Toolbox
- size +

Too much, too little sleep tied to ill health in CDC study

By MIKE STOBBE, AP Medical Writer
(AP) -- People who sleep fewer than six hours a night - or more than nine - are more likely to be obese, according to a new government study that is one of the largest to show a link between irregular sleep and big bellies. The study also linked light sleepers to higher smoking rates, less physical activity and more alcohol use.
The research adds weight to a stream of studies that have found obesity and other health problems in those who don't get proper shuteye, said Dr. Ron Kramer, a Colorado physician and a spokesman for the American Academy of Sleep Medicine.

"The data is all coming together that short sleepers and long sleepers don't do so well," Kramer said.

The study released Wednesday is based on door-to-door surveys of 87,000 U.S. adults from 2004 through 2006 conducted by the National Center for Health Statistics, part of the Centers for Disease Control and Prevention.

Such surveys can't prove cause-effect relationships, so - for example - it's not clear if smoking causes sleeplessness or if sleeplessness prompts smoking, said Charlotte Schoenborn, the study's lead author.

It also did not account for the influence of other factors, such as depression, which can contribute to heavy eating, smoking, sleeplessness and other problems.

Smoking was highest for people who got under six hours of sleep, with 31 percent saying they were current smokers. Those who got nine or more hours also were big puffers, with 26 percent smoking.

The overall U.S. smoking rate is about 21 percent. For those in the study who sleep seven to eight hours, the rate was lower, at 18 percent.

Results were similar, though a bit less dramatic, for obesity: About 33 percent of those who slept less than six hours were obese, and 26 percent for those who got nine or more. Normal sleepers were the thinnest group, with obesity at 22 percent.

For alcohol use, those who slept the least were the biggest drinkers. However, alcohol use for those who slept seven to eight hours and those who slept nine hours or more was similar.

In another measure, nearly half of those who slept nine hours or more each night were physically inactive in their leisure time, which was worse even than the lightest sleepers and the proper sleepers. Many of those who sleep nine hours or more may have serious health problems that make exercise difficult.

Many elderly people are in the group who get the least sleep, which would help explain why physical activity rates are low. Those skimpy sleepers who are younger may still feel too tired to exercise, experts said.

Stress or psychological problems may explain what's going on with some of the lighter sleepers, experts said.

Other studies have found inadequate sleep is tied to appetite-influencing hormone imbalances and a higher incidence of diabetes and high blood pressure, noted James Gangwisch, a respected Columbia University sleep researcher.

"We're getting to the point that they may start recommending getting enough sleep as a standard approach to weight loss and the prevention of obesity," said Gangwisch, who was not involved in the study.

---

On the Net:

National Center for Health Statistics: http://www.cdc.gov/nchs

American Academy of Sleep Medicine: http://www.aasmnet.org/

© 2008 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

would you recommend this story?

 

User Rating

4.6 out of 5 after 9 total votes
  • not at all
  • 1
  • 2
  • 3
  • 4
  • 5
  • highly

Leave a Comment or

Rank filter

Move the slider to adjust rank threshold, so that you can hide some of the comments.
Posted by SmartK8 05/07/08 15:05
Not rated yet.
Well.. I think it's the other way around.. I'm feeling fine so I'm drinking a lot of alcohol with my friends and having fun. But then I have to smoke much more just to avoid being drunk quickly. Then late in the night I stumble across the fridge and I eat a lot. After that I have my four to five hours of sleep and then the cycle repeats itself. Thus the correlation above. I hope I shed some light on this piece of scientific data from a point of a study subject. ;)
Posted by DeeSmith 05/07/08 17:17
Not rated yet.
Nope. Nicotine inhibits production of s-adenosylmethionine in the GI tract lining. Those cells provide most of the methylation capacity in the body. Methyl donors are transported in the blood to the pineal gland in the brain - site of melatonin production (via 5-methoxyindole synthesis). The pineal gland also responds to chemical stimulants, including caffeine, alcohol and nicotine, and also strong light levels (brightly lit computer screen, for instance) disrupting temporal cycling of melatonin release. Most smokers stay up late, due to the stimulant activity of nicotine (plus coffee or alcohol that usually accompany smoking) on the central nervous system.

Nicotine activation of brain in the hours when the body is normally winding down (including reduced stomach/GI tract activity) may increase hunger as the body continues to be active well into the normal rest cycle. While nicotine normally reduces hunger, most smokers light up after, not before, eating. And, many smokers are also heavy caffeine users, so this may aggravate sleep cycle disruption and increase stress hormone release.

Subnormal melatonin production or release, stimulant dependency and deliberate late night activity (social drinking/smoking prevalent in chronic smokers) all contribute to increased cortisol release in the brain, because cortisol is released when melatonin release is diminished - they are cycled in opposition to one another.

Excess cortisol release is associated with belly fat accumulation. Abdominal fat stores are also associated with increased hunger (failure to produce the saiety signal in the brain) and impaired control of post-postprandial insulin release, which helps explain the connection between nicotine addiction and onset of Type 2 diabetes in chronic smokers.
Posted by WolfAtTheDoor 05/08/08 00:52
Not rated yet.
It's tough. When the kids finally get to sleep, that's when I can kick back and relax a while. Sometimes I'm up til 2.