A curta duração do sono está associada ao elevado consumo energético e de lipídios totais em mulheres com obesidade

um estudo piloto

Autores

Palavras-chave:

Ingestão de alimentos, Grelina, Obesidade, Taxa metabólica de repouso, Sono

Resumo

Objetivo
Avaliar a influência da duração de sono autorrelatada na secreção de grelina e indicadores nutricionais na obesidade.
Métodos
Trata-se de um estudo observacional, incluindo 36 mulheres adultas com obesidade. A duração do sono foi relatada durante o preenchimento do questionário de dados gerais. Foram avaliados indicadores dietéticos, laboratoriais, antropométricos e de composição corporal, além da taxa metabólica de repouso. Para análise estatística, os dados de duração de sono foram agrupados em tercis, sendo menor do que seis (primeiro tercil), igual ou acima seis e menor do que oito (segundo tercil), igual ou maior do que oito horas de sono por dia (terceiro tercil). Os indicadores supracitados foram comparados entre as diferentes faixas dos tercis de duração de sono.
Resultados
Não houve diferença significativa ao comparar os indicadores antropométricos, laboratoriais e do gasto de energia, entre os tercis de sono. Porém, mulheres com menor tempo de duração do sono (menos de 6 horas por dia) apresentaram maior média da ingestão calórica, comparado com o tercil de oito horas ou mais de sono por dia. Para a ingestão de lipídios totais, a média de consumo foi maior no primeiro tercil (até seis horas por dia).
Conclusão
Dormir menos do que seis horas por dia levou ao aumento na ingestão energética e de lipídios em mulheres com obesidade, porém, não alterou a concentração de grelina plasmática.

Referências

Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, et al. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017;377(1):13-27.

World Health Organization. Obesity and overweight [Internet]. Genève: Organization; 2016 [cited 2018 Aug. 25]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Ministério da Saúde (Brasil). VIGITEL Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico [Internet]. Brasília: Ministério; 2020 [cited 2021 Apr 19]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2019_vigilancia_fatores_risco.pdf

Associação Brasileira para Estudo da Obesidade e da Síndrome Metabólica. Diretrizes brasileiras de obesidade 2016 / ABESO. [Internet]. São Paulo: Associação; 2016 [cited 2019 Oct 19]. Available from: http://www.abeso.org.br/diretrizes

Hall KD, Guo J. Obesity Energetics: Body Weight Regulation and the Effects of Diet Composition. Gastroenterology. 2017;152(7):1718-27.

Arroyo-Johnson C, Mincey KD. Obesity epidemiology trends by race/ethnicity, gender, and education: National Health Interview Survey, 1997-2012. Gastroenterol Clin North Am. 2016;45(4):571-9.

Garaulet M, Ordovás JM, Madrid JA. The chronobiology, etiology and pathophysiology of obesity. Int J Obes. 2010;34(12):1667-83.

Speakman JR. Functional analysis of seven genes linked to body mass index and adiposity by genome-wide association studies: a review. Hum Hered. 2013;75(2):57-79.

McHill AW, Wright KP. Role of sleep and circadian disruption on energy expenditure and in metabolic predisposition to human obesity and metabolic disease. Obes Rev Off J Int Assoc Study Obes. 2017;18:15-24.

Nishiura C, Hashimoto H. A 4-Year Study of the Association between Short Sleep Duration and Change in Body Mass Index in Japanese Male Workers. J Epidemiol. 2010;20(5):385-90.

Sperry SD, Scully ID, Gramzow RH, Jorgensen RS. Sleep duration and waist circumference in adults: a meta-analysis. Sleep. 2015;38(8):1269–76.

Vgontzas AN, Fernandez-Mendoza J, Miksiewicz T, Kritikou I, Shaffer ML, Liao D, et al. Unveiling the longitudinal association between short sleep duration and the incidence of obesity: the penn state cohort. Int J Obes. 2014;38(6):825-32.

Xiao Q, Arem H, Moore SC, Hollenbeck AR, Matthews CE. A Large Prospective Investigation of Sleep Duration, Weight Change, and Obesity in the NIH-AARP Diet and Health Study Cohort. Am J Epidemiol. 2013;178(11):1600-10.

Dashti HS, Scheer FA, Jacques PF, Lamon-Fava S, Ordovás JM. Short sleep duration and dietary intake: epidemiologic evidence, mechanisms, and health implications. Adv Nutr Bethesda Md. 2015;6(6):648-59.

Littman AJ, Vitiello MV, Foster-Schubert K, Ulrich CM, Tworoger SS, Potter JD, et al. Sleep, ghrelin, leptin and changes in body weight during a 1-year moderate-intensity physical activity intervention. Int J Obes. 2007;31(3):466-75.

