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Endocrine Abstracts (2023) 90 EP389 | DOI: 10.1530/endoabs.90.EP389

The National Institute of Nutrition of Tunis, Outpatient Department, Tunis, Tunisia


Introduction: Obesity and unhealthy eating pattern have been associated with altered sleep quality. We aimed to assess the sleep quality in a population of obese patients.

Methods: This cross-sectional study included 45 patients who consulted the obesity unit of the National Institute of Nutrition in Tunis. The sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI, which defines a poor sleeper profile for a score ≥5 points. Sociodemographic data and anthropometric measures were collected.

Results: The average age was 46 years (14-79) with a female predominance (80%). The average weight was 99±20 kg with an average Body mass index (BMI) of 37±6 kg/m² and an average waist circumference of 116 cm (89-170). Overall, 51% of the subjects were good sleepers (PSQI < 5) while 49% were poor sleepers (PSQI ≥5). Better sleep quality was positively associated with physical activity (P=0.003). Poor sleepers, when compared to good sleepers, had significantly higher weight (108±16 kg vs 88±19 kg, P< 0.001), BMI (39.5±5.5 kg/m² vs 36±6 kg/m², P=0.04), and waist circumference (123±16 cm vs 109±12 cm, P= 0.003). Good sleepers had lower systolic arterial tension (117±14 mmHg vs 133±16 mmHg, P= 0.002), and better glycaemic profiles (fasting blood glucose measure= 7 mmol/l vs 8 mmol/l with P=0.07 and HbA1C=6% vs 7% with P=0.1).

Conclusion: In conclusion, poor sleepers had higher BMI and waist circumference and lower systolic arterial tension. Physical activity was correlated to better sleep quality. These results highlight that sleep assessment should be an integral part of the management of obesity in order to improve the quality of medical care.

Volume 90

25th European Congress of Endocrinology

Istanbul, Turkey
13 May 2023 - 16 May 2023

European Society of Endocrinology 

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