Abstract
Introduction: Inadequate sleep and obesity have a negative impact on human body, constituting obstacles to military performance.
Objective: To fulfill a narrative review of studies on the relationship between sleep quality and obesity in active duty military personnel.
Methods: Therefore, to approach the topic, we used descriptors and their synonyms in Portuguese or English, without temporal delimitation, type of military force and gender. Original studies with military and active service populations were included. Case reports, reviews and studies with reserve military personnel were excluded.
Results and Discussion: Twenty-one studies were elected to participate in the study. These report similar consequences to the civilian environment, due to the change in the sleep/wake cycle. The relationship between inadequate sleep and obesity can alter appetite, hormones, and cause fatigue, favoring weight gain. Among sleep disorders, obstructive sleep apnea is the most prevalent and strongly associated with body mass index. This relationship is also at the origin of hypertension, diabetes, coronary heart disease and depression in military personnel. These effects can interfere in the military routine, compromising training, tasks that require precision and skills such as decision-making, planning, and strategic reviews.
Conclusion: The literature shows the positive relationship between poor sleep quality and weight gain in military personnel. Such problems can impair operational performance in numerous tasks inherent in the military environment. Educational prevention and screening policies in health care regarding sleep quality and obesity can solve possible problems.
References
Kandel E, Schwartz J, Jessel T. Princípios de neurociências. 5 ed. Porto Alegre: AMGH Editora; 2014.
Chattu V, Manzar M, Kumary S, Burman D, Spence D, Pandi-Perumal S. The Global Problem of Insufficient Sleep and Its Serious Public Health Implications. Healthcare. 2018;7(1): 1. https://doi.org/10.3390/healthcare7010001
Caruso CC. Negative Impacts of Shiftwork and Long Work Hours. Rehabilitation Nursing. 2014;39(1): 16–25. https://doi.org/10.1002/rnj.107
US Department of Army. Combat and Operational Stress Control Manual for Leaders and Soldiers, Field Manual 6-22.5. Createspace Independent Publishing Platform. Washington DC: 2009.
Taheri S. The link between short sleep duration and obesity: we should recommend more sleep to prevent obesity. Archives of Disease in Childhood. 2006;91(11): 881–884. https://doi.org/10.1136/adc.2005.093013
Neves EB. Prevalence of overweight and obesity among members of the Brazilian army: Association with arterial hypertension. Ciencia e Saude Coletiva. 2008;13(5): 1661–1668. https://doi.org/10.1590/s1413-81232008000500029.
Costa FF da, Montenegro VB, Lopes TJA, Costa EC. Combinação de fatores de risco relacionados à síndrome metabólica em militares da Marinha do Brasil. Arquivos Brasileiros de Cardiologia. 2011;97(6): 485–492. https://doi.org/10.1590/s0066-782x2011005000113
Bayerl, P.T; Castro, E.A; Doimo L. Morbidades em aeronavegantes e controladores de tráfego aéreo da Força Aérea Brasileira no período de 2016 a 2018: um estudo exploratório. Conhecimento Livre; 2021. https://doi.org/10.37423/2021.edcl251.
Crispim CA, Zalcman I, Dáttilo M, Padilha HG, Tufik S, Mello MT de. Relação entre sono e obesidade: uma revisão da literatura. Arquivos Brasileiros de Endocrinologia & Metabologia. 2007;51(7): 1041–1049. https://doi.org/10.1590/S0004-27302007000700004
Friedl KE, Knapik JJ, Häkkinen K, Baumgartner N, Groeller H, Taylor NAS, et al. Perspectives on Aerobic and Strength Influences on Military Physical Readiness. Journal of Strength and Conditioning Research. 2015;29(Supplement 11): S10–S23. https://doi.org/10.1519/JSC.0000000000001025
Grandou C, Wallace L, Fullagar HHK, Duffield R, Burley S. The Effects of Sleep Loss on Military Physical Performance. Sports Medicine. 2019;49(8): 1159–1172. https://doi.org/10.1007/s40279-019-01123-8
Brager A, Hosamane N, Ritland B, Capaldi V, Simonelli G. Geographically based risk assessment of sleep disorders and disease states impacting medical readiness across active duty army installations from military medical databases in fiscal year 2017. Sleep Health. 2021;7(1): 31–36. https://doi.org/10.1016/j.sleh.2020.07.006
