Abstract：Obesity is a major global public health problem. Long-term sleep deprivation has been identified as a major risk factor of obesity among adults, and oversleeping is found to correlate with the increased risk of obesity. Based on systematic reviews, meta-analysis and prospective cohort studies of the association between sleep and obesity among adults published during the period between 2017 and April, 2022, this review summarizes the direct impact of sleep on obesity among adults, the improvements of adult obesity by sleep and the immune, endocrine, energy metabolism, dietary habit and psychological mechanisms of obesity affected by sleep, so as to provide insights into the development of interventions against adult obesity.
王训强, 王承敏, 熊瑛. 成年人睡眠对肥胖的影响研究进展[J]. 预防医学, 2022, 34(9): 898-901.
WANG Xunqiang, WANG Chengmin, XIONG Ying. Research progress on the effect of sleep on obesity among adults. Preventive Medicine, 2022, 34(9): 898-901.
[1] NCD Risk Factor Collaboration.Worldwide trends in body-mass index,underweight,overweight,and obesity from 1975 to 2016:a pooled analysis of 2 416 population-based measurement studies in 128.9 million children,adolescents,and adults[J]. Lancet,2017,390(10113):2627-2642. [2] PAN X F,WANG L,PAN A.Epidemiology and determinants of obesity in China[J].Lancet Diabetes Endo,2021,9(6):373-392. [3] 刘惟蜻,王承敏,曾环思,等.成年人群肥胖与失眠的关联研究[J],预防医学,2022,34(4):366-370. LIU W Q,WANG C M,ZENG H S,et al.Relationship between obesity and insomnia among adults[J].Prev Med,2022,34(4):366-370. [4] 张爽,李莲,黄育北,等.成年人睡眠时间对体重增加和肥胖风险的Meta分析[J].中华流行病学杂志,2015,36(5):519-525. ZHANG S,LI L,HUANG Y B,et al.Meta-analysis of prospective cohort studies about sleep duration and risk of weight gain and obesity in adults[J].Chin J Epidemiol,2015,36(5):519-525. [5] KIM N H,LEE S K,EUN C R,et al.Short sleep duration combined with obstructive sleep apnea is associated with visceral obesity in Korean adults[J].Sleep,2013,36(5):723-729. [6] GARFIELD V.The association between body mass index(BMI)and sleep duration:where are we after nearly two decades of epidemiological research?[J/OL].Int J Environ Res Public Health,2019,16(22)[2022-06-23].https://doi.org/10.3390/ijerph16224327. [7] GRUBBS J J,LOPES L E,VAN DER LINDEN A M,et al.A salt-induced kinase is required for the metabolic regulation of sleep[J/OL].PLoS Biol,2020,18(4)[2022-06-23].https://doi.org/10.1371/journal.pbio.3000220. [8] RODRIGUES G D,FIORELLI E M,FURLAN L,et al.Obesity and sleep disturbances:the “chicken or the egg” question[J].Eur J Intern Med,2021,92:11-16. [9] 姜博,马爱娟,谢瑾,等.北京市18~65岁居民肥胖、中心性肥胖情况及与睡眠时间关系研究[J].中国慢性病预防与控制杂志,2022,30(1):24-28. JIANG B,MA A J,XIE J,et al.Study on the relationship between obesity or central obesity and sleeping duration among residents(18-65 years old)in Beijing[J].Chin J Prev Contr Chron Dis,2022,30(1):24-28. [10] BENAICH S,MEHDAD S,ANDALOUSSI Z,et al.Weight status,dietary habits,physical activity,screen time and sleep duration among university students[J].Nutr Health,2021,27(1):69-78. [11] DEACON-CROUCH M,BEGG S,SKINNER T.Is sleep duration associated with overweight/obesity in Indigenous Australian adults?[J/OL].BMC Public Health,2020,20(1)[2022-06-23].https://doi.org/10.1186/s12889-020-09287-z. [12] HUANG X F,XU W L,CHEN R K,et al.Association between sleep duration and weight gain and incident overweight/obesity:longitudinal analyses from the China Health and Nutrition Survey[J].Sleep Breath,2021,25(2):1187-1194. [13] NING X,LV J,GUO Y,et al.Association of sleep duration with weight gain and general and central obesity risk in Chinese adults:a prospective study[J].Obesity,2020,28(2):468-474. [14] SASAKI N,FUJIWARA S,YAMASHITA H,et al.Association between obesity and self-reported sleep duration variability,sleep timing,and age in the Japanese population[J].Obes Res Clin Pract,2018,12(2):187-194. [15] TSE L A,WANG C,RANGARAJAN S,et al.Timing and length of nocturnal sleep and daytime napping and associations with obesity types in high-,middle-,and low-income