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Gain Sleep to Lose Weight!
          By Ilana Fishof Muhlstein
Dietetic Intern, City of Hope Medical Center
Outline
1. Overview
2. Effect of Sleep on Appetite Hormones
3. Sleep Deprivation Impacts Obesity
4. Diet Guidelines for Improved Sleep
5. Exercise Promotes Sleep
6. Conclusion
7. Questions
Overview

â—Ź 28% of adults are now reporting that they get
  6 or fewer hours of sleep per night
â—Ź Sleep largely impacts our appetite
â—Ź It is recommended to get 6 to 8 hours per
  night
â—Ź As Americans report getting less sleep,
  obesity rates continue to rise, indicating a
  notable link
Leptin, Ghrelin and Appetite
â—Ź Leptin is produced by the body's fat cells and
  suppresses the feeling of hunger
â—Ź Ghrelin is released by the stomach and
  stimulates appetite
â—Ź A lack of sleep causes the body to decrease
  levels of leptin and increase the levels of
  ghrelin in the body, making you feel extra
  hungry
â—Ź The opposite is also true: Adequate sleep
  decreases the feeling of hunger
Sleep Deprivation Impacts Obesity

  â—Ź   Study showed that the less people sleep, the
      worse their snacking habits
  â—Ź   People who slept 5 hours on average,
      compared to people who slept 6-7 hours,
      took in average of 550 more calories per day
  â—Ź   People who are sleep deprived take in more
      calories but don't expend more calories
  â—Ź   They also tend to grab quick high energy
      foods such as pastries and high sugar drinks
  â—Ź   These foods burn quickly causing you to
      burn out quicker
Sleep Deprivation Impacts Obesity
 â—Ź Healthy study subjects were given up to 9
   hours to sleep and enough food to maintain
   weight
 â—Ź One group was restricted to 5 hours and the
   other group stayed at 9 hours and were both
   given a greater access to food
 â—Ź Switching to a sleep restricted schedule led
   the group to gain an average of 2 lb. in 5
   days whereas the sleep sufficient group
   reduced energy intake, especially in CHO
   and fat, and lost weight
Sleep Deprivation Impacts Obesity

 â—Ź People who have the deepest sleep patterns
   have healthier eating patterns as well
 â—Ź The groups were: very short sleep (less than 5
   hrs), short sleep (5-6 hrs), normal sleep (7-8
   hrs), and long sleep (9 hrs or more)
 â—Ź Food variety was highest in the normal sleep
   group and lowest in the very short sleep group
 â—Ź As compared to the normal sleep group, short
   sleep had lowers levels of water, vit C,
   lycopene, and selenium
 â—Ź It was also shown to be unhealthy to oversleep
Sleep's Impact on Obesity and Diabetes
Diet Guidelines for Better Sleep
â—Ź Gradually cut back your caffeine intake
â—Ź Avoid alcohol which can disrupt sleep
â—Ź Eat a low fat dinner 3+ hours before bedtime
â—Ź Keep the meal simple, light and clean
â—Ź Avoid spicy foods, which can cause heartburn
â—Ź A very small CHO-rich snack 30 min. before
  bedtime can increase serotonin
â—Ź Avoid fluids 2 hours before sleep if it causes
  you to wake up in the middle of the night
â—Ź If you have sleep apnea, losing 10% of your
  body weight can help
Exercise Promotes Deep Sleep
â—Ź 2013 Sleep in America Poll finds that people
  who exercise at anytime of the day report
  sleeping better and feeling more rested than
  those who don't exercise
â—Ź Exercise can help you sleep sounder and
  longer and feel more awake during the day
â—Ź Cardiovascular exercise has the greatest
  impact
Conclusion
â—Ź Sleep 6-8 hours per night
â—Ź If tired, focus on high protein snacks with a
  complex carbohydrate for sustained energy
â—Ź Eat a healthy diet with a lot of variety
â—Ź Make adjustments to your diet that
  contribute to good sleep (i.e. cut back on
  alcohol and caffeine)
â—Ź Get 30 minutes of exercise at least 4 times
  per week
Nap Time!
â—Ź Just joking, any questions??

