Concomitant changes in sleep duration and body weight and body composition during weight loss and 3-mo weight maintenance

S.P. Verhoef*, S.G. Camps, H.K. Gonnissen, K.R. Westerterp, M.S. Westerterp-Plantenga

*Corresponding author for this work

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BACKGROUND: An inverse relation between sleep duration and body mass index (BMI) has been shown. OBJECTIVE: We assessed the relation between changes in sleep duration and changes in body weight and body composition during weight loss. DESIGN: A total of 98 healthy subjects (25 men), aged 20-50 y and with BMI (in kg/m2) from 28 to 35, followed a 2-mo very-low-energy diet that was followed by a 10-mo period of weight maintenance. Body weight, body composition (measured by using deuterium dilution and air-displacement plethysmography), eating behavior (measured by using a 3-factor eating questionnaire), physical activity (measured by using the validated Baecke's questionnaire), and sleep (estimate by using a questionnaire with the Epworth Sleepiness Scale) were assessed before and immediately after weight loss and 3- and 10-mo follow-ups. RESULTS: The average weight loss was 10% after 2 mo of dieting and 9% and 6% after 3- and 10-mo follow-ups, respectively. Daytime sleepiness and time to fall asleep decreased during weight loss. Short (</=7 h) and average (>7 to <9 h) sleepers increased their sleep duration, whereas sleep duration in long sleepers (>/=9 h) did not change significantly during weight loss. This change in sleep duration was concomitantly negatively correlated with the change in BMI during weight loss and after the 3-mo follow-up and with the change in fat mass after the 3-mo follow-up. CONCLUSIONS: Sleep duration benefits from weight loss or vice versa. Successful weight loss, loss of body fat, and 3-mo weight maintenance in short and average sleepers are underscored by an increase in sleep duration or vice versa. This trial was registered at as NCT01015508.
Original languageEnglish
Pages (from-to)25-31
Number of pages7
JournalAmerican Journal of Clinical Nutrition
Issue number1
Publication statusPublished - Jul 2013


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