Artigo Produção Nacional Revisado por pares

Sleep problems and their association with weight and waist gain - The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

2020; Elsevier BV; Volume: 73; Linguagem: Inglês

10.1016/j.sleep.2020.06.017

ISSN

1878-5506

Autores

Tássia Rolim Camargo, Vivian Cristine Luft, Bruce Bartholow Duncan, Maria Angélica Nunes, Dóra Chor, Rosane Härter Griep, Maria de Jesus Mendes da Fonseca, Sandhi Maria Barreto, Sheila Maria Alvim Matos, María Inês Schmidt,

Tópico(s)

Sleep and Work-Related Fatigue

Resumo

To evaluate the association of sleep problems with weight and waist size gain during four years of follow-up. We investigated 13,030 participants (35–74 years) of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a multicentric cohort conducted with civil servants from six academic institutions recruited between 2008 and 2010. Sleep problems were assessed at baseline by the Clinical Interview Schedule - Revised (CIS-R), designed to detect common mental disorders based on somatic, depressive and anxiety symptoms. Weight and waist size were measured at baseline and at follow-up (2012–2014). Large weight and waist size gain were defined as ≥ 90th percentile (≥1.65 kg/year and ≥2.41 cm/year, respectively). Sleep problems were associated with higher risk of a large weight gain (RR = 1.11; 95% CI 1.01–1.24) and large waist size gain (RR = 1.19; 95% CI 1.07–1.32), adjusted for age, sex, ethnicity, income, educational level, investigation center, smoking, alcohol intake, dietary energy intake, leisure-time physical activity and body mass index (BMI) or waist circumference at baseline. After additional adjustment for common mental disorders the associations became non-significant (RR = 0.99; 95% CI 0.88–1.12; RR = 1.08; 95% CI 0.97–1.22, respectively). Sleep problems are associated with increased risk of developing large weight and waist size gain, but are not independently associated with common mental disorders.

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