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Short sleep duration is independently associated with overweight and obesity in Quebec children
Jean-Philippe Chaput1, Marie Lambert, Katherine Gray-Donald
1Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON. jpchaput@cheo.on.ca
Insights
Short sleep duration is a risk factor for childhood overweight and obesity. This finding highlights the importance of adequate sleep for maintaining a healthy weight in children.
Area of Science:
- Pediatric Endocrinology
- Obesity Research
- Sleep Medicine
Background:
- Childhood obesity is a significant public health concern.
- Sleep duration is increasingly recognized as a potential factor influencing weight status.
- The relationship between sleep duration and adiposity in children requires further investigation.
Purpose of the Study:
- To examine the association between sleep duration and various measures of adiposity in children.
- To determine if caloric intake and physical activity mediate the relationship between sleep and adiposity.
- To identify specific sleep duration thresholds associated with increased risk of overweight and obesity.
Main Methods:
- Utilized data from the Quebec Adiposity and Lifestyle Investigation in Youth (QUALITY) study.
- Included 550 Caucasian children (average age 9.6 years) with at least one obese parent.
- Assessed adiposity objectively (BMI Z-score, waist circumference, body fat percentage), sleep duration, physical activity (accelerometer), and diet (food recalls).
Main Results:
- A U-shaped relationship was observed between sleep duration and adiposity indices.
- Children sleeping less than 10 hours per night had significantly increased odds of overweight/obesity (OR 2.08).
- Energy intake and physical activity did not substantially alter this association after adjustment for covariates.
Conclusions:
- Short sleep duration (< 10 hours) is an independent risk factor for overweight and obesity in children.
- These findings underscore the critical role of sleep duration in the development of childhood obesity.
- Sleep duration should be considered a key determinant in obesity prevention strategies for children.
Objective:
To investigate the association of sleep duration with adiposity and to determine if caloric intake and physical activity mediate this relationship.
Methods:
The Quebec Adiposity and Lifestyle Investigation in Youth (QUALITY) study is an ongoing longitudinal investigation of Caucasian children with at least one obese biological parent. Children (n = 550) with an average age of 9.6 years (SD = 0.9) who provided complete data at baseline were included in the cross-sectional analyses. Objective measures of adiposity (BMI Z-score, waist circumference, percent body fat measured by dual-energy X-ray absorptiometry), sleep duration and physical activity (accelerometer over 7 days), and diet (24-hour food recalls) were collected. Children were categorized into 4 groups according to sleep duration: < 10 hours, 10-10.9 hours, 11-11.9 hours, and > or = 12 hours of sleep per night.
Results:
We observed a U-shaped relationship between sleep duration and all adiposity indices. None of energy intake, snacking, screen time or physical activity intensity differed significantly between sleep categories. After adjusting for age, sex, Tanner stage, highest educational level of the parents, total annual family income, and parental BMI, only short-duration sleepers (< 10 hours) had an increased odds of overweight/obesity (OR 2.08, 95% CI 1.16-3.67). Addition of total energy intake and physical activity to the model did not change the association substantially (OR 2.05, 95% CI 1.15-3.63).
Conclusion:
The present study provides evidence that short sleep duration is a risk factor for overweight and obesity in children, independent of potential covariates. These results further emphasize the need to add sleep duration to the determinants of obesity.
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