adults is unclear. We examined the cross-sectional and potential bi-directional, prospective associations between adiposity and sleep duration (covariates included demographics, health behaviours, and health problems) in 5,015 respondents from the English Longitudinal Study of Ageing (ELSA), at baseline and follow-up. Following adjustment for covariates, we observed no significant cross-sectional relationship between body mass index (BMI) and sleep duration [(unstandardized) B = −0.28 minutes, (95% Confidence Intervals (CI) = −0.012; 0.002), p  = 0.190], or waist circumference (WC) and sleep duration [(unstandardized) B = −0.10 minutes, (95% CI = −0.004; 0.001), p  = 0.270]. Prospectively, both baseline BMI [B = −0.42 minutes, (95% CI = −0.013; −0.002), p  = 0.013] and WC [B = −0.18 minutes, (95% CI = −0.005; −0.000), p  = 0.016] were associated with decreased sleep duration at follow-up, independently of covariates. There was, however, no association between baseline sleep duration and change in BMI or WC ( p  > 0.05). In older adults, our findings suggested that greater adiposity is associated with decreases in sleep duration over time; however the effect was very small.
doi_str_mv 10.1038/srep40250
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subjects 692/499
692/700
Adipose tissue
Adiposity
Aged
Aging
Body mass
Body Mass Index
Cross-Sectional Studies
Demography
Female
Health problems
Humanities and Social Sciences
Humans
Insomnia
Longitudinal Studies
Male
Middle Aged
multidisciplinary
Obesity - epidemiology
Obesity - etiology
Older people
Prospective Studies
Science
Science (multidisciplinary)
Sleep
Sleep deprivation
Waist Circumference
title Investigating the Bidirectional Associations of Adiposity with Sleep Duration in Older Adults: The English Longitudinal Study of Ageing (ELSA)
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