Short sleep duration in relation to body weight and blood pressure among Czech adults

Zlata Kapounová1, Martin Forejt1, Julie Bienertová Vašků2
1Masaryk University, Faculty of Medicine, Department of Public Health, Brno, Czech Republic 2Masaryk University, Faculty of Medicine, Department of Pathological Physiology, Brno, Czech Republic

Korespondenční autor: Zlata Kapounová (

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:21. 10. 2014
Accepted: 13. 5. 2015
Published online: 26. 6. 2015


Study objectives: The aim of this study was to investigate possible associations between obesity related anthropometric determinants and blood pressure measurements according to the self-recorded number of daily hours of sleep within the adult Czech population. Methods: A total of 478 women and men aged 18.65 years were included between the years 2006.2010. The research methodology consisted of anthropometric measurements and bioelectrical impedance for the classification of body parameters, and the measurement of blood pressure (BP). Data on sleep duration were obtained using 24-hour time diaries in which the total hours of sleep per day for seven consecutive days were recorded. Logistic regression and multivariable logistic regression analysis were applied to calculate crude odds ratios (ORs), adjusted ORs after controlling for potential confounders, and 95% confidence intervals (CIs) of obesity, high normal BP and hypertension for short sleep defined as <6.9 hours per day. Results: No associations were found within the total cohort. Only participants aged 18.39 years, sleeping <6.9 hours per day had a significantly increased risk of abdominal obesity (OR = 2.67; 95% CI: based on waist circumference and OR = 5.92; 95% CI: based on waist-hip ratio) and hypertension (OR = 3.10; 95% CI: for diastolic BP .90 mmHg) after adjustments. Conclusions: Our findings suggest that short sleep duration appears independently associated with central fat distribution and high blood pressure particularly in younger age groups.

Keywords: sleep; obesity; body mass index; waist circumference; waist-hip ratio; adiposity; blood pressure; hypertension


1. Adámková V, Hubáček JA, Lánská V, Vrablík M, Králová Lesná I, Suchánek P, Zimmelová P, Veleminský M (2009). Association between duration of the sleep and body weight. Physiol Res. 58/(Suppl. 1): S27–S31.

2. Aldabal L, Bahammam AS (2011). Metabolic, endocrine, and immune consequences of sleep deprivation. Open Respir Med J. 5: 31–43. 3. Bienertova-Vasku J, Bienert P, Sablikova L, Slovackova L, Forejt M, Piskackova Z, Heczkova K, Brazdova Z, Vasku A (2009). Effect of ID ACE gene polymorphism on dietary composition and obesityrelated anthropometric parameters in the Czech adult population. Genes Nutr. 4/3: 207–213.

4. Buxton OM, Marcelli E (2010). Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Soc Sci Med. 71/5: 1027–1036.

5. Cappuccio FP, Taggart FM, Kandala NB, Currie A, Peile E, Stranges S, Miller MA (2008). Metaanalysis of short sleep duration and obesity in children and adults. Sleep. 31/5: 619–626.

6. Fatima Y, Doi SA, Mamun AA (2015). Longitudinal impact of sleep on overweight and obesity in children and adolescents: a systematic review and bias-adjusted meta-analysis. Obes Rev. 16/2: 137–149.

7. Gangwisch JE (2014). A review of evidence for the link between sleep duration and hypertension. Am J Hypertens. 27/10: 1235–1242.

8. Gangwisch JE, Malaspina D, Boden-Albala B, Heymsfield SB (2005). Inadequate sleep as a risk factor for obesity: analyses of the NHANES I. Sleep. 28/10: 1289–1296.

9. Magee L, Hale L (2012). Longitudinal associations between sleep duration and subsequent weight gain: a systematic review. Sleep Med Rev. 16/3: 231–241.

10. Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, Grassi G, Heagerty AM, Kjeldsen SE, Laurent S, Narkiewicz K, Ruilope L, Rynkiewicz A, Schmieder RE, Boudier HA, Zanchetti A (2007). 2007 ESH-ESC practice guidelines for the management of arterial hypertension: ESH-ESC task force on the management of arterial hypertension. J Hypertens. 25/9: 1751–1762.

11. Najafian J, Mohammadifard N, Siadat ZD, Sadri G, Ramazani M, Nouri F (2010). Association between sleep duration and body mass index and waist circumference. Iran J Med Sci. 35/23: 140–144.

12. Nedeltcheva AV, Scheer FA (2014). Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes. 21/4: 293–298.

13. Palagini L, Bruno RM, Gemignani A, Baglioni C, Ghiadoni L, Riemann D (2013). Sleep Loss and Hypertension: a systematic review. Curr Pharm Des. 19/13: 2409–2419.

14. Patel SR, Hu FB (2008). Short sleep duration and weight gain: a systematic review. Obesity. 16/3: 643–653.

15. Sperry SD, Scully ID, Gramzow RH, Jorgensen RS (2015). Sleep Duration and Waist Circumference in Adults: A Meta-Analysis. Sleep. Jan 15; pii: sp-00440–14.

16. Theorell-Haglöw J, Berglund L, Janson C, Lindberg E (2012). Sleep duration and central obesity in women – differences between short sleepers and long sleepers. Sleep Med. 13/8: 1079–1085.

17. Vosátková M, Ceřovská J, Zamrazilová H, Hoskovcová P, Dvořáková M, Zamrazil V (2012). Prevalence of obesity and metabolic syndrome in adult population of selected regions of the Czech Republic. Relation to eating habits and smoking. Prague Medical Report. 113/3: 206–216.

18. Wu Y, Zhai L, Zhang D (2014). Sleep duration and obesity among adults: a meta-analysis of prospective studies. Sleep Med. 15/12: 1456–1462.