St-Onge M-P, Pizinger T, Kovtun K, RoyChoudhury A. Sleep and meal timing influence food intake and its hormonal regulation in healthy adults with overweight/obesity. Eur J Clin Nutr. 2019;72(Suppl 1):76-82.

World Health Organization. Obesity: preventing and managing the global epidemic [Internet]. Genève: Organization; 2000 [cited 2019 Oct 19]. Available from: https://apps.who.int/iris/handle/10665/42330

Yokoo EM, Pereira RA, Veiga GV, Nascimento S, Costa RS, Marins VMR, et al. Proposta metodológica para o módulo de consumo alimentar pessoal na pesquisa brasileira de orçamentos familiares. Rev Nutr. 2008;21(6):767-76.

Fats and fatty acids in human nutrition. Report of an expert consultation. FAO Food Nutr Pap. 2010 [cited 2019 Nov 19];91:1-166. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21812367

Trumbo P, Schlicker S, Yates AA, Poos M, Food and Nutrition Board of the Institute of Medicine, The National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc. 2002;102(11):1621-30. https://doi.org/10.1016/s0002-8223(02)90346-9

Blundell JE, Gillett A. Control of food intake in the obese. Obes Res. 2001;(9 Suppl 4):263S-270S.

Freitas S, Lopes CS, Coutinho W, Appolinario JC. Tradução e adaptação para o português da Escala de Compulsão Alimentar Periódica. Braz J Psychiatry. 2001;23(4):215-20.

Lohman T, Roche A, Martorell R, editors. Anthropometric standardization reference manual. Champaign: Human Kinetics Books; 1991. p. 90.

World Health Organization. Physical status: the use and interpretation of anthropometry [Internet]. Genève: Organization; 1995 [cited 2019 Nov 19]. Available from: https://apps.who.int/iris/handle/10665/37003

Centers for Disease Control and Prevention. Defining adult overweight & obesity [Internet]. Atlanta: CDC. [Last reviewed 2022 June 3; cited 2019 Oct 21]. Available from: https://www.cdc.gov/obesity/basics/adult-defining.html#print

Lukaski HC, Johnson PE, Bolonchuk WW, Lykken GI. Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am J Clin Nutr. 1985;41(4):810-7.

Segal KR, Van Loan M, Fitzgerald PI, Hodgdon JA, Van Itallie TB. Lean body mass estimation by bioelectrical impedance analysis: a four-site cross-validation study. Am J Clin Nutr. 1988;47(1):7-14.

Gray NT, Bartlett JM, Kolasa KM, Marcuard SP, Holbrook CT, Horner RD. Nutritional status and dietary intake of children with sickle cell anemia. Am J Pediatr Hematol Oncol. 1992;14(1):57-61.

Ferrannini E. The theoretical bases of indirect calorimetry: a review. Metabolism. 1988;37(3):287-301.

Casas-Agustench P, López-Uriarte P, Bulló M, Ros E, Gómez-Flores A, Salas-Salvadó J. Acute effects of three high-fat meals with different fat saturations on energy expenditure, substrate oxidation and satiety. Clin Nutr Edinb Scotl. 2009;28(1):39-45.

Frankenfield D, Roth-Yousey L, Compher C. Comparison of predictive equations for resting metabolic rate in healthy nonobese and obese adults: a systematic review. J Am Diet Assoc. 2005;105(5):775-89.

Wahrlich V, Anjos LA. Aspectos históricos e metodológicos da medição e estimativa da taxa metabólica basal: uma revisão da literatura. Cad Saude Publica. 2001;17(4):801-17.

Weir JBDB. New methods for calculating metabolic rate with special reference to protein metabolism. J Physiol. 1949;109(1-2):1-9.

Friedwald W, Levy R, Fredrickson D. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972;18:499-502.

Stern SE, Williams K, Ferrannini E, De Fronz RA, Bogardus C, Stern MP. Identification of individuals with insulin resistance using routine clinical measurements. Diabetes. 2005;54(2):333-9.

Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28(7):412-9.

Faludi AA, Izar MCO, Saraiva JFK, Chacra APM, Bianco HT, Afiune A, et al. Atualização da Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose – 2017. Arq Bras Cardiol. 2017;109:1-76.

Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes [Internet]. São Paulo: SDB; 2022 [cited 2022 Feb 1]. Available from: https://diretriz.diabetes.org.br/

Katz A, Nambi SS, Mather K, Baron AD, Follmann DA, Sullivan G, et al. Quantitative insulin sensitivity check index: a simple, accurate method for assessing insulin sensitivity in humans. J Clin Endocrinol Metab. 2000;85(7):2402-10.

