Sleep and Obesity in Children and Adolescents

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Methods

A systematic search for publications was performed using the PubMed database that included published studies through July 2010. Combinations of key words specific to sleep (eg, sleep and sleeping), weight status (eg, BMI, overweight, obesity, adiposity, weight, fatness, food diet, and energy expenditure), and childhood and adolescence (eg, child, children, adolescent, adolescence) were used. In addition, reference lists of relevant articles and previously conducted relevant review

Sleep Duration and Obesity Risk

Table 1 presents findings from studies that assessed the association between sleep duration and obesity risk in children and adolescents.29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58 It represents 30 studies from 16 countries. For ease of comparison, studies presented in Table 1 are those in which main findings are presented as odds ratios. Two groups published subsequent studies using the same data set, but controlling

Discussion

Our understanding of the role of sleep duration in the current pediatric obesity epidemic is rapidly unfolding. Pediatric studies identified and included in the present review suggest that children who sleep less are at increased risk for being or becoming overweight/obese. This significant relationship was found in both cross-sectional and prospective studies, and persisted in most studies even after controlling for potential confounders, such as parental BMI, birth weight, and television

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References (83)

  • A.M. Landis et al.

    A retrospective examination of the relationship between body mass index and polysomnographic measures of sleep in adolescents

    J Adolesc Health

    (2007)
  • N.S. Marshall et al.

    Is sleep duration related to obesity? A critical review of the epidemiological evidence

    Sleep Med Rev

    (2008)
  • J. Flint et al.

    Association between inadequate sleep and insulin resistance in obese children

    J Pediatr

    (2007)
  • C.L. Ogden et al.

    Prevalence of high body mass index in US children and adolescents, 2007–2008

    JAMA

    (2010)
  • S.R. Daniels

    The consequences of childhood overweight and obesity

    Future Child

    (2006)
  • D.S. Freedman et al.

    The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study

    Pediatrics

    (1999)
  • D.S. Ludwig et al.

    Type 2 diabetes mellitus in children: primary care and public health considerations

    JAMA

    (2001)
  • E. Jelalian et al.

    Pediatric obesity

  • US Dept of Health and Human Services. Nutrition and Weight Status. Available at:...
  • C.D. Summerbell et al.

    Interventions for preventing obesity in children

    Cochrane Database Syst Rev

    (2005)
  • T. Brown et al.

    Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence

    Obes Rev

    (2009)
  • H. Oude Luttikhuis et al.

    Interventions for treating obesity in children

    Cochrane Database Syst Rev

    (2009)
  • J.S. Pratt et al.

    Best practice updates for pediatric/adolescent weight loss surgery

    Obesity

    (2009)
  • I. Iglowstein et al.

    Sleep duration from infancy to adolescence: reference values and generational trends

    Pediatrics

    (2003)
  • J. Dollman et al.

    Trends in the duration of school-day sleep among 10- to 15-year-old South Australians between 1985 and 2004

    Acta Paediatr

    (2007)
  • National Sleep Foundation (2004). Final Report: 2004 Sleep in America Poll. Available at:...
  • J. Mindell et al.

    A clinical guide to pediatric sleep

    (2003)
  • G. Copinschi

    Metabolic and endocrine effects of sleep deprivation

    Essent Psychopharmacol

    (2005)
  • K. Spiegel et al.

    Leptin levels are dependent on sleep duration: relationships with sympathovagal balance, carbohydrate regulation, cortisol, and thyrotropin

    J Clin Endocrinol Metab

    (2004)
  • S. Taheri et al.

    Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index

    PLoS Med

    (2004)
  • A.M. Wren et al.

    Ghrelin enhances appetite and increases food intake in humans

    J Clin Endocrinol Metab

    (2001)
  • F. Levin et al.

    Ghrelin stimulates gastric emptying and hunger in normal-weight humans

    J Clin Endocrinol Metab

    (2006)
  • M. Mars et al.

    Fasting leptin and appetite responses induced by a 4-day 65%-energy-restricted diet

    Int J Obes (Lond)

    (2006)
  • M. Dru et al.

    Overnight duty impairs behaviour, awake activity and sleep in medical doctors

    Eur J Emerg Med

    (2007)
  • C.E. Ievers-Landis et al.

    Pediatric sleep apnea: implications of the epidemic of childhood overweight

    Am J Respir Crit Care Med

    (2007)
  • E. Locard et al.

    Risk factors of obesity in a five year old population. Parental versus environmental factors

    Int J Obes Relat Metab Disord

    (1992)
  • M. Sekine et al.

    Parental obesity, lifestyle factors and obesity in preschool children: results of the Toyama Birth Cohort study

    J Epidemiol

    (2002)
  • M. Sekine et al.

    A dose-response relationship between short sleeping hours and childhood obesity: results of the Toyama Birth Cohort Study

    Child Care Health Dev

    (2002)
  • R. von Kries et al.

    Reduced risk for overweight and obesity in 5- and 6-y-old children by duration of sleep–a cross-sectional study

    Int J Obes

    (2002)
  • N.K. Gupta et al.

    Is obesity associated with poor sleep quality in adolescents?

    Am J Hum Biol

    (2002)
  • C. Padez et al.

    Prevalence and risk factors for overweight and obesity in Portuguese children

    Acta Paediatr

    (2005)
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    This work was supported in part by grants 1-09-JF-22 from the American Diabetes Association, U01 CA150387 from the National Institutes of Health, and T32 HL076134 from the National Institutes of Health.

    The authors have nothing to disclose.

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