Cover: Longitudinal Associations Between Sleep and BMI in a Low-Income, Predominantly Black American Sample

Longitudinal Associations Between Sleep and BMI in a Low-Income, Predominantly Black American Sample

Published in: Sleep Health, Volume 9, Issue 1, pages 11-17 (February 2023). doi: 10.1016/j.sleh.2022.10.012

Posted on RAND.org on October 09, 2023

by Stephanie Brooks Holliday, Lu Dong, Ann C. Haas, Bonnie Ghosh-Dastidar, Tamara Dubowitz, Daniel J. Buysse, Lauren Hale, Wendy M. Troxel

Objective

Black individuals and those experiencing socioeconomic disadvantage are at increased risk for sleep problems and obesity. This study adds to the limited extant literature examining longitudinal associations between objectively measured sleep and changes in body mass index (BMI) in Black Americans.

Design

We focused on individuals with at least 1 observation of sleep and BMI at 1 of 3 study time points (2013, 2016, and 2018). We modeled longitudinal trends in BMI as a function of time, average of each sleep variable across assessments, and within-person deviations in each sleep variable over time.

Setting

Data were collected via interviewer-administered at-home surveys and actigraphy in Pittsburgh, PA.

Participants

Our sample comprised 1115 low-income, primarily Black adults, including 862 women and 253 men.

Measurements

Sleep measures included actigraphy-measured total sleep time, sleep efficiency, and wakefulness after sleep onset, as well as self-reported sleep quality. We also included objectively measured BMI.

Results

In models adjusted for age, gender, and other sociodemographic covariates (eg, income, marital status), there were no significant longitudinal associations between total sleep time, sleep efficiency, wakefulness after sleep onset, or subjective sleep quality and changes in BMI.

Conclusions

This study provides further evidence that, among a sample of low-income Black adults, sleep problems are not longitudinally predictive of BMI. Although ample cross-sectional evidence demonstrates that sleep problems and obesity commonly co-occur, longitudinal evidence is mixed. Better understanding the overlap of sleep and obesity over time may contribute to prevention and intervention efforts.

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