Golenbock S, Kazman JB, Krauss S, Deuster PA. General health status in army personnel: relations with health behaviors and psychosocial variables. Quality of Life Research. 2017;26(7): 1839–1851. https://doi.org/10.1007/s11136-017-1523-7
Lentino C V, Purvis DL, Murphy KJ, Deuster PA. Sleep as a component of the performance triad: the importance of sleep in a military population. U.S. Army Medical Department journal. 2013;4: 98–108. http://www.ncbi.nlm.nih.gov/pubmed/24146247
Gaździńska A, Jagielski P, Turczyńska M, Dziuda Ł, Gaździński S. Assessment of Risk Factors for Development of Overweight and Obesity among Soldiers of Polish Armed Forces Participating in the National Health Programme 2016–2020. International Journal of Environmental Research and Public Health. 2022;19(5): 3069. https://doi.org/10.3390/ijerph19053069
Haasbroek C, Lategan-Potgieter R, van Rooyen C, Jordaan M. Do lifestyle choices influence the development of overweight and obesity in the South African Air Force, Bloemfontein? South African Journal of Clinical Nutrition. 2022;35(2): 59–68. https://doi.org/10.1080/16070658.2021.1948810
Erren TC, Reiter RJ. Defining chronodisruption. Journal of Pineal Research. 2009;46(3): 245–247. https://doi.org/10.1111/j.1600-079X.2009.00665.x
Saarela S, Reiter RJ. Function of melatonin in thermoregulatory processes. Life sciences. 1994;54(5): 295–311. https://doi.org/10.1016/0024-3205(94)00786-1
Padez C, Mourao I, Moreira P, Rosado V. Long sleep duration and childhood overweight/obesity and body fat. American Journal of Human Biology. 2009;21(3): 371–376. https://doi.org/10.1002/ajhb.20884
Spiegel K, Knutson K, Leproult R, Tasali E, Cauter E Van. Sleep loss: a novel risk factor for insulin resistance and Type 2 diabetes. Journal of Applied Physiology. 2005;99(5): 2008–2019. https://doi.org/10.1152/japplphysiol.00660.2005
Gabriel-Costa D, Massaferri RDO. O papel do exercício físico como uma estratégia para a melhoria da segurança de voo: foco no controlador de tráfego aéreo. Revista Brasileira de Fisiologia do Exercício. 2019;18(3): 169–178. https://doi.org/10.33233/rbfe.v18i3.3128
Martins AB, Tufik S, Moura SMGPT. Síndrome da apnéia-hipopnéia obstrutiva do sono. Fisiopatologia. Jornal Brasileiro de Pneumologia. 2007;33(1): 93–100. https://doi.org/10.1590/S1806-37132007000100017
Rush T, LeardMann CA, Crum-Cianflone NF. Obesity and associated adverse health outcomes among US military members and veterans: Findings from the millennium cohort study. Obesity. 2016;24(7): 1582–1589. https://doi.org/10.1002/oby.21513
Lee YC, Eun YG, Shin SY, Kim SW. Prevalence of Snoring and High Risk of Obstructive Sleep Apnea Syndrome in Young Male Soldiers in Korea. Journal of Korean Medical Science. 2013;28(9): 1373. https://doi.org/10.3346/jkms.2013.28.9.1373
Pouliot Z, Peters M, Neufeld H, Delaive K, Kryger MH. Sleep Disorders in a Military Population. Military Medicine. 2003;168(1): 7–10. https://doi.org/10.1093/milmed/168.1.7
Mysliwiec V, Capaldi VF, Gill J, Baxter T, O’Reilly BM, Matsangas P, et al. Adherence to Positive Airway Pressure Therapy in U.S. Military Personnel With Sleep Apnea Improves Sleepiness, Sleep Quality, and Depressive Symptoms. Military Medicine. 2015;180(4): 475–482. https://doi.org/10.7205/MILMED-D-14-00197
Mysliwiec V, McGraw L, Pierce R, Smith P, Trapp B, Roth BJ. Sleep Disorders and Associated Medical Comorbidities in Active Duty Military Personnel. Sleep. 2013;36(2): 167–174. https://doi.org/10.5665/sleep.2364
Lettieri CJ, Eliasson AH, Andrada T, Khramtsov A, Raphaelson M, Kristo DA. Obstructive sleep apnea syndrome: are we missing an at-risk population? Journal of Clinical Sleep Medicine : JCSM : official publication of the American Academy of Sleep Medicine. 2005;1(4): 381–385. http://www.ncbi.nlm.nih.gov/pubmed/17564406
Carmo OF. O estudo da fadiga na pilotagem de helicóptero da polícia militar do estado de São Paulo. Dissertação. Centro de Altos Estudos de Segurança da Polícia Militar do Estado de São Paulo. São Paulo: 2013, 121p.
