Evidence map›Paper›PMID 31698817›Full record

ReviewInternational journal of environmental research and public health2019

The Association Between Body Mass Index (BMI) and Sleep Duration: Where Are We after nearly Two Decades of Epidemiological Research?

Victoria Garfield

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

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  7. The interdependence of depressive symptoms and sleep in dyads affected by cancer.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Victoria GarfieldMRC Unit of Lifelong Health and Ageing at UCL, Department of Population Science and Experimental Medicine, Institute of Cardiovascular Science, University College London, 1-19 Torrington Place, WC1E 7HB London, UK.ORCID 0000-0002-5127-0890

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past twenty years we have seen a vast number of epidemiological studies emerge on the topic of obesity and sleep duration, with a focus on body mass index, as it is easy and cheap to measure and analyse. Such studies largely observe that cross-sectionally a higher BMI is associated with shorter sleep and that in longitudinal studies shorter sleep duration is associated with increases in BMI over time, but some research has found no relationship between the two. This narrative review is not exhaustive, but appraises the literature on sleep duration and BMI from perspectives that have previously been unexplored in a single paper. As such, I discuss research in these important areas: bidirectionality, objective vs. subjective sleep duration, how meaningful the effect sizes are and how we have begun to address causality in this area. From the evidence appraised in this review, it is clear that: (i) there is some modest evidence of a bidirectional relationship between BMI and sleep duration in both children and adults; (ii) objective measurements of sleep should be used where possible; (iii) it remains difficult to confirm whether the effect sizes are conclusively meaningful in a clinical setting, but at least in adults this so far seems unlikely; (iv) to date, there is no solid evidence that this relationship (in either direction) is in fact causal. In the near future, I would like to see triangulation of these findings and perhaps a move towards focusing on distinct aspects of the relationship between obesity and sleep that have not previously been addressed in detail, for various reasons.

Indexed as

Body Mass IndexAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansLongitudinal StudiesMaleMiddle AgedObesitySleepSleep Wake DisordersTime Factorsbody mass indexcausalityepidemiologyobesitysleep duration

Identifiers

PMID31698817
PMCPMC6888565

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.