RT Journal Article
SR Electronic
T1 Self-reported body silhouette trajectories across the lifespan and excessive daytime sleepiness in adulthood: a retrospective analysis. The Paris Prospective Study III
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e020851
DO 10.1136/bmjopen-2017-020851
VO 8
IS 3
A1 Quentin Lisan
A1 Muriel Tafflet
A1 Marie-Aline Charles
A1 Frédérique Thomas
A1 Pierre Boutouyrie
A1 Catherine Guibout
A1 José Haba-Rubio
A1 Marie Cécile Périer
A1 Bruno Pannier
A1 Pedro Marques-Vidal
A1 Xavier Jouven
A1 Jean-Philippe Empana
YR 2018
UL http://bmjopen.bmj.com/content/8/3/e020851.abstract
AB Objectives Excessive daytime sleepiness (EDS) is a common sleep complaint in the population and is increasingly recognised as deleterious for health. Simple and sensitive tools allowing identifying individuals at greater risk of EDS would be of public health importance. Hence, we determined trajectories of body silhouette from early childhood to adulthood and evaluated their association with EDS in adulthood.Design A retrospective analysis in a prospective community-based study.Participants 6820 men and women self-reported their silhouette at ages 8, 15, 25, 35 and 45 using the body silhouettes proposed by Stunkard et al. EDS was defined by an Epworth Sleepiness Scale score ≥11.Main outcome measure Presence of EDS in adulthood.Results The study population comprised 6820 participants (mean age 59.8 years, 61.1% men). Five distinct body silhouettes trajectories over the lifespan were identified: 31.9% ‘lean stable’, 11.1% ‘lean increase’, 16.1% ‘lean-marked increase’, 32.5% ‘moderate stable’ and 8.4% ‘heavy stable’. Subjects with a ‘heavy-stable’ trajectory (OR 1.24, 95% CI 0.94 to 1.62) and those with a ‘lean-marked increase’ trajectory (OR 1.46, 95% CI 1.18 to 1.81) were more likely to have EDS when compared with the ‘lean-stable’ group after adjusting for confounding. Further adjustment for birth weight strengthened the magnitude of the ORs.Conclusion Increasing body silhouette and to a lesser extent constantly high body silhouette trajectory from childhood to adulthood are associated with increased likelihood of EDS, independently of major confounding variables.Trial registration number NCT00741728; Pre-results.