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Published on: April 29, 2013
Sleep and cardiometabolic risk in children and adolescents
Jonas S Quist1, Anders Sjödin2, Jean-Philippe Chaput3
1Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Insights
Inadequate sleep in children and adolescents is linked to increased cardiometabolic risk factors, including abdominal obesity and high blood pressure. Prioritizing sufficient, regular sleep is recommended for long-term cardiovascular health.
Area of Science:
- Pediatric Health
- Cardiovascular Science
- Sleep Medicine
Background:
- Growing evidence suggests a connection between sleep patterns and cardiometabolic health in young individuals.
- Existing literature lacks a comprehensive review of these associations.
- Cardiometabolic risk factors include abdominal adiposity, glucose homeostasis, blood lipids, blood pressure, and inflammatory markers.
Purpose of the Study:
- To systematically review existing literature on the association between sleep variables and cardiometabolic risk factors in children and adolescents.
- To synthesize the current evidence regarding sleep's role in pediatric cardiometabolic health.
Main Methods:
- A systematic review of 75 studies was conducted.
- Studies examined associations between sleep variables and measures of abdominal adiposity, glucose homeostasis, blood lipids, blood pressure (BP), and inflammatory markers.
- Data from cross-sectional studies using parent or self-report sleep assessments were analyzed.
Main Results:
- Inadequate sleep shows a compelling association with abdominal adiposity, decreased insulin sensitivity, and elevated blood pressure in children and adolescents.
- The link between inadequate sleep and blood lipids or inflammatory markers is less convincing.
- Most studies are cross-sectional, and sleep is often subjectively measured.
Conclusions:
- Inadequate sleep may contribute to cardiometabolic risk in children and adolescents.
- Future research should employ longitudinal designs with objective sleep measurements over extended periods.
- Adequate, consistent sleep patterns are recommended for children and adolescents to promote cardiovascular health.
Abstract:
The evidence for a link between sleep and cardiometabolic risk factors in children and adolescents is accumulating; however, the literature has not yet been reviewed. Seventy-five studies investigating associations between sleep variables and measures of abdominal adiposity, glucose homeostasis, blood lipids, blood pressure (BP), and inflammatory markers were included in the present review. The current evidence indicates that inadequate sleep may play a role in cardiometabolic risk at a later age for children and adolescents. Most compelling is the evidence for an association between inadequate sleep and abdominal adiposity, decreased insulin sensitivity as well as high BP, whereas the evidence for potential links between sleep and blood lipids as well as inflammatory markers is less convincing. It should, however, be noted that the majority of studies linking sleep with cardiometabolic outcomes are cross-sectional in nature, and sleep is often assessed using parent or self-report. We suggest that future studies should investigate longitudinal associations between sleep and cardiometabolic risk factors with the use of objective sleep measurements conducted for several days, including weekdays and weekend days, at multiple time points over time. Meanwhile, based on the available evidence, we recommend that children and adolescents get adequate amounts of good sleep in a regular pattern.
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