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Association between sleep duration and overweight: the importance of parenting
E de Jong1, T Stocks, T L S Visscher
1Research Centre for the Prevention of Overweight, VU University Amsterdam/Windesheim University of Applied Sciences, Zwolle, The Netherlands. e.de.jong@windesheim.nl
Insights
Short sleep duration is linked to childhood overweight, especially in boys. Factors like screen time and late bedtimes contribute to insufficient sleep, highlighting the need for parental guidance in establishing healthy sleep habits.
Area of Science:
- Pediatric Health
- Public Health
- Behavioral Science
Background:
- Childhood overweight is a growing concern with unclear links to sleep duration.
- Determinants of sleep duration in children require further investigation.
- Understanding factors influencing sleep is crucial for addressing overweight prevalence.
Purpose of the Study:
- To investigate the association between sleep duration and childhood overweight, adjusting for family and behavioral factors.
- To identify key determinants of short sleep duration in children.
- To explore the relationship between sleep and competing activities.
Main Methods:
- A cross-sectional study involving 4072 children aged 4-13 years in the Netherlands.
- Data collected via parental questionnaires on sleep, nutrition, physical activity, and sedentary behavior.
- Statistical analyses included logistic and linear regression, adjusted for confounders.
Main Results:
- Short sleep duration was significantly associated with overweight in 4-8-year-old boys, 9-13-year-old boys, and 9-13-year-old girls.
- Determinants of short sleep included television viewing during meals, unrestricted candy access, low caregiver activity, and late bedtimes.
- Short sleep duration correlated strongly with increased television and computer use.
Conclusions:
- The link between sleep duration and overweight is not explained by socio-demographics or dietary habits.
- Parental involvement is critical for promoting adequate sleep duration.
- Enhancing parenting skills to provide structure may help increase sleep hours and prevent childhood overweight.
Objective:
Sleep duration has been related to overweight in children, but determinants of sleep duration are unclear. The aims were to investigate the association between sleep duration and childhood overweight adjusted for family characteristics and unhealthy behaviours, to explore determinants of sleep duration and to determine with sleep competing activities.
Method:
A cross-sectional study was carried out in 2006 among 4072 children aged 4-13 years in the city of Zwolle, The Netherlands. In these children, data were available on measured height, weight and waist circumference, and from a parental questionnaire, on socio-demographic characteristics, child's sleep duration, nutrition, physical activity and sedentary behaviour. Associations were studied in 2011 using logistic and linear regression analyses, adjusted for potential confounders.
Results:
Short sleep duration was associated with overweight for 4-8-year-old boys (odds ratio (OR):3.10; 95% confidence interval (CI):1.15-8.40), 9-13-year-old boys (OR:4.96; 95% CI:1.35-18.16) and 9-13-year-old girls (OR:4.86; 95% CI:1.59-14.88). Among 4-8-year-old girls no statistically significant association was found. Determinants for short sleep duration were viewing television during a meal, permission to have candy without asking, not being active with their caregiver and a late bedtime. For all children, short sleep duration was strongly associated with more television viewing and computer use.
Conclusions:
Association between sleep duration and overweight is not explained by socio-demographic variables, drinking sugared drinks and eating snacks. Parents have a key role in stimulating optimal sleep duration. Improving parenting skills and knowledge to offer children more structure, and possibly with that, increase sleeping hours, may be promising in prevention of overweight.
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