The Relationship of Sleep Duration with Obesity and Sarcopenia in Community-Dwelling Older Adults

Chien, Meng-Yueh; Wang, Li Ying; Chen, Hsi‐Chung

doi:10.1159/000371847

Cited by 68 publications

(80 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…28 Chien et al demonstrated a U-shape association between sleep duration and sarcopenia. Specifically, the authors emphasized that those who had ≥ 8 hours of sleep tended to exhibit sarcopenia (OR [95% CI] = 1.89 [1.01-3.54]).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long Sleep Duration is Associated With Sarcopenia in Korean Adults Based on Data from the 2008–2011 KNHANES

Kwon

Jang

Park

et al. 2017

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Study Objectives: Sarcopenia, or loss of muscle mass, occurs with aging and results in frailty, disability, cardiovascular disease, and insulin resistance. Recently, researchers have asserted that sarcopenia is not an inevitable process, but is a modifiable condition. Adequate sleep duration is also important to maintain good physical and mental health. Therefore, the aim of our study was to examine the association between sleep duration and sarcopenia in Korean adults. Methods: Data from 16,148 participants (7,158 men and 8,990 women) were analyzed from the 2008-2011 Korean National Health and Nutrition Examination Survey (KNHANES). We defined sarcopenia as one standard deviation below the sex-specific means of the appendicular skeletal muscle/height-squared values of a young reference group. Participants were categorized into 5 groups according to sleep duration. The odds ratios (OR) and 95% confidence intervals (95% CI) for sarcopenia according to sleep duration were calculated using multiple logistic regression analysis. Results: The prevalence of sarcopenia was 14.3% in the total population (males 18.7%, females 9.7%). Compared to the 7 hours of sleep group, the OR (95% CI) for sarcopenia of the long sleep duration group (9 hours or more) was 1.589 (1.100-2.295) after controlling for confounding factors. I NTRO DUCTI O NSarcopenia is a condition characterized by the loss of skeletal muscle mass, strength, and function.1 During normal aging in humans, muscle mass decreases by approximately 3% to 5% every 10 years after the age of 30 years.2 Especially in older people, sarcopenia is closely related to frailty, disability, and falls. Furthermore, emerging evidence suggests that sarcopenia is associated with many cardiometabolic diseases such as insulin resistance, diabetes mellitus, and cardiovascular disease.3-6 Although decline in muscle mass is an inevitable process with aging, recent studies suggest that sarcopenia is a modifiable condition, and the rate of decline of muscle mass can be slowed by adopting a healthy lifestyle. The pathophysiology of sarcopenia is multifactorial. Physical inactivity, low body weight, malnutrition, and a reduction in endocrine function have been identified as risk factors in several studies. 7,8An adequate amount of sleep plays an important role in physical health and quality of life. Therefore, researchers have tried to suggest an appropriate sleep duration. Although sleep duration varies across life span, the National Sleep Foundation has recommended that sleep duration be 7 to 8 hours. Considering the aforementioned findings, sarcopenia may be a detrimental preclinical condition that affects the relationship between sleep duration and adverse health outcomes. The association between sleep duration and sarcopenia has not been fully examined. Thus, in this study, we aimed to investigate the association between sleep duration and sarcopenia in Korea using a nationally representative dataset. M ETHO DS Study PopulationThe Korea National Health and Nutrition Examination Survey...

show abstract

Section: Discussionmentioning

confidence: 99%

“…41 Other studies have reported that both short and long sleep durations are related to sarcopenia in older females. 28 Further prospective studies are required to clarify the relationship between sleep duration and sarcopenia.…”

Section: Discussionmentioning

confidence: 99%

Long Sleep Duration is Associated With Sarcopenia in Korean Adults Based on Data from the 2008–2011 KNHANES

Kwon

Jang

Park

et al. 2017

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

show abstract

“…This finding was consistent with a recent study conducted in Taiwan. [18] In their study, Chien and colleagues recruited 488 community-dwelling older adults and also found a U-shape pattern between sleep duration and sarcopenia. However, they defined sarcopenia only based on low muscle mass which was measured by bioelectrical impedance analysis (BIA).…”

