Affiliation:
1. Pennington Biomedical Research Center Baton Rouge Louisiana USA
2. Department of Health & Exercise Science Colorado State University Fort Collins Colorado USA
3. Department of Medicine Columbia University Irving Medical Center New York New York USA
Abstract
AbstractObjectiveThe aim of this study was to investigate the effect of sleep restriction (SR) on insulin sensitivity and energy metabolism in postmenopausal women.MethodsIn a randomized crossover trial, 14 women underwent four nights of habitual sleep (HS, 100% normal sleep) and SR (60% of HS) while following a eucaloric diet. Outcomes included the following: (1) insulin sensitivity by hyperinsulinemic‐euglycemic clamp, defined as the glucose infusion rate (GIR); (2) resting metabolism and substrate oxidation by indirect calorimetry; and (3) glucose, insulin, and C‐peptide concentrations following a standard meal test.ResultsNine postmenopausal women (mean [SD], age 59 [4] years, BMI 28.0 [2.6] kg/m2) were analyzed. Accelerometer‐determined total time in bed was 8.4 ± 0.6 hours during HS versus 5.0 ± 0.4 hours during SR (38% reduction, p < 0.0001). SR reduced low‐dose insulin GIR by 20% (HS: 2.55 ± 0.22 vs. SR: 2.03 ± 0.20 mg/kg/min; p = 0.01) and high‐dose insulin GIR by 12% (HS: 10.48 ± 0.72 vs. SR: 9.19 ± 0.72 mg/kg/min; p < 0.001). SR reduced fat oxidation during high‐dose insulin infusion (p < 0.01), and it did not alter resting energy metabolism.ConclusionsFour nights of SR reduced insulin sensitivity and fat oxidation in postmenopausal women. These findings underscore the role of insufficient sleep in metabolic dysfunction following menopause. Larger trials investigating how sleep disturbances cause metabolic dysfunction during menopause are needed across all stages of menopause.
Funder
National Institutes of Health
Subject
Nutrition and Dietetics,Endocrinology,Endocrinology, Diabetes and Metabolism,Medicine (miscellaneous)
Cited by
4 articles.
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