Association between sleep duration and differences between weekday and weekend sleep with body mass index & waist circumference among Black women in Sistertalk II

  • Tayla Ash
    Corresponding author: Tayla Ash, Brown University School of Public Health, Department of Behavioral & Social Sciences, 121 S. Main St., 824-E, Providence, Rhode Island RI 02912, United States
    Center for Health Promotion & Health Equity, Brown School of Public Health, Providence, RI, USA

    Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA
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  • Augustine Kang
    Center for Health Promotion & Health Equity, Brown School of Public Health, Providence, RI, USA

    Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA
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  • Christina Hom
    Brown School of Public Health, 121 S. Main St., Providence, RI, USA
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  • Patricia Markham Risica
    Center for Health Promotion & Health Equity, Brown School of Public Health, Providence, RI, USA

    Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, USA

    Department of Epidemiology, Brown School of Public Health, Providence, RI, USA
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      Examine associations between sleep duration and differences between weekday and weekend sleep with body mass index and waist circumference in a sample of high-risk Black women from the SisterTalk II study.


      Cross-sectional analysis of baseline data from an intervention study targeting dietary and physical activity behaviors.


      Women were recruited from the Providence, RI, USA, area.


      The sample includes 569 middle-aged Black women who were hypertensive or at risk for hypertension.


      Participants self-reported their weekday and weekend sleep duration. Body mass index (BMI) and waist circumference (WC) were objectively measured. Associations between the sleep and anthropometric measures were examined using analysis of variance and multivariable regression models controlling for birthplace, educational attainment, employment status, and annual household income.


      25.5% of the sample were very short sleepers (≤6 hrs), 28.8% short sleepers (≥6 to <7 hrs), 40.4% recommended sleepers (≥7 to ≤9 hrs), and 5.3% long sleepers (>9 hrs); 70.7% had a consistent sleep duration (≤2-hour difference between weekday and weekend sleep duration), 21.6% were classified as “weekend snoozers” (>2-hours more sleep on weekends), and 7.7% were classified as “weekend warriors” (>2-hours less sleep on weekends). Compared to recommended sleepers, very short sleepers and long sleepers had significantly greater BMIs, while long sleepers had significantly larger WCs. Being a weekend snoozer was also associated with increased BMI and WC.


      In this sample of high-risk Black women, sleep duration and differences between weekday and weekend sleep were independently associated with excess weight and abdominal obesity.



