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.

Sleep Medicine Reviews
|December 20, 2015
PubMed

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.

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