A study using dual-energy x-ray absorptiometry scans to image obese patients suggests that increases in visceral body fat may be associated with an individual's quality of sleep, particularly duration, according to U.K. researchers.
An international group led by Dr. Panagiotis Giannos of Imperial College London found that visceral fat mass was negatively associated with sleep duration in a group of 5,151 adults, with a plateau effect at eight hours of sleep per day. The finding sheds new light on potential links between obesity and sleep deprivation, the authors suggest.
"Our study adds further evidence to the notion that chronic sleep restriction may be a potential contributor for visceral fat mass adiposity," the group wrote. The study was published March 15 online in Sleep Medicine.
Increasing rates of obesity and habitual declines in sleep duration are public health concerns worldwide. Emerging evidence suggests a link between weight gain and reduced sleep, yet few studies have investigated the potential association between sleep duration with regional body fat mass in U.S. adults, according to the researchers.
To address the knowledge gap, the researchers culled data from 5,151 participants from two U.S. Department of Health and Human Services surveys; the team estimated sleep duration via home interview questionnaires. All study participants underwent dual energy x-ray absorptiometry (DEXA) scans, which the researchers used to calculate regional body fat percentages.
The study cohort's food intake was within the recommended ranges and alcohol intake was low. Participants had high body mass indexes (BMI); the majority reported no trouble sleeping and were mainly free of any sleep disorders, the authors reported.
The investigators found a significant overall negative association between sleep duration and visceral fat mass: specifically, a difference of one hour less in daily sleep duration that corresponded to an increase of 12.1 grams in visceral fat mass. They also found that this association plateaued at eight hours of sleep per day and appeared stronger in men.
"Sleep duration is negatively associated with visceral fat mass accumulation during adulthood with possibly no benefits beyond eight hours of sleep per day," the study authors explained.
The results may be clinically significant, as visceral adiposity is associated with metabolic disorders such as insulin resistance and type 2 diabetes, which increase the risk of endothelial and cardiometabolic dysfunctions, according to the authors. Nonetheless, they did note that this is the first study to comprehensively explore the association between sleep duration and regional body fat mass.
"Mechanistic and prospective studies are required to confirm the effect of sleep duration on visceral adiposity and determine its causes," they concluded.
![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&fit=crop&h=100&q=70&w=100)
![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&dpr=2&fit=crop&h=167&q=70&w=250)