      BMI (body mass index), WC (waist circumference)
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        • Flegal K.M.
        • Kruszon-Moran D.
        • Carroll M.D.
        • Fryar C.D.
        • Ogden C.L.
        Trends in obesity among adults in the United States, 2005 to 2014.
        JAMA. 2016; 315: 2284-2291
        • Cappuccio F.P.
        • Taggart F.M.
        • Kandala N.B.
        • et al.
        Meta-analysis of short sleep duration and obesity in children and adults.
        Sleep. 2008; 31: 619-626
        • Patel S.R.
        • Hu F.B.
        Short sleep duration and weight gain: a systematic review.
        Obesity. 2008; 16: 643-653
        • Grandner M.A.
        • Williams N.J.
        • Knutson K.L.
        • Roberts D.
        • Jean-Louis G.
        Sleep disparity, race/ethnicity, and socioeconomic position.
        Sleep Med. 2016; 18: 7-18
        • Ruiter M.E.
        • DeCoster J.
        • Jacobs L.
        • Lichstein K.L.
        Normal sleep in African-Americans and Caucasian-Americans: A meta-analysis.
        Sleep Med. 2011; 12: 209-214
        • Krueger P.M.
        • Friedman E.M.
        Sleep duration in the United States: a cross-sectional population-based study.
        Am J Epidemiol. 2009; 169: 1052-1063
        • Williams N.
        • Jean-Louis G.
        • Blanc J.
        • Wallace D.M.
        Race, socioeconomic position and sleep.
        Sleep Health. Academic Press, 2019: 57-76
        • Stamatakis K.A.
        • Kaplan G.A.
        • Roberts R.E.
        Short sleep duration across income, education, and race/ethnic groups: population prevalence and growing disparities during 34 years of follow-up.
        Ann Epidemiol. 2007; 17: 948-955
        • Brimah P.
        • Oulds F.
        • Olafiranye O.
        • et al.
        Sleep duration and reported functional capacity among black and white US adults.
        J Clin Sleep Med. 2013; 9: 605-609
        • Jackson C.L.
        Determinants of racial/ethnic disparities in disordered sleep and obesity.
        Sleep Health. 2017; 3: 401-415
        • Janssen I.
        • Katzmarzyk P.T.
        • Ross R.
        Waist circumference and not body mass index explains obesity-related health risk.
        Am J Clin Nutr. 2004; 79: 379-384
        • Ford E.S.
        • Maynard L.M.
        • Li C.
        Trends in mean waist circumference and abdominal obesity among US adults, 1999-2012.
        JAMA. 2014; 312: 1151-1153
        • Mota M.C.
        • Silva C.M.
        • Balieiro L.C.T.
        • Fahmy W.M.
        • Crispim C.A.
        Social jetlag and metabolic control in non-communicable chronic diseases: a study addressing different obesity statuses.
        Sci Rep. 2017; 7: 6358
        • Roenneberg T.
        • Allebrandt K.V.
        • Merrow M.
        • Vetter C.
        Social jetlag and obesity.
        Current Biol. 2012; 22: 939-943
        • Åkerstedt T.
        • Ghilotti F.
        • Grotta A.
        • et al.
        Sleep duration and mortality–does weekend sleep matter?.
        J Sleep Res. 2019; 28: e12712
        • Hwangbo Y.
        • Kim W.J.
        • Chu M.K.
        • Yun C.H.
        • Yang K.I.
        Association between weekend catch-up sleep duration and hypertension in Korean adults.
        Sleep Med. 2013; 14: 549-554
        • Risica P.M.
        • Gans K.M.
        • Kumanyika S.
        • Kirtania U.
        • Lasater T.M.
        SisterTalk: final results of a culturally tailored cable television delivered weight control program for Black women.
        Int J Behav Nutrit Phys Act. 2013; 10: 141
        • Chaput J.P.
        • Després J.P.
        • Bouchard C.
        • Tremblay A
        Short sleep duration is associated with reduced leptin levels and increased adiposity: results from the Quebec family study.
        Obesity. 2007; 15: 253-261
        • Gottlieb D.J.
        • Redline S.
        • Nieto F.J.
        • et al.
        Association of usual sleep duration with hypertension: the sleep heart health study.
        Sleep. 2006; 29: 1009-1014
        • Patel S.R.
        • Malhotra A.
        • White D.P.
        • Gottlieb D.J.
        • Hu F.B.
        Association between reduced sleep and weight gain in women.
        Am J Epidemiol. 2006; 164: 947-954
        • Ford E.S.
        • Cunningham T.J.
        • Croft J.B.
        Trends in self-reported sleep duration among US adults from 1985 to 2012.
