Obesity

Association between accelerometer-measured irregular sleep duration and longitudinal changes in body mass index in older adults

Int J Obes (Lond)Published Prospective cohort study

Main finding · BMI change (kg/m²), standardized to 3-year intervalsResult — go to the resultHigher BMI change 0.24 kg/m² 95% CI 0.08–0.40

Authors' conclusion

Since irregular sleep duration is common, trials of interventions targeting sleep irregularity might lead to new public health strategies that tackle obesity.

Study context

Population
UK Biobank participants (mean age 63 years) who wore accelerometers for a week in 2013–2015 and had two body mass index (BMI) measurements on average 2.5 years apart
Participants
10,572 participants
Exposure
Sleep duration SD >60 min vs ≤30 min
Outcome
BMI change (kg/m²), standardized to 3-year intervals, and incident obesity
Methodological detailsaccelerometer-measured sleep, UK Biobank
  • Accelerometer-measured sleep
  • UK Biobank

Main finding

As reported in the abstract

BMI change (kg/m²), standardized to 3-year intervals

Higher BMI change

0.24 kg/m²

95% CI 0.08–0.40

p-nonlinearity <0.02

SD > 60 minvs ≤30 min
higher BMI change 0.24 kg/m² (95% CI 0.08–0.40); p-nonlinearity <0.02

Observational data: associations, not effects.

Further findings

OutcomeHigher risk (95% CI)P value
Incident obesityHigher with SD >60 min80% (1.28–2.52)p-nonlinearity <0.02
  • Incident obesity: adjusted for sociodemographic factors, shift work, and follow-up period

Effect modification

Age, sex, baseline BMI and BMI polygenic risk score did not appear to modify the association

Original publication

Association between accelerometer-measured irregular sleep duration and longitudinal changes in body mass index in older adults. Int J Obes (Lond). Published 6 April 2025. doi:10.1038/s41366-025-01768-8

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