The obesity epidemic and disordered sleep during childhood and adolescence

David Gozal1, Leila Kheirandish-Gozal

  • 1Section of Pediatric Sleep Medicine, Department of Pediatrics, Pritzker School of Medicine, University of Chicago, 5721 S. Maryland Avenue, MC 8000, Suite K-160, Chicago, IL 60637, USA. dgozal@uchicago.edu

Adolescent Medicine: State of the Art Reviews
|February 10, 2011
PubMed

Insights

Childhood obesity is rising globally, potentially impacting health and longevity. This chapter explores the links between sleep and obesity, including obstructive sleep apnea, and their combined health effects.

Area of Science:

  • Pediatrics
  • Public Health
  • Sleep Medicine

Background:

  • The global prevalence of childhood obesity is increasing at an alarming rate.
  • The long-term health implications of this trend are significant, potentially affecting life expectancy.
  • Emerging research suggests a connection between sleep patterns and obesity in children.

Purpose of the Study:

  • To critically evaluate the evidence linking sleep and childhood obesity.
  • To review the bidirectional relationship between obesity and obstructive sleep apnea (OSA).
  • To examine how obesity and OSA exacerbate each other's pathophysiology and associated morbidities.

Main Methods:

  • Literature review of existing studies on sleep and obesity.
  • Analysis of research on the interplay between obesity and obstructive sleep apnea.
  • Examination of the amplification of comorbidities in affected children.

Main Results:

  • Evidence supporting a link between sleep disturbances and childhood obesity is growing.
  • Obesity is a significant risk factor for obstructive sleep apnea.
  • Obstructive sleep apnea can worsen metabolic dysfunction and contribute to obesity.

Conclusions:

  • The relationship between sleep, obesity, and obstructive sleep apnea is complex and bidirectional.
  • Addressing sleep issues may be crucial in managing childhood obesity.
  • Further research is needed to fully elucidate these interrelationships and develop effective interventions.

Related Concept Videos

Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Circadian Rhythms and Gene Regulation02:19

Circadian Rhythms and Gene Regulation

The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent years,...
Circadian Rhythms and Gene Regulation02:19

Circadian Rhythms and Gene Regulation

The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent years,...