Section: Discussionmentioning

confidence: 99%

“…[18] Another study also demonstrated that postmenopausal women with long sleep durations were at risk of reduced skeletal muscle. [5] Long sleep duration has also been proven to be related to other adverse health outcomes (e.g., frailty and death).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association between sleep duration and sarcopenia among community-dwelling older adults

Jiang²,

Wang³

et al. 2017

Medicine

View full text Add to dashboard Cite

Both sleep disorders and sarcopenia are common among older adults. However, little is known about the relationship between these 2 conditions.This study aimed to investigate the possible association between sleep duration and sarcopenia in a population of Chinese community-dwelling older adults.Community-dwelling older adults aged 60 years or older were recruited. Self-reported sleep duration, anthropometric data, gait speed, and handgrip strength were collected by face-to-face interviews. Sarcopenia was defined according to the recommended algorithm of the Asian Working Group for Sarcopenia (AWGS).We included 607 participants aged 70.6 ± 6.6 years (range, 60–90 years) in the analyses. The prevalence of sarcopenia in the whole study population was 18.5%. In women, the prevalence of sarcopenia was significantly higher in the short sleep duration group (< 6 hours) and long sleep duration group (>8 hours) compared with women in the normal sleep duration group (6–8 hours; 27.5%, 22.2% and 13.9%, respectively; P = .014). Similar results were found in men; however, the differences between groups were not statistically significant (18.5%, 20.6%, and 13.0%, respectively; P = .356). After adjustments for the potential confounding factors, older women having short sleep duration (OR: 4.34; 95% CI: 1.74–10.85) or having long sleep duration (OR: 2.50; 95% CI: 1.05–6.99) had greater risk of sarcopenia compared with women having normal sleep duration. With comparison to men with normal sleep duration, the adjusted OR for sarcopenia was 2.12 (0.96–8.39) in the short sleep duration group and 2.25 (0.88–6.87) in the long sleep duration group, respectively.A U-shape relationship between self-reported sleep duration and sarcopenia was identified in a population of Chinese community-dwelling older adults, especially in women.

show abstract

Bidirectional Relationship Between Long Sleep Duration and Cardiac Autonomic Control in Community‐Dwelling Older Adults: The Yilan Study, Taiwan

Lin,

Liao,

Pan

et al. 2024

Int J Geriat Psychiatry

View full text Add to dashboard Cite

ObjectivesLong sleep duration predicts adverse health outcomes in older adults. Impaired cardiac autonomic control (CAC) is a potential pathomechanism that links this relationship; however, the causal relationship between long sleep duration and CAC remains unclear. This study aimed to determine the temporal relationship between long sleep duration and poor CAC.MethodsThis is a community‐based, fixed‐cohort, follow‐up study that recruited community‐dwelling older adults aged ≥ 65 years. Self‐reported sleep duration was categorized as short (≤ 5 h), mid‐range (6–7 h), and long (≥ 8 h). Participants with short or long sleep duration were defined as cases. CAC was measured using heart rate variability (HRV), and cases were classified using cutoffs defined by the lowest quintiles of four HRV parameters. Non‐case participants for sleep duration or CAC at baseline were followed. Binary and multinomial logistic regression analyses were conducted to examine baseline variables that predicted incident CAC decline and changes in sleep duration, respectively.ResultsA total of 772 individuals were recruited, with a mean follow‐up period of 5.8 ± 1.7 years. In multivariable analyses, long sleep duration at baseline predicted a higher risk of cardiac vagal control decline in the follow‐up visit (odds ratio: 1.86, 95% confidence interval: 1.00–3.44). Conversely, all HRV parameters at baseline failed to predict changes in sleep duration at the follow‐up visit.ConclusionsLong sleep duration seems to precede the decline in CAC in community‐dwelling older adults.

show abstract

The Relationship of Sleep Duration with Obesity and Sarcopenia in Community-Dwelling Older Adults

Cited by 68 publications

References 45 publications

Long Sleep Duration is Associated With Sarcopenia in Korean Adults Based on Data from the 2008–2011 KNHANES

Long Sleep Duration is Associated With Sarcopenia in Korean Adults Based on Data from the 2008–2011 KNHANES

Association between sleep duration and sarcopenia among community-dwelling older adults

Bidirectional Relationship Between Long Sleep Duration and Cardiac Autonomic Control in Community‐Dwelling Older Adults: The Yilan Study, Taiwan

Contact Info

Product

Resources

About