Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite - PubMed (original) (raw)
Clinical Trial
Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite
Karine Spiegel et al. Ann Intern Med. 2004.
Abstract
Background: Total sleep deprivation in rodents and in humans has been associated with hyperphagia. Over the past 40 years, self-reported sleep duration in the United States has decreased by almost 2 hours.
Objective: To determine whether partial sleep curtailment, an increasingly prevalent behavior, alters appetite regulation.
Design: Randomized, 2-period, 2-condition crossover clinical study.
Setting: Clinical Research Center, University of Chicago, Chicago, Illinois.
Patients: 12 healthy men (mean age [+/-SD], 22 +/- 2 years; mean body mass index [+/-SD], 23.6 +/- 2.0 kg/m2).
Measurements: Daytime profiles of plasma leptin and ghrelin levels and subjective ratings of hunger and appetite.
Intervention: 2 days of sleep restriction and 2 days of sleep extension under controlled conditions of caloric intake and physical activity.
Results: Sleep restriction was associated with average reductions in the anorexigenic hormone leptin (decrease, 18%; P = 0.04), elevations in the orexigenic factor ghrelin (increase, 28%; P < 0.04), and increased hunger (increase, 24%; P < 0.01) and appetite (increase, 23%; P = 0.01), especially for calorie-dense foods with high carbohydrate content (increase, 33% to 45%; P = 0.02).
Limitations: The study included only 12 young men and did not measure energy expenditure.
Conclusions: Short sleep duration in young, healthy men is associated with decreased leptin levels, increased ghrelin levels, and increased hunger and appetite.
Comment in
- A good night's sleep: future antidote to the obesity epidemic?
Flier JS, Elmquist JK. Flier JS, et al. Ann Intern Med. 2004 Dec 7;141(11):885-6. doi: 10.7326/0003-4819-141-11-200412070-00014. Ann Intern Med. 2004. PMID: 15583232 No abstract available.
Summary for patients in
- Summaries for patients. Sleep duration and levels of hormones that influence hunger.
[No authors listed] [No authors listed] Ann Intern Med. 2004 Dec 7;141(11):I52. doi: 10.7326/0003-4819-141-11-200412070-00004. Ann Intern Med. 2004. PMID: 15583222 No abstract available.
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