Obesity adds weight to health costs
Stress for Success
October 20, 2009


With the health care debate raging around the country little attention has been paid to the obesity epidemic, which costs an estimated one out of every six health care dollars. Consider:
* The Mayo Clinic reports that two-thirds of Americans are over-weight, one-third are obese;
* Johns Hopkins Bloomberg School for Public Health projects 86% of Americans could be overweight or obese by 2030 if present trends continue!
* The Center for Disease Control: in 2008 obesity-related medical bills cost the country approximately $147 billion. An obese person annually had approximately $1,400 more in medical bills compared to a healthy-weight patient;

Beyond the cost savings, losing weight helps you feel better in several ways, like decreased joint pain, increased flexibility and more energy. It may also save you money. As I wrote last week an increasing number of government agencies and corporations are charging obese employees more for health coverage.

You’ve been inundated with weight-loss advice (exercise and a healthy diet), but did you know that sleeping better can help, too?

Bad diets and bad sleep enable each other:
* University of Pennsylvania study: after a four-hour night’s sleep, people are more likely to choose handy junk food;
* Other studies show that we devour more calories after a few consecutive nights of poor sleep because of changes in appetite-regulating hormones. Ghrelin, which signals hunger, increases, while leptin, which suppresses appetite, decreases;
* May issue of Psychoneuroendocrinology: chronic insomniacs experience a significant disruption in nighttime ghrelin levels therefore have an increase in appetite during the day, leading to weight gain over time;
* Inadequate sleep causes an increase in the stress hormone cortisol, which increases cravings for high-carb, high-calorie “comfort foods;”
* The brain secretes growth hormones during deep-sleep, necessary for helping the body convert fat to fuel. Without enough deep sleep, fat accumulates;
* Sleep-deprived people exercise less, so burn fewer calories;
* The journal Cell Metabolism: mice fed a high-fat diet stayed up nibbling, while mice on a normal diet slept soundly. So:
o Avoid food high in protein or fat within three hours of bedtime since your body has to work harder to digest them;
o Don’t go to bed on an empty stomach, munch on complex carbohydrates like fruits and vegetables;

Sleep expert Michael Breus, clinical director of the sleep division at Southwest Spine and Sports in Scottsdale, Arizona says that there is no magic number of hours people should sleep but that the average adult needs about five 90-minute sleep cycles per night, so 7.5 hours seems optimal as a minimum. Getting enough sleep probably isn’t enough to achieve long-term weight loss but Breus says, “What these findings suggest is that there’s a new triad to achieving a healthy weight: diet, exercise and enough sleep.”

The comfort of doing nothing about weight loss today isn’t worth the potential negative consequences tomorrow. At least by getting more regular sleep you’ll not just discourage weight gain, you’ll also function better physically, emotionally and mentally.

Jacquelyn Ferguson, M. S., is a speaker and a Stress Coach. Order her newly published book, Let Your Body Win: Stress Management Plain & Simple, at http://www.letyourbodywin.com/bookstore.html.