Background: Excessive daytime sleepiness (EDS) is a growing concern among adolescents and is associated with multiple physical and psychological health outcomes. Obesity, particularly central obesity measured by waist circumference, has been linked to sleep disturbances and metabolic dysfunction. However, limited data exist regarding this association in Indian adolescent populations.
Objective: To determine the correlation between waist circumference and excessive daytime sleepiness in adolescents residing in Jalgaon city using the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD).
Methodology: A cross-sectional study was conducted among 70 adolescents aged 12–18 years selected through simple random sampling from schools and colleges in Jalgaon. Waist circumference was measured using a standardized inch tape method. Daytime sleepiness was assessed using the modified ESS-CHAD questionnaire. Data were analyzed using Karl Pearson’s correlation coefficient. 
Results: Among the participants, 44.29% were males and 55.71% were females. A majority of adolescents showed excessive daytime sleepiness (55.71%). The mean ESS-CHAD score was 9.48 ± 3.14. Waist circumference was above normal limits in 58.06% of males and 56.41% of females. A strong positive correlation was found between waist circumference and ESS-CHAD scores (r = 0.81, p < 0.05), indicating that increased abdominal obesity is associated with higher levels of daytime sleepiness.
Conclusion: The study demonstrates a significant and strong positive correlation between waist circumference and excessive daytime sleepiness among adolescents. These findings highlight the importance of addressing obesity as a modifiable risk factor to improve sleep health in this population