Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Obesity (Silver Spring). 2023 Mar;31(3):861-870. doi: 10.1002/oby.23668. Epub 2023 Feb 15.
OBJECTIVE: The aim of this study was to systematically evaluate the direction of any potential causal effect between sleep and adiposity traits. METHODS: Two-sample Mendelian randomization was used to assess the association of genetically predicted sleep traits with adiposity and vice versa. Using data from UK Biobank and 23andMe, the sleep traits explored were morning preference (chronotype; N = 697,828), insomnia (N = 1,331,010), sleep duration (N = 446,118), napping (N = 452,633), and daytime sleepiness (N = 452,071). Using data from the Genetic Investigation of ANthropometric Traits (GIANT) and Early Growth Genetics (EGG) consortia, the adiposity traits explored were adult BMI, hip circumference (HC), waist circumference (WC), waist-hip ratio (WHR; N = 322,154), and childhood BMI (N = 35,668). RESULTS: This study found evidence that insomnia symptoms increased mean WC, BMI, and WHR (difference in means, WC = 0.39 SD [95% CI: 0.13-0.64], BMI = 0.47 SD [95% CI: 0.22-0.73], and WHR = 0.34 SD [95% CI: 0.16-0.52]). Napping increased mean WHR (0.23 SD [95% CI: 0.08-0.39]). Higher HC, WC, and adult BMI increased odds of daytime sleepiness (HC = 0.02 SD [95% CI: 0.01-0.04], WC = 0.04 SD [95% CI: 0.01-0.06], and BMI 0.02 SD [95% CI: 0.00-0.04]). This study also found that higher mean childhood BMI resulted in lower odds of napping (-0.01 SD [95% CI: 0.02-0.00]). CONCLUSIONS: The effects of insomnia on adiposity and of adiposity on daytime sleepiness suggest that poor sleep and weight gain may contribute to a feedback loop that could be detrimental to overall health.
目的:本研究旨在系统评估睡眠与肥胖特征之间潜在因果效应的方向。
方法:两样本孟德尔随机化用于评估遗传预测的睡眠特征与肥胖之间的关联,反之亦然。本研究使用来自 UK Biobank 和 23andMe 的数据,探索了睡眠特征,包括晨型偏好(生物钟;N=697828)、失眠(N=1331010)、睡眠时间(N=446118)、小睡(N=452633)和白天嗜睡(N=452071)。本研究使用来自遗传研究人体测量性状(GIANT)和早期生长遗传学(EGG)联盟的数据,探索了肥胖特征,包括成人 BMI、臀围(HC)、腰围(WC)、腰臀比(WHR;N=322154)和儿童 BMI(N=35668)。
结果:本研究发现,失眠症状会导致平均 WC、BMI 和 WHR 增加(平均差异,WC=0.39 SD [95%CI:0.13-0.64],BMI=0.47 SD [95%CI:0.22-0.73],WHR=0.34 SD [95%CI:0.16-0.52])。小睡增加了平均 WHR(0.23 SD [95%CI:0.08-0.39])。较高的 HC、WC 和成人 BMI 会增加白天嗜睡的几率(HC=0.02 SD [95%CI:0.01-0.04],WC=0.04 SD [95%CI:0.01-0.06],BMI=0.02 SD [95%CI:0.00-0.04])。本研究还发现,较高的平均儿童 BMI 导致小睡的几率降低(-0.01 SD [95%CI:0.02-0.00])。
结论:失眠对肥胖的影响,以及肥胖对白天嗜睡的影响表明,睡眠质量差和体重增加可能会导致一个对整体健康有害的反馈循环。
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