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TJPRC:Journal of Pharmacology

and Physiology (TJPRC:JPP)


Vol. 1, Issue 1, Dec 2015, 11-14
© TJPRC Pvt. Ltd

CORRELATION OF BODY MASS INDEX AND SLEEP

DISTURBANCES IN ADULT FEMALE

JEYALAKSHMI. M1 & NEELAMBIKAI N2


1
Research Scholar, Department of Physiology, Coimbatore Medical College, Coimbatore, Tamil Nadu, India
2
Professor & HOD, Department of Physiology, Coimbatore Medical College, Coimbatore, Tamil Nadu, India
ABSTRACT
Background

Obesity which is a major health problem worldwide, is the most common modifiable risk factor for many diseases. Lack
of sleep is becoming another pervasive problem in today society. Many studies suggest that obesity is influenced by
sleep disturbances.

Aim

The aim of the present study is to assess the sleep quality and to find the correlation of body mass index (BMI) on sleep
disturbances in young adult female.

Original Article
Materials and Methods

150 young adult female in the age group of 20 – 40 years were included in the study. Pregnancy, Diabetes, Systemic
hypertension, Psychiatric disorder, thyroid dysfunction, family history of obesity were excluded from my study.BMI was
calculated using Quetlets formula and categorized in to normal,over weight and obese(WHO Criteria), Quality of sleep
was accessed using Pittsburgh sleep quality index score (PSQI)

Results

Obese individual showed increased PSQI Score when compared to normal individual

PSQI Score with BMI was statistically analyzed using chi – square test and its found to be significant P values < 0.001

Conclusions

There is a correlation of elevated BMI & sleep Disturbance. Because sleep duration is a potencially modifiable risk
factor, these findings might have important clinical implications for the prevention and treatment of obesity.

KEYWORDS: BMI, Sleep Disturbances

Received: Oct 12, 2015;Accepted: Oct 26, 2015; Published: Dec 31, 2015; Paper Id.: TJPRC:JPPDEC20153

INTRODUCTION
Back Ground

Obesity which is a major health problem worldwide, is the most common modifiable risk factor for many
diseases. Lack of sleep is becoming another pervasive problem in today society. Many studies suggest that obesity
is influenced by sleep disturbances

Aim

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12 Jeyalakshmi. M & Neelambikai N

The aim of the present study is to assess the sleep quality and to find the correlation of body mass index (BMI) on
sleep disturbances in young adult female.

MATERIALS AND METHODOLOGY

A total of 150 female aged between 20-40 years from general population in the city of Coimbatore were selected
to participate in this study. The study period was June / July 2015. Pregnancy, Diabetes Mellitus, Systemic hypertension,
Neurological Disorder, thyroid dysfunction, Family history of obesity were excluded from my study. Body weight and
height were measured the subject were classified as normal, Overweight or obese according to body mass index (WHO
CRITERIA) The subject were evaluated with self Administered Sleep Questionnaire. Body mass index was measured
using steadiometer, and standard weighing machine and BMI calculated using Quetelets formula

Quetelets Formula = Weight (kg)

Height (m2)

Pittsburgh sleep quality Index (PSQI) Questionnaire was used to evaluate the sleep quality. The questions were
related to seven components – Subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances,
use of sleeping medication and daytime dysfunction. The sum of scores of these seven components yield one global score.

• PSQI Score > 5 Poor sleeper

• PSQI Score < 5 Good sleeper.

RESULTS

Table 1

BMI(WHO PSQI >5 PSQI < 5


Criteria) Poor Sleeper Good Sleeper
NORMAL
8 (10.9%) 65
OVER
13 (25.49%) 38
WEIGHT
17 (65.38%) 09
OBESE

Table shows: 10.9% individual of NORMAL BMI have disturbed sleep whereas sleep disturbances is present in
65.38% of OBESE Individual whose BMI is more than 30. Results were analysed using Chi-square test

RESULTS

Obese individual showed increased PSQI Score when compared to normal individual.

PSQI Score with BMI was statistically analyzed using chi – square test. The value is 29.99 and its P values <
0.001.its found to be significant.

Obese individual has more diisturbed sleep otherwise Sleep disturbances is more with Obese persons.

DISCUSSIONS

Sleep is an important aspect of maintaining body's circardian rhythm.Inadequate sleep contributes to heart disease,
diabetes mellitus, falls, accidents, impaired cognition, and a poor quality of life.

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Correlation of Body Mass Index and 13
Sleep Disturbances in Adult Female

Sleep deprivation and its link to obesity affect both adults and children. Still the impact of reduced sleep duration
on obesity has been reported to be even more significant in children, who are more vulnerable to its impact. Lack of sleep
can alter the mechanism in the hypothalamus that controls appetite and monitors energy expenditure.

Several changes occur in the body when one is sleep deprived that facilitates weight gain some of those changes
include increased food consumption and alterations in the amount of appetite regulation hormones which include lept in
and ghrelin

Sleep is important in regulating metabolism. In slow wawe sleep (3rd & 4Th stage of NREM Sleep) metabolism is
least active.

Sleep loss can affect the basal metabolic function of storiage carbohydrates and regulating hormones and changes
in glucose tolerance and endocrine function.(Insulin/ TSH Secretion, Cortisol secretion).

LIMITATIONS

Study was done only in female population.

The sample size is small

CONCLUSIONS

There is a relation between elevated BMI & sleep Disturbance. Since sleep duration is a potentially modifiable
risk factor, these findings might have important implications for the prevention and treatment of obesity.

REFERENCES

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2. Sr Patel, T.Black well et al. the association between sleep duration and obesity in order adults. Interiational journal of obesity
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3. Ciaolichen, May A.Beydoun, youfa wang is sleep duration associated with child hood obesity Feb 2008 Vol 16 (2) Pg:
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4. Cappuccio F.P, Taggart F.M et al. Meta analysis of short sleep duration and obesity in children and adults 2008:31
:(619-626)

5. Gangwisch JE,Malaspina D,Inadeguate sleep as a risk factor for obesity analyses of the NHANESI 2005: 28: 1289-1296

6. Von kries R,Toschke AM. Reduced risk for overweight and obesity in 5 and 6 yr old children by duration of sleep - a cross
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7. Viogue J,Torres A Time spent watching television,sleep duration and obesity in adults living in valencia,spain. 2000:
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8. Bass J, Turek F.W Sleepless in america - A pathway to obesity and the metabolic syndrome? Pubmed Taheri.S The link between
short sleep duration and obesity.pubmed, web of science R Times cited: 83.

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