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Updated: May 23, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Relation between sleep duration and BMI varies by age and sex in youth age 8-19
A Storfer-Isser1, S R Patel, D C Babineau
1Statistical Research Consultants, LLC, Perrysburg, OH, USA.
Insights
Sleep duration is linked to body mass index (BMI) in children, particularly boys. Shorter sleep in childhood predicts higher BMI later, with stronger effects seen in boys and younger children.
Area of Science:
- Pediatric Health
- Sleep Science
- Obesity Research
Background:
- Childhood and adolescent obesity are significant public health concerns.
- Sleep duration is a modifiable behavior that may influence body mass index (BMI).
- Longitudinal data are needed to understand the relationship between sleep and BMI across development.
Purpose of the Study:
- To compare the association strength between sleep duration and BMI z-score (BMIz) across middle childhood and early/late adolescence.
- To determine if childhood sleep duration predicts adolescent BMIz.
- To examine sex differences in these associations.
Main Methods:
- Longitudinal cohort study of 313 children/adolescents aged 8-19.
- Three assessment points approximately 4 years apart (ages 8-11, 12-15, 16-19).
- BMIz calculated using CDC data; sleep duration self-reported by adolescents (16-19) or parents (8-15).
Main Results:
- A negative linear association between sleep duration and BMIz was observed in boys, decreasing with age.
- Childhood sleep duration (ages 8-11) predicted adolescent BMIz in boys but not girls.
- Childhood BMIz was the strongest predictor of adolescent BMIz for both sexes.
Conclusions:
- The relationship between sleep duration and BMIz is sex- and age-dependent.
- Stronger associations are evident in boys and during middle childhood compared to adolescence.
- Early childhood BMI is a robust predictor of later BMI, irrespective of sleep duration.
Objectives:
The objectives of this study were to (i) compare the strength of associations between sleep duration and body mass index (BMI) in middle childhood, and early and late adolescence; (ii) determine whether sleep duration in middle childhood predicts BMI in early or late adolescence; and (iii) examine the consistency of these associations by sex.
Methods:
Subjects included 313 children/adolescents aged 8-19 participating in a longitudinal cohort study on sleep and health. Participants were assessed at three time points approximately 4 years apart: ages 8-11, 12-15 and 16-19. BMI z-score (BMIz) was calculated using age and sex normative data from the Centers for Disease Control. Sleep duration was reported by the parent (ages 8-15) or the adolescent (ages 16-19).
Results:
[corrected] Half of the participants were male and 79% were Caucasian. Sleep duration had a negative linear association with BMIz for boys but not girls, and the magnitude of this association decreased with age. Sleep duration at age 8-11 predicted BMIz in early and late adolescence for boys but not girls, and associations were largely attenuated after adjusting for BMIz at age 8-11. The strongest predictor of adolescent BMIz was BMIz at age 8-11 for both boys and girls.
Conclusion:
We conclude that the association between sleep duration and BMIz varies by sex and age, with stronger associations in boys and in middle childhood compared with adolescence.
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