Home⇛Recoletos Multidisciplinary Research Journal⇛vol. 12 no. 2 (2024)

The Impact of Sleep Onset and Efficiency on Body Mass Index among College Students: A Factor Analysis Approach

Wyna Zia Quibranza | Joanah Rae Sevilla | Dax Cromwell Mayorga | John Michael Genterolizo

Discipline: health studies

 

Abstract:

Sleep is crucial for overall health and well-being, and college students often face sleep issues due to various factors. Inadequate sleep, which affects metabolism and behavior, increases the risk of obesity. Prior studies typically examine individual sleep factors or compare them, neglecting potential interactions and the multidimensional role of sleep in health outcomes. Hence, this study surveyed the seven sleep components using the Pittsburgh Sleep Quality Index (PSQI) to identify factors affecting sleep quality and evaluate its effect on the body mass index of GE-Science, Technology, and Society (GE-STS) students in a private university in Cebu. Three factors were determined through factor analysis: Sleep Health, Sleep Onset and Maintenance Efficiency, and Sleep Disruption Intervention. Moreover, regression analysis supported the significant relationship (p = 0.023) between the sleep onset and maintenance efficiency factor and Body Mass Index (BMI), emphasizing its importance in designing sleep interventions for college students.



References:

  1. AIA Group Limited. (2016). Media release Filipinos score low on the 2016 healthy living index due to unhealthy habits. https://www.aia.com.ph/content/dam/ph/en/docs/press-releases/2016/aia-philam-life-filipinos-low-on-the-2016-healthy-living-index.pdf
  2. Al-Rashed, F., Sindhu, S., Al Madhoun, A., Alghaith, A., Azim, R., Al-Mulla, F., & Ahmad, R. (2021). Short Sleep Duration and Its Association with Obesity and Other Metabolic Risk Factors in Kuwaiti Urban Adults. Nature and Science of Sleep, 13, 1225–1241. https://doi.org/10.2147/nss.s311415
  3. Baron, K. G., Reid, K. J., Kern, A. S., & Zee, P. C. (2011). Role of sleep timing in caloric intake and BMI. Obesity, 19(7), 1374–1381. https://doi.org/10.1038/oby.2011.100
  4. Beccuti, G., & Pannain, S. (2011). Sleep and obesity. Current Opinion in Clinical Nutrition and Metabolic Care, 14(4), 402–412. https://doi.org/10.1097/MCO.0b013e3283479109
  5. Bowman, M. A., Duggan, K. A., Brindle, R. C., Kline, C. E., Krafty, R. T., Thayer, J. F., & Hall, M. H. (2019). Prospective associations among objectively and subjectively assessed sleep and the metabolic syndrome. Sleep Medicine, 58, 1–6. https://doi.org/10.1016/j.sleep.2019.02.005
  6. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  7. Carskadon, M. A., Acebo, C., & Jenni, O. G. (2004). Regulation of adolescent sleep: Implications for behavior. Annals of the New York Academy of Sciences, 1021(1), 276–291. https://doi.org/10.1196/annals.1308.032
  8. Centers for Disease Control and Prevention. (2024, May 15). About Sleep and Your Heart Health. Retrieved February 17, 2023, from https://www.cdc.gov/heart-disease/about/sleep-and-heart-health.html?CDC_AAref_Val=https://www.cdc.gov/bloodpressure/sleep.htm.%20Accessed%2017%20Feb.%202023
  9. Chaput, J. P. (2014). Sleep patterns, diet quality and energy balance. Physiology & Behavior, 134, 86–91. https://doi.org/10.1016/j.physbeh.2013.09.006
  10. Chaput, J. P., & St-Onge, M.-P. (2014). Increased food intake by insufficient sleep in humans: Are we jumping the gun on the hormonal explanation? Frontiers in Endocrinology, 5. https://doi.org/10.3389/fendo.2014.00116
