The impact of sleep quality and duration on leptin, appetite, and obesity indices in adults

Authors

  • Harry Freitag Luglio Muhammad Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Satwika Arya Pratama Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0002-8684-257X
  • Dian Caturini Sulistyoningrum Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Maya Nurfitriani Hartono Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Emy Huriyati Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Yi Yi Lee Division of Nutrition and Dietetics, International Medical University, Kuala Lumpur, Malaysia
  • Wan Abdul Manan Wan Muda Department of Nutrition Science, Faculty of Health Science, Universitas Alma Ata, Yogyakarta, Indonesia https://orcid.org/0000-0003-4241-3869

DOI:

https://doi.org/10.13181/mji.oa.203707

Keywords:

appetite, leptin, obesity, sleep quality, sleep duration

Abstract

BACKGROUND Poor sleep duration and quality were previously reported to increase the risk of obesity. This study was aimed to evaluate the impact of sleep quality and duration on leptin, appetite, and adiposity in Indonesian adults.

METHODS This cross-sectional study recruited adults in Yogyakarta, Indonesia, in 2016. Sleep quality was assessed using the Pittsburgh sleep quality index, appetite was evaluated using the community nutrition appetite questionnaire, and dietary intake was assessed by interviews using the semi-quantitative food frequency questionnaire. Sleep duration was also asked. Obesity indices were measured using the body mass index (BMI), waist-hip circumference, and percentage of body fat. Leptin was analyzed using the enzyme-linked immunosorbent assay. A Spearman analysis was done to evaluate the correlation between sleep quality, sleep duration, anthropometric measures, dietary intake, appetite, and leptin.

RESULTS 244 adults participated in this study. This study showed that lower sleep quality and duration was significantly correlated with higher body weight (r = 0.129, p = 0.043 and r = −0.228, p<0.001), BMI (r = 0.176, p = 0.006 and r = −0.202, p = 0.001), and waist circumference (r = 0.179, p = 0.005 and r = −0.254, p<0.001). There was a correlation between poor sleep quality and higher leptin concentration (r = 0.186, p = 0.004). Sleep quality and duration were not associated with appetite (r = 0.109, p = 0.109 and r = −0.043, p = 0.500).

CONCLUSIONS This study found that lower sleep quality was correlated with higher BMI, higher leptin concentration, but not appetite.

Downloads

Download data is not yet available.

References

Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health. 2015;1(1):40-3. https://doi.org/10.1016/j.sleh.2014.12.010

Hoyos C, Glozier N, Marshall NS. Recent evidence on worldwide trends on sleep duration. Curr Sleep Med Rep. 2015;1:195-204. https://doi.org/10.1007/s40675-015-0024-x

Ryu JY, Lee JS, Hong HC, Choi HY, Yoo HJ, Seo JA, et al. Association between body size phenotype and sleep duration: Korean National Health and Nutrition Examination Survey V (KNHANES V). Metab Clin Exp. 2015;64(3):460-6. https://doi.org/10.1016/j.metabol.2014.12.001

Sun W, Huang Y, Wang Z, Yu Y, Lau A, Ali G, et al. Sleep duration associated with body mass index among Chinese adults. Sleep Med. 2015;16(5):612-6. https://doi.org/10.1016/j.sleep.2014.12.011

Gonnissen HK, Adam TC, Hursel R, Rutters F, Verhoef SP, Westerterp-Plantenga MS. Sleep duration, sleep quality and body weight: parallel developments. Physiol Behav. 2013;121:112-6. https://doi.org/10.1016/j.physbeh.2013.04.007

McNeil J, Doucet E, Chaput JP. Inadequate sleep as a contributor to obesity and type 2 diabetes. Can J Diabetes. 2013;37(2):103-8. https://doi.org/10.1016/j.jcjd.2013.02.060

Golem DL, Martin-Biggers JT, Koenings MM, Davis KF, Byrd-Bredbenner C. An integrative review of sleep for nutrition professionals. Adv Nutr. 2014;5(6):742-59. https://doi.org/10.3945/an.114.006809

Rahe C, Czira ME, Teismann H, Berger K. Associations between poor sleep quality and different measures of obesity. Sleep Med. 2015;16(10):1225-8. https://doi.org/10.1016/j.sleep.2015.05.023

