Indian Journal of Sleep Medicine

Register      Login

VOLUME 16 , ISSUE 4 ( October-December, 2021 ) > List of Articles


To Determine the Predictors for Sleep Quality in Young Adults Using Modifiable Lifestyle Factors for Noncommunicable Diseases: A Cross-sectional Study

Dimple Rawat, Anshu Sharma, Arti Gulati, Ram Sagar

Keywords : Anthropometry, Body composition, Noncommunicable disease, Sleep quality

Citation Information : Rawat D, Sharma A, Gulati A, Sagar R. To Determine the Predictors for Sleep Quality in Young Adults Using Modifiable Lifestyle Factors for Noncommunicable Diseases: A Cross-sectional Study. Indian Sleep Med 2021; 16 (4):97-101.

DOI: 10.5005/jp-journals-10069-0086

License: CC BY-NC 4.0

Published Online: 28-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Aims: To determine the predictors for sleep quality in young adults using modifiable lifestyle markers for noncommunicable diseases (NCDs) among adults aged 20–40 years. Materials and methods: An exploratory study was conducted in New Delhi among 100 young adults aged 20–40 years in the year 2018, using a convenience sampling method. Body composition was assessed using Tanita UM-075. The relationship between the variables was measured with Spearman correlation analysis. Multivariable logistic regression analysis was conducted to determine the predictors for poor sleep quality. The receiver operating characteristics (ROC) curve was used to determine the predictive accuracy of the model. Results: Among all, 57% had sound quality sleep followed by 43% with disturbed; 23% were highly stressed, 71% moderately, and 6% low stressed. Significant correlation between sleep quality and risk factors for NCDs like body mass index (BMI) (r = 0.8111, p <0.001), waist circumference (r = 0.6661, p <0.001), body fat percentage (r = 0.3692, p = 0.002), visceral fat (r = 0.68, p <0.001), stress score (r = 0.092, p = 0.36), muscle mass (MM) (r = 0.36, p = 0.0002). High BMI was observed to be an independent predictor for disturbed sleep quality (odds ratio 4.31, 95% CI 1.98–9.38). The area under the curve for the prediction of sleep quality was observed 0.97% using a combination of BMI, MM, duration of sleep. Conclusion: High BMI was observed to be an independent predictor (4.31 times higher) for the disturbed sleep quality. Clinical significance: Lifestyle modifiable factors should be looked upon when dealing with patients with disturbed sleep quality.

  1. ncd_global_status_report_2014.pdf. Available from:
  2. Chattu VK, Sakhamuri SM, Kumar R, et al. Insufficient sleep syndrome: is it time to classify it as a major noncommunicable disease? Sleep Sci 2018;11(2):56–64. DOI: 10.5935/1984-0063.20180013.
  3. Sleep deprivation. National Health Portal of India. Available from:
  4. Leger D, Beck F, Richard J-B, et al. Total sleep time severely drops during adolescence. PLoS One 2012;7(10):e45204. DOI: 10.1371/journal.pone.0045204.
  5. Pelletier JE, Graham DJ, Laska MN. Social norms and dietary behaviors among young adults. Am J Health Behav 2014;38(1):144–152. DOI: 10.5993/AJHB.38.1.15.
  6. Keating XD, Guan J, Piñero JC, et al. A meta-analysis of college students’ physical activity behaviors. J Am Coll Health 2005;54(2): 116–125. DOI: 10.3200/JACH.54.2.116-126.
  7. Hawes NJ, Wiggins AT, Reed DB, et al. Poor sleep quality is associated with obesity and depression in farmers. Public Health Nurs 2019;36(3):270–275. DOI: 10.1111/phn.12587.
  8. Hung H-C, Yang Y-C, Ou H-Y, et al. The association between self-reported sleep quality and overweight in a Chinese population. Obesity (Silver Spring) 2013;21(3):486–492. DOI: 10.1002/oby.20259.
  9. Rahe C, Czira ME, Teismann H, et al. Associations between poor sleep quality and different measures of obesity. Sleep Med 2015;16(10):1225–1228. DOI: 10.1016/j.sleep.2015.05.023.
  10. Ferranti R, Marventano S, Castellano S, et al. Sleep quality and duration is related with diet and obesity in young adolescent living in Sicily, Southern Italy. Sleep Sci 2016;9(2):117–122. DOI: 10.1016/j.slsci.2016.04.003.
  11. Krističević T, Štefan L, Sporiš G. The associations between sleep duration and sleep quality with body-mass index in a large sample of young adults. Int J Environ Res Public Health 2018;15(4):758. DOI: 10.3390/ijerph15040758.
  12. Bonanno L, Metro D, Papa M, et al. Assessment of sleep and obesity in adults and children: observational study. Medicine 2019;98(46). DOI: 10.1097/MD.0000000000017642.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.