Obesity

Caloric Restriction, the Menstrual Cycle, and Sleep in Women Without Obesity

J Clin Endocrinol MetabPublished Crossover dietary intervention study

Authors' conclusion

Short-term modest caloric restriction independently disrupts sleep and exacerbates changes in sleep that occur across the menstrual cycle in healthy, young women without obesity.

Study context

Population
Healthy women without obesity, aged 23.6 ± 2.3 years (mean ± SD)
Participants
17 women
Comparison
Deficient energy availability diet vs neutral energy availability diet
Outcome
Sleep (actigraphy) by diet and menstrual cycle phase
Methodological details2 menstrual cycles
  • 2 menstrual cycles

Main finding

As reported in the abstract

Diet effect on wake after sleep onset (WASO)
P = .004
Cycle phase effect on WASO
P = .007
Diet effect on number of awakenings (NOA)
P = .03
Cycle phase effect on NOA
P = .0006

Further findings

Orexin and sleep · fifth day of each diet

Orexin positively associated with WASO
P = 0.02
Orexin positively associated with sleep fragmentation index
P = 0.001
Orexin positively associated with NOA
P = 0.009
Orexin inversely related to SE
P = 0.02

Urinary PDG and sleep

Increasing PDG associated with WASO
P < 0.05
Increasing PDG associated with duration of awakenings
P < 0.05
Increasing PDG inversely associated with SE
P < 0.01

Urinary E1G and sleep

Increasing E1G positively associated with WASO
P < 0.05
Increasing E1G positively associated with NOA
P < 0.01

Original publication

Caloric Restriction, the Menstrual Cycle, and Sleep in Women Without Obesity. J Clin Endocrinol Metab. Published 5 March 2025. doi:10.1210/clinem/dgaf145

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