Losing just half an hour of sleep 'can impact body weight and metabolism'

For the study, researchers from Weill Cornell Medical College in Doha, Qatar, recruited 522 patients who had been recently diagnosed with type 2 diabetes.
At the start of the study, the participants' height, weight and waist circumference were measured and samples of their blood were analyzed for insulin sensitivity.
The participants were required to keep sleep diaries, from which their weekday "sleep debt" was calculated.
The participants at the start of the study who had weekday sleep debt were found to be 72% more likely to be obese, compared with participants who had no weekday sleep debt. By follow-up at 6 months, the association between weekday sleep debt and obesity and insulin resistance was found to be significant.
At 12-month follow-up, the researchers calculated that for every 30 minutes of weekday sleep debt there was an associated 17% increased risk of obesity and 39% increased risk of insulin resistance.
"While previous studies have shown that short sleep duration is associated with obesity and diabetes, we found that as little as 30 minutes a day sleep debt can have significant effects on obesity and insulin resistance at follow-up," says lead study author Prof. Shahrad Taheri.
The authors suggest in a statement that future interventions designed to combat metabolic disease should also consider sleep and other factors affecting metabolic function. Sleep hygiene and education may be a key component of future trials studying metabolic control, they add.

People often miss out on sleep during the week and try to catch up at weekends

People often accumulate sleep debt during weekdays as a consequence of social and work commitments, making up for the lost sleep at the weekend. However, Prof. Taheri explains that the results reinforce the notion that sleep loss is additive and has metabolic consequences:

"Sleep loss is widespread in modern society, but only in the last decade have we realized its metabolic consequences. Our findings suggest that avoiding sleep debt could have positive benefits for waistlines and metabolism and that incorporating sleep into lifestyle interventions for weight loss and diabetes might improve their success."

In February, researchers from the University of Chicago, MI, published the results of their study into the associations between sleep loss and diabetes in the journal Diabetologia.
The Chicago team found that after 3 nights of getting only 4 hours sleep, blood levels of fatty acids remain elevated, rather than peaking and receding overnight as they would normally. This elevated level of fatty acids between 4 am and 9 am reduces the ability of insulin to regulate blood sugars, the researchers explained.
Last December, Medical News Today reported on a study published in The Journal of Pediatrics that found chronic lack of sleep and sleep-related breathing problems each double the risk of a child being obese by the age of 15.
Lead author of that study, Prof. Karen Bonuck, from Einstein College of Medicine of Yeshiva University in New York, NY, commented:
"If impaired sleep in childhood is conclusively shown to cause future obesity, it may be vital for parents and physicians to identify sleep problems early, so that corrective action can be taken and obesity prevented. With childhood obesity hovering at 17% in the US, we're hopeful that efforts to address both of these risk factors could have a tremendous public health impact."

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Alcohol does not benefit the heart, claims new study

A new BMJ study finds that even among people who drink only light to moderate amounts of alcohol, reducing consumption can improve heart health, reduce body mass index, and bring down blood pressure.

The large multi-center international study, which was co-led by the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, calls into question previous research that suggests light to moderate drinking may be good for the heart.

The researchers found that people with a particular gene consumed 17% less alcohol per week, were less likely to binge drink, and were more likely to abstain from alcohol altogether, than non-carriers.

The study defines light to moderate drinking as consuming 0.6 to 0.8 fluid ounces of alcohol a day, or 17 to 23 ml, which is roughly what a 175 ml glass of wine contains.
The 155 researchers - from the UK, continental Europe, North America, and Australia - pooled and analyzed data about links between drinking habits and heart health from 56 epidemiological studies covering more than 260,000 people of European descent.
They found that people with a particular gene consumed 17% less alcohol per week, were less likely to binge drink, and were more likely to abstain from alcohol altogether, than non- carriers.
These lower alcohol consumers typically had a 10% average reduced risk of coronary heart disease, lower blood pressure and a lower body mass index (BMI).
The researchers conclude that reducing alcohol consumption across all levels of consumption - even light to moderate drinking - is beneficial for heart health.
Co-lead author Michael Holmes, a research assistant professor in Perelman School of Medicine's department of Transplant Surgery, says, "Contrary to what earlier reports have shown, it now appears that any exposure to alcohol has a negative impact upon heart health."
He explains how for some time, observational studies have suggested only heavy drinking is bad for the heart, and that light drinking might even provide some benefit, and this has led some people to believe moderate consumption is good for their health, even lowering their risk of heart disease.

Even for light-to-moderate drinkers, reduced consumption may improve heart health

"However, what we're seeing with this new study, which uses an investigative approach similar to a randomized clinical trial, is that reduced consumption of alcohol, even for light-to-moderate drinkers, may lead to improved cardiovascular health," says Prof. Holmes.
The focus of the study was investigating the heart health of people who carry a particular version of the gene "alcohol dehydrogenase 1B" which codes for a protein that helps to break down alcohol more quickly than in non-carriers.
The rapid breakdown causes nausea, facial flushing, and other symptoms, and is linked to lower levels of alcohol consumption over time.
The team used the gene as an indicator of lower alcohol consumption, and from there found the links between lower consumption and improved heart health.
Funds from the British Heart Foundation and the Medical Research Council in the UK financed the study.
In April 2014, Medical News Today learned how neuroscientists at the University of Utah are investigating a region of the brain that regulates how sensitive we are to the negative effects of alcohol. Inactivating this region of the brain in rats led them to drink more alcohol, at a faster pace.

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