Syndrome Metabolic Markers, Fitness and Body Fat Is Associated with Sleep Quality in Women with Severe/Morbid Obesity

Background: Sleep is an important modulator of neuroendocrine function and glucose metabolism. Poor sleep quality is related to metabolic and endocrine alterations, including decreased glucose tolerance, decreased insulin sensitivity, and increased hunger and appetite. Objective: The aim of the present study was to determine the association between sleep quality with metabolic syndrome (MetS) markers, fitness and body fat of women with severe/morbid obesity. Methods: This cross-sectional study included 26 women with severe/morbid obesity. Fasting plasma glucose (FPG), high-density lipids (HDL-c), triglycerides (TGs), and the metabolic outcomes total cholesterol (Tc) and low-density lipids (LDL-c), systolic (SBP) and diastolic blood pressure (DBP), body composition and fitness were measured. Results: Poor sleep quality showed a positive association with body fat (%) >= 48.2 (OR; 8.39, 95% CI; 1.13-62.14, p = 0.037), morbid obesity (OR; 8.44, 95% CI; 1.15-66.0, p = 0.036), glucose >= 100 mg/dL (OR; 8.44, 95% CI; 1.15-66.0, p = 0.036) and relative handgrip strength <= 0.66 (OR; 12.2, 95% CI; 1.79-83.09, p = 0.011). Conclusion: sleep quality is associated with health markers in women with severe/morbid obesity.

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