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Updated: May 19, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Childhood obesity and sleep: relatives, partners, or both?--a critical perspective on the evidence
David Gozal1, Leila Kheirandish-Gozal
1Department of Pediatrics and Comer Children's Hospital, Pritzker School of Medicine, The University of Chicago, Chicago, Illinois 60637, USA. dgozal@uchicago.edu
Insights
Children
Area of Science:
- Pediatric Health
- Sleep Science
- Obesity Research
Background:
- Modern children often have insufficient or irregular sleep schedules.
- Inadequate sleep disrupts homeostatic and hormonal systems crucial for growth and energy.
- Childhood obesity is a growing concern, often linked to lifestyle factors.
Purpose of the Study:
- To highlight the critical link between childhood sleep patterns and obesity.
- To advocate for the integration of sleep evaluation in obesity research.
- To underscore the need for more research on sleep's role in pediatric obesity and related conditions.
Main Methods:
- This perspective synthesizes existing knowledge on sleep, obesity, and related health issues in children.
- It reviews the impact of sleep on physiological systems relevant to growth and metabolism.
- It discusses the co-occurrence of pediatric obesity and obstructive sleep apnea syndrome (OSAS).
Main Results:
- Declining sleep duration in children correlates with increasing obesity rates.
- Increased pediatric obesity significantly raises the risk of OSAS.
- Obesity and OSAS share common pathways contributing to end-organ damage.
Conclusions:
- Sleep must be considered an integral component in childhood obesity research and clinical practice.
- Further research is urgently needed to understand the interplay between sleep, obesity, and OSAS in children.
- Addressing sleep issues is crucial for managing pediatric obesity and its associated health risks.
Abstract:
In modern life, children are unlikely to obtain sufficient or regular sleep and waking schedules. Inadequate sleep affects the regulation of homeostatic and hormonal systems underlying somatic growth, maturation, and bioenergetics. Therefore, assessments of the obesogenic lifestyle, including as dietary and physical activity, need to be coupled with accurate evaluation of sleep quality and quantity, and coexistence of sleep apnea. Inclusion of sleep as an integral component of research studies on childhood obesity should be done as part of the study planning process. Although parents and health professionals have quantified normal patterns of activities in children, sleep has been almost completely overlooked. As sleep duration in children appears to have declined, reciprocal obesity rates have increased. Also, increases in pediatric obesity rates have markedly increased the risk of obstructive sleep apnea syndrome (OSAS) in children. Obesity and OSAS share common pathways underlying end-organ morbidity, potentially leading to reciprocal amplificatory effects. The relative paucity of data on the topics covered in the perspective below should serve as a major incentive toward future research on these critically important concepts.
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