ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
1National Institute of Nutrition, Obesity Research Unit, Bab Saadoun, Tunis, Tunisia; 2National Institute of Nutrition, Outpatient Departement and functional exlorations, Bab Saadoun, Tunis, Tunisia
Background: Sleep is crucial for brain function, productivity, physical and mental well-being. The objective of our work was to examine the relationship between short sleep duration and its associated factors (sociodemographic characteristics, mental health and chronic diseases) in adult individuals with obesity.
Methods: Cross sectional study, including 100 obese adult patients consulting the Obesity Unit of the National Institute of Nutrition in Tunis in 2022. Exclusion criteria: patients with shift work or night work, psychiatric illness, neuroleptic medication or any medication that may interfere with sleep. Data were collected during one-to-one interviews. Sleep duration was self-reported. Sleep duration <7 hours/day was considered as short. Sociodemographic characteristics and medical history were also collected. Screening for anxiety and depression was performed using the HAD questionnaire.
Results: Mean age was 46.7±12.3 years with a sex ratio M/F 0.3. Almost half of the women (52.6%) were menopausal. Our patients were professionally active in 47% of the cases but only 22% of the participants had a higher education level. The majority of our study population (70%) belonged to the middle socioeconomic class and 73% were married. Half of the patients (54%) had a low level of physical activity. The mean BMI was 40.3±6.6 kg/m² with class III obesity in 46% of cases. Complications of obesity in descending order were: sleep apnea syndrome (83%), hypercholesterolemia (64%), hypertension (48%), prediabetes (41%), gastroesophageal reflux disease (31%), diabetes (30%), hyperuricemia (29%), hypertriglyceridemia (28%), osteoarthritis (15%), and cardiovascular disease (7%). we found a high prevalence of anxiety (41% of patients had doubtful to certain symptomatology) and depression (42% of patients had doubtful to certain symptomatology). Mean sleep duration was 7 h:16±1 h38 and 46.7% of patients had short sleep duration (<7 h/day). Analytical study showed that Short sleep duration was significantly associated with low socioeconomic level (P=0.014), diabetes (P=0.014), anxiety (P=0.005) and depression (P=0.031).
Conclusion: Poor socio-economic conditions represent a source of stress that affects sleep duration. Besides, obese population is at high risk of psychological complications that in return affect sleep.