Poor sleep and the metabolic derangements associated with obesity in adult males.

Abstract

Short sleep and obesity have a causal association with each other. Obesity is also associated with metabolic imbalances. However, a subset of 20%-30% of obese population have only few metabolic complications, known as metabolically healthy obese (MHO) and rest with worsened metabolic profile are known as metabolically abnormal obese (MAO). To find the association between sleep quality and metabolic health of adult obese males. The study was a cross-sectional study conducted at medicine out-patient department of the institute. In this study, hundred adult obese males of age group 25-60 years, with Body mass index (BMI) ≥ 25 Kg/m², were divided into MHO and MAO, based on their metabolic health using Joint Interim criteria. Sleep quality was assessed using Pittsburgh sleep questionnaire index (PSQI). The data obtained were analyzed using PAST statistical software. The two groups MHO and MAO presented with significant differences in their mean age and BMI (<i>P</i> = 0.0001). The global score of PSQI was significantly high for MAO than MHO with mean values of 8.24 ± 3.60 and 6.65 ± 3.58, respectively (<i>P</i> = 0.016). Sleep disturbances score was significantly high in MAO (<i>P</i> = 0.0001). Significant associations were observed for global score with age, BMI, waist circumference, fasting blood sugar, and triglycerides. Poor sleep quality was significantly associated with detrimental metabolic profile and BMI. The metabolic health worsened with increasing age and obesity.