Reproductive endocrinology

Effect of sleep restriction on insulin sensitivity and energy metabolism in postmenopausal women: A randomized crossover trial

Obesity (Silver Spring)Published Randomised crossover trial

Authors' conclusion

Four nights of SR reduced insulin sensitivity and fat oxidation in postmenopausal women. These findings underscore the role of insufficient sleep in metabolic dysfunction following menopause. Larger trials investigating how sleep disturbances cause metabolic dysfunction during menopause are needed across all stages of menopause.

Study context

Population
Postmenopausal women; analysed: mean (SD) age 59 (4) years, BMI 28.0 (2.6) kg/m²9 analysed
Participants
14 women
Comparison
Sleep restriction vs habitual sleep, 4 nights each
Primary endpoint
Insulin sensitivity by hyperinsulinemic-euglycemic clamp, defined as the glucose infusion rate (GIR)
Follow-up
After 4 nights
Methodological detailseucaloric diet
  • Eucaloric diet

Primary result

Low-dose insulin GIR

Reduction

20%

P = 0.01

By group

As reported in the abstract

Further findings

High-dose insulin GIR · lower with SR

reduction 12% · P < 0.001

Accelerometer-determined total time in bed · lower with SR

reduction 38% · P < 0.0001

Fat oxidation during high-dose insulin infusion · reduced with sleep restriction (SR)
P < 0.01

Resting energy metabolism

SR did not alter resting energy metabolism

Original publication

Effect of sleep restriction on insulin sensitivity and energy metabolism in postmenopausal women: A randomized crossover trial. Obesity (Silver Spring). Published 30 March 2023. doi:10.1002/oby.23739

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