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Updated: Jun 25, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Long sleep duration and childhood overweight/obesity and body fat
Cristina Padez1, Isabel Mourao, Pedro Moreira
1Department of Anthropology, Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal. cpadez@antrop.uc.pt
Insights
Short sleep duration is linked to higher risks of overweight/obesity and body fat in children. Promoting longer sleep may help prevent and treat childhood obesity, as it’s a modifiable factor.
Area of Science:
- Pediatric Endocrinology
- Public Health Nutrition
- Sleep Medicine
Background:
- Childhood obesity is a growing global health concern.
- Short sleep duration is increasingly recognized as a potential contributing factor.
- Understanding sleep patterns and their association with body composition in children is crucial for public health interventions.
Purpose of the Study:
- To investigate the association between short sleep duration and overweight/obesity and body fat in Portuguese children.
- To identify factors correlated with short sleep duration in this pediatric population.
Main Methods:
- Cross-sectional study of 4511 children aged 7-9 years.
- Objective measurements of weight, height, and skinfolds.
- Parental questionnaires on family characteristics and child sleep duration.
Main Results:
- A significant inverse relationship was observed between longer sleep duration and prevalence of overweight/obesity and body fat.
- Children sleeping <9 hours had an odds ratio of 3.22 for overweight/obesity compared to those sleeping >11 hours.
- Low parental education, increased television viewing, and sedentary behavior were associated with shorter sleep duration.
Conclusions:
- Longer sleep duration is inversely associated with overweight/obesity and body fat in children.
- Sleep duration is a potentially modifiable risk factor for childhood obesity.
- Interventions targeting sleep duration may be beneficial in the prevention and management of childhood obesity.
Abstract:
To assess the association between short sleep duration and overweight/obesity and body fat (BF) and to identify correlates of short sleep duration in a sample of Portuguese children. A cross-sectional study of children 7-9 years (n = 4511) was performed between October 2002 and June 2003. Weight, height, and skinfolds were measured, and parents filled out a questionnaire about family characteristics as well as sleep duration. The prevalence of overweight/obesity and BF (%) both decreased by long sleep duration. After adjusted for confounders, the odds ratio (OR) for overweight/obesity and sleep duration were as follows: reference >11 h/d; 10-11 h/d, OR: 1.3; confidence interval (CI):1.26, 1.33; 9-10 h/d, OR: 1.16; CI: 1.13, 1.19; and <9 h, OR: 3.22; CI: 3.11, 3.32. Children whose parents had a low educational level slept less time during each night than children whose parents had a higher educational level; children who spent more time watching television slept less time than those who watched less television, and those children engaged in physical activity slept more time each night than sedentary children. Our results showed an inverse relationship between long sleep duration and overweight/obesity prevalence as well as with body fat, and these findings are important because sleep duration is a potentially modifiable risk factor that could be important to consider in the prevention and treatment of childhood obesity.
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