GBD 2015 Obesity Collaborators, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13-27. https://doi.org/10.1056/NEJMoa1614362

Tremmel M, Gerdtham UG, Nilsson PM, Saha S. Economic burden of obesity: a systematic literature review. Int J Environ Res Public Health. 2017;14(4):435. https://doi.org/10.3390/ijerph14040435

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index (PSQI): a new instrument for psychiatric research and practice. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4

Hinz A, Glaesmer H, Brähler E, Löffler M, Engel C, Enzenbach C, et al. Sleep quality in the general population: psychometric properties of the Pittsburgh Sleep Quality Index, derived from a German community sample of 9284 people. Sleep Med. 2017;30:57-63. https://doi.org/10.1016/j.sleep.2016.03.008

Wilson MM, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr. 2005;82(5):1074-81. https://doi.org/10.1093/ajcn/82.5.1074

Beccuti G, Pannain S. Sleep and obesity. Curr Opin Clin Nutr Metab Care. 2011;14(4):402-12. https://doi.org/10.1097/MCO.0b013e3283479109

Greer SM, Goldstein AN, Walker MP. The impact of sleep deprivation on food desire in the human brain. Nat Commun. 2013;4:2259. https://doi.org/10.1038/ncomms3259

Hirota T, Morioka T, Yoda K, Toi N, Hayashi N, Maruo S, et al. Positive association of plasma leptin with sleep quality in obese type 2 diabetic patients. J Diabetes Investig. 2018;9(5):1100-5. https://doi.org/10.1111/jdi.12826

Knutson KL, Galli G, Zhao X, Mattingly M, Cizza G, NIDDK Sleep Extension Study. No association between leptin levels and sleep duration or quality in obese adults. Obesity (Silver Spring). 2011;19(12):2433-5. https://doi.org/10.1038/oby.2011.248

Van Leeuwen WMA, Hublin C, Sallinen M, Härmä M, Hirvonen A, Porkka-Heiskanen T. Prolonged sleep restriction affects glucose metabolism in healthy young men. Int J Endocrinol. 2010;2010:108641. https://doi.org/10.1155/2010/108641

Charles LE, Gu JK, Andrew ME, Violanti JM, Fekedulegn D, Burchfiel CM. Sleep duration and biomarkers of metabolic function among police officers. J Occup Environ Med. 2011;53(8):831-7. https://doi.org/10.1097/JOM.0b013e31821f5ece

Reynolds AC, Dorrian J, Liu PY, Van Dongen HP, Wittert GA, Harmer LJ, et al. Impact of five nights of sleep restriction on glucose metabolism, leptin and testosterone in young adult men. PLoS One. 2012;7(7):e41218. https://doi.org/10.1371/journal.pone.0041218

Simpson NS, Banks S, Dinges DF. Sleep restriction is associated with increased morning plasma leptin concentrations, especially in women. Biol Res Nurs. 2010;12(1):47-53. https://doi.org/10.1177/1099800410366301

Hou N, Luo JD. Leptin and cardiovascular diseases. Clin Exp Pharmacol Physiol. 2011;38(12):905-13. https://doi.org/10.1111/j.1440-1681.2011.05619.x

Zhu B, Shi C, Park CG, Zhao X, Reutrakul S. Effects of sleep restriction on metabolism-related parameters in healthy adults: a comprehensive review and meta-analysis of randomized controlled trials. Sleep Med Rev. 2019;45:18-30. https://doi.org/10.1016/j.smrv.2019.02.002

Pan W, Kastin AJ. Leptin: a biomarker for sleep disorders? Sleep Med Rev. 2014;18(3):283-90. https://doi.org/10.1016/j.smrv.2013.07.003

Published

2020-12-30

How to Cite

1.
Muhammad HFL, Pratama SA, Sulistyoningrum DC, Hartono MN, Huriyati E, Lee YY, Muda WAMW. The impact of sleep quality and duration on leptin, appetite, and obesity indices in adults. Med J Indones [Internet]. 2020Dec.30 [cited 2024Nov.21];29(4):417-21. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/3707

Issue

Section

Community Research
Abstract viewed = 1610 times