Association between sleep quality and central obesity among southern Chinese reproductive-aged women
Abstract Background The connections between sleep quality and central obesity among reproductive-aged women are not clear. The study aimed to explore the association between sleep quality and central obesity among Chinese reproductive-aged women and identify the independent contributions of sociodem...
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doaj-e3efa12862224080a81de17a413279672021-08-08T11:11:56ZengBMCBMC Women's Health1472-68742021-08-0121111010.1186/s12905-021-01407-0Association between sleep quality and central obesity among southern Chinese reproductive-aged womenBingbing Li0Nan Liu1Donghui Guo2Bo Li3Yan Liang4Lingling Huang5Xiaoxiao Wang6Zhenzhen Su7Guozeng Zhang8Peixi Wang9Institute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan UniversityInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan UniversityThe People’s Hospital of Longhua.ShenzhenInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan UniversityThe Affiliated Hospital of Xuzhou Medical UniversityInstitute of Nursing and Health, Shanghai Lida UniversityNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan UniversityInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan UniversityInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan UniversityAbstract Background The connections between sleep quality and central obesity among reproductive-aged women are not clear. The study aimed to explore the association between sleep quality and central obesity among Chinese reproductive-aged women and identify the independent contributions of sociodemographic characteristics, health-related factors, and sleep quality to central obesity. Methods In this cross-sectional survey, the minimal sample sizes were 2404 subjects; 2449 Chinese women aged 18–49 participated in this study. Sleep quality was assessed by the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). Central obesity as the outcome of interest was a binary variable; women were categorized as with versus without central obesity measured by waist circumference (WC). The independent contribution of sociodemographic characteristics (Cluster 1), health-related variables (Cluster 2), and sleep quality (Cluster 3) to central obesity was derived from the corresponding R 2 change (individual R 2 change/total R 2 × 100%), using clustered multiple logistic regression analyses. Results The risk of central obesity increased significantly with poor sleep quality (assessed by global PSQI score) [adjusted odds ratio (OR) = 2.20 per SD increase; 95% confidence interval (CI) = 1.28–3.78; P = 0.004], increased sleep disturbance score (adjusted OR = 1.11 per SD increase; 95% CI = 1.01–1.22; P = 0.042) and decreased subjective sleep quality score (adjusted OR = 0.81 per SD increase; 95% CI = 0.73–0.90; P < 0.001). The independent contribution of sleep quality was 9.9%, less than those of sociodemographic (73.3%) and health-related (16.8%) variables. Among complaints related to sleep disturbance, the inability to breathe comfortably, and having bad dreams showed significant associations with central obesity. Conclusions There exists some degree of correlation between sleep quality and central obesity among Chinese reproductive-aged women. These findings underscore the need for future public health guidelines to formulate some detailed strategies to improve sleep quality, such as preventing and intervening risk factors that influence sleep quality and suggesting optimal sleep duration, which might effectively reduce the incidence of central obesity in this population group.https://doi.org/10.1186/s12905-021-01407-0Sleep qualityCentral obesityReproductive-aged womenPittsburgh Sleep Quality IndexChinese |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bingbing Li Nan Liu Donghui Guo Bo Li Yan Liang Lingling Huang Xiaoxiao Wang Zhenzhen Su Guozeng Zhang Peixi Wang |
spellingShingle |
Bingbing Li Nan Liu Donghui Guo Bo Li Yan Liang Lingling Huang Xiaoxiao Wang Zhenzhen Su Guozeng Zhang Peixi Wang Association between sleep quality and central obesity among southern Chinese reproductive-aged women BMC Women's Health Sleep quality Central obesity Reproductive-aged women Pittsburgh Sleep Quality Index Chinese |
author_facet |
Bingbing Li Nan Liu Donghui Guo Bo Li Yan Liang Lingling Huang Xiaoxiao Wang Zhenzhen Su Guozeng Zhang Peixi Wang |
author_sort |
Bingbing Li |
title |
Association between sleep quality and central obesity among southern Chinese reproductive-aged women |
title_short |
Association between sleep quality and central obesity among southern Chinese reproductive-aged women |
title_full |
Association between sleep quality and central obesity among southern Chinese reproductive-aged women |
title_fullStr |
Association between sleep quality and central obesity among southern Chinese reproductive-aged women |
title_full_unstemmed |
Association between sleep quality and central obesity among southern Chinese reproductive-aged women |
title_sort |
association between sleep quality and central obesity among southern chinese reproductive-aged women |
publisher |
BMC |
series |
BMC Women's Health |
issn |
1472-6874 |
publishDate |
2021-08-01 |
description |
Abstract Background The connections between sleep quality and central obesity among reproductive-aged women are not clear. The study aimed to explore the association between sleep quality and central obesity among Chinese reproductive-aged women and identify the independent contributions of sociodemographic characteristics, health-related factors, and sleep quality to central obesity. Methods In this cross-sectional survey, the minimal sample sizes were 2404 subjects; 2449 Chinese women aged 18–49 participated in this study. Sleep quality was assessed by the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). Central obesity as the outcome of interest was a binary variable; women were categorized as with versus without central obesity measured by waist circumference (WC). The independent contribution of sociodemographic characteristics (Cluster 1), health-related variables (Cluster 2), and sleep quality (Cluster 3) to central obesity was derived from the corresponding R 2 change (individual R 2 change/total R 2 × 100%), using clustered multiple logistic regression analyses. Results The risk of central obesity increased significantly with poor sleep quality (assessed by global PSQI score) [adjusted odds ratio (OR) = 2.20 per SD increase; 95% confidence interval (CI) = 1.28–3.78; P = 0.004], increased sleep disturbance score (adjusted OR = 1.11 per SD increase; 95% CI = 1.01–1.22; P = 0.042) and decreased subjective sleep quality score (adjusted OR = 0.81 per SD increase; 95% CI = 0.73–0.90; P < 0.001). The independent contribution of sleep quality was 9.9%, less than those of sociodemographic (73.3%) and health-related (16.8%) variables. Among complaints related to sleep disturbance, the inability to breathe comfortably, and having bad dreams showed significant associations with central obesity. Conclusions There exists some degree of correlation between sleep quality and central obesity among Chinese reproductive-aged women. These findings underscore the need for future public health guidelines to formulate some detailed strategies to improve sleep quality, such as preventing and intervening risk factors that influence sleep quality and suggesting optimal sleep duration, which might effectively reduce the incidence of central obesity in this population group. |
topic |
Sleep quality Central obesity Reproductive-aged women Pittsburgh Sleep Quality Index Chinese |
url |
https://doi.org/10.1186/s12905-021-01407-0 |
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