Long-term sleep deprivation linked to higher risk of Adiposity and Diabetes

Sleep disruption has been known to behave harmful effects on metabolism for some time and with present lifestyle, everyone is a little short on sleep during the workweek. Researchers at Pennsylvania State University have found that just a few days of sleep deprivation can make participants feel less full after eating and metabolize the fat in food differently. This is bound to put people at a higher risk of adiposity and diabetes if there is long-term sleep deprivation. The findings of study have appeared in the Journal of Lipid Research.

Orfeu Buxton, a professor at Penn State and one of the senior authors of the new study, contributed to a lot of the research demonstrating that long-term sleep restriction puts people at a higher risk of obesity and diabetes. However, Buxton said, most of those studies have focused on glucose metabolism, which is important for diabetes, while relatively few have assessed digestion of lipids from food.

Then researchers compared blood samples from the study participants. They found that sleep restriction affected the postprandial lipid response, leading to faster clearance of lipids from the blood after a meal. That could predispose people to put on weight. “The lipids weren’t evaporating—they were being stored,” Buxton explained.

Kelly Ness, now a postdoctoral fellow at the University of Washington, ran the study when she was a graduate student in Buxton’s lab. After participants spent a week getting plenty of sleep at home, she said, the 15 healthy men in their 20s checked into the sleep lab for the ten-night study. For five of those nights, the participants spent no more than five hours in bed each night.

During the study, Ness said, she and other researchers collected data but also spent time, “interacting with the subjects, playing games with them, talking with them—helping to keep them awake and engaged and positive.”

To find out how the uncomfortable schedule affected metabolism, the researchers gave participants a standardized high-fat dinner, a bowl of chili mac, after four nights of sleep restriction. “It was very palatable—none of our subjects had trouble finishing it—but very calorically dense,” Ness said. Most participants felt less satisfied after eating the same rich meal while sleep-deprived than when they had eaten it well-rested.

Then researchers compared blood samples from the study participants. They found that sleep restriction affected the postprandial lipid response, leading to faster clearance of lipids from the blood after a meal. That could predispose people to put on weight. “The lipids weren’t evaporating—they were being stored,” Buxton explained.

The simulated workweek ended with a simulated Friday and Saturday night when participants could spend ten hours in bed catching up on missed shut-eye. After the first night, they ate one last bowl of chili mac. Although participants’ metabolic handling of fat from food was slightly better after a night of recovery sleep, they didn’t recover to the baseline healthy level.

This study was highly controlled, which makes it an imperfect model for the real world, Ness said. It focused on healthy young people, who are usually at a lower risk of cardiovascular disease, and all of the participants were men. The researchers also wondered whether giving more recovery time would change the magnitude of recovery they observed.

Nonetheless, according to Buxton, the study gives worthwhile insight into how we handle fat digestion. “This study’s importance relies on its translational relevance. A high-fat meal in the evening, at dinnertime—and real food, not something infused into the vein? That’s a typical exposure. That’s very American.”