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Published on: October 2, 2019
Later sleep timing predicts accelerated summer weight gain among elementary school children: a prospective
Jennette P Moreno1, Javad Razjouyan2,3,4, Houston Lester2,5
1Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston, TX, 77030, USA. palcic@bcm.edu.
Insights
Later sleep times in summer are linked to increased child body mass index (BMI). Promoting outdoor time during the school-year and earlier sleep in summer may help prevent childhood obesity.
Area of Science:
- Pediatric Health
- Sleep Science
- Obesity Research
Background:
- Children's sleep patterns and circadian rhythms are influenced by school-year and summer environments.
- Understanding these shifts is crucial for addressing potential health impacts like changes in body mass index (BMI).
Purpose of the Study:
- To investigate differences in children's sleep and circadian behaviors between school-year and summer periods.
- To explore the association between sleep/circadian parameters and BMI changes in children across these distinct periods.
Main Methods:
- Prospective observational study with 119 children (ages 5-8) in Houston, Texas.
- Wrist-worn accelerometry used to assess sleep midpoint, duration, variability, physical activity, and light exposure.
- Growth curve modeling analyzed the impact of sleep, activity, and light on BMI changes, controlling for covariates.
Main Results:
- Children's sleep midpoint shifted 1.5 hours later during summer compared to the school-year.
- Later summer sleep midpoints predicted increased BMI (γ=.0004, p=.03), while school-year sleep did not.
- Outdoor light exposure during the school-year predicted smaller BMI increases (γ=-.01, p=.02); no significant associations found for sleep duration or variability.
Conclusions:
- Obesity prevention strategies may need to be tailored to in-school versus out-of-school periods.
- Promoting outdoor time during the school-year and earlier sleep during summer are potential obesity prevention tactics.
Objectives And Background:
Social demands of the school-year and summer environment may affect children's sleep patterns and circadian rhythms during these periods. The current study examined differences in children's sleep and circadian-related behaviors during the school-year and summer and explored the association between sleep and circadian parameters and change in body mass index (BMI) during these time periods.
Methods:
This was a prospective observational study with 119 children ages 5 to 8 years with three sequential BMI assessments: early school-year (fall), late school-year (spring), and beginning of the following school-year in Houston, Texas, USA. Sleep midpoint, sleep duration, variability of sleep midpoint, physical activity, and light exposure were estimated using wrist-worn accelerometry during the school-year (fall) and summer. To examine the effect of sleep parameters, physical activity level, and light exposure on change in BMI, growth curve modeling was conducted controlling for age, race, sex, and chronotype.
Results:
Children's sleep midpoint shifted later by an average of 1.5 h during summer compared to the school-year. After controlling for covariates, later sleep midpoints predicted larger increases in BMI during summer, (γ = .0004, p = .03), but not during the school-year. Sleep duration, sleep midpoint variability, physical activity levels, and sedentary behavior were not associated with change in BMI during the school-year or summer. Females tended to increase their BMI at a faster rate during summer compared to males, γ = .06, p = .049. Greater amounts of outdoor light exposure (γ = -.01, p = .02) predicted smaller increases in school-year BMI.
Conclusions:
Obesity prevention interventions may need to target different behaviors depending on whether children are in or out of school. Promotion of outdoor time during the school-year and earlier sleep times during the summer may be effective obesity prevention strategies during these respective times.
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