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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Ethnic differences in sleep duration at 5 years, and its relationship with overweight and blood pressure
Kenneth O Anujuo1, Tanja G M Vrijkotte2, Karien Stronks2
1Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands k.o.anujuo@amc.uva.nl.
Insights
Children from ethnic minority groups in Amsterdam sleep less than Dutch children. This shorter sleep duration in children was not consistently linked to overweight or high blood pressure (BP).
Area of Science:
- Pediatric Health
- Sleep Science
- Public Health
Background:
- Adult studies show shorter sleep in ethnic minorities.
- This study investigates ethnic differences in child sleep duration in Amsterdam.
Purpose of the Study:
- To examine ethnic disparities in sleep duration among 5-year-old children.
- To assess the relationship between sleep duration, overweight, and blood pressure (BP) across ethnic groups.
Main Methods:
- Longitudinal study of 2384 children and their mothers in Amsterdam.
- Sleep categorized as short (<10 h/night) or normal (10-11 h/night).
- Linear regressions and prevalence ratios used to analyze associations.
Main Results:
- Minority children, particularly Ghanaians and Moroccans, had significantly shorter sleep durations than Dutch children.
- Short sleep was linked to increased overweight prevalence in Dutch and Moroccan children, but this effect diminished after socioeconomic status adjustment.
- Short sleep showed no consistent association with systolic or diastolic blood pressure, except in African Surinamese children.
Conclusions:
- Ethnic minority children in Amsterdam experience shorter sleep durations, mirroring adult patterns.
- Interventions to address sleep inequalities should target children from a young age.
- Observed associations between short sleep, overweight, and BP in adults were not consistently replicated in this pediatric cohort.
Background:
Studies on adult population indicate shorter sleep duration in ethnic minority groups than host populations. We examined ethnic differences in sleep duration and its relationship with overweight and blood pressure (BP) among children living in Amsterdam.
Methods:
Participants include 2384 children (aged 5 years) and their mothers from the Amsterdam-based longitudinal study. Sleep was categorised into short sleep (<10 h/night) and normal sleep (10-11 h/night). Linear regressions ( Β: were used to study association between sleep duration and systolic BP (SBP) and diastolic BP (DBP). Prevalence ratios (PRs) were used to study ethnic differences in sleep duration and its association with overweight and raised BP.
Results:
Minority groups reported shorter sleep duration compared to native Dutch, with prevalence ranging from 11.3% in Dutch to 53.1% in Ghanaians. Age-adjusted PRs ranged from 3.38 (95%CI 2.63-4.34) in Moroccans to 4.78 (95%CI 3.36-6.82) in Ghanaian compared with Dutch children. Increased prevalence of overweight was observed among children with short sleep in Dutch and Moroccans only, but this risk was no longer statistically significant after further adjustment for socioeconomic status. Short sleep was not related to SBP and DBP in all groups. No relationship was observed between short sleep and raised BP except for African Surinamese (3.65, 95% CI 1.23-10.8).
Conclusion:
Like adults, children from ethnic minority populations sleep less hours than Dutch children. Efforts to improve ethnic inequalities in sleep hygiene should also include children at younger age. Associations as reported in adults with overweight and BP could not consistently be replicated in children, however.
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