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Gain Sleep to Lose Weight

  • 1. Gain Sleep to Lose Weight! By Ilana Fishof Muhlstein Dietetic Intern, City of Hope Medical Center
  • 2. Outline 1. Overview 2. Effect of Sleep on Appetite Hormones 3. Sleep Deprivation Impacts Obesity 4. Diet Guidelines for Improved Sleep 5. Exercise Promotes Sleep 6. Conclusion 7. Questions
  • 3. Overview â—Ź 28% of adults are now reporting that they get 6 or fewer hours of sleep per night â—Ź Sleep largely impacts our appetite â—Ź It is recommended to get 6 to 8 hours per night â—Ź As Americans report getting less sleep, obesity rates continue to rise, indicating a notable link
  • 4. Leptin, Ghrelin and Appetite â—Ź Leptin is produced by the body's fat cells and suppresses the feeling of hunger â—Ź Ghrelin is released by the stomach and stimulates appetite â—Ź A lack of sleep causes the body to decrease levels of leptin and increase the levels of ghrelin in the body, making you feel extra hungry â—Ź The opposite is also true: Adequate sleep decreases the feeling of hunger
  • 5.
  • 6. Sleep Deprivation Impacts Obesity â—Ź Study showed that the less people sleep, the worse their snacking habits â—Ź People who slept 5 hours on average, compared to people who slept 6-7 hours, took in average of 550 more calories per day â—Ź People who are sleep deprived take in more calories but don't expend more calories â—Ź They also tend to grab quick high energy foods such as pastries and high sugar drinks â—Ź These foods burn quickly causing you to burn out quicker
  • 7. Sleep Deprivation Impacts Obesity â—Ź Healthy study subjects were given up to 9 hours to sleep and enough food to maintain weight â—Ź One group was restricted to 5 hours and the other group stayed at 9 hours and were both given a greater access to food â—Ź Switching to a sleep restricted schedule led the group to gain an average of 2 lb. in 5 days whereas the sleep sufficient group reduced energy intake, especially in CHO and fat, and lost weight
  • 8. Sleep Deprivation Impacts Obesity â—Ź People who have the deepest sleep patterns have healthier eating patterns as well â—Ź The groups were: very short sleep (less than 5 hrs), short sleep (5-6 hrs), normal sleep (7-8 hrs), and long sleep (9 hrs or more) â—Ź Food variety was highest in the normal sleep group and lowest in the very short sleep group â—Ź As compared to the normal sleep group, short sleep had lowers levels of water, vit C, lycopene, and selenium â—Ź It was also shown to be unhealthy to oversleep
  • 9. Sleep's Impact on Obesity and Diabetes
  • 10. Diet Guidelines for Better Sleep â—Ź Gradually cut back your caffeine intake â—Ź Avoid alcohol which can disrupt sleep â—Ź Eat a low fat dinner 3+ hours before bedtime â—Ź Keep the meal simple, light and clean â—Ź Avoid spicy foods, which can cause heartburn â—Ź A very small CHO-rich snack 30 min. before bedtime can increase serotonin â—Ź Avoid fluids 2 hours before sleep if it causes you to wake up in the middle of the night â—Ź If you have sleep apnea, losing 10% of your body weight can help
  • 11. Exercise Promotes Deep Sleep â—Ź 2013 Sleep in America Poll finds that people who exercise at anytime of the day report sleeping better and feeling more rested than those who don't exercise â—Ź Exercise can help you sleep sounder and longer and feel more awake during the day â—Ź Cardiovascular exercise has the greatest impact
  • 12. Conclusion â—Ź Sleep 6-8 hours per night â—Ź If tired, focus on high protein snacks with a complex carbohydrate for sustained energy â—Ź Eat a healthy diet with a lot of variety â—Ź Make adjustments to your diet that contribute to good sleep (i.e. cut back on alcohol and caffeine) â—Ź Get 30 minutes of exercise at least 4 times per week
  • 13. Nap Time! â—Ź Just joking, any questions??