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I'm always hungry...or tired...or both


If your New Year's resolution is to lose weight and get fit, some recent research findings may be able to help. A study published in the journal Sleep shows that weight loss due to dietary changes can improve sleep habits at any weight, making people feel more energetic and able to exercise.

Previous studies have linked obesity with persistent sleepiness, lack of energy during the day and poor sleep quality, all of which can be successfully combatted with weight loss treatment.

But until now, researchers have known little about the link between excessive weight, poor dietary habits and sleep/wake abnormalities.

Nearly 185 million adults and 24 million children in the US are overweight or obese; in Philadelphia, the figure for adults is around 68%.

The Centers for Disease Control and Prevention (CDC) estimate that 50-70 million adults in the US experience sleep or wakefulness disorders. Poor sleep is associated with impaired cognitive function and a number of chronic health problems, including depression, obesity and hypertension.

Researchers from the Perelman School of Medicine at the University of Pennsylvania wanted to gain new insights into how weight fluctuations impact numerous aspects of sleep independent of body weight.

The team studied obesity using diet-induced obese mice.Half of the mice were randomly chosen to receive regular chow (RC), while the others were fed a high-fat diet (HFD), more than three times higher in fat content, for 8 weeks.

After week 8, some of the mice were switched to the alternative diet for a week, causing newly fed HFD mice to gain weight and newly fed RC mice to lose weight, while the remaining mice continued with the diet they had been on.

High-fat diet leads to sleep disruption; diet switch reverses it. After week 9, the mice on the HFD weighed 30% more, slept more than 1 hour longer each day and more frequently slipped into sleep than those on the RC diet.

Both "diet switch" groups, however, had similar body weight at week 9 but completely different sleep/wake profiles from each other. The mice that ate the RC diet for only a week showed the same sleep/wake profile as mice that ate the RC diet for 9 weeks.

In other words, it was the diet consumed during the final week that was driving the sleep effects, regardless of the starting body weight, a finding that also has implications for individuals who are not obese or overweight.

The study's lead author, Isaac Perron, a PhD student in Neuroscience at the University of Pennsylvania, says:

"Our findings suggest body weight is a less important factor than changes in weight for regulating sleepiness. If you are overweight and often feel tired, you may not need to lose all the weight to improve sleep, but rather just beginning to lose that excess weight may improve your sleep abnormalities and wake impairments.”

The authors suggest that dietary changes could make individuals start to feel more awake during the day and motivate them to live a healthier lifestyle.

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