Association between Sleep Duration and Body Composition Measures in Korean Adults: The Korea National Health and Nutrition Examination Survey 2010

다국어 초록 (Multilingual Abstract)

Background: The association between sleep duration and body composition measures in Korean adults remainsunclear.
Methods: This cross-sectional study included 3,532 subjects aged ≥40 years (1,542 men and 1,990 women) whoparticipated in the 2010 Korea National Health and Nutrition Examination Survey V-1. Self-reported sleep durationand anthropometric data were collected. Appendicular skeletal muscle mass (ASM) was quantified via dual-energyX-ray absorptiometry. Obesity was defined according to the body mass index and waist circumference. Sarcopeniawas defined as the muscle mass percentage (ASM/weight) below the lowest quintile computed for the study population.
Multivariate logistic regressions with or without adjustment for sociodemographic and lifestyle factors wereused to evaluate the association of sleep duration with obesity and sarcopenia for participants who slept ≤5, 6–8,and ≥9 h/d. The results were expressed as odds ratios (ORs) with 95% confidence intervals (95% CIs).
Results: In women, the association between sleep duration and sarcopenia was stronger for individuals who slept≥9 h/d than for those who slept 6–8 h/d (unadjusted OR, 1.99; 95% CI, 1.19–3.34; adjusted OR, 1.77; 95% CI, 1.06–2.96).
Conclusion: Longer sleep duration is associated with a significantly higher incidence of sarcopenia in Koreanwomen aged ≥40 years.

참고문헌 (Reference)

1 장학철, "근감소증과 근감소성 비만" 대한노인병학회 15 (15): 1-7, 2011

2 Houston DK, "Weighty concerns: the growing prevalence of obesity among older adults" 109 : 1886-1895, 2009

3 Bonnet MH, "We are chronically sleep deprived" 18 : 908-911, 1995

4 Bhasin S, "The effects of supraphysiologic doses of testosterone on muscle size and strength in normal men" 335 : 1-7, 1996

5 Viana VA, "The effects of a session of resistance training on sleep patterns in the elderly" 112 : 2403-2408, 2012

6 Park SE, "The association between sleep duration and general and abdominal obesity in Koreans: data from the Korean National Health and Nutrition Examination Survey, 2001 and 2005" 17 : 767-771, 2009

7 Grimby G, "The ageing muscle" 3 : 209-218, 1983

8 Bae D, "Social consequences of early socioeconomic adversity and youth BMI trajectories: gender and race/ethnicity differences" 37 : 883-892, 2014

9 Bellavia A, "Sleep duration and survival percentiles across categories of physical activity" 179 : 484-491, 2014

10 최한솔, "Sleep duration and chronic kidney disease: The Korean Genome and Epidemiology Study (KoGES)-Kangwha study" 대한내과학회 32 (32): 323-334, 2017

11 Vitiello MV, "Sleep disorders and aging: understanding the causes" 52 : M189-M191, 1997

12 Narici MV, "Sarcopenia: characteristics, mechanisms and functional significance" 95 : 139-159, 2010

13 Fielding RA, "Sarcopenia: an undiagnosed condition in older adults: current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia" 12 : 249-256, 2011

14 Chen LK, "Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia" 15 : 95-101, 2014

15 Fex A, "Relationship between long sleep duration and functional capacities in postmenopausal women" 8 : 309-313, 2012

16 Chien MY, "Poor sleep quality is independently associated with physical disability in older adults" 11 : 225-232, 2015

17 Cappuccio FP, "Meta-analysis of short sleep duration and obesity in children and adults" 31 : 619-626, 2008

18 Janssen I, "Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability" 50 : 889-896, 2002

19 Balbo M, "Impact of sleep and its disturbances on hypothalamo-pituitary-adrenal axis activity" 2010 : 759234-, 2010

20 Vasconcelos KS, "Handgrip strength cutoff points to identify mobility limitation in community-dwelling older people and associated factors" 20 : 306-315, 2016

21 Miller MA, "Gender differences in the cross-sectional relationships between sleep duration and markers of inflammation: Whitehall II study" 32 : 857-864, 2009

22 Yang PY, "Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review" 58 : 157-163, 2012

23 Lee S, "Cut-off points of waist circumference for defining abdominal obesity in the Korean population" 15 : 1-9, 2006

24 Patel SR, "Correlates of long sleep duration" 29 : 881-889, 2006

25 Lockley SW, "Comparison between subjective and actigraphic measurement of sleep and sleep rhythms" 8 : 175-183, 1999

26 Gildner TE, "Associations between sleep duration, sleep quality, and cognitive test performance among older adults from six middle income countries: results from the Study on Global Ageing and Adult Health (SAGE)" 10 : 613-621, 2014

27 Ramos AR, "Associations between sleep disturbances and diabetes mellitus among blacks with metabolic syndrome: results from the Metabolic Syndrome Outcome Study (MetSO)" 47 : 233-237, 2015

28 Ministry of Health and Welfare, "2010 Korea health statistics: Korean National Health and Nutrition Examination Survey (KNHANES V-1)" Korea Centers for Disease Control and Prevention 2011