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Short sleep duration and childhood obesity: cross-sectional analysis in Peru and patterns in four developing
Rodrigo M Carrillo-Larco1, Antonio Bernabé-Ortiz1, J Jaime Miranda2
1CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Insights
Short sleep duration is not associated with childhood obesity in Peru. While initial findings suggested a link, further analysis controlling for individual and family factors showed no significant relationship, particularly for obesity.
Area of Science:
- Global Health
- Pediatric Nutrition
- Sleep Science
Background:
- Nutritional status and sleep duration patterns in children from Ethiopia, India, Peru, and Vietnam were examined.
- The study assessed the association between short sleep duration and overweight/obesity, specifically in Peruvian children.
Purpose of the Study:
- To describe nutritional status and sleep duration in children across four developing countries.
- To investigate the link between insufficient sleep and overweight/obesity in Peruvian children, considering gender differences.
Main Methods:
- Analysis of the Young Lives Study, younger cohort, third round, including over 1,900 children in Peru.
- Sleep duration (<10 hours vs. 10-11 hours) and Body Mass Index (BMI) for overweight/obesity were assessed.
- Multivariable hierarchical models were used to analyze associations, controlling for individual and family variables.
Main Results:
- Overweight/obesity prevalence in Peru was 15.8%/5.4%.
- Initially, obesity was 64% more prevalent with short sleep duration, but this lost significance after adjustments.
- Gender modified the association with overweight, but not obesity, with boys showing a higher prevalence ratio than girls.
Conclusions:
- Childhood overweight and obesity present varied profiles in developing countries.
- In Peruvian children from resource-limited settings, short sleep duration was not significantly associated with obesity after controlling for confounding factors.
- Family-related variables strongly diminished the crude association between short sleep and obesity.
Background:
We aimed to describe the patterns of nutritional status and sleep duration in children from Ethiopia, India, Peru and Vietnam; to assess the association between short sleep duration and overweight and obesity, and if this was similar among boys and girls in Peru.
Methods And Findings:
Analysis of the Young Lives Study, younger cohort, third round. In Ethiopia there were 1,999 observations, 2,011, 2,052 and 2,000 in India, Peru and Vietnam, respectively. Analyses included participants with complete data for sleep duration, BMI, sex and age; missing data: 5.9% (Ethiopia), 4.1% (India), 6.0% (Peru) and 4.5% (Vietnam). Exposure was sleep duration per day: short (<10 hours) versus regular (10-11 hours). Outcome was overweight and obesity. Multivariable analyses were conducted using a hierarchical approach to assess the effect of variables at different levels. Overweight/obesity prevalence was 0.5%/0.2% (Ethiopia), 1.3%/0.3% (India), 6.1%/2.8% (Vietnam), and 15.8%/5.4% (Peru). Only Peruvian data was considered to explore the association between short sleep duration and overweight and obesity, with 1,929 children, aged 7.9±0.3 years, 50.3% boys. Short and regular sleep duration was 41.6% and 55.6%, respectively. Multivariable models showed that obesity was 64% more prevalent among children with short sleep duration, an estimate that lost significance after controlling for individual- and family-related variables (PR: 1.15; 95%CI: 0.81-1.64). Gender was an effect modifier of the association between short sleep duration and overweight (p = 0.030) but not obesity (p = 0.533): the prevalence ratio was greater than one across all the models for boys, yet it was less than one for girls.
Conclusions:
Childhood overweight and obesity have different profiles across developing settings. In a sample of children living in resource-limited settings in Peru there is no association between short sleep duration and obesity; the crude association was slightly attenuated by children-related variables but strongly diminished by family-related variables.
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