Grandner Michael A, Patel Nirav P, Perlis Michael L, Gehrman Philip R, Xie Dawei, Sha Daohang, Pigeon Wilfred R, Teff Karen, Weaver Terri, Gooneratne Nalaka S
Z Gesundh Wiss. 2011 Oct;19(5):463-474. doi: 10.1007/s10389-011-0398-2.
Previous studies have demonstrated relationships between sleep and both obesity and diabetes. Additionally, exercise may improve sleep and daytime function, in addition to weight and metabolic function. The present study extends these findings by examining how general sleep-related complaints are associated with body mass index (BMI), diabetes diagnosis, and exercise in a large, nationally representative sample. SUBJECT AND METHODS: Participants were respondents to the Behavioral Risk Factor Surveillance System (BRFSS). Sleep complaint (SC) was measured with "Over the last 2 weeks, how many days have you had trouble falling asleep or staying asleep or sleeping too much?" Daytime complaint (DC) was measured with "Over the last 2 weeks, how many days have you felt tired or had little energy?" Responses were dichotomized, with ≥6 days indicating complaint. Covariates included age, race/ethnicity, income, and education. RESULTS: Being overweight was associated with DC in women only. Obesity was significantly associated with SC and DC in women, and DC in men. Diabetes was associated with SC and DC in both genders. Any exercise in the past 30 days did not attenuate any BMI or diabetes relationships, but was independently associated with a decrease in SC and DC in both men and women. CONCLUSION: These results suggest that for both men and women diabetes is a significant predictor of sleep and daytime complaints, and there is a relationship between obesity and sleep and complaints for women to a greater extent than men. Finally, exercise was associated with much fewer sleep and daytime complaints in both genders.
先前的研究已证明睡眠与肥胖症和糖尿病之间存在关联。此外，运动除了能改善体重和代谢功能外，还可能改善睡眠和日间功能。本研究通过在一个具有全国代表性的大样本中，考察一般睡眠相关主诉如何与体重指数（BMI）、糖尿病诊断及运动相关联，从而扩展了这些研究结果。
参与者为行为危险因素监测系统（BRFSS）的受访者。睡眠主诉（SC）通过“在过去两周内，您有多少天难以入睡、难以保持睡眠状态或睡眠过多？”来衡量。日间主诉（DC）通过“在过去两周内，您有多少天感到疲倦或精力不足？”来衡量。回答被二分法分类，≥6天表明有主诉。协变量包括年龄、种族/民族、收入和教育程度。
超重仅与女性的日间主诉相关。肥胖症与女性的睡眠主诉和日间主诉显著相关，与男性的日间主诉也显著相关。糖尿病与男女两性的睡眠主诉和日间主诉均相关。过去30天内进行的任何运动均未减弱BMI或糖尿病之间的任何关联，但与男性和女性睡眠主诉和日间主诉的减少独立相关。
这些结果表明，对于男性和女性而言，糖尿病都是睡眠和日间主诉的重要预测因素，而且肥胖症与睡眠及主诉之间的关系在女性中比在男性中更为显著。最后，运动与男女两性较少的睡眠和日间主诉相关。
