Miami Herald (Sunday)

Want to lose weight? Get more sleep, study shows

- BY SHEAH RARBACK Special to the Miami Herald

Most of us have experience­d late-night munchies. Hunger is not usually the driving factor for evening snacks. You are awake; the food is there and calling to you.

Dietitians regularly counsel on this topic, but we usually include the word food in the conversati­on. I found this article in JAMA Internal Medicine intriguing since the research design message was solely on sleep and food was not mentioned.

Participan­ts in this randomized clinical trial were 80 overweight adults. They were all sleeping about six hours a night. The experiment­al group received instructio­n on sleep hygiene with the goal to expand their sleeping hours to eight and half hours a night.

The control group was instructed to continue with their normal sleep habits. No dietary informatio­n was gathered and energy expenditur­e and storage was measured with doubly labeled water and X-ray. The subjects assumed it was a sleep study and were not given any food or exercise recommenda­tions.

After two weeks, the group receiving sleep instructio­n increased their sleep time by 1.2 hours. They also had a significan­t decrease in calories consumed. At the end of the two weeks, they were eating about 270 calories less a day. There was also weight loss in the group getting more sleep.

And it isn’t just that they were awake fewer hours so had less time to eat. Sleep deprivatio­n alters hormones that control hunger. When you don’t have enough sleep, the hunger-promoting hormone gherlin increases and the satiety promoting hormone leptin decreases. That is a classic lose/lose situation.

A 2019 meta analysis found that the risk for obesity increased by 9% for each one hour decrease in sleep.

The participan­ts were living their regular lives while engaged in this study. No fancy equipment required. This would be a relatively easy and tremendous­ly beneficial interventi­on for many of us. Other benefits of a longer night of sleep includes increased mental clarity, better blood glucose levels and a better mood.

For informatio­n, go to www.sleepfound­ation.org

Sheah Rarback MS,RDN is a registered dietitian nutritioni­st in private practice in Miami.

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