  11. Fry, A. (2023, December 22). The link between obesity and sleep deprivation. Sleep Foundation. Retrieved March 20, 2023 from https://www.sleepfoundation.org/physical-health/obesity-and-sleep
  12. Gelaye, B., Lohsoonthorn, V., Lertmeharit, S., Pensuksan, W. C., Sanchez, S. E., Lemma, S., Berhane, Y., Zhu, X., Vélez, J. C., Barbosa, C., Anderade, A., Tadesse, M. G., & Williams, M. A. (2014). Construct validity and factor structure of the pittsburgh sleep quality index and epworth sleepiness scale in a multi-national study of African, South East Asian and south American college students. PLoS ONE, 9(12), e116383. https://doi.org/10.1371/journal.pone.0116383
  13. Gozal, D., & Kheirandish-Gozal, L. (2012). Childhood obesity and sleep: Relatives, partners, or both?-a critical perspective on the evidence. Annals of the New York Academy of Sciences, 1264(1), 135–141. https://doi.org/10.1111/j.1749-6632.2012.06723.x
  14. Guo, S., Sun, W., Liu, C., & Wu, S. (2016). Structural validity of the pittsburgh sleep quality index in Chinese undergraduate students. Frontiers in Psychology, 07. https://doi.org/10.3389/fpsyg.2016.01126
  15. Kahlhöfer, J., Karschin, J., Breusing, N., & Bosy-Westphal, A. (2015). Relationship between actigraphy-assessed sleep quality and fat mass in college students. Obesity, 24(2), 335–341. https://doi.org/10.1002/oby.21326
  16. Klingenberg, L., Sjödin, A., Holmbäck, U., Astrup, A., & Chaput, J.-P. . (2012). Short sleep duration and its association with energy metabolism. Obesity Reviews, 13(7), 565–577. https://doi.org/10.1111/j.1467-789x.2012.00991.x
  17. Kohansieh, M., & Makaryus, A. N. (2015). Sleep deficiency and deprivation leading to cardiovascular disease. International Journal of Hypertension, 2015, 1–5. https://doi.org/10.1155/2015/615681
  18. Li, L., Yu, Q., Zhao, W., Herold, F., Cheval, B., Kong, Z., Li, J., Mueller, N., Kramer, A. F., Cui, J., Pan, H., Zhan, Z., Hui, M., & Zou, L. (2021). Physical activity and inhibitory control: The mediating role of sleep quality and sleep efficiency. Brain Sciences, 11(5), 664. https://doi.org/10.3390/brainsci11050664
  19. Liu, D., Kahathuduwa, C., & Vazsonyi, A. T. (2021). The Pittsburgh Sleep Quality Index (PSQI): Psychometric and clinical risk score applications among college students. Psychological Assessment, 33(9). https://doi.org/10.1037/pas0001027
  20. Maharjan, N., Karki, P. K., Adhikari, B., Bhaila, A., & Shrestha, H. (2020). Association between sleep duration, sleep quality and body mass index in medical students. Journal of Chitwan Medical College, 10(4), 34–38. https://doi.org/10.54530/jcmc.248
  21. Manzar, M. D., Zannat, W., Hussain, M. E., Pandi-Perumal, S. R., Bahammam, A. S., Barakat, D., Ojike, N. I., Olaish, A., & Spence, D. W. (2016). Dimensionality of the pittsburgh sleep quality index in the young collegiate adults. SpringerPlus, 5(1). https://doi.org/10.1186/s40064-016-3234-x
  22. Markwald, R. R., Melanson, E. L., Smith, M. R., Higgins, J., Perreault, L., Eckel, R. H., & Wright, K. P. (2013). Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proceedings of the National Academy of Sciences, 110(14), 5695–5700. https://doi.org/10.1073/pnas.1216951110
  23. Matricciani, L., Bin, Y. S., Lallukka, T., Kronholm, E., Wake, M., Paquet, C., Dumuid, D., & Olds, T. (2018). Rethinking the sleep-health link. Sleep Health, 4(4), 339–348. https://doi.org/10.1016/j.sleh.2018.05.004
