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Published on: June 13, 2025
Childhood sleep duration and quality in relation to leptin concentration in two cohort studies
Caroline E Boeke1, Amy Storfer-Isser2, Susan Redline3
1Department of Epidemiology, Harvard School of Public Health, Boston, MA ; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA.
Insights
Poor sleep in children and adolescents may impact appetite-regulating hormone leptin. Shorter sleep duration was linked to lower leptin levels in 7-year-old girls and adolescent males, suggesting age-specific sexual differences.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Obesity Research
Background:
- Childhood sleep duration is linked to obesity risk.
- Leptin, an appetite-regulating hormone, may mediate this association.
- Previous research shows inconsistent findings regarding sleep and leptin.
Purpose of the Study:
- To investigate the relationship between sleep duration and quality with leptin levels in pediatric cohorts.
- To explore potential age-specific and sex-specific differences in this relationship.
Main Methods:
- Analysis of data from two prospective US pediatric cohorts: Project Viva (n=655) and Cleveland Children's Sleep & Health Study (n=502).
- Sleep duration assessed through maternal reports (infancy-age 7) and self-reports/polysomnography (adolescents).
- Leptin levels measured at ages 3, 7, and 16-19; statistical analyses adjusted for sociodemographic factors and adiposity.
Main Results:
- In Project Viva, chronic curtailed sleep at age 7 was associated with lower leptin in girls (0.08 decrease in log leptin per sleep score unit), stronger in girls with higher adiposity.
- In adolescents, shorter sleep duration was associated with lower leptin in males (0.06 decrease in log leptin per hour).
- No significant associations were found for sleep duration at other ages or for sleep quality indices with leptin.
Conclusions:
- Results indicate potential age-specific sexual dimorphism in the sleep-leptin relationship.
- These findings may help explain inconsistencies in prior research on sleep, appetite hormones, and obesity risk.
- Further research is warranted to elucidate the mechanisms underlying these sex- and age-specific associations.
Study Objectives:
Poor sleep in childhood is associated with increased obesity risk, possibly by affecting appetite-regulating hormones such as leptin. We examined short- and long-term sleep duration and quality in relation to leptin in two US pediatric cohorts.
Design:
Analysis of data from two prospective cohort studies.
Setting:
Population-based. Adolescent polysomnography assessments performed in a clinical research unit.
Patients Or Participants:
Children in Project Viva (n = 655) and adolescents in the Cleveland Children's Sleep & Health Study (n = 502).
Interventions:
N/A.
Measurements And Results:
In Project Viva, mothers reported average child sleep duration annually from infancy through age 7, and we measured leptin at ages 3 and 7. In the Cleveland Children's Sleep & Health Study, we collected self-reported sleep duration, polysomnography-derived measures of sleep quality, and fasting leptin at ages 16-19. In sex-stratified linear regression analyses adjusted for sociodemographic characteristics and adiposity, chronic curtailed sleep was associated with lower leptin at age 7 in girls; a one-unit decrease in sleep score was associated with a 0.08 decrease in log leptin (95% CI: 0.01,0.15). The association was stronger in girls with greater adiposity (P = 0.01). Among adolescents, shorter sleep was associated with lower leptin in males; each one-hour decrease in sleep duration was associated with a 0.06 decrease in log leptin (95% CI: 0.00, 0.11). Sleep duration was not associated with leptin at other ages. Sleep quality indices were not associated with leptin.
Conclusions:
Our results suggest possible age-specific sexual dimorphism in the influence of sleep on leptin, which may partly explain inconsistencies in the literature.
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