Sleep and health-related factors in overweight and obese rural women in a randomized controlled trial

Marcia Y. Shade, Ann Malone Berger, Paul J. Dizona, Bunny Pozehl, Carol H Pullen

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)386-397
Number of pages12
JournalJournal of Behavioral Medicine
Issue number3
StatePublished - Jun 1 2016


  • Middle-aged
  • Overweight
  • Pain
  • Rural
  • Sleep
  • Women

ASJC Scopus subject areas

  • General Psychology
  • Psychiatry and Mental health


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