  24. Mayer, M. A., Catalani, F., Fraire, J., Deltetto, N., Lucía Martín, Beneitez, A., Fischman, D., & Orden, A. B. (2022). Inhibitory control and obesity in adolescents: A prospective cohort study. Appetite, 171, 105910–105910. https://doi.org/10.1016/j.appet.2022.105910
  25. Mirdha, M., Sharma, H. B., & Mallick, H. N. (2019). Study of association between body mass index and sleep quality among Indian students. Sleep Medicine, 64(1), S259. https://doi.org/10.1016/j.sleep.2019.11.724
  26. Mollayeva, T., Thurairajah, P., Burton, K., Mollayeva, S., Shapiro, C. M., & Colantonio, A. (2016). The pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Medicine Reviews, 25, 52–73. https://doi.org/10.1016/j.smrv.2015.01.009
  27. Morrissey, B., Taveras, E., Allender, S., & Strugnell, C. (2020). Sleep and obesity among children: A systematic review of multiple sleep dimensions. Pediatric Obesity, 15(4). https://doi.org/10.1111/ijpo.12619
  28. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2023). Factors affecting weight & health. Retrieved July 14, 2024 from https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/factors-affecting-weight-health
  29. Olds, T. S., Maher, C. A., & Matricciani, L. (2011). Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns. Sleep, 34(10), 1299–1307. https://doi.org/10.5665/sleep.1266
  30. Papatriantafyllou, E., Efthymiou, D., Zoumbaneas, E., Popescu, C. A., & Vassilopoulou, E. (2022). Sleep deprivation: Effects on weight loss and weight loss maintenance. Nutrients, 14(8), 1549. https://doi.org/10.3390/nu14081549
  31. Pourhoseingholi, M. A., Vahedi, M., & Rahimzadeh, M. (2013). Sample size calculation in medical studies. Gastroenterology and Hepatology from Bed to Bench, 6(1), 14–17.
  32. Rahe, C., Czira, M. E., Teismann, H., & Berger, K. (2015). Associations between poor sleep quality and different measures of obesity. Sleep Medicine, 16(10), 1225–1228. https://doi.org/10.1016/j.sleep.2015.05.023
  33. Sharma, S., & Kavuru, M. (2010). Sleep and metabolism: An overview. International Journal of Endocrinology, 2010(270832), 1–12. https://doi.org/10.1155/2010/270832
  34. Shrivastava, D., Jung, S., Saadat, M., Sirohi, R., & Crewson, K. (2014). How to interpret the results of a sleep study. Journal of Community Hospital Internal Medicine Perspectives, 4(5), 24983. https://doi.org/10.3402/jchimp.v4.24983
  35. Suni, E. (2024, April 25). How sleep deprivation affects your heart. Sleep Foundation. Retrieved July 14, 2024 from https://www.sleepfoundation.org/sleep-deprivation/how-sleep-deprivation-affects-your-heart
  36. UNICEF. (2022, March 4). Everybody needs to act to curb obesity. UNICEF Philippines. https://www.unicef.org/philippines/press-releases/everybody-needs-act-curb-obesity
  37. Vargas, P. A., Flores, M., & Robles, E. (2014). Sleep quality and body mass index in college students: The role of sleep disturbances. Journal of American College Health, 62(8), 534–541. https://doi.org/10.1080/07448481.2014.933344
  38. Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., Malhotra, R. K., Martin, J. L., Patel, S. R., Quan, S. F., & Tasali, E. (2015). Joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: Methodology and discussion. Journal of Clinical Sleep Medicine, 11(8), 931–952. https://doi.org/10.5664/jcsm.4950
  39. Wong, P. M., Barker, D., Roane, B. M., Van Reen, E., & Carskadon, M. A. (2022). Sleep regularity and body mass index: Findings from a prospective study of first-year college students. Sleep Advances, 3(1). https://doi.org/10.1093/sleepadvances/zpac004

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