countries[J/OL].JAMA Netw Open,2021,4(6)[2022-06-23].https://doi.org/10.1001/jamanetworkopen.2021.13775. [16] WANG N,ZOU J,FANG S,et al.Association between daytime napping and obesity in Chinese middle-aged and older adults[J/OL].J Glob Health,2020,10(2)[2022-06-23].https://doi.org/10.7189/jogh.10.020804. [17] CAI G H,THEORELL-HAGLÖW J,JANSON C,et al.Insomnia symptoms and sleep duration and their combined effects in relation to associations with obesity and central obesity[J].Sleep Med,2018,46:81-87. [18] FENTON S,BURROWS T L,COLLINS C E,et al.Efficacy of a multi-component m-health diet,physical activity,and sleep intervention on dietary intake in adults with overweight and obesity:a randomised controlled trial[J/OL].Nutrients,2021,13(7)[2022-06-23].https://doi.org/10.3390/nu13072468. [19] DUNCAN M J,FENTON S,BROWN W J,et al.Efficacy of a multi-component m-health weight-loss intervention in overweight and obese adults:a randomised controlled trial[J/OL].Int J Env Res Public Health,2020,17(17)[2022-06-23].https://doi.org/10.3390/ijerph17176200. [20] TASALI E,WROBLEWSKI K,KAHN E,et al.Effect of sleep extension on objectively assessed energy intake among adults with overweight in real-life settings:a randomized clinical trial[J].JAMA Intern Med,2022,182(4):365-374. [21] GARBARINO S,LANTERI P,BRAGAZZI N L,et al.Role of sleep deprivation in immune-related disease risk and outcomes[J/OL].Commun Biol,2021,4(1)[2022-06-23].https://doi.org/10.1038/s42003-021-02825-4. [22] 赵薇,李欣宇,刘栩晗,等.大连市社区中老年人群夜间睡眠时间与糖耐量减低发生风险的队列研究[J].中国糖尿病杂志,2022,30(1):52-56. ZHAO W,LI X Y,LIU X H,et al.Association between nighttime sleep duration and incidence of impaired glucose tolerance in middle-aged and elderly residents in Dalian:a cohort study[J].Chin J Diabetes,2022,30(1):52-56. [23] LONGO M,ZATTERALE F,NADERI J,et al.Adipose tissue dysfunction as determinant of obesity-associated metabolic complications[J/OL].Int J Mol Sci,2019,20(9)[2022-06-23].https://doi.org/10.3390/ijms20092358. [24] GEIKER N R W,ASTRUP A,HJORTH M F,et al.Does stress influence sleep patterns,food intake,weight gain,abdominal obesity and weight loss interventions and vice versa?[J].Obes Rev,2018,19(1):81-97. [25] ANTZA C,KOSTOPOULOS G,MOSTAFA S,et al.The links between sleep duration,obesity and type 2 diabetes mellitus[J].J Endocrinol,2021,252(2):125-141. [26] SPIEGEL K,TASALI E,PENEV P,et al.Brief communication:sleep curtailment in healthy young men is associated with decreased leptin levels,elevated ghrelin levels,and increased hunger and appetite[J].Ann Intern Med,2004,141(11):846-850. [27] REUTRAKUL S,VAN CAUTER E.Sleep influences on obesity,insulin resistance,and risk of type 2 diabetes[J].Metabolism,2018,84:56-65. [28] BONANNO L,METRO D,PAPA M,et al.Assessment of sleep and obesity in adults and children[J/OL].Medicine,2019,98(46)[2022-06-23].https://doi.org/10.1097/MD.0000000000017642. [29] MAGEE C A,HUANG X F,IVERSON D C,et al.Examining the pathways linking chronic sleep restriction to obesity[J/OL].J Obes,2010[2022-06-23].https://doi.org/10.1155/2010/821710. [30] THEORELL-HAGLÖW J,LEMMING E W,MICHAËLSSON K,et al.Sleep duration is associated with healthy diet scores and meal patterns:results from the population-based EpiHealth study[J].J Clin Sleep Med,2020,16(1):9-18. [31] HUR S,OH B,KIM H,et al.Associations of diet quality and sleep quality with obesity[J/OL].Nutrients,2021,13(9) [2022-06-23].https://doi.org/10.3390/nu13093181. [32] ST-ONGE M P,PIZINGER T,KOVTUN K,et al.Sleep and meal timing influence food intake and its hormonal regulation in healthy adults with overweight/obesity[J].Eur J Clin Nutr,2019,72(1):76-82. [33] PROKOPIDIS K,DIONYSSIOTIS Y.Effects of sleep deprivation on sarcopenia and obesity:a narrative review of randomized controlled and crossover trials[J].J Frailty Sarcopenia Falls,2021,6(2):50-56. [34] HODDY K K,POTTS K S,BAZZANO L A,et al.Sleep extension:a potential target for obesity treatment[J/OL]. Curr Diab Rep,2020,20(12)[2022-06-23].https://doi.org/10.1007/s11892-020-01360-6.
