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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Short sleep duration as a risk factor for childhood overweight/obesity: a large multicentric epidemiologic study in
Jinwen Zhang1, Xingming Jin2, Chonghuai Yan3
1School of Public Health, Shanghai Jiao Tong University, Shanghai, China; Xin Hua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; MOE-Shanghai Key Laboratory of Children's Environmental Health, Shanghai, China.
Insights
Shorter sleep duration and inconsistent sleep schedules in Chinese children are linked to increased risk of overweight and obesity. These findings highlight the importance of adequate sleep for maintaining a healthy weight in childhood.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Sleep Medicine
Background:
- Childhood obesity is a growing public health concern globally.
- Understanding modifiable risk factors like sleep is crucial for prevention strategies.
Purpose of the Study:
- To investigate the association between sleep duration and overweight/obesity in Chinese children.
- To explore the role of sleep schedule variability in childhood overweight/obesity.
Main Methods:
- A cross-sectional survey of 17,696 Chinese children aged 7-11 years.
- Sleep habits assessed using the Children's Sleep Habits Questionnaire.
- Overweight and obesity defined using standardized Body Mass Index (BMI) criteria.
Main Results:
- Prevalence of obesity and overweight was 10.7% and 10.3%, respectively.
- Shorter sleep duration (<9 hours/day) was significantly associated with increased BMI and higher odds of overweight/obesity.
- Sleep schedule variability independently correlated with increased odds of overweight/obesity.
Conclusions:
- Sleep duration and sleep schedule variability are significant factors associated with overweight/obesity in Chinese school children.
- Other lifestyle factors like screen time and eating habits also play a role.
- Interventions promoting healthy sleep patterns may help combat childhood obesity.
Objectives And Setting:
The present study was designed to examine the association of sleep duration with obesity/overweight in a multicentric urban sample of Chinese children.
Participants And Design:
A random sample of 17,696 children aged 7.00-11.99 years participated in a cross-sectional multicentric survey.
Measurements:
The Chinese version of the Children's Sleep Habits Questionnaire was used to collect information on children's sleep behaviors. Body mass index (BMI) was calculated as weight (kilograms)/height squared (square meters). Sex, age, and BMI were used to define overweight and obesity based on the definition recommended by the Working Group on Obesity in China.
Results:
The prevalence of obesity and overweight in Chinese school-aged children was 10.7% and 10.3%, respectively. Hierarchical multiple linear regression models revealed a significant association between shorter sleep duration (hours/day) and increased BMI (β = -0.120; P = .019). Multivariate logistic regression models demonstrated that, compared with sleep duration ≥10 hours/d, mean sleep duration <9 hours/d experienced increased likelihood of overweight/obesity (odds ratio = 1.21; P = .005). Moreover, sleep-schedule variability, independent of sleep duration, was found to be associated with overweight/obesity (odds ratio = 1.11; P = .016).
Conclusions:
Sleep duration and sleep-schedule variability, along with television viewing, homework schedule, and snack eating, were linked to overweight/obesity among elementary school children in this population-based sample.
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