World Health Organization. Obesity: preventing and managing the global epidemic [Internet]. Geneve: Organization; 1998 [cited 2018 Aug 25]. Available from: https://apps.who.int/iris/handle/10665/63854

Stern RC, Eisenberg JD, Wagener JS, Ahrens R, Rock M, Pico G, et al. A comparison of the efficacy and tolerance of pancrelipase and placebo in the treatment of steatorrhea in cystic fibrosis patients with clinical exocrine pancreatic insufficiency. Am J Gastroenterol. 2000;95(8):1932-8.

Lin J, Jiang Y, Wang G, Meng M, Zhu Q, Mei H, et al. Associations of short sleep duration with appetite-regulating hormones and adipokines: a systematic review and meta-analysis. Obes Rev. 2020;21.

Mihalache L, Gherasim A, Niţă O, Ungureanu MC, Pădureanu SS, Gavril RS, et al. Effects of ghrelin in energy balance and body weight homeostasis. Hormones (Athens). 2016;15(2):186-96.

Khatib MN, Gaidhane S, Gaidhane AM, Simkhada P, Zahiruddin QS. Ghrelin O Acyl Transferase (GOAT) as a Novel Metabolic Regulatory Enzyme. J Clin Diagn Res JCDR. 2015;9(2):LE01-5.

Hart CN, Carskadon MA, Demos KE, Van Reen E, Sharkey KM, Raynor HA, et al. Acute Changes in Sleep Duration on Eating Behaviors and Appetite-Regulating Hormones in Overweight/Obese Adults. Behav Sleep Med. 2015;13(5):424-36.

Hursel R, Rutters F, Gonnissen HKJ, Martens EAP, Westerterp-Plantenga MS. Effects of sleep fragmentation in healthy men on energy expenditure, substrate oxidation, physical activity, and exhaustion measured over 48 h in a respiratory chamber. Am J Clin Nutr. 2011;94(3):804-8.

Ning X, Lv J, Guo Y, Bian Z, Tan Y, Pei P, et al. Association of sleep duration with weight gain and General and Central Obesity Risk in Chinese adults: a prospective study. Obes Silver Spring Md. 2020;28(2):468-74.

Gallegos JV, Boege HL, Zuraikat FM, St-Onge M-P. Does sex influence the effects of experimental sleep curtailment and circadian misalignment on regulation of appetite? Curr Opin Endocr Metab Res. 2021;17:20-5.

Watanabe M, Kikuchi H, Tanaka K, Takahashi M. Association of short sleep duration with weight gain and obesity at 1-year follow-up: a large-scale prospective study. Sleep. 2010;33(2):161-7.

Lyytikäinen P, Rahkonen O, Lahelma E, Lallukka T. Association of sleep duration with weight and weight gain: a prospective follow-up study. J Sleep Res. 2011;20(2):298-302.

Spiegel K, Leproult R, L’hermite-Balériaux M, Copinschi G, Penev PD, Van Cauter E. Leptin levels are dependent on sleep duration: relationships with sympathovagal balance, carbohydrate regulation, cortisol, and thyrotropin. J Clin Endocrinol Metab. 2004;89(11):5762-71.

Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet. 1999;354(9188):1435-9.

Tsereteli N, Vallat R, Fernandez-Tajes J, Delahanty LM, Ordovas JM, Drew DA, et al. Impact of insufficient sleep on dysregulated blood glucose control under standardised meal conditions. Diabetologia. 2022;65(2):356-65.

St-Onge M-P, O’Keeffe M, Roberts AL, RoyChoudhury A, Laferrère B. Short sleep duration, glucose dysregulation and hormonal regulation of appetite in men and women. Sleep. 2012;35(11):1503-10.

Grandner MA, Jackson N, Gerstner JR, Knutson KL. Dietary nutrients associated with short and long sleep duration. Data from a nationally representative sample. Appetite. 2013;64:71-80.

Grandner MA, Kripke DF, Naidoo N, Langer RD. Relationships among dietary nutrients and subjective sleep, objective sleep, and napping in women. Sleep Med. 2010;11(2):180.

Publicado

27-10-2023

Como Citar

GRANGEIRO, E. D., TRIGUEIRO, M. S., SIAIS, L. de O., PAIVA, H. M., & ROSADO, E. L. (2023). A curta duração do sono está associada ao elevado consumo energético e de lipídios totais em mulheres com obesidade: um estudo piloto. Revista De Nutrição, 36. Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/10200

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