Sex-specific difference in the association between poor sleep quality and abdominal obesity in rural Chinese: A large population-based Study

Ru Qing Liu, Zhengmin Qian, Si Quan Wang, Michael G. Vaughn, Sarah Dee Geiger, Hong Xian, Shao Lin, Gunther Paul, Xiao Wen Zeng, Bo Yi Yang, Li Wen Hu, Shu Li Xu, Mo Yang, Guang Hui Dong

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Study Objectives: Existing studies on sleep quality and associated obesity are inconsistent, and few studies have prospectively evaluated the association between sleep quality and abdominal obesity among Chinese individuals. To fill this void, the current study aimed to assess the association between sleep quality and abdominal obesity in a rural Chinese population. Methods: A representative sample of 9,404 adults aged 20-93 years in northeastern China was selected between 2012 and 2013 by a multistage cluster and random sampling method. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI), where a score of 6 or higher indicated sleep disorder. Abdominal obesity was measured by waist circumference (WC), with abdominal obesity defined as WC > 90 cm for men and WC > 80 cm for women. Results: Male participants with abdominal obesity had higher global PSQI scores in addition to higher subscores in almost all of the elements compared to normal values. The odds ratios of abdominal obesity among participants with sleep disorders were 1.64 (95% confidence interval [CI]: 1.39-1.95) and 1.14 (95%> CI: 0.98-1.32) for males and females compared to the reference group. The risk in all sleep elements was significantly increased, with odds ratios ranging from 1.28 (95% CI: 1.08-1.51) to 5.81 (95% CI: 3.54-9.53) for males. The risk only in four elements was significantly increased, from 1.28 (95% CI: 1.12-1.47) to 2.27 (95% CI: 1.36-3.80) for females. Conclusions: Poor sleep quality was associated with abdominal obesity in Chinese. Furthermore, effects in males were larger than those in females.

Original languageEnglish
Pages (from-to)565-574
Number of pages10
JournalJournal of Clinical Sleep Medicine
Volume13
Issue number4
DOIs
Publication statusPublished - 2017 Jan 1

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Abdominal Obesity
Sex Characteristics
Sleep
Confidence Intervals
Population
Waist Circumference
Odds Ratio
Rural Population
China
Reference Values
Obesity

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

Cite this

Liu, Ru Qing ; Qian, Zhengmin ; Wang, Si Quan ; Vaughn, Michael G. ; Geiger, Sarah Dee ; Xian, Hong ; Lin, Shao ; Paul, Gunther ; Zeng, Xiao Wen ; Yang, Bo Yi ; Hu, Li Wen ; Xu, Shu Li ; Yang, Mo ; Dong, Guang Hui. / Sex-specific difference in the association between poor sleep quality and abdominal obesity in rural Chinese : A large population-based Study. In: Journal of Clinical Sleep Medicine. 2017 ; Vol. 13, No. 4. pp. 565-574.
@article{dc8458d7e13d43f2892152d3073dad9c,
title = "Sex-specific difference in the association between poor sleep quality and abdominal obesity in rural Chinese: A large population-based Study",
abstract = "Study Objectives: Existing studies on sleep quality and associated obesity are inconsistent, and few studies have prospectively evaluated the association between sleep quality and abdominal obesity among Chinese individuals. To fill this void, the current study aimed to assess the association between sleep quality and abdominal obesity in a rural Chinese population. Methods: A representative sample of 9,404 adults aged 20-93 years in northeastern China was selected between 2012 and 2013 by a multistage cluster and random sampling method. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI), where a score of 6 or higher indicated sleep disorder. Abdominal obesity was measured by waist circumference (WC), with abdominal obesity defined as WC > 90 cm for men and WC > 80 cm for women. Results: Male participants with abdominal obesity had higher global PSQI scores in addition to higher subscores in almost all of the elements compared to normal values. The odds ratios of abdominal obesity among participants with sleep disorders were 1.64 (95{\%} confidence interval [CI]: 1.39-1.95) and 1.14 (95{\%}> CI: 0.98-1.32) for males and females compared to the reference group. The risk in all sleep elements was significantly increased, with odds ratios ranging from 1.28 (95{\%} CI: 1.08-1.51) to 5.81 (95{\%} CI: 3.54-9.53) for males. The risk only in four elements was significantly increased, from 1.28 (95{\%} CI: 1.12-1.47) to 2.27 (95{\%} CI: 1.36-3.80) for females. Conclusions: Poor sleep quality was associated with abdominal obesity in Chinese. Furthermore, effects in males were larger than those in females.",
author = "Liu, {Ru Qing} and Zhengmin Qian and Wang, {Si Quan} and Vaughn, {Michael G.} and Geiger, {Sarah Dee} and Hong Xian and Shao Lin and Gunther Paul and Zeng, {Xiao Wen} and Yang, {Bo Yi} and Hu, {Li Wen} and Xu, {Shu Li} and Mo Yang and Dong, {Guang Hui}",
year = "2017",
month = "1",
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Liu, RQ, Qian, Z, Wang, SQ, Vaughn, MG, Geiger, SD, Xian, H, Lin, S, Paul, G, Zeng, XW, Yang, BY, Hu, LW, Xu, SL, Yang, M & Dong, GH 2017, 'Sex-specific difference in the association between poor sleep quality and abdominal obesity in rural Chinese: A large population-based Study', Journal of Clinical Sleep Medicine, vol. 13, no. 4, pp. 565-574. https://doi.org/10.5664/jcsm.6544