        Sleep. 2015; 38: 829-832
        • Sperry S.D.
        • Scully I.D.
        • Gramzow R.H.
        • Jorgensen R.S.
        Sleep duration and waist circumference in adults: a meta-analysis.
        Sleep. 2015; 38: 1269-1276
        • Hairston K.G.
        • Bryer-Ash M.
        • Norris J.M.
        • Haffner S.
        • Bowden D.W.
        • Wagenknecht L.E.
        Sleep duration and five-year abdominal fat accumulation in a minority cohort: the IRAS family study.
        Sleep. 2010; 33: 289-295
        • St-Onge M.P.
        • Roberts A.L.
        • Chen J.
        • et al.
        Short sleep duration increases energy intakes but does not change energy expenditure in normal-weight individuals–.
        Am J Clin Nutr. 2011; 94: 410-416
        • Kant A.K.
        • Graubard B.I.
        Association of self-reported sleep duration with eating behaviors of American adults: NHANES 2005–2010.
        Am J Clin Nutr. 2014; 100: 938-947
        • Spaeth A.M.
        • Dinges D.F.
        • Goel N.
        Effects of experimental sleep restriction on weight gain, caloric intake, and meal timing in healthy adults.
        Sleep. 2013; 36: 981-990
        • Åkerstedt T.
        • Orsini N.
        • Petersen H.
        • Axelsson J.
        • Lekander M.
        • Kecklund G.
        Predicting sleep quality from stress and prior sleep–a study of day-to-day covariation across six weeks.
        Sleep Med. 2012; 13: 674-679
        • Kumari M.
        • Badrick E.
        • Chandola T.
        • et al.
        Cortisol secretion and fatigue: Associations in a community based cohort.
        Psychoneuroendocrinology. 2009; 34: 1476-1485
        • Moore C.J.
        • Cunningham S.A.
        Social position, psychological stress, and obesity: A systematic review.
        J Acad Nutr Diet. 2012; 112: 518-526
        • Knutson K.L.
        • Turek F.W.
        The U-shaped association between sleep and health: the 2 peaks do not mean the same thing.
        Sleep. 2006; 29: 878-879
        • Nagai M.
        • Tomata Y.
        • Watanabe T.
        • Kakizaki M.
        • Tsuji I.
        Association between sleep duration, weight gain, and obesity for long period.
        Sleep Med. 2013; 14: 206-210
        • Simpson N.S.
        • Diolombi M.
        • Scott-Sutherland J.
        • et al.
        Repeating patterns of sleeprestriction and recovery: Do we get used to it?.
        Brain Behav Immun. 2016; 58: 142-151
        • Broussard J.L.
        • Wroblewski K.
        • Kilkus J.M.
        • Tasali E.
        Two nights of recovery sleep reverses the effects of short-term sleep restriction on diabetes risk.
        Diabet Care. 2016; 39: e40-e41
        • Killick R.
        • Hoyos C.M.
        • Melehan K.L.
        • Dungan G.C.
        • Poh J.
        • Liu P.Y.
        Metabolic and hormonal effects of ‘catch‐up'sleep in men with chronic, repetitive, lifestyle‐driven sleep restriction.
        Clin Endocrinol (Oxf). 2015; 83: 498-507
        • Depner C.M.
        • Melanson E.L.
        • Eckel R.H.
        • et al.
        Ad libitum weekend recovery sleep fails to prevent metabolic dysregulation during a repeating pattern of insufficient sleep and weekend recovery sleep.
        Current Biology. 2019; 29: 957-967
        • Rutters F.
        • Lemmens S.G.
        • Adam T.C.
        • et al.
        Is social jetlag associated with an adverse endocrine, behavioral, and cardiovascular risk profile?.
        J Biol Rhythms. 2014; 29: 377-383
        • Depner C.M.
        • Stothard E.R.
        • Wright K.P.
        Metabolic consequences of sleep and circadian disorders.
        Curr Diab Rep. 2014; 14: 507
        • Krishnan V.
        • Patel S.R.
        Sleep apnea and obesity.
        in: Sleep Loss and Obesity. Springer, New York, NY2012: 119-131
        • Lauderdale D.S.
        • Knutson K.L.
        • Yan L.L.
        • Liu K.
        • Rathouz P.J.
        Self-reported and measured sleep duration: how similar are they?.
        Epidemiology. 2008; 19: 838-845
        • Jackson C.L.
        • Patel S.R.
        • Jackson W.B.
        • Lutsey P.L.
        • Redline S.
        Agreement between self-reported and objectively measured sleep duration among white, black, Hispanic, and Chinese adults in the United States: multi-ethnic study of atherosclerosis.
        Sleep. 2018; 41: zsy057