Association of sleep quality with physical and psychological health indicators in overweight and obese rural Indians

Arora, S and Sahadevan, P and Sundarakumar, JS (2024) Association of sleep quality with physical and psychological health indicators in overweight and obese rural Indians. In: Sleep Medicine: X, 7 .

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Abstract

Objective: To measure the association of sleep quality with physical (i.e., grip strength, functional mobility, balance) and psychological (depression, anxiety) health indicators in an overweight/obese population. Methods: Baseline data of 2337 participants (1382 overweight/obese and 955 normal weight) from an aging cohort in rural southern India (CBR-SANSCOG) was analyzed retrospectively. Assessment tools included the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, dynamometry for Hand Grip Strength (HGS), Timed Up-and-Go (TUG) for functional mobility, Chair Stand Test (CST) for lower limb strength, Geriatric Depression scale (GDS-30) for depressive symptoms and Generalized Anxiety Disorder scale (GAD-7) for anxiety symptoms. Linear regression models, adjusted for known confounders, were used to examine the association of sleep quality with the health parameters in overweight/obese and normal-weight groups. Results: In the fully adjusted model, higher global PSQI score was associated with higher TUG time (β = 0.06, 95 CI: 0.004,0.12), higher scores on GDS (β = 1.08, 95 CI: 0.96,1.20) and GAD (β = 0.71, 95 CI: 0.62,0.79), and lower scores on CST (β = -0.12, 95 CI: -0.19,-0.06) in overweight/obese individuals. The sleep disturbance sub-component of PSQI was associated with most of the physical (TUG, CST) and psychological (GDS and GAD) health indicators. Sleep duration and use of sleep medication showed no significant association with any of the health indicators. Conclusion: The concurrent presence of poor sleep quality and overweight/obesity could worsen physical and psychological health in middle-aged and older adults. We highlight the importance of early detection and timely management of sleep problems in this population to reduce physical and psychological morbidities. © 2024 The Authors

Item Type:	Journal Article
Publication:	Sleep Medicine: X
Publisher:	Elsevier B.V.
Additional Information:	The copyright for this article belongs to Elsevier B.V.
Keywords:	adult; aged; anxiety; Article; body mass; cognition; comorbidity; controlled study; depression; dynamometry; early diagnosis; female; Generalized Anxiety Disorder Scale; Geriatric Depression Scale; grip strength; hand grip; health care; health care disparity; human; Indian; linear regression analysis; lower limb; major clinical study; male; mental health; metabolic regulation; middle aged; morbidity; obesity; physical activity; Pittsburgh Sleep Quality Index; polypharmacy; prevalence; psychologic assessment; psychological aspect; retrospective study; rural area; sleep disorder; sleep quality; sleep time
Department/Centre:	Autonomous Societies / Centres > Centre for Brain Research
Date Deposited:	07 Jun 2024 13:55
Last Modified:	07 Jun 2024 13:55
URI:	http://eprints.iisc.ac.in/id/eprint/85095

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