A new study in the December issue of the journal Sleep shows that poor sleep quality is strongly associated with mood disturbance and lower quality of life among people with extreme obesity. Results show that 74.8 percent of participants were poor sleepers, and their mean self-reported sleep duration was only six hours and 20 minutes. After controlling for potential confounders, sleep quality and daytime sleepiness were significantly associated with mood disturbance and quality of life impairment. According to the authors, the study shows that there is a need to screen for sleep problems among people who are severely obese.