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Sleep duration and obesity in children: A systematic review and meta-analysis of prospective cohort studies
Lian Li1, Shuang Zhang1,2, Yubei Huang1
1Department of Epidemiology and Biostatistics, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy of Tianjin, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Insights
Short sleep duration significantly increases the risk of childhood obesity. Promoting adequate sleep is crucial for public health initiatives aimed at combating pediatric obesity.
Area of Science:
- Pediatric Health
- Epidemiology
- Public Health
Background:
- Childhood obesity is a significant global health concern.
- Emerging evidence suggests a potential link between sleep duration and pediatric obesity.
Purpose of the Study:
- To conduct a systematic review and meta-analysis.
- To estimate the association between sleep duration and childhood obesity or Body Mass Index (BMI).
Main Methods:
- Systematic search of PubMed, Embase, and Cochrane Library.
- Meta-analysis of prospective cohort studies using pooled relative risk (RR) and 95% confidence intervals (CI).
- Review of studies focusing on BMI change or subsequent BMI status.
Main Results:
- 12 studies (15 populations) included in the meta-analysis.
- Short sleep duration was significantly associated with obesity (RR: 1.45; 95% CI: 1.14-1.85).
- Robust association confirmed after heterogeneity adjustment (RR: 1.30; 95% CI: 1.20-1.42).
Conclusions:
- Short sleep duration is a risk factor for childhood obesity.
- Public health strategies encouraging sufficient sleep may help prevent pediatric obesity.
Aim:
Childhood obesity is a major public problem worldwide, and sleep duration may be associated with childhood obesity. We conducted a systematic review and meta-analysis of prospective cohort studies to estimate the associations between sleep duration and obesity/body mass index (BMI) in children.
Methods:
PubMed, Embase and the Cochrane Library were searched. For the meta-analysis, the pooled relative risk (RR) and 95% confidence intervals (CI) were estimated to reveal the association between short sleep duration and obesity. For the review, the outcomes focused on BMI change or subsequent BMI status.
Results:
A total of 12 studies (15 populations) met the criteria for inclusion in the meta-analysis. Short sleep duration was significantly associated with obesity (RR: 1.45; 95% CI: 1.14-1.85). After excluding two cohorts that substantially affected the heterogeneity, the pooled results remained significant (RR: 1.30; 95% CI: 1.20-1.42), and the association was not substantially altered in the subgroup analysis. In addition, we summarised 24 studies that met the criteria for our review of the relationship between sleeping and BMI.
Conclusion:
The present meta-analysis indicated that short sleep duration increased the risk of childhood obesity. Public health efforts that encourage children to have sufficient sleep time may be important in combating obesity.
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