Sleep

Losing Sleep, Gaining Weight? Young Bangladeshi Adults' Perceptions of Sleep, Eating and Body Weight: A Qualitative Study.

TL;DR

Young Bangladeshi adults perceived poor sleep as both a personal and structural issue embedded within interpersonal, institutional, environmental, and sociocultural contexts, with perceived connections between irregular sleep, fatigue, and eating behaviours influencing body weight.

Key Findings

Structural and environmental conditions were identified as a major theme disrupting sleep among young urban Bangladeshi adults.

  • Twenty-six young adults aged 18-25 years in urban Dhaka, Bangladesh participated in semi-structured, in-depth interviews.
  • Participants were recruited through purposive and snowball sampling methods in 2022.
  • Interviews were conducted in Bangla, audio-recorded, transcribed verbatim, and translated into English.
  • Thematic analysis was performed using an inductive approach supplemented by deductive coding based on the socio-ecological model (SEM).
  • Structural and environmental conditions disrupting sleep was identified as one of five key themes.

Digital night culture and socially reinforced wakefulness emerged as a distinct theme shaping sleep behaviours among young adults.

  • This was identified as one of five key themes from the qualitative thematic analysis.
  • Participants described academic pressures, digital lifestyles, and cultural norms as contributing factors to inadequate sleep.
  • The study context involved urban Dhaka, where digital night culture was noted as particularly prominent.
  • Social reinforcement of wakefulness was described as operating at interpersonal and sociocultural levels.

Young adults described a cultural prioritisation of productivity over sleep as a factor undermining sleep health.

  • Prioritisation of productivity over sleep was identified as one of five key themes.
  • Participants described poor sleep as both a personal and structural issue rather than solely an individual behavioural choice.
  • Institutional expectations were identified as contributing to the devaluation of sleep in favour of academic or work productivity.
  • This theme reflected pressures operating at individual, institutional, and sociocultural levels of the socio-ecological model.

Unequal burdens of household labour and caregiving were perceived to limit opportunities for rest, particularly along gender lines.

  • Unequal burdens of household labour and caregiving and opportunities for rest was identified as one of five key themes.
  • Sleep and eating practices that appeared individual were found to be embedded within interpersonal, institutional, environmental, and sociocultural contexts.
  • The socio-ecological model (SEM) was used as a deductive coding framework to situate these inequalities at multiple levels.
  • This finding highlights differential access to rest as a social rather than purely personal phenomenon.

Participants perceived associations between irregular sleep, fatigue, and altered eating behaviours as influencing body weight.

  • Perceived associations between irregular sleep, fatigue, and eating behaviours was identified as the fifth key theme.
  • Young adults described connections between poor sleep and body weight and overall wellbeing.
  • The study addressed a gap in qualitative evidence about 'lived experiences shaping this relationship in Asian contexts.'
  • The paper notes that quantitative research had previously shown links between sleep and body weight, but qualitative mechanisms in this population were less understood.

The authors concluded that sleep-health strategies targeting young adults may benefit from integrating individual education with interventions addressing peer and family practices, institutional expectations, and sleep-conducive environments.

  • Findings indicated that 'opportunities for healthy sleep are influenced by social, institutional, and environmental conditions in addition to individual practices.'
  • The authors called for further longitudinal and mixed-method research to investigate pathways identified in the qualitative accounts.
  • Patient and public involvement (PPI) members who were young adults informed development of the interview guide and engaged in member checking of preliminary findings.
  • A subset of participants helped interpret results through member checking, supporting credibility of identified themes.

What This Means

This research suggests that inadequate sleep among young adults in urban Bangladesh is not simply a matter of individual habits or choices, but is deeply shaped by social, cultural, institutional, and environmental forces. Through in-depth interviews with 26 young adults aged 18–25 in Dhaka, researchers found that factors such as digital night culture, pressure to prioritize academic or work productivity over sleep, unequal household responsibilities (particularly for women), and structural living conditions all play significant roles in disrupting sleep. Participants also described how poor or irregular sleep left them fatigued and affected their eating behaviours, which they in turn connected to changes in body weight and general wellbeing. The study is notable for bringing qualitative, first-person perspectives to a topic that has mostly been studied through surveys and health measurements. Rather than treating sleep problems as personal failures, participants framed them as products of the environments and social systems they live within — including family expectations, peer norms around staying up late, and institutional demands. This aligns with a socio-ecological framework, which considers health behaviours at multiple levels simultaneously, from the individual to the broader societal context. This research suggests that public health efforts to improve sleep among young adults in similar settings should go beyond advising individuals to 'sleep more' or 'eat better.' Instead, interventions may need to address family and peer dynamics, reduce institutional pressures that deprioritize rest, and create physical and social environments that support healthy sleep. The authors also note that more long-term research is needed to better understand how these perceived connections between sleep, eating, and body weight actually unfold over time.

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Citation

Moonajilin M, Islam R, Taher L, Noshin F, Taher T, Kamal S. (2026). Losing Sleep, Gaining Weight? Young Bangladeshi Adults' Perceptions of Sleep, Eating and Body Weight: A Qualitative Study.. Health expectations : an international journal of public participation in health care and health policy. https://doi.org/10.1111/hex.70933