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Why poor sleep could derail your weight loss goals

Adults are supposed to get between seven and nine hours of quality sleep each night, but the number of people getting by on six hours — or fewer — is on the rise.

July 27, 2022

Adults are supposed to get between seven and nine hours of quality sleep each night, but the number of people getting by on six hours — or fewer — is on the rise. With so many of us short-changing our sleep, it may not seem surprising that the number of Americans who rely on a daily jolt of coffee is also climbing. In fact, 63% of U.S. adults reported a daily java fix in 2019, according to a survey commissioned by the National Coffee Association USA (NCA).

If your days are hectic and you’re short on time, you might think sacrificing a few hours of shut-eye isn’t a big deal. After all, you can offset your resulting mental grogginess with a dose of caffeine. 

But poor sleep affects more than your alertness and energy level. It also affects your metabolism and may contribute to weight gain as well as obesity-related conditions, such as Type 2 diabetes. 

The role of sleep in weight loss and gain

Inadequate sleep has been linked to overeating and trouble losing excess weight. Adults who sleep less than seven hours per night are more likely to report being obese than those who sleep seven or more hours, according to the Centers for Disease Control and Prevention (CDC).

You might assume this association is simply due to the fact that people who stay up late or don’t have a well-established sleep-wake routine are just too tired to be active or to work out. But the sleep-metabolism connection is more complicated than that. 

Your circadian rhythms, or “body clock,” govern many biological systems, including appetite and metabolism. These internal clockworks are established mainly by genetics, but external factors, such as exercise, light exposure, meal times and sleep deprivation, can influence them.

In short, going to bed at different times and getting irregular amounts of sleep can have metabolic consequences. A May 2019 study involving 2,003 men and women between the ages of 45 and 84 years old found that inconsistent sleeping patterns are linked to a higher risk for obesity, high cholesterol, high blood pressure, high blood sugar and other metabolic problems. The findings, published in Diabetes Care, suggest that for every hour that bedtimes and sleep durations shift, people’s odds for a metabolic disorder may increase by up to 27%.

Sleep loss affects hormone levels 

So, how does inconsistent, poor-quality sleep affect your metabolic health? Research suggests that sleep loss affects hormone levels tied to hunger, satiety, stress and even insulin sensitivity. The more sleep deprived you are, the more profound these effects. 

The cascade of metabolic changes that may result from poor sleep includes a drop in blood levels of leptin (a “satiety” hormone that triggers feelings of fullness after eating) and a rise in blood levels of ghrelin (a “hunger” hormone that stimulates appetite and helps regulate body weight over time). 

Normally, higher ghrelin levels are associated with exercise and calorie restriction, while excess weight is linked with lower levels of this hormone. But when related to sleep deprivation, these changes can trigger cravings for calorie-dense, carbohydrate-rich foods, which can lead to weight gain. 

Poor sleep — or more specifically fewer hours of deep, rapid eye movement (REM) sleep — may also increase levels of the stress hormone cortisol. As bedtime approaches, cortisol levels typically drop — but research shows that levels remain elevated in those who are sleep deprived. Over time, higher than normal cortisol levels due to poor sleep can lead to insulin resistance, increasing your risk for obesity and Type 2 diabetes.

People who are sleep deprived and have changes in their cortisol levels also tend to use another hormone, called Glucagon-like peptide-1 (GLP-1), ineffectively. Since GLP-1 also promotes satiety and helps control appetite, this disruption can lead to higher caloric intake or overeating in order to feel full.

Moreover, if you’re routinely skimping on sleep, your levels of human growth hormone (HGH) may drop. In addition to your sleeping habits, the secretion of HGH is influenced by your age, gender, diet, level of physical activity and weight. It works in combination with another hormone, known as Insulin-like Growth Factor-1, to build muscle and burn body fat. Low levels of growth hormone are typically associated with obesity. 

Your genetics, family history and lifestyle will also dictate how your sleeping habits affect your metabolism and your ability to maintain a healthy weight.

Protecting your metabolic health

Aside from adopting good sleep hygiene habits that help ensure you get consistent, quality shut-eye, exercising regularly is one of the best ways to improve your sleep and protect your metabolic health.

During physical activity, there are many endorphins and hormones released that can help improve mood and overall health. In fact, exercising regularly over time can even promote better sleep. The two can work together to help maintain an appropriate metabolism as you work toward you weight loss goals. 

In addition to diet and lifestyle changes, there are weight loss solutions we offer for those who qualify. Visit our weight loss surgery page to explore other options.

July 27, 2022