Related Experiment Video
Updated: Jul 4, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Relationship of sleep parameters, child psychological functioning, and parenting stress to obesity status among
Carolyn E Ievers-Landis1, Amy Storfer-Isser, Carol Rosen
1Division of Developmental, Rainbow Babies & Children's Hospital, University Hospitals, Case Medical Center, Case Center for Transdisciplinary Research in Energetics and Cancer, Cleveland, Ohio 44106-6038, USA. Carolyn.landis@uhhospitals.org
Insights
Shorter sleep duration in children significantly increases obesity risk by 41% per hour, even after accounting for behavioral and parenting factors. This association was stronger in boys.
Area of Science:
- Pediatric Health
- Obesity Research
- Sleep Science
Background:
- Pediatric obesity is a growing concern with links to adult chronic illness.
- Previous studies on pediatric obesity often overlooked child psychological/behavioral factors and parenting stress.
- Insufficient sleep is a potential, under-researched contributor to childhood obesity.
Purpose of the Study:
- To investigate the association between sleep duration and obesity in children aged 8-11 years.
- To examine the influence of child psychological/behavioral functioning and parenting stress on this relationship.
- To determine if demographic and socioeconomic factors confound the sleep-obesity link.
Main Methods:
- Cross-sectional study of 819 children aged 8-11 years.
- Data collected on parent-reported sleep duration, obesity status, child psychological/behavioral functioning, and parenting stress.
- Statistical analyses included unadjusted and adjusted models, considering demographics and neighborhood income.
Main Results:
- A significant 41% increase in obesity odds for every 1-hour reduction in child sleep duration.
- Median neighborhood income was also significantly related to obesity status.
- Child psychological/behavioral functioning and parenting stress were linked to sleep duration but not directly to obesity; adjusting for them did not alter the sleep-obesity association.
- Gender-specific analysis revealed a significant association between sleep duration and obesity in boys, but not in girls.
Conclusions:
- Shorter sleep duration is independently associated with a higher likelihood of obesity in children, persisting after controlling for behavioral and parenting factors.
- The findings highlight sleep duration as a critical factor in pediatric obesity.
- Gender-specific differences in the sleep-obesity relationship warrant further investigation, aligning with adolescent study findings.
Objective:
Insufficient sleep may be a significant contributing factor to the increase in pediatric obesity and thus may also contribute to adult obesity and chronic illness. Previous research has been based on large survey studies with consideration of demographics and lifestyle factors (e.g., snacking and TV watching) but not of child psychological/behavioral functioning and parenting factors.
Method:
This study investigated the relationship of sleep duration to obesity status in 819 children ages 8 to 11 years old, with consideration of demographics, clinical elevations in child psychological/behavioral functioning, and parenting stress.
Results:
In unadjusted and adjusted analyses, parent-reported child sleep duration was significantly associated with the odds of obesity with an increase of 41% for each 1-hour reduction in sleep duration. In addition to sleep duration, only median neighborhood income was significantly related to obesity status. Indices of child psychological/behavioral functioning and parenting stress were associated with sleep duration but not with obesity, and adjusting for these behavioral and parenting characteristics did not appreciably alter the relationship between sleep duration and obesity status. Exploratory gender-specific analyses found that mean sleep duration was significantly associated with the odds of obesity for boys but not for girls.
Conclusions:
These results show that the relationship of shorter sleep duration to a greater likelihood of being obese persists even after adjusting for potential confounders of child psychological/behavioral functioning and parenting stress. Gender-specific associations are similar to findings reported in samples that include adolescents.
Related Concept Videos
Insufficient Sleep and Sleep Deprivation
Sleep deprivation is a more severe form of sleep loss...
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Correlations
Understanding Sleep
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
Cause and Effect
Parenting Styles
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative Parenting
This...
