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Short sleep duration in middle childhood: risk factors and consequences
Gillian M Nixon1, John M D Thompson, Dug Yeo Han
1Ritchie Centre obr Baby Health Research, Monash Institute of Medical Research, Monash University, Melbourne, Australia.
Insights
Short sleep duration in 7-year-old children is linked to increased risk of obesity and overweight. Factors like weekdays, seasons, and younger siblings influence sleep duration in this age group.
Area of Science:
- Pediatric Sleep Medicine
- Childhood Obesity Research
- Developmental Psychology
Background:
- Sleep duration is crucial for children's health and development.
- Understanding determinants of sleep is key to addressing sleep deficits.
- Short sleep duration is a potential risk factor for adverse health outcomes in children.
Purpose of the Study:
- To measure sleep duration in 7-year-old children.
- To identify factors influencing sleep duration.
- To assess the association between short sleep and obesity, cognitive function, and behavior.
Main Methods:
- Longitudinal community-based study involving 519 seven-year-old children with complete sleep data.
- Sleep duration measured via actigraphy; other assessments included BMI, body fat percentage, intelligence (WISC-III), and behavior (Strengths & Difficulties, Conners Rating Scales).
Main Results:
- Mean sleep duration was 10.1 hours; shorter sleep was associated with weekdays, summer, and absence of younger siblings.
- Sleep duration less than 9 hours was independently associated with being overweight/obese (OR=3.32) and increased body fat.
- Short sleep duration correlated with higher emotional lability but not with IQ or ADHD scores.
Conclusions:
- Sleep duration in 7-year-olds varies significantly and is influenced by weekday, season, and sibling status.
- Short sleep duration (<9 hours) is an independent risk factor for overweight and obesity in children.
- Findings highlight the importance of adequate sleep for maintaining healthy weight in childhood.
Study Objectives:
To measure sleep duration in 7-year-old children; identify the determinants of sleep duration; and assess the association between short sleep duration and obesity, cognitive functioning, and behaviour.
Design:
Longitudinal study with disproportionate sampling of the participants.
Setting:
Community.
Participants:
591 seven-year-old children, of whom 519 had complete sleep data.
Interventions:
Not applicable.
Measurements:
Sleep duration was assessed by actigraphy. Other measurements included height, weight, BMI, percentage body fat as assessed by bioimpedance assay, intelligence (WISC-III) and behaviour (Strengths & Difficulties questionnaire, parent and teachers Conners Rating Scales).
Results:
Mean time in bed according to parental report was 10.9 hours (SD 0.8). Mean sleep duration by actigraphy was 10.1 (SD 0.8) hours. In multivariable analysis, sleep duration was longer on weekdays vs. weekend nights (31.5 min, P = 0.002), in winter (40.5 min), autumn (31.1 min), and spring (14.8 min) compared with summer (P <0.0001), and in those with younger siblings (11.7 min, P = 0.03). Sleep duration was shorter when bedtime was after 21:00 (-41.1 min, P <0.0001). In multivariable analysis, sleep duration <9 hours was associated with being overweight/ obese (BMI: OR = 3.32; 95% CI = 1.40, 7.87) with an increase of 3.34% body fat (P = 0.03), and this was not explained by physical activity or television watching. Short sleep duration was also associated with higher emotional lability scores (Conners Rating Scale Parent Form; P = 0.03). IQ (WISC-III) and attention deficit / hyperactivity disorder scores (both parent and teachers Conners Rating Scales) did not differ with sleep duration.
Conclusions:
Sleep duration in 7-year-old children varies considerably among individuals. The duration is affected by weekday, season, and having younger siblings. Importantly, short sleep duration was shown to be an independent risk factor for obesity/overweight.
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