Sex-specific difference in the association between poor sleep quality and abdominal obesity in rural Chinese : A large population-based Study. / Liu, Ru Qing; Qian, Zhengmin; Wang, Si Quan; Vaughn, Michael G.; Geiger, Sarah Dee; Xian, Hong; Lin, Shao; Paul, Gunther; Zeng, Xiao Wen; Yang, Bo Yi; Hu, Li Wen; Xu, Shu Li; Yang, Mo; Dong, Guang Hui.

In: Journal of Clinical Sleep Medicine, Vol. 13, No. 4, 01.01.2017, p. 565-574.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Sex-specific difference in the association between poor sleep quality and abdominal obesity in rural Chinese

T2 - A large population-based Study

AU - Liu, Ru Qing

AU - Qian, Zhengmin

AU - Wang, Si Quan

AU - Vaughn, Michael G.

AU - Geiger, Sarah Dee

AU - Xian, Hong

AU - Lin, Shao

AU - Paul, Gunther

AU - Zeng, Xiao Wen

AU - Yang, Bo Yi

AU - Hu, Li Wen

AU - Xu, Shu Li

AU - Yang, Mo

AU - Dong, Guang Hui

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Study Objectives: Existing studies on sleep quality and associated obesity are inconsistent, and few studies have prospectively evaluated the association between sleep quality and abdominal obesity among Chinese individuals. To fill this void, the current study aimed to assess the association between sleep quality and abdominal obesity in a rural Chinese population. Methods: A representative sample of 9,404 adults aged 20-93 years in northeastern China was selected between 2012 and 2013 by a multistage cluster and random sampling method. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI), where a score of 6 or higher indicated sleep disorder. Abdominal obesity was measured by waist circumference (WC), with abdominal obesity defined as WC > 90 cm for men and WC > 80 cm for women. Results: Male participants with abdominal obesity had higher global PSQI scores in addition to higher subscores in almost all of the elements compared to normal values. The odds ratios of abdominal obesity among participants with sleep disorders were 1.64 (95% confidence interval [CI]: 1.39-1.95) and 1.14 (95%> CI: 0.98-1.32) for males and females compared to the reference group. The risk in all sleep elements was significantly increased, with odds ratios ranging from 1.28 (95% CI: 1.08-1.51) to 5.81 (95% CI: 3.54-9.53) for males. The risk only in four elements was significantly increased, from 1.28 (95% CI: 1.12-1.47) to 2.27 (95% CI: 1.36-3.80) for females. Conclusions: Poor sleep quality was associated with abdominal obesity in Chinese. Furthermore, effects in males were larger than those in females.

AB - Study Objectives: Existing studies on sleep quality and associated obesity are inconsistent, and few studies have prospectively evaluated the association between sleep quality and abdominal obesity among Chinese individuals. To fill this void, the current study aimed to assess the association between sleep quality and abdominal obesity in a rural Chinese population. Methods: A representative sample of 9,404 adults aged 20-93 years in northeastern China was selected between 2012 and 2013 by a multistage cluster and random sampling method. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI), where a score of 6 or higher indicated sleep disorder. Abdominal obesity was measured by waist circumference (WC), with abdominal obesity defined as WC > 90 cm for men and WC > 80 cm for women. Results: Male participants with abdominal obesity had higher global PSQI scores in addition to higher subscores in almost all of the elements compared to normal values. The odds ratios of abdominal obesity among participants with sleep disorders were 1.64 (95% confidence interval [CI]: 1.39-1.95) and 1.14 (95%> CI: 0.98-1.32) for males and females compared to the reference group. The risk in all sleep elements was significantly increased, with odds ratios ranging from 1.28 (95% CI: 1.08-1.51) to 5.81 (95% CI: 3.54-9.53) for males. The risk only in four elements was significantly increased, from 1.28 (95% CI: 1.12-1.47) to 2.27 (95% CI: 1.36-3.80) for females. Conclusions: Poor sleep quality was associated with abdominal obesity in Chinese. Furthermore, effects in males were larger than those in females.

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DO - 10.5664/jcsm.6544

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