Hruby A, Lieberman HR, Smith TJ. Symptoms of depression, anxiety, and post-traumatic stress disorder and their relationship to health-related behaviors in over 12,000 US military personnel: Bi-directional associations. Journal of Affective Disorders. 2021;283: 84–93. https://doi.org/10.1016/j.jad.2021.01.029
Meadows SO, Engel CC, Collins RL, Beckman RL, Cefalu M, Hawes-Dawson J, et al. 2015 Department of Defense Health Related Behaviors Survey (HRBS). Rand health quarterly. 2018;8(2): 5. http://www.ncbi.nlm.nih.gov/pubmed/30323988
Tvaryanas AP, Greenwell B, Vicen GJ, Maupin GM. The Commander’s Wellness Program: Assessing the Association Between Health Measures and Physical Fitness Assessment Scores, Fitness Assessment Exemptions, and Duration of Limited Duty. Military Medicine. 2018;183(9–10): e612–e618. https://doi.org/10.1093/milmed/usx221
Chang JH, Huang PT, Lin YK, Lin CE, Lin CM, Shieh YH, et al. Association between sleep duration and sleep quality, and metabolic syndrome in Taiwanese police officers. International Journal of Occupational Medicine and Environmental Health. 2015;28(6): 1011–1023. https://doi.org/10.13075/ijomeh.1896.00359
McCanlies EC, Slaven JE, Smith LM, Andrew ME, Charles LE, Burchfiel CM, et al. Metabolic syndrome and sleep duration in police officers. Work. 2012;43(2): 133–139. https://doi.org/10.3233/WOR-2012-1399
Almeida SDS de. Síndrome metabólica no Policial Militar do Estado de Goiás. Tese de Doutorado. Faculdade de Medicina da Universidade Federal de Goiás: 2017, 88p. Disponível em: http://repositorio.bc.ufg.br/tede/handle/tede/6914
Minayo MC de S, Assis SG de, Oliveira RVC de. Impacto das atividades profissionais na saúde física e mental dos policiais civis e militares do Rio de Janeiro (RJ, Brasil). Ciência & Saúde Coletiva. 2011;16(4): 2199–2209. https://doi.org/10.1590/S1413-81232011000400019
Pinto J do N, Perin C, Dick NRM, Lazzarotto AR. Avaliação do Sono em um Grupo de Policiais Militares de Elite. Acta Paulista de Enfermagem. 2018;31(2): 153–161. https://doi.org/10.1590/1982-0194201800023
Ritland BM, Hughes JM, Taylor KM, Guerriere KI, Proctor SP, Foulis SA, et al. Sleep health of incoming army trainees and how it changes during basic combat training. Sleep Health. 2021;7(1): 37–42. https://doi.org/10.1016/j.sleh.2020.10.005
Oliveira DIP de. Prevalência de sintomas musculoesqueléticos e associações com sensibilização central e qualidade do sono em militares do corpo de bombeiros do Distrito Federal. Dissertação de Mestrado. Universidade de Brasília: 2020, 80p. Disponível em: https://repositorio.unb.br/handle/10482/41819
Fullagar HHK, Skorski S, Duffield R, Hammes D, Coutts AJ, Meyer T. Sleep and Athletic Performance: The Effects of Sleep Loss on Exercise Performance, and Physiological and Cognitive Responses to Exercise. Sports Medicine. 2015;45(2): 161–186. https://doi.org/10.1007/s40279-014-0260-0
Luke A, Lazaro RM, Bergeron MF, Keyser L, Benjamin H, Brenner J, et al. Sports-Related Injuries in Youth Athletes: Is Overscheduling a Risk Factor? Clinical Journal of Sport Medicine. 2011;21(4): 307–314. https://doi.org/10.1097/JSM.0b013e3182218f71
Harrison Y, Horne JA. The impact of sleep deprivation on decision making: A review. Journal of Experimental Psychology: Applied. 2000;6(3): 236–249. https://doi.org/10.1037/1076-898X.6.3.236
Kamimori GH, McLellan TM, Tate CM, Voss DM, Niro P, Lieberman HR. Caffeine improves reaction time, vigilance and logical reasoning during extended periods with restricted opportunities for sleep. Psychopharmacology. 2015;232(12): 2031–2042. https://doi.org/10.1007/s00213-014-3834-5
Wesensten NJ, Balkin TJ. The challenge of sleep management in military operations. U.S. Army Medical Department Journal. 2013; 109–118. https://doi.org/24146248
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2023 Journal of Physical Education