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Updated: May 6, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Overweight and obese children have lower cortisol levels than normal weight children
E Allansson Kjölhede1, P E Gustafsson, P A Gustafsson
1Faculty of Health Sciences, Department of Clinical and Experimental Medicine, Division of Pediatrics, Linköping University, Linköping, Sweden. elin.allansson@liu.se.
Insights
Cortisol levels, essential for survival, show a daily rhythm in children. Overweight and obese children have lower cortisol levels than normal-weight children, suggesting a link between stress and childhood obesity.
Area of Science:
- Pediatric endocrinology
- Chronobiology
- Metabolic health
Background:
- Cortisol, a vital stress hormone, plays a role in survival.
- Disrupted circadian rhythms are linked to adverse health outcomes.
- Limited data exists on cortisol levels in healthy children.
Purpose of the Study:
- To investigate cortisol levels in relation to body mass index (BMI), age, and sex in children.
- To understand the diurnal pattern of cortisol secretion in a pediatric population.
Main Methods:
- Salivary cortisol samples collected over four days from 342 children (aged 6-12).
- Samples analyzed using enzyme immunoassay (EIA).
- Height and weight measured to calculate BMI.
Main Results:
- Children exhibited a clear circadian rhythm of cortisol secretion (morning peak, evening trough).
- Significantly lower average cortisol levels observed in overweight/obese children compared to normal-weight children.
- Cortisol levels did not significantly differ based on age or sex.
Conclusions:
- Findings suggest potential cortisol suppression in overweight and obese children.
- No influence of age or sex on cortisol levels was detected.
- Further research is warranted to explore the stress-obesity relationship in children.
Aim:
The stress hormone cortisol is vital to survival, and a disturbed circadian rhythm can be deleterious to health. However, little is known about cortisol levels in healthy children. The aim of this study was to examine cortisol levels in relation to body mass index (BMI), age and sex.
Methods:
Salivary samples were collected in early morning, late morning and evening, on four consecutive days, from 342 children aged 6-12 years using Salivette(®) tubes. Samples were analysed using a commercial enzyme immunoassay (EIA). School nurses measured the children's height and weight, and these measurements were used to calculate their BMI.
Results:
The children displayed a circadian rhythm in cortisol secretion, with morning zeniths and evening nadirs. Average cortisol levels in early morning, late morning and evening were significantly lower in overweight and obese children than in their normal weight counterparts. Cortisol levels did not vary significantly with age or sex.
Conclusion:
Our findings may suggest cortisol suppression in overweight and obese children. We found no evidence that sex or age influences cortisol levels. These findings highlight the need for further research on the relationship between stress and obesity in children.
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