May get sleep apnea. Obese persons can get obstructive sleep apnea (osa), which may be due extra fat and flesh in the neck and throat areas, making it harder for air to flow through to the lungs. The extra weight in the tummy also pushes up into the bottom of the chest when lying down, making it harder to breathe. High blood sugars can lead to sugar in the urine, meaning one must get up to urinate more often.
Risk factor. Obesity is a big risk factor for obstructive sleep apnea. With sleep apnea, you do not spend adequate time in the restful stages of sleep. You then have day time sleepiness. Sleep apnea also contributes to insomnia. Since sleep apnea is the number one cause of high blood pressure, anyone who is obese with high blood pressure probably should have a sleep study to check if they stop breathing.
Several ways. Sleep apnea can be caused by obesity and significantly affects sleep as well as health. Also, obesity contributes to body pain and join pain which can impair sleep. It can also contribute to high blood pressure and diabetes both of which can have an affect on urinary trends which might result in increased waking at night. It can also contribute to emotional distress which impairs sleep.