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Is fatty liver the result of poor sleep? Understanding risks of less than a 7-hour cycle 

Sleep deprivation leads to increased production of free fatty acids and triglycerides. World Sleep Day special

When sleep is restricted, ghrelin levels rise and leptin levels fall, leading to increased hunger and calorie consumption, particularly for high-fat and high-sugar foods. (File Image)When sleep is restricted, ghrelin levels rise and leptin levels fall, leading to increased hunger and calorie consumption, particularly for high-fat and high-sugar foods. (File Image)

Sleep is a fundamental pillar of health, influencing everything from cognitive function to immune response. However, one of the lesser-known but significant consequences of sleep deprivation is its impact on metabolism, body fat accumulation and cholesterol levels. Research increasingly points to a strong connection between inadequate sleep and metabolic disorders, including obesity, dyslipidemia (abnormal cholesterol levels) and fatty liver disease.

How Sleep Deprivation Affects Body Fat

Sleep deprivation alters the body’s hormonal balance, leading to weight gain and increased fat accumulation. The two primary hormones affected are ghrelin, which stimulates appetite and leptin, which signals satiety to the brain. When sleep is restricted, ghrelin levels rise and leptin levels fall, leading to increased hunger and calorie consumption, particularly for high-fat and high-sugar foods.

Additionally, chronic sleep deprivation disrupts the body’s insulin sensitivity. Insulin is responsible for regulating blood sugar levels and when cells become resistant to insulin, excess glucose is stored as fat. Studies suggest that sleep deprivation can lead to increased visceral fat — fat stored around internal organs — which is a significant risk factor for metabolic diseases, including fatty liver disease.

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Fatty Liver Disease and Sleep Deprivation

Non-alcoholic fatty liver disease (NAFLD) is a condition characterized by excessive fat buildup-in the liver. The liver plays a crucial role in metabolising fats and detoxifying the blood, and disrupted sleep cycles interfere with these functions. Sleep deprivation leads to increased production of free fatty acids and triglycerides, which accumulate in liver cells, causing inflammation and potential liver damage.

Another contributing factor is circadian rhythm disruption. The body’s internal clock regulates metabolic processes, including fat metabolism in the liver. When sleep patterns are irregular—such as in shift workers or individuals with chronic insomnia—the liver’s ability to process fats is compromised, leading to fat accumulation and increasing the risk of liver fibrosis (scarring).

Preventive Strategies

Given the strong connection between sleep deprivation and body fat accumulation, here are some strategies to improve sleep and reduce associated health risks:

  1. Maintain a Consistent Sleep Schedule– Aim for 7-9 hours of quality sleep each night and establish a regular bedtime routine.
  2. Optimize Sleep Environment– Reduce exposure to blue light from screens before bedtime, keep the bedroom dark and cool, and invest in a comfortable mattress and pillows.
  3. Adopt a Healthy Diet– Limit processed foods, refined sugars and saturated fats while incorporating fiber-rich foods, lean proteins, and healthy fats.
  4. Engage in Regular Exercise– Physical activity improves insulin sensitivity, promotes better sleep quality and reduces visceral fat accumulation.
  5. Manage Stress Levels– Chronic stress can lead to sleep disturbances and hormone imbalances, contributing to weight gain and poor cholesterol levels. Mindfulness practices, meditation and relaxation techniques can help.

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