title: Sleep and health-related factors in overweight and obese rural women in a randomized controlled trial.
abstract: This secondary analysis describes sleep and health-related factors in healthy overweight and obese mid-life and older rural women enrolled in the" Women Weigh-In for Wellness" randomized clinical trial. The aim of the trial was to promote healthy behaviors and weight-loss. We analyzed demographic, anthropometric, and biomarker variables, self-reported measurements of sleep disturbance and pain interference, and objective 24-h sleep/wake patterns at baseline, 6 months, and the change over time. Although self-reported sleep disturbance reflected normal sleep, pain interference was slightly higher than normal. There were associations between higher self-reported sleep disturbance, pain interference and several other variables. Women who achieved 5 % or more weight loss exhibited positive associations between sleep, pain, and health-related factors. Weight loss and lower pain predicted lower self-reported sleep disturbance. Our results suggest that overweight and obese rural women who adopt healthy behaviors and achieve weight loss also may experience improved sleep and other health benefits. Clinical trial # NCT01307644.
authors.affiliation: College of Nursing-Omaha, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE, 68198, USA. marcia.shade@unmc.edu.
authors.forename: Marcia Y
authors.initials: MY
authors.lastname: Shade
authors.affiliation: College of Nursing-Omaha, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE, 68198, USA.
authors.forename: Ann M
authors.initials: AM
authors.lastname: Berger
authors.affiliation: College of Nursing-Omaha, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE, 68198, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Dizona
authors.affiliation: College of Nursing-Lincoln, University of Nebraska Medical Center, 1230 O Street, Suite 131, Lincoln, NE, 68588, USA.
authors.forename: Bunny J
authors.initials: BJ
authors.lastname: Pozehl
authors.affiliation: College of Nursing-Omaha, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE, 68198, USA.
authors.forename: Carol H
authors.initials: CH
authors.lastname: Pullen
mesh_terms: D000328:Adult; D000368:Aged; D015897:Comorbidity; D005260:Female; D006801:Humans; D008875:Middle Aged; D015146:Midwestern United States / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology / Q000628:therapy; D050177:Overweight / Q000453:epidemiology* / Q000628:therapy; D010146:Pain / Q000453:epidemiology*; D012424:Rural Population / Q000706:statistics & numerical data*; D012893:Sleep Wake Disorders / Q000453:epidemiology* / Q000628:therapy; D015431:Weight Loss / Q000502:physiology*
keywords: Middle-aged; Overweight; Pain; Rural; Sleep; Women