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Published on: June 13, 2025
Shorter sleep duration is associated with increased risk for being overweight at ages 9 to 12 years
Julie C Lumeng1, Deepak Somashekar, Danielle Appugliese
1Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan 48109-0406, USA. jlumeng@umich.edu
Insights
Shorter sleep duration in childhood is linked to a higher risk of being overweight. Ensuring adequate sleep may help prevent childhood obesity.
Area of Science:
- Pediatric Health
- Sleep Science
- Obesity Research
Background:
- The relationship between sleep and childhood overweight is not fully understood.
- Previous research has not clearly defined the independent associations of sleep duration and problems with overweight risk.
Purpose of the Study:
- To investigate the independent associations of sleep duration and sleep problems with the risk of overweight in children.
- To examine the predictive value of early childhood sleep duration on later overweight status.
Main Methods:
- Analysis of data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development.
- Maternal reports of sleep duration and problems, with measured height and weight (overweight defined as BMI ≥ 95th percentile).
- Logistic regression models adjusted for demographics, home environment factors, and prior BMI z-scores.
Main Results:
- Shorter sleep duration in 3rd and 6th grades was independently associated with a higher likelihood of being overweight in 6th grade.
- This association remained significant even when accounting for the child's weight status in 3rd grade.
- Sleep problems, however, were not found to be associated with overweight status.
Conclusions:
- Adequate sleep duration in childhood is a potential preventive factor against overweight.
- Promoting sufficient sleep may be a key strategy in addressing childhood obesity.
Objective:
The potential association between short sleep duration or sleep problems and childhood overweight has not been well described. The objective of this study was to test the independent associations of sleep duration and problems with overweight risk in children.
Methods:
Data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development were analyzed. In 3rd and 6th grades, sleep duration and problems were obtained by maternal report, and height and weight were measured, with overweight defined as a BMI of > or = 95th percentile for age and gender. Logistic regression evaluated the association of sleep duration and problems with overweight at 6th grade cross-sectionally adjusting for gender, race, and maternal education. Additional covariates tested individually included the level of chaos at home, the quality of the home environment, the lax-parenting subscale score of the Raising Children Checklist, and the Child Behavior Checklist internalizing and externalizing subscale scores. Logistic regression also evaluated the relationship of sleep duration at 3rd grade and overweight at 6th grade, adjusting for gender, race, maternal education, and the child's BMI z score in 3rd grade.
Results:
Of 785 children, 50% were male, 81% were white, and 18% were overweight in 6th grade. Shorter sleep duration in 6th grade was independently associated with a greater likelihood of overweight in 6th grade. Shorter sleep duration in 3rd grade was also independently associated with overweight in 6th grade, independent of the child's weight status in 3rd grade. Sleep problems were not associated with overweight.
Conclusion:
One preventive approach to overweight may be to ensure adequate sleep in childhood.
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