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The relationship between school day sleep duration and body mass index in Norwegian children (aged 10-12)
Yngvild S Danielsen1, Ståle Pallesen, Kjell M Stormark
1University of Bergen, Faculty of Psychology, Christiesgt.12, P.O. Box 7800, 5020 Bergen, Norway. yngvild.danielsen@psysp.uib.no
Insights
Both short and long sleep durations are linked to higher body mass index (BMI) in children. Insufficient sleep in children is significantly associated with obesity, even after accounting for other factors.
Area of Science:
- Pediatric Health
- Sleep Science
- Obesity Research
Background:
- Childhood obesity is a growing public health concern.
- Sleep duration is a modifiable behavior that may influence weight status.
- Understanding the relationship between sleep and body mass index (BMI) in children is crucial for developing effective interventions.
Purpose of the Study:
- To investigate the association between sleep duration and BMI in Norwegian children aged 10-12 years.
- To explore potential confounding factors such as pubertal maturation and socioeconomic status.
Main Methods:
- A population-based study involving 9,430 primary school children and their parents.
- Questionnaire data collected on sleep patterns, pubertal development, socioeconomic status, and parent-reported child height and weight.
- Body mass index (BMI) calculated for 4,158 children.
Main Results:
- A U-shaped relationship was observed between sleep duration and age/gender-adjusted BMI.
- Both shorter and longer sleep durations were significantly associated with higher BMI.
- Children with the shortest sleep duration had a higher prevalence of obesity and overweight.
- Short sleep duration remained significantly associated with obesity after adjusting for physical maturation and socioeconomic status.
Conclusions:
- Both insufficient and excessive sleep are linked to elevated BMI in children.
- Short sleep duration is a significant risk factor for childhood obesity, independent of pubertal development and socioeconomic factors.
- These findings highlight the importance of adequate sleep for maintaining a healthy weight in children.
Objective:
To examine the relationship between sleep duration and body mass index (BMI) in Norwegian children (aged 10-12).
Methods:
Children and parents of a population of primary school children (N=9 430) were invited to complete a questionnaire containing questions about usual bedtimes, wake-up times, self and parent evaluations of pubertal maturation, parental education and economic status, and parent-reported height and weight of the child. Sixty per cent of parents and children participated. BMI was available for 4 158 children, 44% of the original sample.
Results:
A U-shaped relationship was found between sleep duration and age- and gender-adjusted BMI. Shorter and longer sleep durations were significantly related to high BMI. The percentage of obesity and overweight was higher in the shortest sleep duration group compared with intermediate sleep durations. Crude logistic regression analyses showed a significant association between early pubertal maturation and both obesity and overweight. Socio-economic status was significantly related to overweight. Short sleep duration showed a significant association with obesity but not with overweight. In an adjusted logistic regression model, short sleep duration was still significantly associated with obesity when controlling for physical maturation and socio-economic status.
Conclusions:
High BMI was associated with short and long self and parent-reported duration of sleep. The percentage of obesity/overweight was higher in the shortest sleep duration group than for intermediate sleep durations. Short sleep duration was significantly associated with obesity but not with overweight. Adjusting for physical maturation and socio-economic status, short sleep duration still showed a significant association with obesity.
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