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Associations between Blood Zinc Concentrations and Sleep Quality in Childhood: A Cohort Study
1School of Nursing University of Pennsylvania, 418 Curie Blvd., Philadelphia, PA 19104, USA. jixiaop@nursing.upenn.edu.
Insights
Sufficient zinc levels are linked to better sleep in children. This study found lower blood zinc was associated with poor sleep quality and duration in adolescents, with early zinc levels predicting later sleep issues.
Area of Science:
- Pediatric Health
- Nutritional Science
- Sleep Medicine
Background:
- Limited research exists on the connection between zinc and sleep in school-aged children.
- Zinc is an essential mineral involved in numerous physiological processes, potentially including sleep regulation.
Purpose of the Study:
- To investigate the cross-sectional and longitudinal associations between blood zinc concentrations and sleep quality in children.
- To determine if early childhood zinc status predicts sleep outcomes in adolescence.
Main Methods:
- A cohort of 1295 Chinese children (Jintan Child Cohort) provided blood samples for zinc measurement and sleep data at preschool (3-5 years) and early adolescence (11-15 years).
- Cross-sectional and longitudinal analyses were performed using odds ratios (ORs) to assess the relationship between zinc levels and sleep parameters.
Main Results:
- Cross-sectional analysis in adolescence revealed negative correlations between blood zinc and insufficient sleep duration (OR=0.432), sleep disturbances (OR=0.454), and poor sleep quality (OR=0.559).
- Preschool zinc concentrations longitudinally predicted poor sleep efficiency (OR=0.186) and poor sleep quality (OR=0.358) in adolescence.
- No significant associations were found at preschool age.
Conclusions:
- Adequate zinc concentration is associated with improved sleep quality in children, with the relationship being dependent on developmental stage.
- These findings highlight the importance of zinc status for sleep health throughout childhood and suggest potential targets for future interventions.
Abstract:
Little evidence is available regarding the relationship between zinc and sleep in school children. The present study aimed to examine the cross-sectional and longitudinal associations between blood zinc concentrations and sleep quality throughout childhood. A total of 1295 children from the Jintan Child Cohort in China were included in this study. Venous blood sample of zinc and subjective sleep data were collected when the children were at preschool age (3-5 years old) and early adolescence (11-15 years old). Odds ratios (ORs) reflect the odds of the sleep quality/subdomain being at a greater impairment level associated with 1 unit increase in log zinc concentration. Cross-sectional analyses showed negative correlation of blood zinc concentrations with insufficient sleep duration (OR = 0.432, p = 0.002), sleep disturbances (OR = 0.454, p = 0.009) and poor sleep quality (OR = 0.559, p = 0.049) in adolescence, but no association at preschool age (p > 0.05). Longitudinal analyses indicated that blood zinc concentrations at preschool age predict poor sleep efficiency (OR = 0.186, p = 0.000) and poor sleep quality (OR = 0.358, p = 0.020) in adolescence. Our findings suggest that sufficient zinc concentration is associated with good sleep quality, dependent on the developmental stage in childhood. Future interventional research is warranted to examine the short and long-term effect of zinc status on sleep heath.
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