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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The association between sleep patterns and overweight/obesity in Chinese children: a cross-sectional study
Bin Zhang1, Yanli Hao2, Jiangyan Zhou3
1Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Mental Health Centre, Guang Zhou Medical University, Guangzhou, People's Republic of China.
Insights
Compensating for sleep deficits on weekends and holidays may reduce overweight/obesity risk in Chinese children. Weekday sleep duration showed no significant association with weight status in this study.
Area of Science:
- Pediatric Health
- Sleep Science
- Obesity Research
Background:
- Childhood obesity is a growing global concern.
- Understanding factors influencing weight status in children is crucial for public health interventions.
- Sleep patterns are increasingly recognized as a potential contributor to pediatric obesity.
Purpose of the Study:
- To investigate the association between sleep patterns and the risk of being overweight or obese in Chinese children.
- To explore whether sleep compensation on non-weekdays impacts overweight/obesity risk.
- To examine the relationship between weekday sleep duration and weight status.
Main Methods:
- A cross-sectional study involving 3,086 Chinese children aged 7-14 years.
- Data collected via parental-reported questionnaires on sleep patterns, anthropometrics, and health status.
- Statistical analysis including chi-squared tests and adjusted odds ratios to assess associations.
Main Results:
- Overweight/obese children were younger, more likely male, and had higher illness prevalence.
- Children who did not compensate for sleep deficits on weekends and holidays had a higher risk of being overweight/obese.
- No significant association was found between weekday sleep duration and overweight/obesity risk.
Conclusions:
- Compensating for sleep deficits on weekends and holidays may mitigate the risk of overweight/obesity in Chinese children.
- The lack of association with weekday sleep duration might stem from widespread weekday sleep insufficiency.
- Targeting sleep compensation strategies could be beneficial for preventing childhood obesity in this population.
Objective:
This study evaluated the association between sleep patterns and the risk of being overweight/obese in Chinese children.
Methods:
A total of 3,086 children (1,608 boys and 1,478 girls) between 7 and 14 years of age and studying in primary schools were recruited as eligible study participants in this study. We collected the information about children regarding sleep patterns, body height and weight, insomnia, healthy status, time allocation of daily activities, and demographic characteristics using a parental-reported questionnaire.
Results:
Overweight/obese children were younger, predominantly male, and more prone to have suffered from illness in the past 12 months compared to normal-weight peers. They were also less prone to compensate for sleep deficits during weekends (47.6% vs 39.1%; χ (2)=11.637, P<0.001) and holidays (52.0% vs 42.0%; χ (2)=16.057, P<0.001). Sleep duration on weekdays did not affect the risk of being overweight/obese. The adjusted odds ratios for overweight/obesity (noncompensated) group using the compensated group as a reference were 1.197 (95% confidence interval [CI]: 1.004-1.493) during weekends and 1.309 (95% CI: 1.052-1.630) during holidays.
Conclusion:
Compensation for sleep deficits on non-weekdays may ameliorate the risk of being overweight/obese in Chinese children. Moreover, no significant association between the risk of being overweight/obese and sleep duration on weekdays was demonstrated in the current study, which may be due to pervasive sleep insufficiency on weekdays in Chinese children.
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