SUNDAY, March 16 (HealthDay News) -- Could the key to weight
loss for some people be as simple as getting some extra
shuteye?
Possibly. New research suggests that people who don't get enough
sleep tend to weigh more -- and that sleep can affect levels of the
appetite-regulating hormones leptin and ghrelin.
"There is a dynamic balance between proper sleep and proper
health. Sleep deprivation affects weight and a lot of other things.
If you cheat sleep, there are a number of consequences, including
affecting your hormones, appetite and mood," said Dr. Patrick
Strollo, medical director of the University of Pittsburgh Medical
Center's Sleep Medicine Center.
Two out of three Americans are overweight, and almost one in
five are obese, according to the U.S. Centers for Disease Control
and Prevention. And, while most people are aware of the
relationship of diet and exercise to excess weight, few realize
that the amount of sleep they get each night can also affect their
weight.
Researchers at the Sleep Disorders Center at Sentara Norfolk
General Hospital in Virginia conducted two studies, each included
1,000 men and women, and they found that those who reported
sleeping less tended to weigh more.
Of course, it could be that being overweight might make it
harder to get a restful night sleep.
"People who are overweight may have less restful sleep due to
heartburn, snoring or more serious sleep disorders like sleep apnea
or night eating syndrome," said Dr. Michelle May, author of
"Am I Hungry? What To Do When Diets Don't Work."
But, she said, "It works both ways," and that a lack of sleep
can affect your weight. Sleep deprivation affects your body
chemistry, appetite and the choices that you make throughout the
day, May said.
Another recent study included 12 healthy men in their 20s. Each
of the men slept only four hours for two nights. The study found
that levels of leptin, a hormone that tells the brain it's time to
stop eating because the stomach is full, decreased by 18 percent
during the two-day study period. Levels of another hormone,
ghrelin, which turns the hunger mechanism on, increased by 28
percent.
On average, the men reported that their hunger pangs increased
by 24 percent.
"Hormones change with sleep loss and deprivation," said Strollo.
"Sleep deprivation can affect appetite and also the type of food
that one desires. When you're sleep-deprived, you generally don't
crave carrot sticks."
May agreed, adding, "When you're tired, you're less resilient to
stress and other common emotional triggers for eating. When you eat
to help you cope with emotions, you're more likely to choose
comfort foods like chocolate, ice cream or chips. And, since eating
only helps temporarily, you may find yourself reaching for food
again and again to try to make yourself feel better.
"Getting enough sleep is the best way to prevent sleep
deprivation from contributing to weight gain," May advised. "When
you aren't able to get your Zzzs, pay more attention to how much
you eat and how you handle fatigue and stress. A short walk will be
a better energy boost than a trip to the candy machine."
Strollo said that while most people need between seven and eight
hours of sleep a night, there are some people who need as many as
10 and others who may do well on just five hours.
The best way to figure out how much sleep
you need, he said, is to take a long vacation and after a
couple of days of catching up on your sleep debt, see how many
hours of sleep you need to wake without an alarm clock. Since many
Americans don't take long vacations, if you feel that you're not
fully functional all day, or that you're doing things to stay
awake, like a double-espresso shot, you're probably not getting
enough sleep, he said.
May added that it's important to remember that "healthy eating,
physical activity and sleep are not luxuries, they are
necessities."
More information
To learn more about the connection between sleep and your
weight, visit the
National Sleep Foundation.